chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose decreased, Blood potassium normal, Blood sodium decreased, Blood urea increased
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Bordetella test negative, Bundle branch block bilateral, COVID-19, COVID-19 pneumonia, Carbon dioxide decreased
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chlamydia test negative, Computerised tomogram head normal, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Enterovirus test negative, Fall, Fibrin D dimer increased, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Hypoxia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Lung infiltration, Lung opacity, Mycoplasma test negative, Platelet count normal
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Protein total decreased, Pyuria, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus arrhythmia, Systemic inflammatory response syndrome, Ultrasound Doppler abnormal, Urine analysis abnormal, White blood cell count decreased
Clinical narrative: ED to Hosp-Admission Discharged  5/19/2021 - 5/24/2021 (5 days)   Last attending ? Treatment team Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission From admission  " Patient is a 88 y.o. female who presents to the hospital today withincreasing weakness, falls over the last few days.  She has not been eating or drinking well.  It appears she recently started a sulfonylurea.  EMS arrived blood sugar 58 and upon arrival to the ER blood sugar was 35 and she was lethargic.  Given orange juice and a dextrose bolus with improvement of her blood sugar.  Room air sat was 88% on room air however she only feels short of breath but she did not wear oxygen at home.  Family member has Covid but she does not endorse any contact with them. In ED she was found to be positive for COVID19, with AKI and SIRS and internal medicine was asked to admit the patient."   Hospital Course Patient mandatory medical surgical floor.  She was found to have acute hypoxic respiratory failure due to COVID-19 pneumonia.  She was found to be 88% on room air and was requiring 3 L of nasal cannula oxygen fourth her first 3 days of admission.  She received treatment for her viral infection with IV remdesivir as well as IV dexamethasone to complete 5 days.  She also was treated with azithromycin and ceftriaxone.  However this was later stopped as her procalcitonin level was not negative.  Because her urine showed pyuria she was continued on IV ceftriaxone.  However her culture only grew 30,000 colonies of E. coli in 50,000 colonies of Streptococcus and get gnosis.  She was fully treated for a UTI.   She was successfully weaned off of oxygen onto room air on May 23 and remained stable overnight into the day of discharge.  She was seen by physical therapy due to her history of ambulatory dysfunction and rehab was recommended for her.  However the patient refused she felt that she had enough family support and assistance at home to return home.  Home services were also recommended including home physical therapy which the patient also declined.   She will need to follow-up with her family doctor in the next 7 days.  A referral for pulmonology was also made on the day of discharge for 1-2 days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA  : fever and muscle pain.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Vaccination site swelling
Clinical narrative: On 05/24/2021 at 09:27am, the individual received an Varicella shot (1 shot) in the left arm after checking if patient had any positive titers (the individual did not have pos titer for varicella). There was no physical symptoms reported prior to the vaccination nor any reported history of reactions to vaccines in the past (patient denies before and after the administration of the vaccine). Patient was given subcutaneous shot on the left tricep area. Patient notes redness and swelling of the vaccination site on 05/26/2021 at 09:00am at the urgent care clinic at Health Clinic. The provider that diagnosed the patient stated it was cellulitis (with redness/swelling of the area) and will be treated with Bactrim. Patient will be under close observation.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest pain, Echocardiogram abnormal, Ejection fraction decreased, Left ventricular dysfunction
Clinical narrative: Patient presented with chest pain.  Troponins were elevated.  Echocardiogram revealed decreased left ventricular systolic function with an ejection fraction of 30-35%, MRI was consistent with myocarditis.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Mitral valve incompetence, Myocarditis, Pulmonary hypertension, Tricuspid valve incompetence, Troponin increased
Clinical narrative: Patient presented with chest pain.  Troponins were elevated.  Echocardiogram revealed decreased left ventricular systolic function with an ejection fraction of 30-35%, MRI was consistent with myocarditis.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular hypokinesia
Clinical narrative: Patient presented with chest pain.  Troponins were elevated.  Echocardiogram revealed decreased left ventricular systolic function with an ejection fraction of 30-35%, MRI was consistent with myocarditis.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received two doses of Pfizer COVID-19 vaccine after receiving one dose of Moderna COVID-19 vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Hypopnoea, Mental status changes, Syncope
Clinical narrative: Episode of syncope after receiving the covid vaccine. Secondary injury to back of head after falling out of chair.  3:05 PM  Vital Signs: BP 118/62 HR 92 Resp 18 O2Sat 98  Skin Signs: Warm and dry  Initial Treatment: Initial impression: altered mental status, shallow breathing, pupils Perla. Patient regained consciousness and was able to respond to questions. Patient was placed in a wheel chair and taken to triage area. Vitals taken.  3:20 PM  Vitals: BP 116/82 HR 82 Resp 16 O2Sat 98  Skin Signs: Warm and dry  Circulation: Cap refill <2sec  Respiratory: Breath sound clear bilaterally  Follow up Treatment: Denies nausea. AOx1 No longer feeling 'shaky'. Very sight swelling at the site of head injury. Ice pack in place.  3:35 PM Vitals: BP 116/66 HR 78 Resp 16 O2Sat 99  Skin Signs: Warm and dry  Circulation: Cap refill <2sec  Respiratory: Breath sound clear bilaterally  Follow up Treatment: Home with mother with CHI instructions.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nervousness
Clinical narrative: 49 y/o female with past medical history of Thyroid Dysfunction who presents with dizziness post vaccination. Patient states that this is her first vaccination in the two-dose series. Patient denies previous reaction to vaccinations in the past. Patient states that she received her vaccination to the left arm. NP and Paramedics at patient side. Patient vitals within normal limits (133/82 BP, 83 HR, 12 Resp and 99% RA). Patient placed in Trendelenburg position and provided a bottle of water. Patient within 10 mins of observation states that symptoms have resolved. Patient states that she was nervous and scared of the needle. Patient stated that she wanted to go home. Patient able to ambulate without difficulty. Patient discharged in stable condition.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Pain at injection sight  6 days after 1st injection sight along with numbing and  stiffness  in fingers.  Current treatment: over the counter pain reliever  (Advil)
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Condition aggravated, Migraine, Pyrexia
Clinical narrative: 103 degree fever, migraine, severe joint pain, GI got significantly worse (pain in stomach); went to ER; admitted overnight to hospital since they could not get the fever and migraine resolved; spent two days in the hospital treated with various medications including Tylenol and magnesium
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: Patient reported to have a sudden heart attack on 05/04/2021. Patient was hospitalized, released to rehab and released from rehab on 05/24/2021. Patient thinks that the heart attack is related to his covid vaccine 2 weeks prior. Patient denies having any health conditions previously leading up to the heart attack.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient received Janssen COVID-19 vaccine after receiving two doses of Pfizer COVID-19 vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Chills, Erythema, Induration, Pain
Clinical narrative: Patient went to the doctor on 5/11/21 due to adverse reaction to vaccine .The patient had a swollen arm (lump) for two weeks after vaccine. The area was hot, hard, and red. She experienced a fever, chills, and body ache for three days. Her bloodwork showed a 2.7 titer of antibodies therefore Doctor is suggesting not to take second dose of vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Skin warm, Viral titre
Clinical narrative: Patient went to the doctor on 5/11/21 due to adverse reaction to vaccine .The patient had a swollen arm (lump) for two weeks after vaccine. The area was hot, hard, and red. She experienced a fever, chills, and body ache for three days. Her bloodwork showed a 2.7 titer of antibodies therefore Doctor is suggesting not to take second dose of vaccine.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Electrocardiogram ambulatory
Clinical narrative: The evening after the client received his first dose of Pfizer, he reported chest pain and fluttering in his chest while playing basketball. This event lasted approximately 5 seconds and resolved without intervention. The client is being followed by his pediatrician. Per his parent, these events have happened before, but this was the most severe.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin, Ultrasound scan
Clinical narrative: I was pregnant when I got my second shot (due date (1/2/2022). I subsequently had a pregnancy loss that started on 5/19/2021.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Cough  Exposure to COVID-19 virus  Fatigue, unspecified type
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient presented in the pharmacy with other family members and the pharmacist misread or didn't see the date of birth and administered the J&J vaccine to the patient who is just turning 16yrs old.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Palpitations, Sleep disorder
Clinical narrative: After the first shot I had intermittent pain along the left side of my jaw, as well as intermittent pain on the left side of my chest. This sometimes would extend to my back. The chest pain was less often and less noticeable of the two.  This lasted for a few weeks following the first shot. While I did have chest tightness.. I do not recall having the same sensations in my left jaw or chest following the second shot, but I did not write my symptoms down. In addition, I have seasonal allergies that were bad during the month of April and it is sometimes difficult to tell whether chest/lung tightness is related to that. I am now having what feels like heart palpitations or racing heartrate, particularly at night, sometimes during exertion, or if I have not slept well. I do not know that the heart palpitations are related to the vaccine, but I do believe the jaw and chest pain are attributable to it.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Malaise, Palpitations, Vertigo
Clinical narrative: I experienced after the vaccine, I got super sick for one to two weeks as if I had Covid again, had a terrible headache that has not gone away. Also have horrible vertigo, feel like  I am spinning all the time and it has not gone away.  I also had SOB and my heart was pounding for one week. My PCP told me that I should wait it out that it was probably my body revolving against the vaccine and I was prescribed a medication for my headache and vertigo. My ear were also checked with an ENT and I have no inner ear problems. I can say that my symptoms came from the J&J vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash erythematous, Skin warm
Clinical narrative: Red patch on left arm, about 4 inches in diameter. Warm to the touch and sore. Has lasted 3 days so far since injection.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram abnormal, Inflammatory marker test, Laboratory test
Clinical narrative: Chest pain with EKG changes and elevated troponin - final diagnosis - myocarditis
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Myocarditis, Troponin increased
Clinical narrative: Chest pain with EKG changes and elevated troponin - final diagnosis - myocarditis
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Dyspnoea, Laboratory test normal, Lip swelling, Pyrexia
Clinical narrative: After receiving dose 1, the patient developed a low grade fever that lasted 9 days (never more than 100 degrees F).  on the 10th day, the patient developed an all over red rash, swollen lips and tongue, and trouble breathing.  As patient is non-verbal, the family/caregiver reported that patient was visually uncomfortable.  He was taken to a local ED and was admitted for 4 days.  treatment at the hospital is unclear, but as of the day of this report, patient is stable, labs and vitals are normal.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Swollen tongue
Clinical narrative: After receiving dose 1, the patient developed a low grade fever that lasted 9 days (never more than 100 degrees F).  on the 10th day, the patient developed an all over red rash, swollen lips and tongue, and trouble breathing.  As patient is non-verbal, the family/caregiver reported that patient was visually uncomfortable.  He was taken to a local ED and was admitted for 4 days.  treatment at the hospital is unclear, but as of the day of this report, patient is stable, labs and vitals are normal.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Nausea
Clinical narrative: Immediately within 1 minute started feeling nausea, cold sweats, and light headed.  Crackers, water, and a cold pack were given in the EMS room for treatment. Approximately a few minutes after treatment, patient started feeling much better.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Yellow/Green painless bruises about 1-2 inches in diameter. Around the body 6-10.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Feeling of body temperature change, Headache, Myalgia
Clinical narrative: Headache,  hot and cold (no actual temperature) joints hurt, muscles hurt.   I STILL have issues with my right arm getting tingly feeling and can't sleep on it. Had abnormal tightness in my chest, and called my PCP, they said it had too too long after the shot (only 10 days) that it was not related! I had just about every side affect if not all of them!
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: Headache,  hot and cold (no actual temperature) joints hurt, muscles hurt.   I STILL have issues with my right arm getting tingly feeling and can't sleep on it. Had abnormal tightness in my chest, and called my PCP, they said it had too too long after the shot (only 10 days) that it was not related! I had just about every side affect if not all of them!
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Injection site pain, Lymphadenopathy, Pain in extremity, Pruritus
Clinical narrative: Tightness in throat right after I took shot. Treated myself Benadryl and inhaler  same day started itching rash on my chest pain at injection site pain moved to entire arm and under the breast happen with in 1 day Lympnodes enlarged  in the underarm area 3rd day stopped Benadryl and inhaler
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Throat tightness
Clinical narrative: Tightness in throat right after I took shot. Treated myself Benadryl and inhaler  same day started itching rash on my chest pain at injection site pain moved to entire arm and under the breast happen with in 1 day Lympnodes enlarged  in the underarm area 3rd day stopped Benadryl and inhaler
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Diabetes mellitus
Clinical narrative: new onset diabetes hgba1c 12.8
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypoaesthesia oral
Clinical narrative: Pt w/ history of severe allergy to "antibiotics and dyes". Pt c/o difficulty swallowing and numb tongue.  BP 138/97, HR 103 -- > 160/100, 81 -- > 140/90.  Pt administered 50mg IM Benadryl 20mins post vaccination.  Pt reports symptoms resolved w/ benadryl.  Referred to PMD for 2nd dose.  Pt stable and released from the vaccination site.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Office Visit 5/22/2021 Urgent Care - town Med Asst Encounter for screening laboratory testing for COVID-19 virus Dx Progress Notes Med Asst (Medical Assistant) ? ? Encounter Date: 5/22/2021 ? ? Signed    Patient being seen for loss of taste and smell. States that he has received both of his COVID vaccines, but recently started having symptoms. Requesting COVID test but does not wish to see provider today. Patient was swabbed for COVID and order placed in chart. Patient aware that results will be back in 24-48 hours and that he can view these on the portal. No questions or concerns at this time.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Gynaecological examination normal, Heavy menstrual bleeding, Menstrual disorder, Thyroid function test normal
Clinical narrative: Period began 3 weeks early and lasted for longer than usual period: usual period length is 5 days, the period I experienced was 1.5 weeks long
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Feeling abnormal, Hypersomnia
Clinical narrative: about 10 pm, the same day of the vaccine.  I had  migraine headache, body aches, the whole body ached, chills, 103 fever, shaking so bad could not have called 911 if I wanted to. At 2 am, I did not take any medications bc the instructions said not to take any thing any relief. At 6 am I went to the ER, I felt like I wanted to die I felt so horrible. I was given ibuprofen and benadryl. I was given IV fluids. I was discharged at 1:00 pm. I slept for 3 days straight. and I still had the side effects. I still had low grade fever and fatigue. Migraine headache was the worst, it just continued and the fatigue. Even now I am still tired.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Pyrexia, SARS-CoV-2 test negative, Tremor
Clinical narrative: about 10 pm, the same day of the vaccine.  I had  migraine headache, body aches, the whole body ached, chills, 103 fever, shaking so bad could not have called 911 if I wanted to. At 2 am, I did not take any medications bc the instructions said not to take any thing any relief. At 6 am I went to the ER, I felt like I wanted to die I felt so horrible. I was given ibuprofen and benadryl. I was given IV fluids. I was discharged at 1:00 pm. I slept for 3 days straight. and I still had the side effects. I still had low grade fever and fatigue. Migraine headache was the worst, it just continued and the fatigue. Even now I am still tired.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: menstrual spotting 2 weeks before period expected
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Myalgia, Neck pain, Pain in extremity
Clinical narrative: When I received the injection I immediately felt an electric current flow up to the right side of my neck. It passed quickly though. Around eight hours later I developed stiff muscles in my right neck. It became twice the size and was very swollen. I called my PCP and I was told to use moist heat. I used a warm washcloth and kept heat to it. I did not take any medication until the following morning. I took Motrin at 6:00AM. The next day I still felt sore and it took a few days for the muscle ache to go away. Two weeks after the vaccination I started having numbness in my hands and feet. I figured it would just go away and didn't pay much attention to it. 05/25/2021 my right hand was very numb and my right arm was very achy. I went to urgent care because of worry for a blood clot. While at urgent care, I saw a physician, he ruled out a blood clot, but he said that I may have Peripheral neuropathy. I was told to follow up with my PCP and it was suggested to see a neurologist.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Swelling
Clinical narrative: When I received the injection I immediately felt an electric current flow up to the right side of my neck. It passed quickly though. Around eight hours later I developed stiff muscles in my right neck. It became twice the size and was very swollen. I called my PCP and I was told to use moist heat. I used a warm washcloth and kept heat to it. I did not take any medication until the following morning. I took Motrin at 6:00AM. The next day I still felt sore and it took a few days for the muscle ache to go away. Two weeks after the vaccination I started having numbness in my hands and feet. I figured it would just go away and didn't pay much attention to it. 05/25/2021 my right hand was very numb and my right arm was very achy. I went to urgent care because of worry for a blood clot. While at urgent care, I saw a physician, he ruled out a blood clot, but he said that I may have Peripheral neuropathy. I was told to follow up with my PCP and it was suggested to see a neurologist.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Urticaria
Clinical narrative: Sore at injection site for 1 day Hives started 5 days later
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: Never had svt until after vaccine. Happened about 2 1/2 to 3 weeks post, scheduled for ep study and ablation
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Headache, Hyperhidrosis, Hyperventilation
Clinical narrative: Patient is a 48 y/o  female who speaks only Spanish. Patient had interpreter present during client registration, vaccination and post vaccine occurrence. Patient was given Janssen COVID vaccine Lot # 1805031 in the left deltoid by this nurse at approximately 2:00PM.  Client left the event without c/o after 15-minute observation. 2:55PM Client returned to the event and according to the RN client c/o drowsiness and dizziness. RN reports client HR 80 bmp (strong & regular); client B/P in right arm 152/100. Client c/o a headache at #8, on the pain scale of 1-10. Client also c/o pain in the front of her head. Client was alert and oriented skin warm and dry, color WNL and no gross dyspnea noted; client c/o left side chest pain traveling up the left side of her arm. 2:57PM Explained to client 911 will be called and 911 will decide if emergency room visit was warranted.  3PM Client remains alert and oriented with some diaphoresis and change in color noted. 3:02PM Client color returned diaphoresis improved 3:04PM Client reports she is ?feeling better?. 3:05PM Paramedics arrived. Client evaluated by paramedics. Paramedics applied oxygen and checked client vital signs. According to the paramedic client breathing was normal with good oxygenation. Client reports to paramedics she had COVID last year. The paramedic conducting the client assessment reports he felt client is hyperventilating and has no s/s of an anaphylaxis reaction. Client relayed to paramedic her headache is gone but her head, left arm and leg feels ?numb?. Client agreed to go to the emergency room. 3:25PM client left with via stretcher for ambulance transport to  Emergency Room (according to paramedic ED was on diversion).  5/26/21 1:00PM Spoke with RN who reports client was discharged from the ED 5/25/21 to home and is feeling better. Per RN client plans to return to work 5/27/21.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Pain in extremity, Pallor, Somnolence
Clinical narrative: Patient is a 48 y/o  female who speaks only Spanish. Patient had interpreter present during client registration, vaccination and post vaccine occurrence. Patient was given Janssen COVID vaccine Lot # 1805031 in the left deltoid by this nurse at approximately 2:00PM.  Client left the event without c/o after 15-minute observation. 2:55PM Client returned to the event and according to the RN client c/o drowsiness and dizziness. RN reports client HR 80 bmp (strong & regular); client B/P in right arm 152/100. Client c/o a headache at #8, on the pain scale of 1-10. Client also c/o pain in the front of her head. Client was alert and oriented skin warm and dry, color WNL and no gross dyspnea noted; client c/o left side chest pain traveling up the left side of her arm. 2:57PM Explained to client 911 will be called and 911 will decide if emergency room visit was warranted.  3PM Client remains alert and oriented with some diaphoresis and change in color noted. 3:02PM Client color returned diaphoresis improved 3:04PM Client reports she is ?feeling better?. 3:05PM Paramedics arrived. Client evaluated by paramedics. Paramedics applied oxygen and checked client vital signs. According to the paramedic client breathing was normal with good oxygenation. Client reports to paramedics she had COVID last year. The paramedic conducting the client assessment reports he felt client is hyperventilating and has no s/s of an anaphylaxis reaction. Client relayed to paramedic her headache is gone but her head, left arm and leg feels ?numb?. Client agreed to go to the emergency room. 3:25PM client left with via stretcher for ambulance transport to  Emergency Room (according to paramedic ED was on diversion).  5/26/21 1:00PM Spoke with RN who reports client was discharged from the ED 5/25/21 to home and is feeling better. Per RN client plans to return to work 5/27/21.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Unbearable Elbow Joint pain
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Pain
Clinical narrative: Fever (101), body aches, chills, head ache, fatigue, cough
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (101), body aches, chills, head ache, fatigue, cough
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness
Clinical narrative: Pt reports dizziness started and increasing blood sugars after receiving second dose.  Pt had ER visit related to dizziness
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: My husband developed shingles
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: my left arm has been sore at and around the injection site ever since I got the second dose.  It is an on-going dull pain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Swollen tongue
Clinical narrative: Mild difficulty swallowing, mild tongue swelling approximately 45 minutes to an hour after the vaccination was administered. Took 2 Benedryl and the issue cleared up within an hour.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash vesicular
Clinical narrative: Blistering rash around left wrist and left hand/fingers and blistering rash on right wrist and side of right hand.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Syncope
Clinical narrative: Syncope
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pain, Pyrexia
Clinical narrative: Covid symptoms started 5/20/21 with body aches, headache, slight cough and fever. Tested positive 5/25/21 due to symptoms continuing. His symptoms are getting better, he is taking some pain meds to help with fever and the body aches. He has no underlying health conditions and wasn't seen at the hospital for covid-19. Vaccinated 4/8/21 with J&J.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Covid symptoms started 5/20/21 with body aches, headache, slight cough and fever. Tested positive 5/25/21 due to symptoms continuing. His symptoms are getting better, he is taking some pain meds to help with fever and the body aches. He has no underlying health conditions and wasn't seen at the hospital for covid-19. Vaccinated 4/8/21 with J&J.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received her first dose as Moderna in January did not complete the series.  States she was told by registration that she would need to start a series over and we were giving Pfizer.  Error was realized when we put in the reporting system.   Patient was observed for appropriate amount of time and educated that she had completed her series of vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Breath sounds abnormal, COVID-19, Chest X-ray, Chest pain
Clinical narrative: 51-year-old female who presents today with complaint of Covid, apparently diagnosed with Covid about 1 day prior to presentation and has been having symptoms for about 3 days now.  Sent in by PCP after being found to have heart rate of 140 and pulse ox of 79% from home pulse ox.  On exam at this time, vitals stable, patient making complete sentences, does have some decreased breath sounds however likely consistent with her smoking history and possible COPD.  Patient would prefer to return home at this time which I think is reasonable given her presentation, will provide patient with symptomatic relief, as long as she is able to demonstrate appropriate ambulation anticipate that she can likely be discharged home.     History of Present Illness     51 y.o. yo female presenting to the ED with shortness of breath.  Diagnosed with Covid yesterday, has been having symptoms for about 3 to 4 days now, primarily consisting of cough, decreased appetite, nausea, and diarrhea as well as sinus pressure.  Yesterday she has she developed some chest pain and shortness of breath with exertion, scheduled a PCP televisit today during which she used a home pulse oximeter and was found to have a pulse ox of 79% and a heart rate of over 140 after ambulation at that time was instructed to present to the emergency department for evaluation.  Currently she states that while at rest she does not feel so symptomatic however she feels significantly symptomatic with walking.  She states that she has been able to eat some food however significantly decreased appetite.  She does endorse a smoking history, denies a productive cough.  Has not noticed any increased swelling in her lower extremities, not experiencing any chest pain today, this is primarily after having prolonged coughing fits.  Has no other complaints at this time.  She has a history of lupus for which she takes Plaquenil, does not take steroids.  She has been taking some Tylenol on and off, and did not notice that she had a fever of 103.5 yesterday.  Clinical Support RN (Registered Nurse) ? ? Encounter Date: 5/21/2021 ? ? Signed    Patient is here for MAB Infusion Consent for infusion prior to this visit reviewed and verified. O2 sats > or = 90% Signs of potential reaction reviewed with patient. Tolerated IV start and MAB infusion without complication. Pt has access to pulse oximeter and thermometer for home monitoring Provided fact sheet for patients, parents and caregivers- Emergency Use Authorization of BAM for Coronovirus Disease 2019 for pt to review. Discharge instructions reviewed. Patient denies any questions