chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Fibromyalgia, Gastrooesophageal reflux disease, Hypoaesthesia, Injection site pain
Clinical narrative: On the third day after the injection,  I had a sudden return of sx previously experienced with medications cleared  3A4/5 and 2C19 including rigid paralysis for >11 minutes,  multiple contractions, numbness/tingling in legs. I had not experienced any of these symptoms for > 3 months.      Also fibromyalgia sx exacerbated to include burning pain in L arm (injection site) For 1 week, my arm turned red, like sunburn and burned.  After week 1, there was no redness but there was more pain than burning and that continued for about 4 weeks. This has since abated. I currently have extreme fatigue, fibromyalgia pain in multiple sites, esp breast, chest and legs.  Numbness and tingling continues in my feet and legs.  I am also experiencing transient numbness in my lower face, periods of severe "brain fog" (this seems to be improving) and GERD sx relieved by antacids.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle contracture, Pain, Pain in extremity, Paraesthesia, Paralysis
Clinical narrative: On the third day after the injection,  I had a sudden return of sx previously experienced with medications cleared  3A4/5 and 2C19 including rigid paralysis for >11 minutes,  multiple contractions, numbness/tingling in legs. I had not experienced any of these symptoms for > 3 months.      Also fibromyalgia sx exacerbated to include burning pain in L arm (injection site) For 1 week, my arm turned red, like sunburn and burned.  After week 1, there was no redness but there was more pain than burning and that continued for about 4 weeks. This has since abated. I currently have extreme fatigue, fibromyalgia pain in multiple sites, esp breast, chest and legs.  Numbness and tingling continues in my feet and legs.  I am also experiencing transient numbness in my lower face, periods of severe "brain fog" (this seems to be improving) and GERD sx relieved by antacids.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Chills, Headache, Myalgia
Clinical narrative: Chills, headache, muscle aches and heart rhythm  variations.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Chest discomfort, Chest pain, Rash
Clinical narrative: My daughter has had a full body rash, that nobody can identify, since the shot.  They start as little dots and change into circles after a while. She had had chest pains and pressure and is very uncomfortable
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: 12 hours after shot, developed shaking chills and fever to 101.  Continued with these symptoms along with a headache, muscle aches and continued fever for about 30 hours.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: I received the Moderna vaccine on 5/28/21. No reactions on the first day. Day 2 I noted the small red swollen area, extreme pain radiated from my shoulder to my wrist. The next day it had tripled in size and was hot to the touch and pain continued as well as a little itchiness. Also noted a large marble size knot. Followed up with the pharmacist who checked the area on 6/1/21. He advised the redness was pretty much gone but the heat was still there as was the marble sized knot, the outline of the "rash"  and the soreness. Today, marking a week after injection, the large marble is now a small marble knot, still slightly sore to the touch but not unbearable. Still slightly itchy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Injection site warmth, Pain
Clinical narrative: I received the Moderna vaccine on 5/28/21. No reactions on the first day. Day 2 I noted the small red swollen area, extreme pain radiated from my shoulder to my wrist. The next day it had tripled in size and was hot to the touch and pain continued as well as a little itchiness. Also noted a large marble size knot. Followed up with the pharmacist who checked the area on 6/1/21. He advised the redness was pretty much gone but the heat was still there as was the marble sized knot, the outline of the "rash"  and the soreness. Today, marking a week after injection, the large marble is now a small marble knot, still slightly sore to the touch but not unbearable. Still slightly itchy.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine Administration Error
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cellulitis, Cough, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 3/20/21). Patient was admitted to the hospital for RLE cellulitis on 5/23/21 and started complaining of dry cough on 6/2/21. Patient tested positive for SARS-CoV-2 on 6/3/21 and was treated with monoclonal antibody therapy that same day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Confusional state, Fatigue, Hypoaesthesia oral, Myalgia
Clinical narrative: lips went numb, tiredness, muscle pain, cold chills, Mild confusion
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Arthralgia, Back pain, Exposure during pregnancy, Headache
Clinical narrative: headache pain in hip and legs  pain from the waist down back pain Miscarriage (7 weeks 5-6 days pregnant) went to OB clinic Ultrasound no heartbeat 7 weeks 5-6 days Determined that the baby stop growing  at 7 weeks and 5 days, which is the day I received my 2 dose of my vaccine.  Friday, May 21st  suggested doing a DNC of getting medication to induce at home 24th gave medication to induce problems that 28 having alot of pain miscarriage was not complete told to do another dose of medication to induce at home last week on tuesday and the miscarrige is still not complete advise to surgery of anotehr dose of medication  go back next week .misscariage is not complete.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: headache pain in hip and legs  pain from the waist down back pain Miscarriage (7 weeks 5-6 days pregnant) went to OB clinic Ultrasound no heartbeat 7 weeks 5-6 days Determined that the baby stop growing  at 7 weeks and 5 days, which is the day I received my 2 dose of my vaccine.  Friday, May 21st  suggested doing a DNC of getting medication to induce at home 24th gave medication to induce problems that 28 having alot of pain miscarriage was not complete told to do another dose of medication to induce at home last week on tuesday and the miscarrige is still not complete advise to surgery of anotehr dose of medication  go back next week .misscariage is not complete.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Alanine aminotransferase normal, Albumin globulin ratio decreased, Aspartate aminotransferase normal, Atrial fibrillation
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test negative, Basophil count normal, Basophil percentage, Bilirubin urine, Blood albumin decreased
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatine phosphokinase MB increased
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, Blood creatinine increased, Blood glucose increased, Blood magnesium increased, Blood potassium normal
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood urea increased, Blood urine absent, Brain natriuretic peptide increased
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest discomfort, Chest pain, Chills, Dizziness
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil count normal, Eosinophil percentage, Fluid imbalance, Glomerular filtration rate decreased
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Glucose urine absent, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lymphocyte count normal
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage, Mean cell haemoglobin, Mean cell haemoglobin concentration decreased, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Monocyte count increased, Monocyte percentage increased, Neutrophil count normal, Neutrophil percentage
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Nitrite urine absent, Nucleated red cells, Oedema peripheral, Palpitations, Peripheral swelling
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Polyuria, Protein total normal, Protein urine absent, Pyrexia
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Rales, Red blood cell count normal, Red cell distribution width increased, Specific gravity urine normal, Swelling
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I increased, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine increased, White blood cell count normal
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cells urine positive, pH urine normal
Clinical narrative: 5/5/21  Admission to Med Surg: The patient is a 88 y.o. female with a past medical history notable for CHF, diabetes, CAD, hypertension, hyperlipidemia. The patient presents for evaluation of worsening issues with swelling and shortness of breath. Patient was found to be 3-5 lb from baseline weight. Patient shows significant lower extremity edema in addition worsening rales bilaterally. Patient is on the fevers or chills. Patient struggle with fluid balance due to dietary need to restrictions in addition to patient's diabetic diet. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed. Patient's who was agreeable to in-patient diuresis 5/19/21 ER: 88 y.o. female who presents with chest pain.  Patient reports that approximately an hour and half ago while at assisted living facility she began having chest pain.  Patient describes her chest pain as located across the central part of her chest.  She describes it as a pressure.  She currently gives it an 8/10.  Patient denies any radiation of the pain.  Patient does report associated shortness of breath, lightheadedness, dizziness, but denies nausea, vomiting, or diaphoresis.  Patient also reports feeling her heart racing in her chest.  Patient denies prior history of atrial fibrillation.  Bedside monitor shows AFib with RVR.  Patient also reports recurrent swelling of the bilateral lower extremities   dx: NSTEMI Transferred to a different hospital
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain
Clinical narrative: Patient called on 6/4/2021 to say that about 3 hours after receiving vaccination he started experiencing abdominal pains that have been persistent to the present.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Nausea, Somnolence
Clinical narrative: No nausea until day 2, sleepy and groggy, Day 2 slept all day ate, nothing. , drank water.  Day 3 slept another day away, ate very little. Day 4. sleepyness but less than previous days, began to eat again.  Day 5 seemed to be back to normal, a fatigue stayed and I took lots of naps . Woke up on day 6.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Pruritus
Clinical narrative: Generalized itching with eczematous rash which has persisted for 2 weeks so far.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Contusion, Fall, Limb injury, Muscle spasms
Clinical narrative: Severe muscle spasms and seizing. Was caught by surprise with the onset and off balance and ended up falling into a wall and broke my arm. now have to have surgery.  Also entire arm swollen and black and blue.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Seizure, X-ray abnormal
Clinical narrative: Severe muscle spasms and seizing. Was caught by surprise with the onset and off balance and ended up falling into a wall and broke my arm. now have to have surgery.  Also entire arm swollen and black and blue.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Insomnia, Peripheral coldness
Clinical narrative: insomnia, sweats, icy feet,
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Needle issue
Clinical narrative: The barrel seperated from the hub and needle when the shot was administered. This resulted in an unknown amount getting into patient and liquid squirting onto her leg and arm.  I have talked to the administer of the shot, and Health Department. Since an undetermined amount was administered we followed CDC guidelines and got another shot in her opposite arm.  I was told this was equipment error and I feel it needs to be reported and investigated if this type of syringe that comes in two pieces needs to  be modified or stopped if there is equipment error.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Nervousness
Clinical narrative: 39 y/o with past medical history of Hypertension that presents with feeling weak, nervous and concerned for BP post vaccination. Patient states that this is the first vaccination in the two-dose series. Patient denies previous vaccination reaction. Patient states that the vaccination was received in the left arm. Patient placed in wheelchair and taken to the partitioned area with the NP and Paramedics. Patient initial vitals all within normal limits, 125/92 BP, 97 HR, 98 %RA, 12 Resp. Patient provided a bottle of water and monitored for 15 mins. Patient states that is feeling better and that feels that it was just nervousness. Patient vitals reassessed and normal, 127/85 BP, 98 HR, 99% RA, 12 Resp. Patient discharged in stable condition, ambulated without difficulty. NP encouraged patient to hydrate well since patient will be going back to work in an outdoor environment.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Blood test, Fatigue, Impaired work ability, Musculoskeletal stiffness
Clinical narrative: Starting on the day of the 2nd dose vaccine,  later in the evening with low grade fever and fatigue.  I took some Tylenol the next morning and call out of work and stayed in bed for about 1 and 1/2 days.  I felt fine after that.  About 1-2 weeks later, I started to get pain  in my hands.  The pain and stiffness got so bad I went to my doctor and was referred to an orthopedic hand specialist.  I  got x-ray , blood work and was referred to a rheumatologist who ran more blood work and I got a diagnosed with limited scleroderma arthritis.  I was put on hydroxychloroquine 200mg once daily.  I have been taking that for 3 months so far and have been very effective. The pain  has improved drastically.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Scleroderma, X-ray
Clinical narrative: Starting on the day of the 2nd dose vaccine,  later in the evening with low grade fever and fatigue.  I took some Tylenol the next morning and call out of work and stayed in bed for about 1 and 1/2 days.  I felt fine after that.  About 1-2 weeks later, I started to get pain  in my hands.  The pain and stiffness got so bad I went to my doctor and was referred to an orthopedic hand specialist.  I  got x-ray , blood work and was referred to a rheumatologist who ran more blood work and I got a diagnosed with limited scleroderma arthritis.  I was put on hydroxychloroquine 200mg once daily.  I have been taking that for 3 months so far and have been very effective. The pain  has improved drastically.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Nausea, Vomiting, Fever, Chills, head and body aches
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea, Vomiting, Fever, Chills, head and body aches
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: 15 minutes after receiving the injection in deltoid muscle, there was pain and soreness at the injection site. An hour after injection, pain and soreness at injection site worsened. Activity of left arm was used to help with symptoms. Despite activity (wash dishes, vacuum, lift weights) of left arm, not only did the pain and soreness a the injection site persist, but soreness in the left tricep was experienced.  Pain and soreness in left arm lasted at least 48 hours with the pain and soreness diminishing after that time. Also note: 24 hours after injection, Tylenol was taken to help relief injection symptoms and also menstrual cramping.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Myelitis transverse
Clinical narrative: Transverse myelitis
Age: 70.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Arteriogram carotid, Blood test, Computerised tomogram head, Dyspnoea, Exercise electrocardiogram
Clinical narrative: 4 days after my first Moderna  vaccine on 2-16-21 I developed a very noticeable shortness of breath. 4 days after my 2nd Moderna vaccine on 3-16-21 I developed tingling on the left side of my face and tingling in the entire left arm.
Age: 70.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Paraesthesia
Clinical narrative: 4 days after my first Moderna  vaccine on 2-16-21 I developed a very noticeable shortness of breath. 4 days after my 2nd Moderna vaccine on 3-16-21 I developed tingling on the left side of my face and tingling in the entire left arm.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Male was administered single dose of Janssen Vaccine on 5/21/21.  Male neglected to inform staff that he had previously been administered both doses of Moderna vaccine on 1/19/21 and 3/3/21. Male has now received a total of 3 doses of covid 19 vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomiting  around 8am 6/3 and 3am 6/4
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient was given 0.1 and diluent was not mixed with vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: diarrhea
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Headache, Hyperhidrosis
Clinical narrative: ?Pfizer-BioNTech Covid 19 Vaccine EUA? The night of getting the first shot I barely slept because I had chills all night long & my entire body was so sore it hurt to lay in any position. In the morning, I still had extreme muscle pain all over. I was extremely light headed & dizzy, I had a throbbing headache so I  took 2 aleve pills. I was getting super nauseous and almost passed out while trying to get to my bathroom just in time to throw up only water. Just before throwing up my vision went fuzzy,  my ears were ringing, I was dripping sweat, it was getting hard to breathe, & my hands were shaking.  After taking a cold shower, laying down, & drinking some water I feel a bit better but not 100% normal.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Sleep disorder, Tinnitus
Clinical narrative: ?Pfizer-BioNTech Covid 19 Vaccine EUA? The night of getting the first shot I barely slept because I had chills all night long & my entire body was so sore it hurt to lay in any position. In the morning, I still had extreme muscle pain all over. I was extremely light headed & dizzy, I had a throbbing headache so I  took 2 aleve pills. I was getting super nauseous and almost passed out while trying to get to my bathroom just in time to throw up only water. Just before throwing up my vision went fuzzy,  my ears were ringing, I was dripping sweat, it was getting hard to breathe, & my hands were shaking.  After taking a cold shower, laying down, & drinking some water I feel a bit better but not 100% normal.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Visual impairment, Vomiting
Clinical narrative: ?Pfizer-BioNTech Covid 19 Vaccine EUA? The night of getting the first shot I barely slept because I had chills all night long & my entire body was so sore it hurt to lay in any position. In the morning, I still had extreme muscle pain all over. I was extremely light headed & dizzy, I had a throbbing headache so I  took 2 aleve pills. I was getting super nauseous and almost passed out while trying to get to my bathroom just in time to throw up only water. Just before throwing up my vision went fuzzy,  my ears were ringing, I was dripping sweat, it was getting hard to breathe, & my hands were shaking.  After taking a cold shower, laying down, & drinking some water I feel a bit better but not 100% normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Paraesthesia
Clinical narrative: Tingling on the arm and a little sore at the site.  When the tingling happens, it goes away when i rub the arm.  At the injection site it is a little sore.  This just began a few weeks ago.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness, Ear discomfort, Nausea, Tinnitus
Clinical narrative: Progressive tinnitus followed by severe hearing loss and fullness in right ear accompanied by nausea and vertigo
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Progressive tinnitus followed by severe hearing loss and fullness in right ear accompanied by nausea and vertigo
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Computerised tomogram abdomen abnormal, Discomfort, Gene mutation identification test
Clinical narrative: First dose was on 01/09/21 no reaction 2nd dose was on 02/06/21 cold and flu symptoms for 1 day.  With in 2-3 weeks increase abdominal pain, and discomfort, I thought it was a Crohn?s flair, so I just tried to wait it out.  Early April I went to the ED, for eval and treatment , it was discovered via CT of abdomen I developed Portal Vein Thrombosis, admitted for anti coagulation, and further studies like JAK 2. Place on heparin, followed by lovonox SQ injections, and bridged to Pradaxa.  Symptoms returned after a couple of weeks, and persisted, ,back tp the hospital new CZt scans, showed increase in Portal vein thrombosis, but now included splenic vein thrombosis, and mesenteric vein thrombosis.  Went back on anticoagulation therapy, transferred to  hospital for Intervention Radiology procedure to have a portal vein shunt placed in, and thrombectomy of the spleen, and mesenteric veins. Had bleeding issues, returned to OR for a second IR procedure, and finally a 3rd procedure of splenectomy, blood transfusion for hemorrhagic shock.  Discharged on warfarin, and lovonox as needed
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemorrhage, Influenza, Mesenteric vein thrombosis, Nasopharyngitis, Portal shunt
Clinical narrative: First dose was on 01/09/21 no reaction 2nd dose was on 02/06/21 cold and flu symptoms for 1 day.  With in 2-3 weeks increase abdominal pain, and discomfort, I thought it was a Crohn?s flair, so I just tried to wait it out.  Early April I went to the ED, for eval and treatment , it was discovered via CT of abdomen I developed Portal Vein Thrombosis, admitted for anti coagulation, and further studies like JAK 2. Place on heparin, followed by lovonox SQ injections, and bridged to Pradaxa.  Symptoms returned after a couple of weeks, and persisted, ,back tp the hospital new CZt scans, showed increase in Portal vein thrombosis, but now included splenic vein thrombosis, and mesenteric vein thrombosis.  Went back on anticoagulation therapy, transferred to  hospital for Intervention Radiology procedure to have a portal vein shunt placed in, and thrombectomy of the spleen, and mesenteric veins. Had bleeding issues, returned to OR for a second IR procedure, and finally a 3rd procedure of splenectomy, blood transfusion for hemorrhagic shock.  Discharged on warfarin, and lovonox as needed
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Portal vein thrombosis, Shock haemorrhagic, Splenectomy, Splenic vein thrombosis, Thrombectomy
Clinical narrative: First dose was on 01/09/21 no reaction 2nd dose was on 02/06/21 cold and flu symptoms for 1 day.  With in 2-3 weeks increase abdominal pain, and discomfort, I thought it was a Crohn?s flair, so I just tried to wait it out.  Early April I went to the ED, for eval and treatment , it was discovered via CT of abdomen I developed Portal Vein Thrombosis, admitted for anti coagulation, and further studies like JAK 2. Place on heparin, followed by lovonox SQ injections, and bridged to Pradaxa.  Symptoms returned after a couple of weeks, and persisted, ,back tp the hospital new CZt scans, showed increase in Portal vein thrombosis, but now included splenic vein thrombosis, and mesenteric vein thrombosis.  Went back on anticoagulation therapy, transferred to  hospital for Intervention Radiology procedure to have a portal vein shunt placed in, and thrombectomy of the spleen, and mesenteric veins. Had bleeding issues, returned to OR for a second IR procedure, and finally a 3rd procedure of splenectomy, blood transfusion for hemorrhagic shock.  Discharged on warfarin, and lovonox as needed
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Transfusion
Clinical narrative: First dose was on 01/09/21 no reaction 2nd dose was on 02/06/21 cold and flu symptoms for 1 day.  With in 2-3 weeks increase abdominal pain, and discomfort, I thought it was a Crohn?s flair, so I just tried to wait it out.  Early April I went to the ED, for eval and treatment , it was discovered via CT of abdomen I developed Portal Vein Thrombosis, admitted for anti coagulation, and further studies like JAK 2. Place on heparin, followed by lovonox SQ injections, and bridged to Pradaxa.  Symptoms returned after a couple of weeks, and persisted, ,back tp the hospital new CZt scans, showed increase in Portal vein thrombosis, but now included splenic vein thrombosis, and mesenteric vein thrombosis.  Went back on anticoagulation therapy, transferred to  hospital for Intervention Radiology procedure to have a portal vein shunt placed in, and thrombectomy of the spleen, and mesenteric veins. Had bleeding issues, returned to OR for a second IR procedure, and finally a 3rd procedure of splenectomy, blood transfusion for hemorrhagic shock.  Discharged on warfarin, and lovonox as needed