chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Eye haemorrhage, Fatigue, Menstrual disorder, Ocular hyperaemia
Clinical narrative: Client reported to Rn that 3 days after receiving the 1st COVID vaccine Pfizer she developed breast tenderness and menstruation for 3 days. The client stated this was abnormal for her as she had experienced her regular menstruation the 3 days prior to receiving the vaccine. The client also developed redness around her right cornea, which she described as a "blood vessel pop." The client stated the redness lasted about 3-4 days. The client denied any pain associated with this. The client also stated she developed fatigue that lasted one week. The client took Tylenol for her symptoms. The client denied an dizziness or shortness of breath. The client did not follow up with her primary care provider or an allergist. The client has a history of a high ANA which she manages with diet and follows up with a rhuematologist regarding her ANA level every 6 months. The client takes vitamin D and Iron supplements regularly. The client has a history of of a rash after consuming oysters.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient was vaccinated twice in 2 months by accident. He is fine but received 2 doses.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received her first Pfizer dose on February 2, 2021 and reported an itchy rash that developed shortly after receiving the vaccine. She said she took Benadryl after the rash developed but it did not relieve her symptoms. Patient received her second dose of Pfizer on February 20, 2021 and did not report any reaction after that dose. Within 10 minutes of receiving her third Pfizer vaccine, she reported red itchy areas on her inner arms. As she was describing this, the rash began to develop around her neck and chest and became more red and itchy. She did not report any trouble breathing or swelling of lips or tongue. Patient did not want to take Benadryl because she said it did not work after having similar symptoms after her first dose. Per Pharmacy protocol for vaccines, the emergency service was called because of the generalized reaction. Patient sat in a chair at the pharmacy for approximately 15  minutes until the emergency services came, they monitored her for approximately 15 more minutes, then she left to go home with her husband to drive her home.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoimmune thyroiditis, Blood test, Cardiac stress test, Condition aggravated, Fatigue
Clinical narrative: I have been fatigued and thyroid has been acting up worse than usual, congestion, headaches, muscle aches and pains/spasm. Increased thyroid medications 3 times in last 3 months.  Meeting with endocrinologist in December
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Muscle spasms, Myalgia, Red blood cell count increased, Respiratory tract congestion
Clinical narrative: I have been fatigued and thyroid has been acting up worse than usual, congestion, headaches, muscle aches and pains/spasm. Increased thyroid medications 3 times in last 3 months.  Meeting with endocrinologist in December
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count decreased
Clinical narrative: I have been fatigued and thyroid has been acting up worse than usual, congestion, headaches, muscle aches and pains/spasm. Increased thyroid medications 3 times in last 3 months.  Meeting with endocrinologist in December
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: On 10/4/21 a patient came in and requested to get the Covid Booster. They indicated that they had Pfizer and it had been more than 6 months since their 2nd dose. The patient did not have their immunization card with them. We did not give the previous doses so we attempted to verify the previous series on database and there was no record. We had the patient sign the attestation form and gave the Booster dose of Pfizer. Today on 10/7/21 the patient came back in with his card for us to add the Booster to it and we discovered he had Moderna not Pfizer. I called the patient later in the day to ask if he wanted us to call his primary care doctor and he said he had already contacted them.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle twitching, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Muscle twitching, tingling, itching all over, numbness and pain to fingers, toes
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pallor
Clinical narrative: Mother called RN over. Daughter is not feeling well. Pallor noted and patient reported some nausea. Taken back to observation room to lie down. Patient had eaten muffin at breakfast. Patient reports feeling better after snack. Observed for 20 minutes. Mother is comfortable with leaving. Patient walked with mother. No issues.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: The worst miagrain in the world for 5 days...  started almost 24 hrs later none of my medication that typically works for a normal miagrains worked. I capped out on dosage
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pharyngeal swelling
Clinical narrative: Throat swelled, became hard to swallow within 15 min of injection. Was home when event started and took 50 mg of Benadryl and continued for 36 hours. I contacted friend nurse that advised me to take Benadryl.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Acute lymphocytic leukaemia, B-cell type acute leukaemia, Biopsy bone marrow, Blood creatinine
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Blood electrolytes normal, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood lactic acid decreased
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood triglycerides increased, Blood uric acid normal, C-reactive protein increased, Chills, Contusion
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine, Cytomegalovirus test negative, Cytomegalovirus test positive, Discomfort, Dizziness
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus antibody negative, Epstein-Barr virus antibody positive, Fatigue, Flow cytometry, HIV test negative
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Headache, Hepatitis viral test negative, Infection
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio increased, Leukopenia, Liver function test normal, Myalgia, Nausea
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Packed red blood cell transfusion, Pain, Platelet count decreased, Presyncope
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Respiratory viral panel, Reticulocyte count, Reticulocyte percentage decreased
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Staphylococcus test negative, Tachycardia, Tremor, White blood cell count decreased
Clinical narrative: Admitted on 10/4/2021 with 15-day history of fever starting after his second Covid vaccine and associated with body aches, diffuse nontraumatic bruising, fatigue, nausea, dizziness, sore throat, hand shaking, and chills. In the ED the patient's CBC demonstrated leukopenia at 2.4 with hemoglobin level of 4.9 and hematocrit of 13.8.  Patient had a platelet count of 19.  The patient's electrolytes are within normal limits with a normal creatinine and normal LFTs.  The patient's lactic acid was 1.9, his CRP was 17.7, his ESR is 25, and LDH of 952.  Based on the patient's presentation he is scheduled to transfuse 2 units of PRBC and 1 unit of platelets.  The patient had urine and blood cultures collected and was started on cefepime IV and received 1 L bolus of NS.  On presentation the patient met sepsis criteria based on tachycardia, fever of 104.5, and suspected infection. He has received Medona COVID-19 vaccination. Had 4 days fever after first dose. Second dose was received 9/20/2021.  Patient reports discomfort started the second day after the day after vaccination including fever, muscle ache, headache, fatigue, dizziness and near syncope.  Reticulocyte 0.2%, absolute reticulocyte count less than 0.01 Bone marrow biopsy was performed on 10/5/2021, peripheral blood for flow cytometry was collected.  1 more unit PRBC was given.  On 10/5/2021 3 PM repeat CBC showed WBC 1.9, hematocrit 16.6, hemoglobin 6, platelet 23.  Fibrinogen 553, PTT 18.3, INR 1.5.  uric acid 6.9, triglyceride 250. EBV IgG positive, EBV IgM negative.  CMV IgG positive, IgM negative.  HIV negative.  Hepatitis panel negative, respiratory panel negative, MRSA screen negative.   On 10/7/2021, Per Oncology, patient has evidence to diagnose as B cell ALL, BM biopsy (10/5/2021) Flowcytometry report: 95% blasts, Acute B cell leukemia.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 2nd dose of Pfizer COVID-19 vaccine was given to patient after he got 2 Moderna COVID-19 vaccine doses in March 2021. Patient did not disclosed that he received 2 other previous COVID-19 vaccines.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Blood creatine phosphokinase, Blood lactate dehydrogenase, C-reactive protein increased
Clinical narrative: AE: Treatment/Outcome:  Patient Active Hospital Problem List:  CORONAVIRUS COVID-19 DISEASE (9/25/2021)/ACUTE HYPOX RESP FAILURE - admit for COVID pna, positive on 9/13/21.  On decadron, completed remdesivir, also s/p 1x dose tocilizumab on 9/27 when on significant HF NC settings.  Since has improved, now down to ~ 35L, 40% FiO2 on HF NC.  Suspect will be able to transition to oxymizer in next few days.  Notably, patient states he is a mouth breather, could consider simple mask instead, though this will be harder to accommodate long term after discharge as he will likely require home O2.  - Trend LFT's, LDH, d-dimer, CRP, ferritin, CK per COVID order-set  - Cont awake proning - S/p Remdesivir IV 9/24-9/28 - Decadron 6 mg daily 9/24-9/26, 10 mg daily 9/27 to present - will plan for total 10 day course.  - S/p tocilizumab x1 on 9/27/21 - Cont pepcid for GI ppx - DVT prophylaxis w lovenox 40 mg SQ q 24 hrs  - Will need 20 day total isolation
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Fibrin D dimer, Liver function test
Clinical narrative: AE: Treatment/Outcome:  Patient Active Hospital Problem List:  CORONAVIRUS COVID-19 DISEASE (9/25/2021)/ACUTE HYPOX RESP FAILURE - admit for COVID pna, positive on 9/13/21.  On decadron, completed remdesivir, also s/p 1x dose tocilizumab on 9/27 when on significant HF NC settings.  Since has improved, now down to ~ 35L, 40% FiO2 on HF NC.  Suspect will be able to transition to oxymizer in next few days.  Notably, patient states he is a mouth breather, could consider simple mask instead, though this will be harder to accommodate long term after discharge as he will likely require home O2.  - Trend LFT's, LDH, d-dimer, CRP, ferritin, CK per COVID order-set  - Cont awake proning - S/p Remdesivir IV 9/24-9/28 - Decadron 6 mg daily 9/24-9/26, 10 mg daily 9/27 to present - will plan for total 10 day course.  - S/p tocilizumab x1 on 9/27/21 - Cont pepcid for GI ppx - DVT prophylaxis w lovenox 40 mg SQ q 24 hrs  - Will need 20 day total isolation
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Prone position, Serum ferritin
Clinical narrative: AE: Treatment/Outcome:  Patient Active Hospital Problem List:  CORONAVIRUS COVID-19 DISEASE (9/25/2021)/ACUTE HYPOX RESP FAILURE - admit for COVID pna, positive on 9/13/21.  On decadron, completed remdesivir, also s/p 1x dose tocilizumab on 9/27 when on significant HF NC settings.  Since has improved, now down to ~ 35L, 40% FiO2 on HF NC.  Suspect will be able to transition to oxymizer in next few days.  Notably, patient states he is a mouth breather, could consider simple mask instead, though this will be harder to accommodate long term after discharge as he will likely require home O2.  - Trend LFT's, LDH, d-dimer, CRP, ferritin, CK per COVID order-set  - Cont awake proning - S/p Remdesivir IV 9/24-9/28 - Decadron 6 mg daily 9/24-9/26, 10 mg daily 9/27 to present - will plan for total 10 day course.  - S/p tocilizumab x1 on 9/27/21 - Cont pepcid for GI ppx - DVT prophylaxis w lovenox 40 mg SQ q 24 hrs  - Will need 20 day total isolation
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Pharyngeal swelling
Clinical narrative: Approximately 10 minutes after administration patient reported her throat felt slightly swollen or tight. She stated it was not enough to cause any difficulty breathing and that it wasn't itchy.  She took 25mg of liquid benadryl at this time.  She reported no other symptoms but could still feel swelling  (not improving and not getting worse) and her voice was slightly hoarse.  She did not want us to administer EpiPen and she did not want us to call EMS as she stated the swelling was not getting worse. She was able to speak, drink water and swallow.  We continued to monitor.  She took another 25mg of benadryl and reported no changes.  She was feeling well enough to leave with her husband at 55 minutes after administration and we advised her to follow up with a visit to urgent care if no improvement. She did follow up with a visit to the local urgent care where she states she was given IV medrol and more benadryl.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The patient made an appointment for her 1st dose Moderna shot. She checked in with the pharmacy technician to confirm her first dose. She confirm it is the first Moderna dose with the pharmacist. After 15 minutes from receiving her vaccination. She brings out her COVID-19 vaccination card to show the pharmacist she is getting her 3rd dose of Moderna. She received the 3rd doses of Moderna without being moderately to severely immunocompromised,
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis
Clinical narrative: dizziness, sweating, clamy skin and feeling of passing out.
Age: 53.0
Sex: U
Vaccine: COVID19
Symptoms: Blood pressure increased, Eye movement disorder
Clinical narrative: 9/30/21 Felt "eyes not keeping up with her head" and blood pressure increased to 160/105. Went to the ED at 1607 - monitored by staff. Ruled out stroke or any other issues. Released from care at 1719.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Lymphadenopathy, Musculoskeletal pain, Ultrasound scan
Clinical narrative: On October 5th around noon noticed shoulder-blade area was sore. About a 1/2 hour later the area was swollen and tender. Sent a message to my dr. By the time they got back with me they didn?t have any openings so they sent me to urgent care. That dr didn?t know what was causing it, said it felt like fluid under my skin. I told him that I had had the booster shot on the same side two days before but he did not think it was connected. He advised me to go to the emergency room. I went to the emergency room.Dr there did ultrasound of area said it looked like fluid around the lymph node. She then had them do a CT scan.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Feeling hot, Headache, Hypertension
Clinical narrative: Around mid-September I started having severe headaches before getting up from bed. I also felt nauseous. I checked my blood pressure and it was high compared to my normal one. I went to see my doctor, and he couldn't find anything wrong with me or what was causing the high blood pressure. He started me on Amlodipine 2.5 mg/daily. I have been taking this medication for approximately 10 days and I started feeling a little bit better, but I am still having sporadic headaches. Some days I have stomachaches.  My stomach feels bloated. Today I got up with a headache again. Later in the day developed a fever (100F). I felt very hot in the face and head. Now (7 pm) my temperature is normal.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Around mid-September I started having severe headaches before getting up from bed. I also felt nauseous. I checked my blood pressure and it was high compared to my normal one. I went to see my doctor, and he couldn't find anything wrong with me or what was causing the high blood pressure. He started me on Amlodipine 2.5 mg/daily. I have been taking this medication for approximately 10 days and I started feeling a little bit better, but I am still having sporadic headaches. Some days I have stomachaches.  My stomach feels bloated. Today I got up with a headache again. Later in the day developed a fever (100F). I felt very hot in the face and head. Now (7 pm) my temperature is normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Extra dose administered, Influenza like illness, Multiple sclerosis, Musculoskeletal stiffness
Clinical narrative: After my booster around 4pm had flu-like symptoms 103° Fever. MS issue with stiff muscles(lower body only) continued thru the next day. Convulsed the next night multiple times. (about 20 times) Back to normal mostly.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Seizure
Clinical narrative: After my booster around 4pm had flu-like symptoms 103° Fever. MS issue with stiff muscles(lower body only) continued thru the next day. Convulsed the next night multiple times. (about 20 times) Back to normal mostly.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Rhinorrhoea
Clinical narrative: Slight cough and runny nose 10/6/21  lack of energy  and poor appetite has been going on for a few months.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Slight cough and runny nose 10/6/21  lack of energy  and poor appetite has been going on for a few months.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test positive, Culture stool positive, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: Day of the first shot, I was extremely tired and slept for hours - 6-8 hours afterwards. The same day, within 2-3 hours after injection I had diarrhea and I continued to have it for six weeks. I went to a family practice (they got me in within a week) on and sought out treatment. We talked about what was happening and she ordered three different stool samples and I came back with two different positive bacteria and the inflammatory indicator was positive also. I went on three different antibiotics - Flagel; Vancomycin; Z-pack - three doses. They helped to curb some of the symptoms but I am not back to normal yet. I still experience a lot of gas and a lot of loose stool. But when  I was in the throws of it and what brought me to the doctor, it was becoming uncontrollable - I was barely able to make it to bathroom. They did refer me to a GI consult and I had the appt with them. They are recommending probiotics and increase in fiber and when I introduce the probiotics and stick with it - it helps, but I am still not normal.  Dose 2 of COVID vaccine - That was July 30th. It was after that, when I went to a family practice. I doubted whether I should get the second dose. Before this, I had absolutely  no problems with my colon health.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Inflammation
Clinical narrative: Day of the first shot, I was extremely tired and slept for hours - 6-8 hours afterwards. The same day, within 2-3 hours after injection I had diarrhea and I continued to have it for six weeks. I went to a family practice (they got me in within a week) on and sought out treatment. We talked about what was happening and she ordered three different stool samples and I came back with two different positive bacteria and the inflammatory indicator was positive also. I went on three different antibiotics - Flagel; Vancomycin; Z-pack - three doses. They helped to curb some of the symptoms but I am not back to normal yet. I still experience a lot of gas and a lot of loose stool. But when  I was in the throws of it and what brought me to the doctor, it was becoming uncontrollable - I was barely able to make it to bathroom. They did refer me to a GI consult and I had the appt with them. They are recommending probiotics and increase in fiber and when I introduce the probiotics and stick with it - it helps, but I am still not normal.  Dose 2 of COVID vaccine - That was July 30th. It was after that, when I went to a family practice. I doubted whether I should get the second dose. Before this, I had absolutely  no problems with my colon health.
Age: 57.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Atrial flutter, Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea
Clinical narrative: 9/30/21 Reported feeling nauseous the evening after vaccination. 10/1/21: shortness of breath, Fatigue, felt like heart was racing. Went to the ED on 10/1/21. Found to be in atrial fib, shortness of breath continued until respiratory distress increased to him being intubated on a ventilator. Possible sepsis. Cardiac rhythm converted to Atrial Flutter. Extubated by 10/4/21. 10/7/21 Walking in hallway.
Age: 57.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Endotracheal intubation, Fatigue, Lung infiltration, Mechanical ventilation
Clinical narrative: 9/30/21 Reported feeling nauseous the evening after vaccination. 10/1/21: shortness of breath, Fatigue, felt like heart was racing. Went to the ED on 10/1/21. Found to be in atrial fib, shortness of breath continued until respiratory distress increased to him being intubated on a ventilator. Possible sepsis. Cardiac rhythm converted to Atrial Flutter. Extubated by 10/4/21. 10/7/21 Walking in hallway.
Age: 57.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Nausea, Palpitations, Pleural effusion, Respiratory distress, Right ventricular dysfunction
Clinical narrative: 9/30/21 Reported feeling nauseous the evening after vaccination. 10/1/21: shortness of breath, Fatigue, felt like heart was racing. Went to the ED on 10/1/21. Found to be in atrial fib, shortness of breath continued until respiratory distress increased to him being intubated on a ventilator. Possible sepsis. Cardiac rhythm converted to Atrial Flutter. Extubated by 10/4/21. 10/7/21 Walking in hallway.
Age: 57.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Right ventricular enlargement
Clinical narrative: 9/30/21 Reported feeling nauseous the evening after vaccination. 10/1/21: shortness of breath, Fatigue, felt like heart was racing. Went to the ED on 10/1/21. Found to be in atrial fib, shortness of breath continued until respiratory distress increased to him being intubated on a ventilator. Possible sepsis. Cardiac rhythm converted to Atrial Flutter. Extubated by 10/4/21. 10/7/21 Walking in hallway.
Age: 57.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory distress syndrome, Hypoxia, Pulseless electrical activity, Respiratory failure
Clinical narrative: 9/30/21 Reported feeling nauseous the evening after vaccination. 10/1/21: shortness of breath, Fatigue, felt like heart was racing. Went to the ED on 10/1/21. Found to be in atrial fib, shortness of breath continued until respiratory distress increased to him being intubated on a ventilator. Possible sepsis. Cardiac rhythm converted to Atrial Flutter. Extubated by 10/4/21. 10/7/21 Walking in hallway.
Age: 57.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Septic shock
Clinical narrative: 9/30/21 Reported feeling nauseous the evening after vaccination. 10/1/21: shortness of breath, Fatigue, felt like heart was racing. Went to the ED on 10/1/21. Found to be in atrial fib, shortness of breath continued until respiratory distress increased to him being intubated on a ventilator. Possible sepsis. Cardiac rhythm converted to Atrial Flutter. Extubated by 10/4/21. 10/7/21 Walking in hallway.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Alopecia, Asthenia, Chills, Diarrhoea
Clinical narrative: 1st shot:   My right arm only went numb multiple times for 3 days after shot, was numb from shoulder to hand.  Started having short dizzy spells.  Have episodes where I have a hard time focusing on my surroundings.  Ended up with diarrhea for a couple of days.  My hair started falling out.  2nd shot:  By that night I was sick.  I had uncontrollable cold chills, couldn't focus, wanted to throw up, ABD pain.  By morning I had no energy, could hardly walk, was dizzy and unsteady on my feet, I couldn't focus, my vision was blurry.   I had 102 fever for 2 days followed by 2 days of diarrhea.   My whole body ached, especially up my spine into my head.  Felt like someone was trying to crack my head open.  My hair is still falling out in handfuls daily.  I fear I will be bald soon.   It's 6 days after my second dose and I have headaches on a off. Right now my head is killing me.  It's the same headache, I feel it up my spine and into my head.   I randomly have dizzy/near syncopal episodes.  I still have episodes of blurry vision and having hard time focusing on my surrounds.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Gait disturbance, Head discomfort, Headache
Clinical narrative: 1st shot:   My right arm only went numb multiple times for 3 days after shot, was numb from shoulder to hand.  Started having short dizzy spells.  Have episodes where I have a hard time focusing on my surroundings.  Ended up with diarrhea for a couple of days.  My hair started falling out.  2nd shot:  By that night I was sick.  I had uncontrollable cold chills, couldn't focus, wanted to throw up, ABD pain.  By morning I had no energy, could hardly walk, was dizzy and unsteady on my feet, I couldn't focus, my vision was blurry.   I had 102 fever for 2 days followed by 2 days of diarrhea.   My whole body ached, especially up my spine into my head.  Felt like someone was trying to crack my head open.  My hair is still falling out in handfuls daily.  I fear I will be bald soon.   It's 6 days after my second dose and I have headaches on a off. Right now my head is killing me.  It's the same headache, I feel it up my spine and into my head.   I randomly have dizzy/near syncopal episodes.  I still have episodes of blurry vision and having hard time focusing on my surrounds.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Presyncope, Pyrexia
Clinical narrative: 1st shot:   My right arm only went numb multiple times for 3 days after shot, was numb from shoulder to hand.  Started having short dizzy spells.  Have episodes where I have a hard time focusing on my surroundings.  Ended up with diarrhea for a couple of days.  My hair started falling out.  2nd shot:  By that night I was sick.  I had uncontrollable cold chills, couldn't focus, wanted to throw up, ABD pain.  By morning I had no energy, could hardly walk, was dizzy and unsteady on my feet, I couldn't focus, my vision was blurry.   I had 102 fever for 2 days followed by 2 days of diarrhea.   My whole body ached, especially up my spine into my head.  Felt like someone was trying to crack my head open.  My hair is still falling out in handfuls daily.  I fear I will be bald soon.   It's 6 days after my second dose and I have headaches on a off. Right now my head is killing me.  It's the same headache, I feel it up my spine and into my head.   I randomly have dizzy/near syncopal episodes.  I still have episodes of blurry vision and having hard time focusing on my surrounds.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: 1st shot:   My right arm only went numb multiple times for 3 days after shot, was numb from shoulder to hand.  Started having short dizzy spells.  Have episodes where I have a hard time focusing on my surroundings.  Ended up with diarrhea for a couple of days.  My hair started falling out.  2nd shot:  By that night I was sick.  I had uncontrollable cold chills, couldn't focus, wanted to throw up, ABD pain.  By morning I had no energy, could hardly walk, was dizzy and unsteady on my feet, I couldn't focus, my vision was blurry.   I had 102 fever for 2 days followed by 2 days of diarrhea.   My whole body ached, especially up my spine into my head.  Felt like someone was trying to crack my head open.  My hair is still falling out in handfuls daily.  I fear I will be bald soon.   It's 6 days after my second dose and I have headaches on a off. Right now my head is killing me.  It's the same headache, I feel it up my spine and into my head.   I randomly have dizzy/near syncopal episodes.  I still have episodes of blurry vision and having hard time focusing on my surrounds.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza like illness, Muscle spasms, Pain in extremity
Clinical narrative: 5 days later sore arm, fluey, muscle spasm, hand numb
Age: 74.0
Sex: F
Vaccine: FLU4, PNC13, VARZOS
Symptoms: Fatigue, Injected limb mobility decreased, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Patient felt tired and body felt sore several hours after vaccines. Her left arm hurt and she couldn't lift it easily. The next day her left arm became red and swollen starting at injection site. The swelling moved down her arm and onto the inside of her arm, while the swelling and redness on shoulder stopped.
Age: 74.0
Sex: F
Vaccine: FLU4, PNC13, VARZOS
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient felt tired and body felt sore several hours after vaccines. Her left arm hurt and she couldn't lift it easily. The next day her left arm became red and swollen starting at injection site. The swelling moved down her arm and onto the inside of her arm, while the swelling and redness on shoulder stopped.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fear of injection, Malaise, Pallor, Vomiting
Clinical narrative: Client's mom reported client not feeling well. Client stated she felt dizzy. Client transferred to EMS. room. Removed via wheelchair. Client had 50 ml clear emesis. Client appeared pale. Mom stated she hadn't eaten today. Client rested on cot with ice pack and was given water. Mom stated this was a common reaction to needles for the client. Client ate a few crackers and rested for 40 minutes until stated she felt better and stood without dizziness. Client walked to vehicle. Followed client with wheelchair. Client and family thanked me for my assistance.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arnold-Chiari malformation, Body temperature increased, Brain herniation, Computerised tomogram head normal, Dizziness
Clinical narrative: 9/23 began feeling hot/flushed and itching about 3 hours after vaccination received. 9/24 6am body aches and skin irritation with temperature of 102F. 9/24 3pm began with headache, dizziness, developed bloody nose and ringing in right ear. 9/27 was evaluated at urgent care and head CT was performed as well as basic labs. no findings. 9/30 presented to emergency room with severe head pain and dizziness. MRI was performed and new diagnosis of Chiari 1 malformation/cerebellar herniation. Headache still present day 14 after diagnosis. Unable to attend work, unable to perform ADL. Quality of life severely impacted.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Feeling hot, Flushing, Headache, Impaired work ability
Clinical narrative: 9/23 began feeling hot/flushed and itching about 3 hours after vaccination received. 9/24 6am body aches and skin irritation with temperature of 102F. 9/24 3pm began with headache, dizziness, developed bloody nose and ringing in right ear. 9/27 was evaluated at urgent care and head CT was performed as well as basic labs. no findings. 9/30 presented to emergency room with severe head pain and dizziness. MRI was performed and new diagnosis of Chiari 1 malformation/cerebellar herniation. Headache still present day 14 after diagnosis. Unable to attend work, unable to perform ADL. Quality of life severely impacted.