chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Respiratory tract congestion
Clinical narrative: This is a 23y.o. female medical history of eczema and asthma who presented to the emergency department secondary to increased dyspnea. The patient states over the past 5 days she has been getting progressively more short of breath. She admits to chills and congestion as well as chest tightness. Patient states that she use her rescue inhaler multiple times without any improvement in her dyspnea. She does admit to receiving the first part of Pfizer COVID 19 vaccine however she did not get the second part.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Atrial septal defect, Cerebellar stroke, Cerebral mass effect, Condition aggravated
Clinical narrative: Otherwise healthy adolescent male with Intractable Headache and HyperEmesis. 10/22/21 to Urgent care- Dx Migraine Headache; 10/23/21 Admitted to Neuro ICU through ER for Large Cerebellar Stroke with Mass Effect on MRI. EVD drain placed for approximately 2 weeks. Discharged 11/8/21.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Echocardiogram abnormal, Haematology test normal, Headache, Intensive care
Clinical narrative: Otherwise healthy adolescent male with Intractable Headache and HyperEmesis. 10/22/21 to Urgent care- Dx Migraine Headache; 10/23/21 Admitted to Neuro ICU through ER for Large Cerebellar Stroke with Mass Effect on MRI. EVD drain placed for approximately 2 weeks. Discharged 11/8/21.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging head abnormal, Migraine, Ultrasound Doppler normal, Ventricular drainage
Clinical narrative: Otherwise healthy adolescent male with Intractable Headache and HyperEmesis. 10/22/21 to Urgent care- Dx Migraine Headache; 10/23/21 Admitted to Neuro ICU through ER for Large Cerebellar Stroke with Mass Effect on MRI. EVD drain placed for approximately 2 weeks. Discharged 11/8/21.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Otherwise healthy adolescent male with Intractable Headache and HyperEmesis. 10/22/21 to Urgent care- Dx Migraine Headache; 10/23/21 Admitted to Neuro ICU through ER for Large Cerebellar Stroke with Mass Effect on MRI. EVD drain placed for approximately 2 weeks. Discharged 11/8/21.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: left axillary adenopathy
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None applicable or reported.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Laboratory test, Liver disorder
Clinical narrative: Daily headaches, fatigue and joint pain. Active liver injury suggested by elevated LFTs. Thrombophlebitis in left arm. Shoulder pain.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Thrombophlebitis
Clinical narrative: Daily headaches, fatigue and joint pain. Active liver injury suggested by elevated LFTs. Thrombophlebitis in left arm. Shoulder pain.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Mobility decreased, Pain in extremity
Clinical narrative: From the first dose to approximately three days I started a strange pain that I had never had in my right arm. As the days passed, the pain increased and spread in the injected arm. With the second dose despite not being in the right arm the pain increased considerably and two months after the second dose I can hardly use my right arm. But the pain is increasing more and more. More and more drugs that do not eliminate pain. Cymbalta, Norflex, Decadron, Toradol, triamcinolone and over use of counter Tylenol arthritis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Vaccine positive rechallenge
Clinical narrative: Rapid swelling of arm down to elbow, pain radiating to fingers Symptoms made worse by second injection on 3/30/21. Now months out has ongoing pain in the area with regular shooting pain to left hand fingers. Continues to have a swollen area in upper arm.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood alcohol, Blood culture, Blood lactic acid, Blood magnesium
Clinical narrative: 69yr old male arrived to ED via clinic in wheelchair. He was brought to ED and clinic staff stated he was having irregular heart rate ranging 30's -107. He was being seen in the clinic for "body pain". He points to right leg and thought it was sciatica, but the pain is moving to the front of his leg.    ED chart:  1.  elevate troponin level 2. Cough Acute 3. Fasting hyperglycemia  4. Type 2 diabetes mellitus with stage 3a chronic kidney disease, with long-term current use of insulin (HCC)  5. Hypercalcemia    Per chart Acute Problems 1. Acute asthma/COPD exacerbation 2. Hypertensive urgency 3. Mild hypercalcemia 4. Elevated troponin 5. Asymptomatic bacteriuria 6. Suspected non-oliguric AKI 7. Type 2 DM with hyperglycemia 8. Right thigh discomfort
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Cough, Culture urine, Differential white blood cell count, Drug screen
Clinical narrative: 69yr old male arrived to ED via clinic in wheelchair. He was brought to ED and clinic staff stated he was having irregular heart rate ranging 30's -107. He was being seen in the clinic for "body pain". He points to right leg and thought it was sciatica, but the pain is moving to the front of his leg.    ED chart:  1.  elevate troponin level 2. Cough Acute 3. Fasting hyperglycemia  4. Type 2 diabetes mellitus with stage 3a chronic kidney disease, with long-term current use of insulin (HCC)  5. Hypercalcemia    Per chart Acute Problems 1. Acute asthma/COPD exacerbation 2. Hypertensive urgency 3. Mild hypercalcemia 4. Elevated troponin 5. Asymptomatic bacteriuria 6. Suspected non-oliguric AKI 7. Type 2 DM with hyperglycemia 8. Right thigh discomfort
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Heart rate irregular, Influenza A virus test, Influenza B virus test, International normalised ratio
Clinical narrative: 69yr old male arrived to ED via clinic in wheelchair. He was brought to ED and clinic staff stated he was having irregular heart rate ranging 30's -107. He was being seen in the clinic for "body pain". He points to right leg and thought it was sciatica, but the pain is moving to the front of his leg.    ED chart:  1.  elevate troponin level 2. Cough Acute 3. Fasting hyperglycemia  4. Type 2 diabetes mellitus with stage 3a chronic kidney disease, with long-term current use of insulin (HCC)  5. Hypercalcemia    Per chart Acute Problems 1. Acute asthma/COPD exacerbation 2. Hypertensive urgency 3. Mild hypercalcemia 4. Elevated troponin 5. Asymptomatic bacteriuria 6. Suspected non-oliguric AKI 7. Type 2 DM with hyperglycemia 8. Right thigh discomfort
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Nucleic acid test, Pain, Pain in extremity, Procalcitonin
Clinical narrative: 69yr old male arrived to ED via clinic in wheelchair. He was brought to ED and clinic staff stated he was having irregular heart rate ranging 30's -107. He was being seen in the clinic for "body pain". He points to right leg and thought it was sciatica, but the pain is moving to the front of his leg.    ED chart:  1.  elevate troponin level 2. Cough Acute 3. Fasting hyperglycemia  4. Type 2 diabetes mellitus with stage 3a chronic kidney disease, with long-term current use of insulin (HCC)  5. Hypercalcemia    Per chart Acute Problems 1. Acute asthma/COPD exacerbation 2. Hypertensive urgency 3. Mild hypercalcemia 4. Elevated troponin 5. Asymptomatic bacteriuria 6. Suspected non-oliguric AKI 7. Type 2 DM with hyperglycemia 8. Right thigh discomfort
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time, Respiratory syncytial virus test, SARS-CoV-2 test, Sciatica, Streptococcus test
Clinical narrative: 69yr old male arrived to ED via clinic in wheelchair. He was brought to ED and clinic staff stated he was having irregular heart rate ranging 30's -107. He was being seen in the clinic for "body pain". He points to right leg and thought it was sciatica, but the pain is moving to the front of his leg.    ED chart:  1.  elevate troponin level 2. Cough Acute 3. Fasting hyperglycemia  4. Type 2 diabetes mellitus with stage 3a chronic kidney disease, with long-term current use of insulin (HCC)  5. Hypercalcemia    Per chart Acute Problems 1. Acute asthma/COPD exacerbation 2. Hypertensive urgency 3. Mild hypercalcemia 4. Elevated troponin 5. Asymptomatic bacteriuria 6. Suspected non-oliguric AKI 7. Type 2 DM with hyperglycemia 8. Right thigh discomfort
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I, Troponin increased, Urine analysis, Wheelchair user
Clinical narrative: 69yr old male arrived to ED via clinic in wheelchair. He was brought to ED and clinic staff stated he was having irregular heart rate ranging 30's -107. He was being seen in the clinic for "body pain". He points to right leg and thought it was sciatica, but the pain is moving to the front of his leg.    ED chart:  1.  elevate troponin level 2. Cough Acute 3. Fasting hyperglycemia  4. Type 2 diabetes mellitus with stage 3a chronic kidney disease, with long-term current use of insulin (HCC)  5. Hypercalcemia    Per chart Acute Problems 1. Acute asthma/COPD exacerbation 2. Hypertensive urgency 3. Mild hypercalcemia 4. Elevated troponin 5. Asymptomatic bacteriuria 6. Suspected non-oliguric AKI 7. Type 2 DM with hyperglycemia 8. Right thigh discomfort
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure decreased, Cerebrovascular accident, Dizziness, Dysarthria, Hypertension
Clinical narrative: I was told that upon receiving the shot the Nurse kept talking to me and then she saw my skin color change and I was slurring my speech and then I knocked out. When I woke up, 911 was there and I was surrounded by nurses which had put me on oxygen. They checked my pressure and said it dropped immensely and then it went way high. The ambulance wanted to rush me to the hospital saying I had a mild stroke. I was extremely thirsty  and dizzy. I did not go to the hospital and stayed at the clinic until I felt strong enough to go home. I did not go because I was scared of going into the hospital and not leaving.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Skin discolouration, Thirst
Clinical narrative: I was told that upon receiving the shot the Nurse kept talking to me and then she saw my skin color change and I was slurring my speech and then I knocked out. When I woke up, 911 was there and I was surrounded by nurses which had put me on oxygen. They checked my pressure and said it dropped immensely and then it went way high. The ambulance wanted to rush me to the hospital saying I had a mild stroke. I was extremely thirsty  and dizzy. I did not go to the hospital and stayed at the clinic until I felt strong enough to go home. I did not go because I was scared of going into the hospital and not leaving.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dry mouth, Dysarthria, Fatigue, Injection site pruritus
Clinical narrative: I was told that upon receiving the shot the Nurse kept talking to me and then she saw my skin color change and I was slurring my speech and then I knocked out. When I woke up, 911 was there and I was surrounded by nurses which had put me on oxygen. They checked my pressure and said it dropped immensely and then it went way high. The ambulance wanted to rush me to the hospital saying I had a mild stroke. I was extremely thirsty  and dizzy. I did not go to the hospital and stayed at the clinic until I felt strong enough to go home. I did not go because I was scared of going into the hospital and not leaving.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle tightness, Slow response to stimuli
Clinical narrative: I was told that upon receiving the shot the Nurse kept talking to me and then she saw my skin color change and I was slurring my speech and then I knocked out. When I woke up, 911 was there and I was surrounded by nurses which had put me on oxygen. They checked my pressure and said it dropped immensely and then it went way high. The ambulance wanted to rush me to the hospital saying I had a mild stroke. I was extremely thirsty  and dizzy. I did not go to the hospital and stayed at the clinic until I felt strong enough to go home. I did not go because I was scared of going into the hospital and not leaving.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 RNA
Clinical narrative: 2019 Novel Coronavirus RNA detected 11/17/1021 Hospitalized 11/17/2021 Patient died
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine was for ages 5-11. The patient was 12 at the time the vaccine was administered.
Age: 26.0
Sex: M
Vaccine: COVID19, FLU4, COVID19, UNK
Symptoms: Autopsy, Fatigue, Myalgia, Oropharyngeal pain, Tachycardia
Clinical narrative: On morning of 11th, he complained of sore throat and fatigue.  On morning of 12th, his apple watch recorded tachycardia.  Later in the day, he had complained of fatigue, muscle aches, and sore throat with a temperature of 100.2 F.  His apple watch recorded no cardiac activity after 1959 hours.
Age: 26.0
Sex: M
Vaccine: COVID19, FLU4, COVID19, UNK
Symptoms: Autopsy, Brain oedema, Condition aggravated, Death, Fatigue
Clinical narrative: On morning of 11th, he complained of sore throat and fatigue.  On morning of 12th, his apple watch recorded tachycardia.  Later in the day, he had complained of fatigue, muscle aches, and sore throat with a temperature of 100.2 F.  His apple watch recorded no cardiac activity after 1959 hours.
Age: 26.0
Sex: M
Vaccine: COVID19, FLU4, COVID19, UNK
Symptoms: Giant cell arteritis, Hypersomnia, Impaired work ability, Inflammation, Malaise
Clinical narrative: On morning of 11th, he complained of sore throat and fatigue.  On morning of 12th, his apple watch recorded tachycardia.  Later in the day, he had complained of fatigue, muscle aches, and sore throat with a temperature of 100.2 F.  His apple watch recorded no cardiac activity after 1959 hours.
Age: 26.0
Sex: M
Vaccine: COVID19, FLU4, COVID19, UNK
Symptoms: Myalgia, Myocarditis, Oropharyngeal pain, Pathology test, Pulmonary congestion
Clinical narrative: On morning of 11th, he complained of sore throat and fatigue.  On morning of 12th, his apple watch recorded tachycardia.  Later in the day, he had complained of fatigue, muscle aches, and sore throat with a temperature of 100.2 F.  His apple watch recorded no cardiac activity after 1959 hours.
Age: 26.0
Sex: M
Vaccine: COVID19, FLU4, COVID19, UNK
Symptoms: Right ventricular dilatation, Splenomegaly, Thrombosis, Vascular calcification, Vein of Galen aneurysmal malformation
Clinical narrative: On morning of 11th, he complained of sore throat and fatigue.  On morning of 12th, his apple watch recorded tachycardia.  Later in the day, he had complained of fatigue, muscle aches, and sore throat with a temperature of 100.2 F.  His apple watch recorded no cardiac activity after 1959 hours.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pt is a73y.o. year old female from a facility presents to HCF due to progressive shortness of breath s/p testing positive for COVID 11/5. Reports of abdominal pain and diarrhea prior to arrival which appear to have resolved. The patient appears comfortable on 4 L O2/NC. She denies abdominal pain at this time. She admits to cough. Decadron/Remdesivir initiated (recognize there may be minimal benefit of remdesivir as 10 days since diagnosis) Leukocytosis noted. CXR/CTA with multifocal pneumonia consistent with COVID. Clinically doubt superimposed bacterial pneumonia. DC antibiotics. Charting reflects patient had 1 dose of Moderna in February 2021 cannot confirm additional dosing at this time COVID 19 INFLAMMATORY MARKERS:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Inflammatory marker test, Leukocytosis
Clinical narrative: Pt is a73y.o. year old female from a facility presents to HCF due to progressive shortness of breath s/p testing positive for COVID 11/5. Reports of abdominal pain and diarrhea prior to arrival which appear to have resolved. The patient appears comfortable on 4 L O2/NC. She denies abdominal pain at this time. She admits to cough. Decadron/Remdesivir initiated (recognize there may be minimal benefit of remdesivir as 10 days since diagnosis) Leukocytosis noted. CXR/CTA with multifocal pneumonia consistent with COVID. Clinically doubt superimposed bacterial pneumonia. DC antibiotics. Charting reflects patient had 1 dose of Moderna in February 2021 cannot confirm additional dosing at this time COVID 19 INFLAMMATORY MARKERS:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt is a73y.o. year old female from a facility presents to HCF due to progressive shortness of breath s/p testing positive for COVID 11/5. Reports of abdominal pain and diarrhea prior to arrival which appear to have resolved. The patient appears comfortable on 4 L O2/NC. She denies abdominal pain at this time. She admits to cough. Decadron/Remdesivir initiated (recognize there may be minimal benefit of remdesivir as 10 days since diagnosis) Leukocytosis noted. CXR/CTA with multifocal pneumonia consistent with COVID. Clinically doubt superimposed bacterial pneumonia. DC antibiotics. Charting reflects patient had 1 dose of Moderna in February 2021 cannot confirm additional dosing at this time COVID 19 INFLAMMATORY MARKERS:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: aching muscle, took Advil
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Large, swollen, red rash over and around the injection site. Hot and painful to the touch. 101 fever for 24 hours.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Large, swollen, red rash over and around the injection site. Hot and painful to the touch. 101 fever for 24 hours.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Bloody discharge, Cough, Eye irritation, Eyelid margin crusting, Lacrimation increased
Clinical narrative: No health problems prior to vaccine: 1) now both eyes water constantly, are red and irritated, and are crusty when I wake up in the morning with cloudy vision.  2) Sinuses are constantly congested and discharge when I blow my nose is bloody and blood clots along with coughing. 3) Almost always lethargic during the day at work.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Ocular hyperaemia, Sinus congestion, Thrombosis, Vision blurred
Clinical narrative: No health problems prior to vaccine: 1) now both eyes water constantly, are red and irritated, and are crusty when I wake up in the morning with cloudy vision.  2) Sinuses are constantly congested and discharge when I blow my nose is bloody and blood clots along with coughing. 3) Almost always lethargic during the day at work.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Lower respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: + COVID 19 test Non-productive cough Chest congestion
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Full body rash starting on the back and extending to trunk and legs over three days. Small red bumps, itchy especially when exposed to warm water.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy rash on upper back, posterior neck and anterior chest began 3 hours after injection
Age: 40.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, SARS-CoV-2 test positive
Clinical narrative: SARS-CoV-2 Antigen detected 11/11/2021 Hospitalized 11/12/2021 ARDS
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Pain, Pyrexia
Clinical narrative: 102 fever, body aches, general poor feeling, no energy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Rash, Urticaria
Clinical narrative: after pain and fever i developed a rash all over my body  travelling hives  that appear in different places of my body and face  still have head aches and rash after two weeks  was put on steroids and antihistamines but it doesn't go away
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Cerebrovascular accident, Dizziness, Scan abnormal, Syncope
Clinical narrative: GOT THE COVID-19 PFIZER VACCINE ON 12/4/2021. ON SUNDAY SHE GOT DIZZINESS, THROW UP AFTER EATING, FAINTED.  FAMILY RUSHED HER TO EMERGENCY.  SCAN AT HOSPITAL SHOWS STROKE, BLEEDING IN THE BRAIN
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: GOT THE COVID-19 PFIZER VACCINE ON 12/4/2021. ON SUNDAY SHE GOT DIZZINESS, THROW UP AFTER EATING, FAINTED.  FAMILY RUSHED HER TO EMERGENCY.  SCAN AT HOSPITAL SHOWS STROKE, BLEEDING IN THE BRAIN
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: Short of breath, Heart rate increase, dizziness, BP increase, observed patient in 40 minutes. Vital sign back to normal.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Hospitalized COVID pneumonia
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Dyspnoea, Electrocardiogram normal, Heart rate abnormal
Clinical narrative: 9/1/2021  - post vaccine ~ 7 hours: lethargy, muscle and body aches - extremely painful, hurt to sleep, chest pressure, shortness of breath, heart palpitations.  48 hours post vaccine - all symptoms except SOB, chest pressure and heart palps resolved.  Sought Cardiovascular work up - EKG normal, resting heart rate 100 (completely abnormal for myself), elevated BP.  Per Cardiologist - presentation appeared to be in line with myocarditis.  Recommended f/u if symptoms do not resolve.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Myalgia, Myocarditis, Pain, Palpitations
Clinical narrative: 9/1/2021  - post vaccine ~ 7 hours: lethargy, muscle and body aches - extremely painful, hurt to sleep, chest pressure, shortness of breath, heart palpitations.  48 hours post vaccine - all symptoms except SOB, chest pressure and heart palps resolved.  Sought Cardiovascular work up - EKG normal, resting heart rate 100 (completely abnormal for myself), elevated BP.  Per Cardiologist - presentation appeared to be in line with myocarditis.  Recommended f/u if symptoms do not resolve.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: 9/1/2021  - post vaccine ~ 7 hours: lethargy, muscle and body aches - extremely painful, hurt to sleep, chest pressure, shortness of breath, heart palpitations.  48 hours post vaccine - all symptoms except SOB, chest pressure and heart palps resolved.  Sought Cardiovascular work up - EKG normal, resting heart rate 100 (completely abnormal for myself), elevated BP.  Per Cardiologist - presentation appeared to be in line with myocarditis.  Recommended f/u if symptoms do not resolve.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Headache, nausea, chills, swollen and aching lymph nodes, sore at injection site - severe for about 36 hours
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Headache, nausea, chills, swollen and aching lymph nodes, sore at injection site - severe for about 36 hours
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient is  9 years old and received purple top pfizer 0.3ml dose without dilution
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Electrocardiogram, Muscle spasms, Myocarditis
Clinical narrative: I received my third Pfifer shot on 11/05/2021. I had previously had an adverse reaction with my second shot 03/22/21 where I developed very painful pleurisy and went to the hospital.   Because of this reaction to the second dose, I went to my doctor and asked if I should get the third. I was advised that there was a study researching long-term issues amongst males 18-40 but since I was not in this demographic and my issues did not go past the one day, that it would be safe for me to get the third vaccine.   A few days after my third shot I developed chest pain and cramps. It was similar to the pain I had when I went to the hospital, but not painful enough to go to the hospital. I went to family practice again where I had blood tests done and an ekg. I was also prescribed a medication to address myocarditis.   The pain persisted with medication but at the following appt I was given pain medication and recommended to use an inhaler. I have a pending echocardiogram but am switching doctors before scheduling.   I continued to have pains after this
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Myalgia, Palpitations, Pyrexia
Clinical narrative: Could not lift arm more than 5 inches from side. Fever 99.8. Muscle pain. Joint Pain. Heart Palpitations. Sunburn feeling on skin. Hives on torso.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation, Urticaria
Clinical narrative: Could not lift arm more than 5 inches from side. Fever 99.8. Muscle pain. Joint Pain. Heart Palpitations. Sunburn feeling on skin. Hives on torso.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 RNA increased
Clinical narrative: 11/18/2021 2019 Novel Corona virus RNA detected Hospitalized 11/21/21 DX with Pneumonia
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Heart rate increased
Clinical narrative: High heart rate and tight chest.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Clostridium difficile infection, Cough, Decreased activity, Diarrhoea
Clinical narrative: FROM ED physician; Sepsis, Respiratory   History: Patient presents today with fever, URI symptoms, shortness of breath, tachycardia.   A month ago patient was diagnosed with an E. coli GI infection.  He was then seen for upper respiratory symptoms on 9/23/2021 and treated for pneumonia with Omnicef.  Patient returned a week later finishing the Omnicef but then had bloody mucousy diarrhea, he was presumptively treated for C. difficile with oral vancomycin no testing done.  He then again returned with the diarrhea resolved but then having ear pain and upper respiratory symptoms.  There was some drainage so they decided to treat the patient with eardrops but normal oral antibiotics though they felt this with a perforated eardrum.   Patient presented to clinic today feeling shortness of breath and generally unwell.  Found to be febrile to 101.6 and was transferred over to the emergency department for further work-up and treatment.  They have given a DuoNeb and given 125 Solu-Medrol, patient does not have a history of chronic lung disease that they know of.  Antigen testing for Covid was negative.  10/21:  Diabetes Education   Assessment:  Referral to see pt with newly diagnosed pre-diabetes with hyperglycemia.  Pt received IV steroids on adm.  Pt now adm with bilat pneumonia, recent C diff. He was on oral steroids in late Sept for cough/wheezing. Pt resting in bed with O2 in place.  He states that there are no plans for dischg today-waiting to be seen by Infect Dis Doctor met with pt and wife to discuss normal blood sugar and AIC levels.  Pt has no hx of elevated blood sugars but he does have family history of diabetes in his father. Discussed symptoms of hyperglycemia and current use of Novolog insulin if blood sugars elevated.  Discussed plans for Endo to see and possible need for oral diabetes med. Discussed effect of diet, exercise and meds on blood sugars.  Pt states he hasn't been as active this Fall as he's been ill with "one thing after another." Written information provided for pt.  Will also ask dietitian to see.   To ED for : Pneumonia of both lungs due to infectious organism, unspecified part of lung  Note from SF nurse: Shortness of breath gettung worse over the past two weeks. Has had 3 covid nedative tests.. Has had  A combination of blood in stools and diarrhea.. also has had  ecoli which has been treated..  PER ED HOSPITALIST: Patient Active Problem List Diagnosis ? Elevated cholesterol ? Herpes simplex ? Prostate cancer ? Family history of colon cancer ? Pneumonia
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea haemorrhagic, Drainage, Dyspnoea, Ear pain, Gastroenteritis Escherichia coli
Clinical narrative: FROM ED physician; Sepsis, Respiratory   History: Patient presents today with fever, URI symptoms, shortness of breath, tachycardia.   A month ago patient was diagnosed with an E. coli GI infection.  He was then seen for upper respiratory symptoms on 9/23/2021 and treated for pneumonia with Omnicef.  Patient returned a week later finishing the Omnicef but then had bloody mucousy diarrhea, he was presumptively treated for C. difficile with oral vancomycin no testing done.  He then again returned with the diarrhea resolved but then having ear pain and upper respiratory symptoms.  There was some drainage so they decided to treat the patient with eardrops but normal oral antibiotics though they felt this with a perforated eardrum.   Patient presented to clinic today feeling shortness of breath and generally unwell.  Found to be febrile to 101.6 and was transferred over to the emergency department for further work-up and treatment.  They have given a DuoNeb and given 125 Solu-Medrol, patient does not have a history of chronic lung disease that they know of.  Antigen testing for Covid was negative.  10/21:  Diabetes Education   Assessment:  Referral to see pt with newly diagnosed pre-diabetes with hyperglycemia.  Pt received IV steroids on adm.  Pt now adm with bilat pneumonia, recent C diff. He was on oral steroids in late Sept for cough/wheezing. Pt resting in bed with O2 in place.  He states that there are no plans for dischg today-waiting to be seen by Infect Dis Doctor met with pt and wife to discuss normal blood sugar and AIC levels.  Pt has no hx of elevated blood sugars but he does have family history of diabetes in his father. Discussed symptoms of hyperglycemia and current use of Novolog insulin if blood sugars elevated.  Discussed plans for Endo to see and possible need for oral diabetes med. Discussed effect of diet, exercise and meds on blood sugars.  Pt states he hasn't been as active this Fall as he's been ill with "one thing after another." Written information provided for pt.  Will also ask dietitian to see.   To ED for : Pneumonia of both lungs due to infectious organism, unspecified part of lung  Note from SF nurse: Shortness of breath gettung worse over the past two weeks. Has had 3 covid nedative tests.. Has had  A combination of blood in stools and diarrhea.. also has had  ecoli which has been treated..  PER ED HOSPITALIST: Patient Active Problem List Diagnosis ? Elevated cholesterol ? Herpes simplex ? Prostate cancer ? Family history of colon cancer ? Pneumonia
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Glucose tolerance impaired, Haematochezia, Herpes simplex, Hyperglycaemia, Malaise
Clinical narrative: FROM ED physician; Sepsis, Respiratory   History: Patient presents today with fever, URI symptoms, shortness of breath, tachycardia.   A month ago patient was diagnosed with an E. coli GI infection.  He was then seen for upper respiratory symptoms on 9/23/2021 and treated for pneumonia with Omnicef.  Patient returned a week later finishing the Omnicef but then had bloody mucousy diarrhea, he was presumptively treated for C. difficile with oral vancomycin no testing done.  He then again returned with the diarrhea resolved but then having ear pain and upper respiratory symptoms.  There was some drainage so they decided to treat the patient with eardrops but normal oral antibiotics though they felt this with a perforated eardrum.   Patient presented to clinic today feeling shortness of breath and generally unwell.  Found to be febrile to 101.6 and was transferred over to the emergency department for further work-up and treatment.  They have given a DuoNeb and given 125 Solu-Medrol, patient does not have a history of chronic lung disease that they know of.  Antigen testing for Covid was negative.  10/21:  Diabetes Education   Assessment:  Referral to see pt with newly diagnosed pre-diabetes with hyperglycemia.  Pt received IV steroids on adm.  Pt now adm with bilat pneumonia, recent C diff. He was on oral steroids in late Sept for cough/wheezing. Pt resting in bed with O2 in place.  He states that there are no plans for dischg today-waiting to be seen by Infect Dis Doctor met with pt and wife to discuss normal blood sugar and AIC levels.  Pt has no hx of elevated blood sugars but he does have family history of diabetes in his father. Discussed symptoms of hyperglycemia and current use of Novolog insulin if blood sugars elevated.  Discussed plans for Endo to see and possible need for oral diabetes med. Discussed effect of diet, exercise and meds on blood sugars.  Pt states he hasn't been as active this Fall as he's been ill with "one thing after another." Written information provided for pt.  Will also ask dietitian to see.   To ED for : Pneumonia of both lungs due to infectious organism, unspecified part of lung  Note from SF nurse: Shortness of breath gettung worse over the past two weeks. Has had 3 covid nedative tests.. Has had  A combination of blood in stools and diarrhea.. also has had  ecoli which has been treated..  PER ED HOSPITALIST: Patient Active Problem List Diagnosis ? Elevated cholesterol ? Herpes simplex ? Prostate cancer ? Family history of colon cancer ? Pneumonia
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Prostate cancer, Pyrexia, Respiratory symptom, SARS-CoV-2 test negative
Clinical narrative: FROM ED physician; Sepsis, Respiratory   History: Patient presents today with fever, URI symptoms, shortness of breath, tachycardia.   A month ago patient was diagnosed with an E. coli GI infection.  He was then seen for upper respiratory symptoms on 9/23/2021 and treated for pneumonia with Omnicef.  Patient returned a week later finishing the Omnicef but then had bloody mucousy diarrhea, he was presumptively treated for C. difficile with oral vancomycin no testing done.  He then again returned with the diarrhea resolved but then having ear pain and upper respiratory symptoms.  There was some drainage so they decided to treat the patient with eardrops but normal oral antibiotics though they felt this with a perforated eardrum.   Patient presented to clinic today feeling shortness of breath and generally unwell.  Found to be febrile to 101.6 and was transferred over to the emergency department for further work-up and treatment.  They have given a DuoNeb and given 125 Solu-Medrol, patient does not have a history of chronic lung disease that they know of.  Antigen testing for Covid was negative.  10/21:  Diabetes Education   Assessment:  Referral to see pt with newly diagnosed pre-diabetes with hyperglycemia.  Pt received IV steroids on adm.  Pt now adm with bilat pneumonia, recent C diff. He was on oral steroids in late Sept for cough/wheezing. Pt resting in bed with O2 in place.  He states that there are no plans for dischg today-waiting to be seen by Infect Dis Doctor met with pt and wife to discuss normal blood sugar and AIC levels.  Pt has no hx of elevated blood sugars but he does have family history of diabetes in his father. Discussed symptoms of hyperglycemia and current use of Novolog insulin if blood sugars elevated.  Discussed plans for Endo to see and possible need for oral diabetes med. Discussed effect of diet, exercise and meds on blood sugars.  Pt states he hasn't been as active this Fall as he's been ill with "one thing after another." Written information provided for pt.  Will also ask dietitian to see.   To ED for : Pneumonia of both lungs due to infectious organism, unspecified part of lung  Note from SF nurse: Shortness of breath gettung worse over the past two weeks. Has had 3 covid nedative tests.. Has had  A combination of blood in stools and diarrhea.. also has had  ecoli which has been treated..  PER ED HOSPITALIST: Patient Active Problem List Diagnosis ? Elevated cholesterol ? Herpes simplex ? Prostate cancer ? Family history of colon cancer ? Pneumonia
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Tachycardia, Upper respiratory tract infection, Wheezing
Clinical narrative: FROM ED physician; Sepsis, Respiratory   History: Patient presents today with fever, URI symptoms, shortness of breath, tachycardia.   A month ago patient was diagnosed with an E. coli GI infection.  He was then seen for upper respiratory symptoms on 9/23/2021 and treated for pneumonia with Omnicef.  Patient returned a week later finishing the Omnicef but then had bloody mucousy diarrhea, he was presumptively treated for C. difficile with oral vancomycin no testing done.  He then again returned with the diarrhea resolved but then having ear pain and upper respiratory symptoms.  There was some drainage so they decided to treat the patient with eardrops but normal oral antibiotics though they felt this with a perforated eardrum.   Patient presented to clinic today feeling shortness of breath and generally unwell.  Found to be febrile to 101.6 and was transferred over to the emergency department for further work-up and treatment.  They have given a DuoNeb and given 125 Solu-Medrol, patient does not have a history of chronic lung disease that they know of.  Antigen testing for Covid was negative.  10/21:  Diabetes Education   Assessment:  Referral to see pt with newly diagnosed pre-diabetes with hyperglycemia.  Pt received IV steroids on adm.  Pt now adm with bilat pneumonia, recent C diff. He was on oral steroids in late Sept for cough/wheezing. Pt resting in bed with O2 in place.  He states that there are no plans for dischg today-waiting to be seen by Infect Dis Doctor met with pt and wife to discuss normal blood sugar and AIC levels.  Pt has no hx of elevated blood sugars but he does have family history of diabetes in his father. Discussed symptoms of hyperglycemia and current use of Novolog insulin if blood sugars elevated.  Discussed plans for Endo to see and possible need for oral diabetes med. Discussed effect of diet, exercise and meds on blood sugars.  Pt states he hasn't been as active this Fall as he's been ill with "one thing after another." Written information provided for pt.  Will also ask dietitian to see.   To ED for : Pneumonia of both lungs due to infectious organism, unspecified part of lung  Note from SF nurse: Shortness of breath gettung worse over the past two weeks. Has had 3 covid nedative tests.. Has had  A combination of blood in stools and diarrhea.. also has had  ecoli which has been treated..  PER ED HOSPITALIST: Patient Active Problem List Diagnosis ? Elevated cholesterol ? Herpes simplex ? Prostate cancer ? Family history of colon cancer ? Pneumonia
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Crying, Headache, Malaise
Clinical narrative: . Immediately after receiving the covid vaccine on November18, patient's stereotypical behavior increased per mother's report. School noted this as well. 48 hours after the vaccine, while at a restaurant, patient appeared to not feel well and slumped forward, but maintained consciousness. He held his hands to his head and was crying in apparent distress (presumably suffering from a headache). This lasted approximately5-6 minutes and no specific treatment was provided. He appeared 'OK' later that day. He went to sleep with his Bi-PAP, as was his routine. Sometime after falling asleep at 10pm, his watch alerted his parents. They arrived to the room but did not appreciate convulsive activity. Father states he 'looked like a deer in the headlights', but was aware and answered his parents questions as per his typical. (The watch has alerted only one other time when patient was exercising). He has had no other suspicious events. However, his anxiety overall is increased.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 12/03/2021   12 year present in clinic for 2nd Pfizer vaccine.  RN administered Pfizer Pediatric dose 0.2cc to left deltoid. bandage applied. pt tolerated well.  12/06/2021:  RN notified grandmother/guardian that the 12 year old received the pediatric dose of 0.2cc instead of 0.3cc Pfizer Adult for 12 year old and up. grandmother stated that 12 year old is fine, done good the whole weekend, hadnt complained of nothing, just been playing around as usual. " he is fine".  RN stated just wanted to make you aware of the incident
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Vaccine affected my ability to fall asleep even with medication.  If I fall asleep and have to get up for rest room I am unable to fall back asleep as I was always able to before.  It affected the medication making it necessary to take more  and more to work and sometimes it doesn't work.  My sleep has been destroyed by vaccine.  It's been almost 4 months and no improvement to my sleep.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Diarrhoea, Dysphagia, Enlarged uvula, Lymphadenopathy
Clinical narrative: First 4-9minutes after shot; Swollen uvula,  tongue, throat, difficulty swallowing. Benadryl and EpiPen. After discharge medications: prednisone 50mg x 4days, Benadryl every 6hrs. Other symptoms; swollen underarms both sides, pubic area, recurrent angioedema, still taking zyrtec Am, benadryl Pm day #7.  Day #6 diarrhea, after 72hrs left side face arm, leg swollen.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pharyngeal swelling, Swelling face, Swollen tongue
Clinical narrative: First 4-9minutes after shot; Swollen uvula,  tongue, throat, difficulty swallowing. Benadryl and EpiPen. After discharge medications: prednisone 50mg x 4days, Benadryl every 6hrs. Other symptoms; swollen underarms both sides, pubic area, recurrent angioedema, still taking zyrtec Am, benadryl Pm day #7.  Day #6 diarrhea, after 72hrs left side face arm, leg swollen.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Pt was given 0.3ml of UNDILUTED purple top Pfizer vaccine earlier this morning as a booster. She got Jansen 6/9/21 for initial vaccine. No symptoms at this time.  We are trying to contact her to come in for evaluation.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Influenza virus test, Loss of consciousness
Clinical narrative: Less than 24 hours from second Covid vaccine patient felt dizzy and passed out.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray normal, Dyspnoea, Nasopharyngitis, Productive cough
Clinical narrative: Cold symptoms began weekend of 11/6 (congestion, cough). Negative Covid test 11/7. Symptoms improved over following week and then became substantially worse week of 11/14. Shortness of breath, productive cough. Diagnosed with bronchitis 11/22. As of 12/9 - one 5 day course of prednisone, improved SOB, additional 2-week course of prednisone prescribed when SOB returned. Albuterol + Symbicort also prescribed. SOB resolved at this time but minor cough still present.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Cold symptoms began weekend of 11/6 (congestion, cough). Negative Covid test 11/7. Symptoms improved over following week and then became substantially worse week of 11/14. Shortness of breath, productive cough. Diagnosed with bronchitis 11/22. As of 12/9 - one 5 day course of prednisone, improved SOB, additional 2-week course of prednisone prescribed when SOB returned. Albuterol + Symbicort also prescribed. SOB resolved at this time but minor cough still present.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Anxiety, Cyanosis, Fall, Feeling abnormal
Clinical narrative: Patient received his COVID-19 Booster, walks from the vaccine table to the observation area. Patient spoke with the observation nurse regarding his vaccine card. Momentarily patient verbalizes he is feeling funny, and he bends over hand on his knees, and patient falls backward on to the floor, with his lower back taking most of the impact and rolling back his head on the floor. Patient was unresponsive for 15-20 seconds. Emergency called. Patient regains responsiveness after stimulating the patient. The patient immediately stands up asking where he was and the patient did not have recollection of what happened. Patient was calmed down and sat down. Legs elevated on the chair. Patient was Pale, cyanotic, anxious. Vital Signs were 97.0 F via Oral, Pulse 68, BP 104/63, 5 minutes after 96/56 Oxygen saturation 86% on room air. EMS arrived 12:34 and patient was picked up by ambulance 12:53.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Pallor, Unresponsive to stimuli
Clinical narrative: Patient received his COVID-19 Booster, walks from the vaccine table to the observation area. Patient spoke with the observation nurse regarding his vaccine card. Momentarily patient verbalizes he is feeling funny, and he bends over hand on his knees, and patient falls backward on to the floor, with his lower back taking most of the impact and rolling back his head on the floor. Patient was unresponsive for 15-20 seconds. Emergency called. Patient regains responsiveness after stimulating the patient. The patient immediately stands up asking where he was and the patient did not have recollection of what happened. Patient was calmed down and sat down. Legs elevated on the chair. Patient was Pale, cyanotic, anxious. Vital Signs were 97.0 F via Oral, Pulse 68, BP 104/63, 5 minutes after 96/56 Oxygen saturation 86% on room air. EMS arrived 12:34 and patient was picked up by ambulance 12:53.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: 2019 Novel Coronavirus RNA detected 11/26/2021 Hospitalized 12/3/2021 DX  Pneumonia and ARDS
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Chest X-ray normal, Chest pain, Dizziness, Dyspnoea
Clinical narrative: That evening started feeling aches, fever. Around 4:00am next day woke up felt as if I couldn't breathe, light headed and running fever was really scary. I took Ibuprofen didn't do too much. I continued to run fever of 102 for 48 hours. Then on 12/08/2021 my fever was still fairly high 100, exp chest pains and chest pains got worse upon me standing. I went to local ER had a EKG and my fever has finally went away. As of today still have pain in my left armpit.