chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Paraesthesia, Scan with contrast, Sensory disturbance, Trismus
Clinical narrative: Vibration (feeling of cell phone vibrating) throughout my entire body, my right jaw has locked and  painful, I have a constant headache, eyesight worse (blurry even with glasses), all over constant body  throbbing, stomach issues (sharp pains and cramping), constant numbness (the feeling of when you rub  your skin when the novocaine is starting to wear off after a dental procedure) from my feet up to my  waist and the feeling of pins and needles (like when you hand is asleep) from my feet up to my pelvic  area. This all started with just a small vibration in my right hip and has increasing gotten worse over the  last several months.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vision blurred
Clinical narrative: Vibration (feeling of cell phone vibrating) throughout my entire body, my right jaw has locked and  painful, I have a constant headache, eyesight worse (blurry even with glasses), all over constant body  throbbing, stomach issues (sharp pains and cramping), constant numbness (the feeling of when you rub  your skin when the novocaine is starting to wear off after a dental procedure) from my feet up to my  waist and the feeling of pins and needles (like when you hand is asleep) from my feet up to my pelvic  area. This all started with just a small vibration in my right hip and has increasing gotten worse over the  last several months.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Confusional state, Crying, Flushing, Loss of consciousness
Clinical narrative: Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: patient passed out. did not know were she was. went to her car. came back and was crying, she did not remember getting the shot.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope, Tremor
Clinical narrative: Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: patient passed out. did not know were she was. went to her car. came back and was crying, she did not remember getting the shot.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site bruising, Injection site pain, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Medium, Additional Details: Patient received Moderna Dose 1 on 5/8/21 at cvs 17128 and has been experiencing pain in the arm, bruising, swelling and a stiff neck. As a result he will be seeing his doctor on 5/26/21
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Neck pain, Pain in extremity, Peripheral swelling, Product administered at inappropriate site
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Medium, Additional Details: Patient received Moderna Dose 1 on 5/8/21 at cvs 17128 and has been experiencing pain in the arm, bruising, swelling and a stiff neck. As a result he will be seeing his doctor on 5/26/21
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: Hives and itchy rash all over body 8 days after vaccination. They come and go throughout the day. I have not changed anything in my daily life.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Myalagia
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Narrative:  Symptoms: Myalgia Treatment:
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Hot flush, Pain, Pyrexia
Clinical narrative: Headache, Fever, body ache, hot and cold flashes Employee receive 1 dose of Johnson and Johnson Covid-19 vaccine on 16 March21 and developed symptoms on 17March21 at 0100. Currently employee is stable at home of record and advised to seek medial attention if symptoms become life threating. Informed employee to call supervisor of any intended absences.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, INJECTION SITE PAIN
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pruritus, Pyrexia, Rash, Urticaria
Clinical narrative: Fever started spiking about 12 hours after vaccine. Fever & chills. Fever was 103.9 before I took ibuprofen. Took Ibprufofen every 4 to 6 hours from about 12 hours after vaccine to about 36 hours after vaccine- and fever never went below 100. Fever was gone about 45 hours after vaccine. On day 2 to 3 after vaccine, developed hives all over stomach. Also itchy on legs and arms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Tinnitus
Clinical narrative: Tinnitus profoundly worse a few days after first dose of Pfizer vaccine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient?s  deltoid penetrated with a new,unused,empty syringe.  Syringe immediately withdrawn with zero dose given.  Error was explained to patient and I proceeded to inject the full correct dose with a new syringe.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Dizziness and weakness, injection site pain, tiredness, headache, muscle pain, chills, fever, nausea, diarrhea
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Nausea, Pyrexia
Clinical narrative: Dizziness and weakness, injection site pain, tiredness, headache, muscle pain, chills, fever, nausea, diarrhea
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Vomiting
Clinical narrative: Severely Archy throughout body, severely fatigued, nausea, vomiting,
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Fatigue, Headache, Mobility decreased
Clinical narrative: The same day as the injection I experienced severe pain a few hours after in my bicep rather than my shoulder where I experienced pain during the 1st vaccine dose. I also experienced the common fatigue. However, at 12:13a.m on May 25th, I was woken from sleeping to what can only be described as either the most severe case of the shakes that have ever been experienced, or convulsions. I was unable to move, speak, and could hardly breathe. The effects of this lasted well over an hour and a half. It was only after what I was experiencing stopped, that I suddenly became burning hot, but did not have a fever. 98.7° was what was read at the time I started to feel hot. Since then I have experienced severe joint and knuckle pain on my left hand, still bicep soreness, pain in my left forearm, again joint and knuckle pain in my left hand, and headaches.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Seizure, Skin warm, Speech disorder
Clinical narrative: The same day as the injection I experienced severe pain a few hours after in my bicep rather than my shoulder where I experienced pain during the 1st vaccine dose. I also experienced the common fatigue. However, at 12:13a.m on May 25th, I was woken from sleeping to what can only be described as either the most severe case of the shakes that have ever been experienced, or convulsions. I was unable to move, speak, and could hardly breathe. The effects of this lasted well over an hour and a half. It was only after what I was experiencing stopped, that I suddenly became burning hot, but did not have a fever. 98.7° was what was read at the time I started to feel hot. Since then I have experienced severe joint and knuckle pain on my left hand, still bicep soreness, pain in my left forearm, again joint and knuckle pain in my left hand, and headaches.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: The same day as the injection I experienced severe pain a few hours after in my bicep rather than my shoulder where I experienced pain during the 1st vaccine dose. I also experienced the common fatigue. However, at 12:13a.m on May 25th, I was woken from sleeping to what can only be described as either the most severe case of the shakes that have ever been experienced, or convulsions. I was unable to move, speak, and could hardly breathe. The effects of this lasted well over an hour and a half. It was only after what I was experiencing stopped, that I suddenly became burning hot, but did not have a fever. 98.7° was what was read at the time I started to feel hot. Since then I have experienced severe joint and knuckle pain on my left hand, still bicep soreness, pain in my left forearm, again joint and knuckle pain in my left hand, and headaches.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lethargy
Clinical narrative: Systemic: Exhaustion / Lethargy-Severe
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Vision blurred
Clinical narrative: Headache along with blurred vision and numbness on left side of face.  Has history of migraines, but this was different and has now persisted longer than one week.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Decreased appetite, Fatigue, Hyperhidrosis
Clinical narrative: Chest pains, whole body muscle pain, fever,  severe fatigue, nausea, lack of appetite, migraine, & chills and sweats
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Myalgia, Nausea, Pyrexia
Clinical narrative: Chest pains, whole body muscle pain, fever,  severe fatigue, nausea, lack of appetite, migraine, & chills and sweats
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity, Pyrexia, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: 5:42 PM Note    Telephone call with patient, she has been sick with intermittent fever, runny nose, back pain and leg pain for the past week.  Does not seem to be getting any better but also not getting any worse.  She has a procedure that is supposed to be done on 4/30.  Patient states that she did have her 2 Covid vaccinations and the last vaccination was 5 weeks ago.  She plans on canceling the procedure.   Care Coordination Progress Note RN (Registered Nurse)    COVID 19 Infusion Navigator Post Infusion Outreach #1   Infusion Date: 4/30/21    Medication ? bamlanivimab/etesevimab ? casirivimab ? bamlanivimab
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rash, Rash macular, Skin irritation, Skin odour abnormal
Clinical narrative: A rash dominant on both arms and other locations on body that makes skin feel like alligator skin having bumps and red spots.  Body aches that can inhibit activity. Periods of really bad body odor. Foods normally favorites that normally taste good, taste awful.  Treatment so far has been the application of Triamcinolone Acetonide Ointment 0.1% on rash areas twice a day.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: A rash dominant on both arms and other locations on body that makes skin feel like alligator skin having bumps and red spots.  Body aches that can inhibit activity. Periods of really bad body odor. Foods normally favorites that normally taste good, taste awful.  Treatment so far has been the application of Triamcinolone Acetonide Ointment 0.1% on rash areas twice a day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Paraesthesia, Paraesthesia oral, Pruritus, Tongue pruritus
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Slight tingle/itch of the oral cavity/tongue 1.5 hours following administration.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Haematoma, Head injury, Headache, Heart rate increased
Clinical narrative: Episode of apparent vasovagal syncope a few minutes after receiving the vaccine.  This was witnessed by myself.  She appeared to have loss of consciousness and collapsed onto the pavement striking her posterior head on the pavement (fortunately, she did not strike it with great force).  She regained consciousness within 2-3 seconds.  She had a small "knot" on her posterior scalp, but no break in the skin.  No other apparent injury.  She initially complained of a headache, but this resolved over the course of about 10 minutes.  She initially was mildly diaphoretic and had a rapid pulse and mild hypotension, but these also resolved over the course of several minutes.  A chemical ice pack was applied to the posterior scalp and neck.  She had a completely normal neurologic and musculoskeletal examination.  She was provided oral fluids (water and kool aid) and a snack (chewy granola bar) and kept under close observation by medical personal for about 30 minutes.  Transport to the emergency room via ambulance was offered, but declined. Her boyfriend was called and came to drive her home after she had made an apparent complete recovery.  Both he and she were extensively counseled regarding signs and symptoms to be on the lookout for that would indicate the need for further medical evaluation and they both expressed complete understanding and agreement. Of note, she reported that she has had episodes of syncope in the past when having blood drawn for laboratory tests, but decided not to disclose this to on site personal prior to the vaccination thinking she would probably not have a problem.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Loss of consciousness, Syncope
Clinical narrative: Episode of apparent vasovagal syncope a few minutes after receiving the vaccine.  This was witnessed by myself.  She appeared to have loss of consciousness and collapsed onto the pavement striking her posterior head on the pavement (fortunately, she did not strike it with great force).  She regained consciousness within 2-3 seconds.  She had a small "knot" on her posterior scalp, but no break in the skin.  No other apparent injury.  She initially complained of a headache, but this resolved over the course of about 10 minutes.  She initially was mildly diaphoretic and had a rapid pulse and mild hypotension, but these also resolved over the course of several minutes.  A chemical ice pack was applied to the posterior scalp and neck.  She had a completely normal neurologic and musculoskeletal examination.  She was provided oral fluids (water and kool aid) and a snack (chewy granola bar) and kept under close observation by medical personal for about 30 minutes.  Transport to the emergency room via ambulance was offered, but declined. Her boyfriend was called and came to drive her home after she had made an apparent complete recovery.  Both he and she were extensively counseled regarding signs and symptoms to be on the lookout for that would indicate the need for further medical evaluation and they both expressed complete understanding and agreement. Of note, she reported that she has had episodes of syncope in the past when having blood drawn for laboratory tests, but decided not to disclose this to on site personal prior to the vaccination thinking she would probably not have a problem.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Diluent Administered Instead of Vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Eye disorder, Hypoaesthesia
Clinical narrative: Facial numbness and slight drooping of eyes occurred about an hour after receiving the vaccine. It has gone almost back to normal as of today 5/26/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash, Rash pruritic, Rash vesicular
Clinical narrative: Broke out in chickenpox-like rash on buttocks and mid-upper back about 48 hours post-vaccine. Rash was large red blisters that started out itchy but then turned into sores. After two weeks rash had not cleared up. Visited Urgent Care to see if rash could be shingles. Health care provider did not think it was shingles and could not determine if it was related to vaccine as we are still in the learning process. Provider prescribed a steroid cream to help clear up rash. The cream helped a bit but did not clear up rash. The rash is still visible on my body but is no longer itchy and sore and it will most likely leave scars. I have also experienced headaches  frequenty and that  is unusual for me.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Confusional state, Dizziness, Dyspnoea, Hyperventilation
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Severe, Systemic: Seizure-Severe
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Seizure, Syncope
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Severe, Systemic: Seizure-Severe
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Constipation, Decreased appetite, Feeling cold, Pain
Clinical narrative: cold chills severe aches    ibephroen made worse took gaberpentin with low dose loserazpham tylenol tissure swelling no appitite wanted sleep no bowel movements
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Sleep disorder, Swelling
Clinical narrative: cold chills severe aches    ibephroen made worse took gaberpentin with low dose loserazpham tylenol tissure swelling no appitite wanted sleep no bowel movements
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, COVID-19, Diarrhoea, Incomplete course of vaccination
Clinical narrative: COVID 19 test POSITIVE    Patient's husband was notified of positive test results from test completed on 5/2/21.  Stated patient was sleeping at this time, but she is already aware of the diagnosis.   Signs and symptoms: 1. When did your symptoms start? 5/2/21 2. What symptoms have you experienced? Diarrhea, weakness, upset stomach.    Close contact questions: 1.   # in household: 2 2.   Have you been in close contact with anyone two days before symptoms including going to work while you were sick? Yes
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID 19 test POSITIVE    Patient's husband was notified of positive test results from test completed on 5/2/21.  Stated patient was sleeping at this time, but she is already aware of the diagnosis.   Signs and symptoms: 1. When did your symptoms start? 5/2/21 2. What symptoms have you experienced? Diarrhea, weakness, upset stomach.    Close contact questions: 1.   # in household: 2 2.   Have you been in close contact with anyone two days before symptoms including going to work while you were sick? Yes
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Loss of consciousness, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Gastritis
Clinical narrative: Had postponed vacc in mid April due to gastritis unknown origin. Covid test negative. 1st dose April 30th, resurgence of muscular issues in hips/IT bands within 4 days, lasted more than 7. Nearly unable to walk. 2nd dose May 21st, resurgence of gastric symptoms May 22 8:30pm. Today is May 26th, still having significant discomfort.  As if vaccine caused relapse of any recent conditions, worse than they were initially. Pre-existing ME/CFS means recovery always takes longer no matter what.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, body ache
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Malaise, Pallor
Clinical narrative: pt felt faint, blanking out, pale color to face, seemed unresponsive at one point, he stated he was not feeling good and that he needed help. I sat pt down, lifted his legs onto a chair, got alcohol for pt to smell, got water for pt to sip, got a fan to circulate air around him, removed his mask and called 911. rescue came and pt left on his own. after 10 minutes pt was feeling better and color and responses confirmed he was better.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Chest X-ray normal, Clostridium difficile infection, Diarrhoea, Dizziness
Clinical narrative: ED to Hosp-Admission Discharged  4/26/2021 - 5/5/2021 (9 days) Hospital  MD Last attending ? Treatment team ST elevation (STEMI) myocardial infarction involving right coronary artery (CMS/HCC) Principal problem Hospital Course         56-year-old female with past medical history of hypertension, hyperlipidemia, IDDM T2, chronic hypoxic respiratory insufficiency (on home O2), OSA (CPAP compliant), active tobacco use with secondary polycythemia who presented to Hospital 4/26/2021 with initial complaint of dizziness and diarrhea.  Patient found to be hypotensive and found to have active C. difficile infection.  In the ED, EKG was performed which suggested subacute, possibly completed, infarction with ventricular bigeminy. Cardiology was consulted and a stat echocardiogram to assess for mechanical complication was performed which showed EF 45-50%, RV w/ dilated global hypokinesis. Patient was subsequently taken to the cardiac catheterization lab for a right/left heart cath.  She underwent DES x3 (2 x mid to distal RCA, 1 x to the ostium).  Incidentally, patient was also found to have a positive COVID-19 test.  She is overall asymptomatic with respiratory issues. Patient was transferred from cardiac catheterization lab to cardiac ICU with no evidence of immediate complication.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Hypotension, Infarction, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Discharged  4/26/2021 - 5/5/2021 (9 days) Hospital  MD Last attending ? Treatment team ST elevation (STEMI) myocardial infarction involving right coronary artery (CMS/HCC) Principal problem Hospital Course         56-year-old female with past medical history of hypertension, hyperlipidemia, IDDM T2, chronic hypoxic respiratory insufficiency (on home O2), OSA (CPAP compliant), active tobacco use with secondary polycythemia who presented to Hospital 4/26/2021 with initial complaint of dizziness and diarrhea.  Patient found to be hypotensive and found to have active C. difficile infection.  In the ED, EKG was performed which suggested subacute, possibly completed, infarction with ventricular bigeminy. Cardiology was consulted and a stat echocardiogram to assess for mechanical complication was performed which showed EF 45-50%, RV w/ dilated global hypokinesis. Patient was subsequently taken to the cardiac catheterization lab for a right/left heart cath.  She underwent DES x3 (2 x mid to distal RCA, 1 x to the ostium).  Incidentally, patient was also found to have a positive COVID-19 test.  She is overall asymptomatic with respiratory issues. Patient was transferred from cardiac catheterization lab to cardiac ICU with no evidence of immediate complication.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Intensive care, Respiratory syncytial virus test negative, Right ventricular ejection fraction decreased, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Discharged  4/26/2021 - 5/5/2021 (9 days) Hospital  MD Last attending ? Treatment team ST elevation (STEMI) myocardial infarction involving right coronary artery (CMS/HCC) Principal problem Hospital Course         56-year-old female with past medical history of hypertension, hyperlipidemia, IDDM T2, chronic hypoxic respiratory insufficiency (on home O2), OSA (CPAP compliant), active tobacco use with secondary polycythemia who presented to Hospital 4/26/2021 with initial complaint of dizziness and diarrhea.  Patient found to be hypotensive and found to have active C. difficile infection.  In the ED, EKG was performed which suggested subacute, possibly completed, infarction with ventricular bigeminy. Cardiology was consulted and a stat echocardiogram to assess for mechanical complication was performed which showed EF 45-50%, RV w/ dilated global hypokinesis. Patient was subsequently taken to the cardiac catheterization lab for a right/left heart cath.  She underwent DES x3 (2 x mid to distal RCA, 1 x to the ostium).  Incidentally, patient was also found to have a positive COVID-19 test.  She is overall asymptomatic with respiratory issues. Patient was transferred from cardiac catheterization lab to cardiac ICU with no evidence of immediate complication.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: ED to Hosp-Admission Discharged  4/26/2021 - 5/5/2021 (9 days) Hospital  MD Last attending ? Treatment team ST elevation (STEMI) myocardial infarction involving right coronary artery (CMS/HCC) Principal problem Hospital Course         56-year-old female with past medical history of hypertension, hyperlipidemia, IDDM T2, chronic hypoxic respiratory insufficiency (on home O2), OSA (CPAP compliant), active tobacco use with secondary polycythemia who presented to Hospital 4/26/2021 with initial complaint of dizziness and diarrhea.  Patient found to be hypotensive and found to have active C. difficile infection.  In the ED, EKG was performed which suggested subacute, possibly completed, infarction with ventricular bigeminy. Cardiology was consulted and a stat echocardiogram to assess for mechanical complication was performed which showed EF 45-50%, RV w/ dilated global hypokinesis. Patient was subsequently taken to the cardiac catheterization lab for a right/left heart cath.  She underwent DES x3 (2 x mid to distal RCA, 1 x to the ostium).  Incidentally, patient was also found to have a positive COVID-19 test.  She is overall asymptomatic with respiratory issues. Patient was transferred from cardiac catheterization lab to cardiac ICU with no evidence of immediate complication.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Vasovagal reaction 7mins after vaccine administration Patient laid on the floor and water was provided At 4;47pm, patient felt much better, symptoms resolved Discharged to home
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Dry throat, Headache, Pain
Clinical narrative: Sore body, upset stomach, dry throat, headache, chills,
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diffuse vasculitis, International normalised ratio, Prothrombin time
Clinical narrative: Diffuse vasculitis of the lower extremeties
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Muscle discomfort, Pyrexia, Sensitive skin
Clinical narrative: 103 degree fever, extreme joint pain, extreme muscle sensitivity, tired
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Injection site erythema, Injection site pain, Nausea
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Patient was sitting in chair after vaccination and <5 minutes later, he started shaking, then faceplanted on the ground. He regained consciousness within 30 seconds. I elevated his feet and laid him on his back/gave water bottle. Observed for total of 30 minutes before allowing him to leave. he denied emergency services.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Patient was sitting in chair after vaccination and <5 minutes later, he started shaking, then faceplanted on the ground. He regained consciousness within 30 seconds. I elevated his feet and laid him on his back/gave water bottle. Observed for total of 30 minutes before allowing him to leave. he denied emergency services.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: History Chief Complaint Patient presents with ? Covid-19 Screening ? Cough     HPI Patient is a 52 y.o. female presents to UC without family accompanied with complaint of cough congestion as well as low-grade fever.    No known Covid exposure.   Symptoms just recently started.   Denies any shortness of breath
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pruritus
Clinical narrative: Systemic: Allergic: Itch Generalized-Medium, Systemic: Headache-Medium, Additional Details: patient has had issues with vaccines in the past. felt itchy pretty quick , used her own epipen. paramedics offered multiple times but her husband drove her to the er
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: Hypoxia, increasing oxygen requirement starting at 8:15 am the day after the vaccine (from 2-4L to 6L), then increasing over the next several hours to 13L O2 via nasal cannula by 5 pm
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Abdominal pain upper, Anaemia, COVID-19
Clinical narrative: This is a 67-year-old female with a history of hyperlipidemia, depression, anxiety, hypothyroidism and presents for complaint of acute onset abdominal pain, vomiting and diarrhea. Noted that pain awoke her from her sleep this morning. Initially located in the epigastric region but states the pain is worse in the right lower quadrant. She's had several episodes of diarrhea today as well as one to 2 episodes of vomiting. She has a history of hysterectomy. Last known normal bowel movement was this morning.   Review of Systems  Constitutional: Negative for chills, fatigue and fever.  HENT: Negative for facial swelling and trouble swallowing.   Respiratory: Negative for cough, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for abdominal pain (RLQ). Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria and frequency.  Musculoskeletal: Negative for back pain and neck pain.  Skin: Negative for rash and wound.  Neurological: Negative for weakness, light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Gallbladder adenocarcinoma, SARS-CoV-2 test positive, Sleep disorder, Vomiting
Clinical narrative: This is a 67-year-old female with a history of hyperlipidemia, depression, anxiety, hypothyroidism and presents for complaint of acute onset abdominal pain, vomiting and diarrhea. Noted that pain awoke her from her sleep this morning. Initially located in the epigastric region but states the pain is worse in the right lower quadrant. She's had several episodes of diarrhea today as well as one to 2 episodes of vomiting. She has a history of hysterectomy. Last known normal bowel movement was this morning.   Review of Systems  Constitutional: Negative for chills, fatigue and fever.  HENT: Negative for facial swelling and trouble swallowing.   Respiratory: Negative for cough, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for abdominal pain (RLQ). Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria and frequency.  Musculoskeletal: Negative for back pain and neck pain.  Skin: Negative for rash and wound.  Neurological: Negative for weakness, light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Palpitations
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Additional Details: pt felt dizzy/like he was going ot faint after vaccine. sat with him for a few mins (held head between legs) and checked his vitals. all were good. pt was very anxious because he was diagnosed with afib recently and felt like his heart was being fast (vitals normal) - had us call an ambulance. they came and did vitals as well and more specific cardiac readings and everything was normal. they left and pt went home fine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2ND DOSE WAS GIVEN AT DAY 14 INSTEAD OF DAY 28
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infection
Clinical narrative: Infection in my  Left eye followed by an infection in my right eye two weeks later
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Vision blurred, Vomiting
Clinical narrative: dizzy, headache, blurred vision, vomited after vaccination. (at 03:52 pm) outcome: recovered after drinking water and eating crackers and discharged to home.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Shakes and fever
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: B/L lower extremity DVT
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling, Swelling face
Clinical narrative: Patient reported having swelling in his left side chest that went up to  his jaw for several days
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has had fainting spells within the last year, pt and parents did not want to seek medical attention or call 911, pt stayed in pharmacy for 45 minutes
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash maculo-papular
Clinical narrative: A non-pruritic macropapular rash appeared on the front of both thighs and back of arms. It then progressed to the rest of the legs and arms. It resolved a week after it started on it's own.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Myocarditis
Clinical narrative: Shortness of breath, myocarditis, fatigue
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, C-reactive protein, Chills, Echocardiogram abnormal, Fatigue
Clinical narrative: He had his 2nd pfizer vaccine on 5/3/21 The next day he felt tired 2 days later (on 5/5) he started with fever, chills and body aches He then started with abdominal pain --hurt to take a breath in, he could not lay flat  He went to Hospital and was dx with myocarditis   He was started on ibuprofen (changed to naproxen for discharge), colchicine and protonix
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Myocarditis, Pain, Painful respiration, Pyrexia
Clinical narrative: He had his 2nd pfizer vaccine on 5/3/21 The next day he felt tired 2 days later (on 5/5) he started with fever, chills and body aches He then started with abdominal pain --hurt to take a breath in, he could not lay flat  He went to Hospital and was dx with myocarditis   He was started on ibuprofen (changed to naproxen for discharge), colchicine and protonix
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Troponin
Clinical narrative: He had his 2nd pfizer vaccine on 5/3/21 The next day he felt tired 2 days later (on 5/5) he started with fever, chills and body aches He then started with abdominal pain --hurt to take a breath in, he could not lay flat  He went to Hospital and was dx with myocarditis   He was started on ibuprofen (changed to naproxen for discharge), colchicine and protonix
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose 15 days early. Attempted to reach patient and was unsuccessful.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient developed an itchy rash on the neck starting 3-4 days after receiving the Moderna vaccine.   Advised patient to speak to doctor about the rash.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Hypotension, Nausea
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache
Clinical narrative: Headaches chills cough tired
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness of the left upper extremity site starting 2 days after vaccine, initially with associated soreness and pain that resolved w/in 48 hours, but redness persisting and spreading distally.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Pharyngeal swelling
Clinical narrative: PT reported throat swelling sensation and difficulty to swallow associated with mild chest pressure approx 5 mins after vaccination. Pt denied nausea, sob, rash, voice coarseness. Upon assessment, no redness/edema to throat/tongue , airway patent. No rash observed  Began to report improvement in sx approx 5 mins into oberservation period but still felt some difficulty swallowing.  50mg Benedryl given prophylactically at this time.  Pt free of symptoms at time of discharge w/ boyfriend. d/c vitals : HR:92 RR:18 BP 120/80 SP02: 99%
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Chills, Chromaturia, Fatigue, Headache
Clinical narrative: About 7 hours after the 2nd shot I started having chills and body aches.  This progressed to a fever of 102, severe headache, chills, body aches throughout the night.  The next day bad flu symptoms persisted.  Slept most of the day - totally exhausted couldn't keep my eyes open.  Severe kidney pain and urine was a reddish/orange color.   Made sure to drink plenty of fluids.  Also developed hive like rash on lower back.  Within 48 hours symptoms ceased.  Only rash remained which lasted about a week.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Influenza like illness, Pain, Pyrexia, Rash
Clinical narrative: About 7 hours after the 2nd shot I started having chills and body aches.  This progressed to a fever of 102, severe headache, chills, body aches throughout the night.  The next day bad flu symptoms persisted.  Slept most of the day - totally exhausted couldn't keep my eyes open.  Severe kidney pain and urine was a reddish/orange color.   Made sure to drink plenty of fluids.  Also developed hive like rash on lower back.  Within 48 hours symptoms ceased.  Only rash remained which lasted about a week.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain, Urticaria
Clinical narrative: About 7 hours after the 2nd shot I started having chills and body aches.  This progressed to a fever of 102, severe headache, chills, body aches throughout the night.  The next day bad flu symptoms persisted.  Slept most of the day - totally exhausted couldn't keep my eyes open.  Severe kidney pain and urine was a reddish/orange color.   Made sure to drink plenty of fluids.  Also developed hive like rash on lower back.  Within 48 hours symptoms ceased.  Only rash remained which lasted about a week.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Itching, bump firmness, redness, red splotch at injection site, rash, painful, swelling, tender when touched
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Itching, bump firmness, redness, red splotch at injection site, rash, painful, swelling, tender when touched
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Palpitations
Clinical narrative: Heart palpitations for about 1-1.5 weeks
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Suspected COVID-19 virus infection
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Hot flush, Nervousness, Parosmia
Clinical narrative: AE: rosey smell, hot flashes, feeling nervous/ anxious(at 10:20am) treatment: n/a ; food and drink helped, ate crackers and drank juice. outcome: felt better after eating crackers,                          patient discharged home
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Intermittent tinnitus that happens in one, or other ear at a time.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Hyperhidrosis, Lymph node pain, Lymphadenopathy
Clinical narrative: My symptoms started around 13 hours after my second dose. I woke up in the middle of the night with horrible body aches, a headache, and would switch between shaking/trembling being freezing and dripping sweat. I rotated ibuprofen and Tylenol through the entire next day. Today is 3 days post vaccination and I still have an extremely sore arm, and it feels like I have pain or swollen lymph nodes in my neck and in my arm pit area. Under my arm is extremely tender and it hurts to even have it on the steering wheel to drive. I will randomly get shooting pains in my arms and legs that go away as fast as they came, but very uncomfortable for the few seconds they hit. I also am getting tingling sensations all down my left side (side I had the shot on) that go all the way from the left side of my face down through my leg. I had zero of these symptoms prior to receiving the second dose of Pfizer.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Tenderness, Tremor
Clinical narrative: My symptoms started around 13 hours after my second dose. I woke up in the middle of the night with horrible body aches, a headache, and would switch between shaking/trembling being freezing and dripping sweat. I rotated ibuprofen and Tylenol through the entire next day. Today is 3 days post vaccination and I still have an extremely sore arm, and it feels like I have pain or swollen lymph nodes in my neck and in my arm pit area. Under my arm is extremely tender and it hurts to even have it on the steering wheel to drive. I will randomly get shooting pains in my arms and legs that go away as fast as they came, but very uncomfortable for the few seconds they hit. I also am getting tingling sensations all down my left side (side I had the shot on) that go all the way from the left side of my face down through my leg. I had zero of these symptoms prior to receiving the second dose of Pfizer.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage, Exposure during pregnancy, Second trimester pregnancy
Clinical narrative: Pt is in second trimester of pregnancy- Due date 09/2021.  Came to my office 1 week after receiving COVID vaccine with bilateral sub-conjunctival hemorrhages
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever 100.7 to 101.2,  chills and body aches started at around 9:40p 5/24. On 5/25 fever was 98.8 No chills or body aches, then at 8:35p had slight fever 100.3. I was taking Tylenol. Fever broke this morning 3:00a 5/26. I feel fine now. Temperature is 98.5
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hypotension, Loss of consciousness, Nausea, Pallor
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: within minute of injection patient passed out, parent and witness said patient had seizure like shaking (I did not personally witness this), became extremely pale and non-responsive for few minutes.  Before shot given Mom informed me patient normally faints and has extreme anxiety and aversion to needles.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure like phenomena, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: within minute of injection patient passed out, parent and witness said patient had seizure like shaking (I did not personally witness this), became extremely pale and non-responsive for few minutes.  Before shot given Mom informed me patient normally faints and has extreme anxiety and aversion to needles.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Bilateral Tinnitus approximately 2 weeks after injection.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Condition aggravated, Influenza A virus test negative, Influenza B virus test, Respiratory syncytial virus test negative
Clinical narrative: Chest pain, unspecified type
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Chest pain, unspecified type
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Chest pain, unspecified type
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Syncope, Vomiting
Clinical narrative: The day after my 2nd shot, I woke up very nauseous, ended up fainting, then processed to vomit while being unconscious still.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: AE: light headed, slight ringing in the ear(resolved), dizzy (at 10:40 am) Tx: n/a, just food and drink Outcome: juice, crackers helped resolve AE.                                 pt was discharged home.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: Fever or Chills  Cough  Fatigue  Muscle or body aches  Headache  Sore throat
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fever or Chills  Cough  Fatigue  Muscle or body aches  Headache  Sore throat
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest X-ray normal, Chest pain, Dizziness
Clinical narrative: 7 minutes after the injection of my Janssen injection for COVID-19, a heat enveloped my body from deep in my chest and I went pale (according to the objective findings of my nurse) and I began to feel lightheaded and almost became syncopal. I was asked to remain there for 30-minutes, and began to feel better shortly thereafter. The next several days, the lightheadedness came and went in waves, which became stronger and stronger. Two days post-injection, I developed severe joint pain where I'd otherwise previously had none - for instance, my low back ached with 7/10 pain which only went away after the first week. I had thoracic spinal pain which radiated to my chest, and by day 3 I was having serial panic attacks (which I don't have), such that I visited the local emergency department to rule out sinister cardiorespiratory sequelae. I was discharged with a ddx of GERD, though I do not believe this to be true. Since then, I have largely recovered, however the lightheaded spells have dissipated only a little but are largely still plaguing me. Thankfully, the panic attacks have decreased to the point of almost being gone altogether.