chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Pulmonary congestion, Pyrexia, Respiratory failure, Respiratory syncytial virus test negative
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test positive, Sepsis, Viral test negative
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion
Clinical narrative: Bruising over anterior aspect of bilateral thighs.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Headache, Maternal exposure during breast feeding, Nasal mucosal ulcer
Clinical narrative: Sore arm beginning around 9PM that night. Severe headache, chills and fever beginning around 10PM that same night and lasting approximately 2 days. Fever climbed to 103.6 at it's highest. Nausea and no appetite. Ulcers developed inside both nostrils beginning on the day after vaccine. "Covid arm" rash developed approximately 5 days after vaccine and lasted 3 days. Please also note the patient was breastfeeding her child who also spiked a fever and vomited starting the day after vaccine and lasting approximately 5 days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia, Rash
Clinical narrative: Sore arm beginning around 9PM that night. Severe headache, chills and fever beginning around 10PM that same night and lasting approximately 2 days. Fever climbed to 103.6 at it's highest. Nausea and no appetite. Ulcers developed inside both nostrils beginning on the day after vaccine. "Covid arm" rash developed approximately 5 days after vaccine and lasted 3 days. Please also note the patient was breastfeeding her child who also spiked a fever and vomited starting the day after vaccine and lasting approximately 5 days.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Chest X-ray, Dyspnoea, Fatigue, Full blood count
Clinical narrative: Over the month after getting first vaccine, he developed shortness of breath, fatigue, and lymph node swelling in the left axilla
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Metabolic function test
Clinical narrative: Over the month after getting first vaccine, he developed shortness of breath, fatigue, and lymph node swelling in the left axilla
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient is fully vaccinated. Hospitalized due to COVID-19.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Ejection fraction normal, Electrocardiogram ST segment elevation, Intensive care
Clinical narrative: left sided chest  pain started day following second Pfizer vaccine dose.  tactile fever. presented to Hospital ED 9/9/2021. found to have elevated troponin and ST elevations. Admitted to PICU .  Treated with NSAIDS. ECHO  done 9/10 showed  fair LV function with EF 55%, no effusion. Serial EKGs stable.  Pain resolved with NSAIDS . Cleared for discharge on 9/12 with outpatient cardiology follow up. Discharged on motrin and ppi
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Troponin increased
Clinical narrative: left sided chest  pain started day following second Pfizer vaccine dose.  tactile fever. presented to Hospital ED 9/9/2021. found to have elevated troponin and ST elevations. Admitted to PICU .  Treated with NSAIDS. ECHO  done 9/10 showed  fair LV function with EF 55%, no effusion. Serial EKGs stable.  Pain resolved with NSAIDS . Cleared for discharge on 9/12 with outpatient cardiology follow up. Discharged on motrin and ppi
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized;  COVID-19 positive (9.11.21);  fully vaccinated  Admission Date: 9/11/2021 Discharge Date: 9/14/2021;  DISCHARGE DISPOSITION: Home to assistant living facility DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 92 yo female who lives in an assisted living facility home. She presented to the ER today with hypoxia secondary to COVID-19. She is requiring 2L's of supplemental oxygen to maintain O2 sats over 90%. Hopsitalist service contacted for admission. We agreed to admit her for an inpatient stay, anticipating greater than a 2 midnight stay. She is vaccinated with the Johnson and Johnson vaccine. She is non-verbal, non-ambulatory at baseline. I spoke with her DPOA, who states patient is DNR. She consents to convalescent plasma should that treatment be indicated. She would like to be contacted prior to placing a central line or starting vasopressors should that become necessary. She did not know when symptoms started. Her chest x-ray shows possible pneumonia. Procalcitonin ordered at the time of admission. Antibiotics held pending results. Some concern for AKI versus CKD. Will bolus 500ml NSS but hold on additional IV fluids at this time as her blood pressure is good and she does not appear overly dry.  We will titrate oxygen to keep O2 Sats over 92%, wean as tolerated. Convalescent plasma not ordered at the time of admission as I could not confirm onset of symptoms.    Patient required 2 L of oxygen on admission.  She received dexamethasone and Remdesivir.  She tolerated medical management well and was able to be weaned off of oxygen.  Her AKI most likely secondary to fluid volume depletion and resolved with IV fluids.  Her vitals remained stable and her inflammatory markers were improving.  She was discharge back to assisted living facility and provided a prescription for dexamethasone 6 mg for 7 days to finish the 10 day course treatment.  Assisted living facility updated on discharge plan including scheduling follow-up with her PCP in 3-5 days, day were agreeable.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Hypovolaemia, Hypoxia, Inflammatory marker test, SARS-CoV-2 test positive
Clinical narrative: Hospitalized;  COVID-19 positive (9.11.21);  fully vaccinated  Admission Date: 9/11/2021 Discharge Date: 9/14/2021;  DISCHARGE DISPOSITION: Home to assistant living facility DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 92 yo female who lives in an assisted living facility home. She presented to the ER today with hypoxia secondary to COVID-19. She is requiring 2L's of supplemental oxygen to maintain O2 sats over 90%. Hopsitalist service contacted for admission. We agreed to admit her for an inpatient stay, anticipating greater than a 2 midnight stay. She is vaccinated with the Johnson and Johnson vaccine. She is non-verbal, non-ambulatory at baseline. I spoke with her DPOA, who states patient is DNR. She consents to convalescent plasma should that treatment be indicated. She would like to be contacted prior to placing a central line or starting vasopressors should that become necessary. She did not know when symptoms started. Her chest x-ray shows possible pneumonia. Procalcitonin ordered at the time of admission. Antibiotics held pending results. Some concern for AKI versus CKD. Will bolus 500ml NSS but hold on additional IV fluids at this time as her blood pressure is good and she does not appear overly dry.  We will titrate oxygen to keep O2 Sats over 92%, wean as tolerated. Convalescent plasma not ordered at the time of admission as I could not confirm onset of symptoms.    Patient required 2 L of oxygen on admission.  She received dexamethasone and Remdesivir.  She tolerated medical management well and was able to be weaned off of oxygen.  Her AKI most likely secondary to fluid volume depletion and resolved with IV fluids.  Her vitals remained stable and her inflammatory markers were improving.  She was discharge back to assisted living facility and provided a prescription for dexamethasone 6 mg for 7 days to finish the 10 day course treatment.  Assisted living facility updated on discharge plan including scheduling follow-up with her PCP in 3-5 days, day were agreeable.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Tachycardia, Throat irritation
Clinical narrative: Awoke with swollen upper lip  and is having intermittent tachycardia to the 130's at rest. Has taken Benadryl. Lip looks a little better now at 2:25 PM than this AM. Slightly scratchy throat. Has no allergies to meds, foods etc.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Adenovirus test, Asthenia, Bordetella test negative, COVID-19
Clinical narrative: ED to Hosp-Admission Discharged  9/10/2021 - 9/13/2021 (3 days) Hospital COVID-19  Principal problem  HPI: Shortness of breath - Hospital Course: Patient is a 83-year-old male presenting Hospital vaccinated with Covid pneumonia.  Patient was initially started on antibiotics also had a concern for superimposed bacterial infection but patient had 2 - procalcitonin's and the antibiotics were discontinued.  Patient was started on remdesivir, dexamethasone and convalescent plasma.  Patient tolerated therapy well.  Patient improved and was requesting discharge.  Patient be discharged home.  Fortunately patient was vaccinated and likely had mild form of Covid infection.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Chlamydia test negative, Coronavirus test negative
Clinical narrative: ED to Hosp-Admission Discharged  9/10/2021 - 9/13/2021 (3 days) Hospital COVID-19  Principal problem  HPI: Shortness of breath - Hospital Course: Patient is a 83-year-old male presenting Hospital vaccinated with Covid pneumonia.  Patient was initially started on antibiotics also had a concern for superimposed bacterial infection but patient had 2 - procalcitonin's and the antibiotics were discontinued.  Patient was started on remdesivir, dexamethasone and convalescent plasma.  Patient tolerated therapy well.  Patient improved and was requesting discharge.  Patient be discharged home.  Fortunately patient was vaccinated and likely had mild form of Covid infection.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Enterovirus test negative, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Discharged  9/10/2021 - 9/13/2021 (3 days) Hospital COVID-19  Principal problem  HPI: Shortness of breath - Hospital Course: Patient is a 83-year-old male presenting Hospital vaccinated with Covid pneumonia.  Patient was initially started on antibiotics also had a concern for superimposed bacterial infection but patient had 2 - procalcitonin's and the antibiotics were discontinued.  Patient was started on remdesivir, dexamethasone and convalescent plasma.  Patient tolerated therapy well.  Patient improved and was requesting discharge.  Patient be discharged home.  Fortunately patient was vaccinated and likely had mild form of Covid infection.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Mycoplasma test negative, Plasmapheresis, Respiratory syncytial virus test negative, Respiratory viral panel
Clinical narrative: ED to Hosp-Admission Discharged  9/10/2021 - 9/13/2021 (3 days) Hospital COVID-19  Principal problem  HPI: Shortness of breath - Hospital Course: Patient is a 83-year-old male presenting Hospital vaccinated with Covid pneumonia.  Patient was initially started on antibiotics also had a concern for superimposed bacterial infection but patient had 2 - procalcitonin's and the antibiotics were discontinued.  Patient was started on remdesivir, dexamethasone and convalescent plasma.  Patient tolerated therapy well.  Patient improved and was requesting discharge.  Patient be discharged home.  Fortunately patient was vaccinated and likely had mild form of Covid infection.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Viral test negative
Clinical narrative: ED to Hosp-Admission Discharged  9/10/2021 - 9/13/2021 (3 days) Hospital COVID-19  Principal problem  HPI: Shortness of breath - Hospital Course: Patient is a 83-year-old male presenting Hospital vaccinated with Covid pneumonia.  Patient was initially started on antibiotics also had a concern for superimposed bacterial infection but patient had 2 - procalcitonin's and the antibiotics were discontinued.  Patient was started on remdesivir, dexamethasone and convalescent plasma.  Patient tolerated therapy well.  Patient improved and was requesting discharge.  Patient be discharged home.  Fortunately patient was vaccinated and likely had mild form of Covid infection.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Endotracheal intubation complication, Respiratory distress, Seizure
Clinical narrative: The patient presents with difficulty breathing.  The course/duration of symptoms is constant.  Degree at onset moderate.  Degree at present moderate.  The Exacerbating factors is none.  The Relieving factors is none.  Risk factors consist of none.  Prior episodes: none.  Therapy today: none.  Associated symptoms: none.  Additional history: 63-year-old female presents today in respiratory distress.  Patient reportedly had a seizure earlier.  Patient known COVID-19 positive.  EMS attempted to intubate numerous times were unsuccessful.  Presently patient being bagged..    Review of Systems  Vitals & Measurements (Last Charted)  T: 99.2 °F(Oral)  TMIN: 97.1 °F(Oral)  TMAX: 99.2 °F(Oral)  HR: 40  RR: 18  BP: 125/71  SpO2: 98%  WT: 69.5 kg  BMI: 26.48
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Peripheral swelling
Clinical narrative: Swollen arm Extremely sore throat
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Eyelid margin crusting
Clinical narrative: She had little bit of dryness and crustiness around her eyes but does not have any actual hives or rashes.  I explained to her that the vaccine is causing those reactions in some patients but not anaphylactic and that treatment with antihistamines around-the-clock at the dose of 2 pills of Xyzal as per day, one morning and one evening, helps in controlling the symptoms and preventing worsening reactions.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus, Urticaria
Clinical narrative: Post injection 2 hours full body uticartia/hives, itching and heat
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, X-ray
Clinical narrative: Low back pain, pain increased.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Lymphadenopathy, Pain in extremity
Clinical narrative: Dizziness, vertigo, brain fog, fatigue, arm soreness started 1-2 days after second shot. No medication was taken and symptoms resolved after 2 weeks.  Lymph nodes in my neck were so swollen I had trouble breathing and this started 3 weeks after second shot. I took oral steroids for 5 days and it resolved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Dizziness, vertigo, brain fog, fatigue, arm soreness started 1-2 days after second shot. No medication was taken and symptoms resolved after 2 weeks.  Lymph nodes in my neck were so swollen I had trouble breathing and this started 3 weeks after second shot. I took oral steroids for 5 days and it resolved.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Hypoaesthesia, Joint swelling, Magnetic resonance imaging
Clinical narrative: Pain and numbness of the left foot (not be able to walk freely for more than 4 months).  Initially, I had a swollen and painful ankle and big toe. I thought it was simply a sprained ankle combined with a gout attack. But after four months, numbness and weakness of the foot remains.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Swelling, Ultrasound scan, X-ray
Clinical narrative: Pain and numbness of the left foot (not be able to walk freely for more than 4 months).  Initially, I had a swollen and painful ankle and big toe. I thought it was simply a sprained ankle combined with a gout attack. But after four months, numbness and weakness of the foot remains.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Pharyngeal swelling
Clinical narrative: Throat swelling at 11pm that night.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Red rash extending down from the injection site. First appeared 3 days after the injection. Still present at 5 days. Looks similar to images of  covid arm.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial test negative, Bordetella test negative, COVID-19, Chlamydia test negative, Coronavirus test negative
Clinical narrative: UNKNOWN
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test negative, Influenza virus test negative, Mycoplasma test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: UNKNOWN
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative
Clinical narrative: UNKNOWN
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Did not leave my house or see anybody 3 days before vaccine shot on Friday. Nor left my house the day of or the Saturday + Sunday after shot. COVID-19 symptoms started Sunday, 2 days after shot. COVID-19 tested positive on Monday.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gout, Immediate post-injection reaction, Injection site pain, Laboratory test
Clinical narrative: After receiving the Janssen vaccination my left arm became immediately sore. The soreness is still present. I also experienced joint pain and arm twitching. I didn't receive any treatment with regard to the symptoms as I was advised this is normal when receiving vaccines. I now have been diagnosed with Gout in my right toe. I have never experienced any of these symptoms before the vaccine. I am now on medication for joint pain and I do feel it contributed to the vaccination.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, X-ray
Clinical narrative: After receiving the Janssen vaccination my left arm became immediately sore. The soreness is still present. I also experienced joint pain and arm twitching. I didn't receive any treatment with regard to the symptoms as I was advised this is normal when receiving vaccines. I now have been diagnosed with Gout in my right toe. I have never experienced any of these symptoms before the vaccine. I am now on medication for joint pain and I do feel it contributed to the vaccination.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever started 9/13 around 6pm, temp 100, sweats, my uniform was soaked in sweat from 7pm to the time I arrived home at 8:30pm, chills, body ache, had to bundle up to be able to sleep, temp went up to 102.2 on 9/14 around 10:30 am, fever broke  by 4pm completely.  Only took tylenol as advised by nurse administering vaccine, sore throat. 9/15 I woke up with hives on both my legs, body ache, chills and sore throat.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Fever started 9/13 around 6pm, temp 100, sweats, my uniform was soaked in sweat from 7pm to the time I arrived home at 8:30pm, chills, body ache, had to bundle up to be able to sleep, temp went up to 102.2 on 9/14 around 10:30 am, fever broke  by 4pm completely.  Only took tylenol as advised by nurse administering vaccine, sore throat. 9/15 I woke up with hives on both my legs, body ache, chills and sore throat.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Paraesthesia oral
Clinical narrative: Light-headedness, fatigue, tingling in lips.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Scar
Clinical narrative: About five months after receiving the second dose, I came down with Shingles. It is located on my right side from my naval around to my back. It's about two inches high and two inches below my waist. I have had these shingles for around five weeks now. It's more scarring at this point. I went to the urgent care and was given an anti-viral medication, Valacyclovir, 1 gram tablets, to take three times per day for seven days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Feeling cold
Clinical narrative: Anxiety, cold feeling on chest.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chest X-ray, Computerised tomogram abdomen abnormal, Cystoscopy abnormal, Deep vein thrombosis
Clinical narrative: I began to feel numbness in my hands and feet. Then, I gradually began to have numbness between both my knees and feet. It became more difficult to stand up and walk without a walker. Then, I fell out of bed and could not walk anymore. I was bed bound. This progressed slowly over a period of three and one-half months before my PCP recommended going to the Emergency Dept due to loosing my balance, increased weakness in my arms and legs and difficulty walking.  Pt was admitted to  Rehabilitation Hospital on 08/26/2021 until 09/16/2021 until she was discharged to a sub-acute Skilled Nursing Facility for continued rehab with Physical Therapy and Occupational Therapy.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Fall, Gait disturbance, Gait inability, Haematuria
Clinical narrative: I began to feel numbness in my hands and feet. Then, I gradually began to have numbness between both my knees and feet. It became more difficult to stand up and walk without a walker. Then, I fell out of bed and could not walk anymore. I was bed bound. This progressed slowly over a period of three and one-half months before my PCP recommended going to the Emergency Dept due to loosing my balance, increased weakness in my arms and legs and difficulty walking.  Pt was admitted to  Rehabilitation Hospital on 08/26/2021 until 09/16/2021 until she was discharged to a sub-acute Skilled Nursing Facility for continued rehab with Physical Therapy and Occupational Therapy.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage urinary tract, Hydronephrosis, Hydroureter, Hypoaesthesia, Magnetic resonance imaging head
Clinical narrative: I began to feel numbness in my hands and feet. Then, I gradually began to have numbness between both my knees and feet. It became more difficult to stand up and walk without a walker. Then, I fell out of bed and could not walk anymore. I was bed bound. This progressed slowly over a period of three and one-half months before my PCP recommended going to the Emergency Dept due to loosing my balance, increased weakness in my arms and legs and difficulty walking.  Pt was admitted to  Rehabilitation Hospital on 08/26/2021 until 09/16/2021 until she was discharged to a sub-acute Skilled Nursing Facility for continued rehab with Physical Therapy and Occupational Therapy.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Ultrasound Doppler, Ureteral stent insertion, Ureteric stenosis
Clinical narrative: I began to feel numbness in my hands and feet. Then, I gradually began to have numbness between both my knees and feet. It became more difficult to stand up and walk without a walker. Then, I fell out of bed and could not walk anymore. I was bed bound. This progressed slowly over a period of three and one-half months before my PCP recommended going to the Emergency Dept due to loosing my balance, increased weakness in my arms and legs and difficulty walking.  Pt was admitted to  Rehabilitation Hospital on 08/26/2021 until 09/16/2021 until she was discharged to a sub-acute Skilled Nursing Facility for continued rehab with Physical Therapy and Occupational Therapy.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I began to feel numbness in my hands and feet. Then, I gradually began to have numbness between both my knees and feet. It became more difficult to stand up and walk without a walker. Then, I fell out of bed and could not walk anymore. I was bed bound. This progressed slowly over a period of three and one-half months before my PCP recommended going to the Emergency Dept due to loosing my balance, increased weakness in my arms and legs and difficulty walking.  Pt was admitted to  Rehabilitation Hospital on 08/26/2021 until 09/16/2021 until she was discharged to a sub-acute Skilled Nursing Facility for continued rehab with Physical Therapy and Occupational Therapy.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Condition aggravated, Malaise, Pain
Clinical narrative: 9/14/21: Patient arrived at the ER due to complaints of productive cough x 1week, body aches and chills. Patient stated that her daughter is a flight attendant and also was not feeling well and her test results for COVID came back positive 9/13. Patient tested positive for COVID on 9/14/21. Patient currently diagnosed with acute COVID-19 infection, with fever and systemic inflammatory response.  Patient received first dose Moderna vaccine on 1/31/2021 Lot # 012M20A and the second dose on 2/28/2021 Lot # 012M20A
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Systemic inflammatory response syndrome
Clinical narrative: 9/14/21: Patient arrived at the ER due to complaints of productive cough x 1week, body aches and chills. Patient stated that her daughter is a flight attendant and also was not feeling well and her test results for COVID came back positive 9/13. Patient tested positive for COVID on 9/14/21. Patient currently diagnosed with acute COVID-19 infection, with fever and systemic inflammatory response.  Patient received first dose Moderna vaccine on 1/31/2021 Lot # 012M20A and the second dose on 2/28/2021 Lot # 012M20A
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient Recieved Moderna vaccine however she is only 15 years old
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Eyelid oedema
Clinical narrative: SWELLING TO LEFT EYE LID  AND LOWER LID INCLUDING A POCKET OF FLUID UNDER THE LEFT EYE.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head abnormal, Dehydration, Depressed level of consciousness, Extra dose administered
Clinical narrative: patient had 3rd covid vaccine at nursing home provided by Pharmacy. on 8/30/21. ER record from 8/31/21 describe the following: pt with altered mental status shortly after receiveing 3rd covid vaccine " notacting herself". approx 20 hours later becomes  more difficult to arouse. patient admitted to hospital. dx. UTI, slightly dehydrated O2 sata = 98%. Reported to be found at NH obtunded. 9/3/21 discharged back to SNF.   COVID VACCINES:  1/25/21: MODERNA Lot 041L20A 2/22/21 MODERNA Lot 041L20A
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive, Sinusitis, Urinary tract infection
Clinical narrative: patient had 3rd covid vaccine at nursing home provided by Pharmacy. on 8/30/21. ER record from 8/31/21 describe the following: pt with altered mental status shortly after receiveing 3rd covid vaccine " notacting herself". approx 20 hours later becomes  more difficult to arouse. patient admitted to hospital. dx. UTI, slightly dehydrated O2 sata = 98%. Reported to be found at NH obtunded. 9/3/21 discharged back to SNF.   COVID VACCINES:  1/25/21: MODERNA Lot 041L20A 2/22/21 MODERNA Lot 041L20A
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Aortic arteriosclerosis, Arteriosclerosis, Arteriosclerosis coronary artery, Asthenia
Clinical narrative: ED to Hosp-Admission Current   9/9/2021 - present (6 days) Hospital  Patient presents with  ? Fever ? Flank Pain   Patient is an 72 y.o.  gentleman with history of BPH, hypertension who came with history of fever and right flank pain for the last 2 days.  Patient also states he has some mild headache.  Denied cough, shortness of breath, sore throat, nausea, vomiting, diarrhea.  Patient was taking Tylenol and ibuprofen but he stopped it because he was afraid he cannot damage his liver and kidney.  Patient states he seen his little Bronkaid pro infection from the school.  Patient got his two dose of COVID-19 vaccine in February ( Moderna ).     Review of Systems  Constitutional: Positive for fever.  HENT: Negative.   Eyes: Negative.   Respiratory: Negative.  Negative for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for nausea.  Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Neurological: Positive for weakness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Bronchiectasis, COVID-19, Chest X-ray abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: ED to Hosp-Admission Current   9/9/2021 - present (6 days) Hospital  Patient presents with  ? Fever ? Flank Pain   Patient is an 72 y.o.  gentleman with history of BPH, hypertension who came with history of fever and right flank pain for the last 2 days.  Patient also states he has some mild headache.  Denied cough, shortness of breath, sore throat, nausea, vomiting, diarrhea.  Patient was taking Tylenol and ibuprofen but he stopped it because he was afraid he cannot damage his liver and kidney.  Patient states he seen his little Bronkaid pro infection from the school.  Patient got his two dose of COVID-19 vaccine in February ( Moderna ).     Review of Systems  Constitutional: Positive for fever.  HENT: Negative.   Eyes: Negative.   Respiratory: Negative.  Negative for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for nausea.  Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Neurological: Positive for weakness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Constipation, Diverticulum intestinal, Flank pain, Headache, Hepatic cyst
Clinical narrative: ED to Hosp-Admission Current   9/9/2021 - present (6 days) Hospital  Patient presents with  ? Fever ? Flank Pain   Patient is an 72 y.o.  gentleman with history of BPH, hypertension who came with history of fever and right flank pain for the last 2 days.  Patient also states he has some mild headache.  Denied cough, shortness of breath, sore throat, nausea, vomiting, diarrhea.  Patient was taking Tylenol and ibuprofen but he stopped it because he was afraid he cannot damage his liver and kidney.  Patient states he seen his little Bronkaid pro infection from the school.  Patient got his two dose of COVID-19 vaccine in February ( Moderna ).     Review of Systems  Constitutional: Positive for fever.  HENT: Negative.   Eyes: Negative.   Respiratory: Negative.  Negative for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for nausea.  Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Neurological: Positive for weakness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic steatosis, Lung infiltration, Lung opacity, Nausea, Nephrolithiasis
Clinical narrative: ED to Hosp-Admission Current   9/9/2021 - present (6 days) Hospital  Patient presents with  ? Fever ? Flank Pain   Patient is an 72 y.o.  gentleman with history of BPH, hypertension who came with history of fever and right flank pain for the last 2 days.  Patient also states he has some mild headache.  Denied cough, shortness of breath, sore throat, nausea, vomiting, diarrhea.  Patient was taking Tylenol and ibuprofen but he stopped it because he was afraid he cannot damage his liver and kidney.  Patient states he seen his little Bronkaid pro infection from the school.  Patient got his two dose of COVID-19 vaccine in February ( Moderna ).     Review of Systems  Constitutional: Positive for fever.  HENT: Negative.   Eyes: Negative.   Respiratory: Negative.  Negative for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for nausea.  Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Neurological: Positive for weakness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonitis, Prostatomegaly, Pulmonary embolism, Pyrexia, Renal cyst
Clinical narrative: ED to Hosp-Admission Current   9/9/2021 - present (6 days) Hospital  Patient presents with  ? Fever ? Flank Pain   Patient is an 72 y.o.  gentleman with history of BPH, hypertension who came with history of fever and right flank pain for the last 2 days.  Patient also states he has some mild headache.  Denied cough, shortness of breath, sore throat, nausea, vomiting, diarrhea.  Patient was taking Tylenol and ibuprofen but he stopped it because he was afraid he cannot damage his liver and kidney.  Patient states he seen his little Bronkaid pro infection from the school.  Patient got his two dose of COVID-19 vaccine in February ( Moderna ).     Review of Systems  Constitutional: Positive for fever.  HENT: Negative.   Eyes: Negative.   Respiratory: Negative.  Negative for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for nausea.  Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Neurological: Positive for weakness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast abnormal, Sepsis, Spinal osteoarthritis
Clinical narrative: ED to Hosp-Admission Current   9/9/2021 - present (6 days) Hospital  Patient presents with  ? Fever ? Flank Pain   Patient is an 72 y.o.  gentleman with history of BPH, hypertension who came with history of fever and right flank pain for the last 2 days.  Patient also states he has some mild headache.  Denied cough, shortness of breath, sore throat, nausea, vomiting, diarrhea.  Patient was taking Tylenol and ibuprofen but he stopped it because he was afraid he cannot damage his liver and kidney.  Patient states he seen his little Bronkaid pro infection from the school.  Patient got his two dose of COVID-19 vaccine in February ( Moderna ).     Review of Systems  Constitutional: Positive for fever.  HENT: Negative.   Eyes: Negative.   Respiratory: Negative.  Negative for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for nausea.  Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Neurological: Positive for weakness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest pain, Computerised tomogram normal, Dizziness, Dyspnoea
Clinical narrative: Between 26Jul2021 - 13Aug2021 fainting, chest pains for couple weeks and shortness of breathe and dizziness - dose 2 - in march2021.  Saw doctor 16 Aug2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Pulmonary function test, Renal disorder, Syncope, Total lung capacity decreased
Clinical narrative: Between 26Jul2021 - 13Aug2021 fainting, chest pains for couple weeks and shortness of breathe and dizziness - dose 2 - in march2021.  Saw doctor 16 Aug2021.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Confusional state, Incontinence, Laboratory test
Clinical narrative: Pt came to ER c/o generalized weakness, incontinence and confusion.  Noted to have fever.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test
Clinical narrative: Pt came to ER c/o generalized weakness, incontinence and confusion.  Noted to have fever.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, X-ray
Clinical narrative: 03/24/2021 I went to my ortho doctor I have developed bursitis and treated it with an injection and steroid pack.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Device connection issue, Exposure via skin contact, Syringe issue, Underdose
Clinical narrative: During the administration of the vaccine the syringle seperate from the needle and the vaccine sprayed out of the side. The patient received an unknown amount of the vaccine but a significant amount of liquid was apparent on the patient's arm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Headache, Musculoskeletal discomfort, Ocular discomfort, Spinal disorder
Clinical narrative: 38 year old female patient reports after the administration of her first dose she felt a sensation of "latency" in the right eye, pressure in the eye, headache, neck and spinal area. Therefore, she visited her Dr. who indicated "it could have been the effect of the vaccine" so he prescribed anti-inflammatory for the patient. Patient reports the symptoms lasted approximately 4 days.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Joint lock, Neck pain
Clinical narrative: Elbows locked and painfully to use.  Knees locked and painful to use.  Patient needed a cane for 3 days in order to walk.  Neck locked in place and painfully to move
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Confusional state, Diplopia, Extra dose administered, Gait disturbance
Clinical narrative: 18 hours after injection, fever, acute pain, in joints and muscles,  migraines, paresthesia, pain in extremities. Continued 4 day. Felt somewhat better, drove to buy groceries (I live alone), experience actor diplopia with mental confusion (drove wrong side down familiar 1 way street), acute paresthesia. Day of reporting symptoms have improved but are not close to resolved. Can't drive, move about w/o risk of falls. Hoping to recover fully, but still experiencing symptoms 10 days post vaccine. Oddly, had NO reaction at all to first two doses, not even minor symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Migraine, Myalgia, Pain in extremity, Paraesthesia
Clinical narrative: 18 hours after injection, fever, acute pain, in joints and muscles,  migraines, paresthesia, pain in extremities. Continued 4 day. Felt somewhat better, drove to buy groceries (I live alone), experience actor diplopia with mental confusion (drove wrong side down familiar 1 way street), acute paresthesia. Day of reporting symptoms have improved but are not close to resolved. Can't drive, move about w/o risk of falls. Hoping to recover fully, but still experiencing symptoms 10 days post vaccine. Oddly, had NO reaction at all to first two doses, not even minor symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 18 hours after injection, fever, acute pain, in joints and muscles,  migraines, paresthesia, pain in extremities. Continued 4 day. Felt somewhat better, drove to buy groceries (I live alone), experience actor diplopia with mental confusion (drove wrong side down familiar 1 way street), acute paresthesia. Day of reporting symptoms have improved but are not close to resolved. Can't drive, move about w/o risk of falls. Hoping to recover fully, but still experiencing symptoms 10 days post vaccine. Oddly, had NO reaction at all to first two doses, not even minor symptoms
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Dizziness, Headache, Joint stiffness
Clinical narrative: Initial typical shot reaction-- Soreness in arm and stiffness in joints, headache, lightheaded for a couple of days.  The following days and weeks I had extremely sharp, brief pains in my left, lower and mid chest area-- accompanied by stiffness in my lower right leg on either side of my Achilles tendon below my calf. this was followed shortly after by what has been described / diagnosed as "Covid Toes".  My wife took images of my feet, particularly my right foot , which was very painful, purple and swollen.  I thought it was an infection. Went  to the doctor.  My toes were ice cold. Not an infection.  Shortly thereafter, the same pain, discoloration and swelling affected my hands and fingers, most notably on the fingers of my right hand.  These conditions persist to today.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral coldness, Peripheral swelling, Skin discolouration, Ultrasound Doppler
Clinical narrative: Initial typical shot reaction-- Soreness in arm and stiffness in joints, headache, lightheaded for a couple of days.  The following days and weeks I had extremely sharp, brief pains in my left, lower and mid chest area-- accompanied by stiffness in my lower right leg on either side of my Achilles tendon below my calf. this was followed shortly after by what has been described / diagnosed as "Covid Toes".  My wife took images of my feet, particularly my right foot , which was very painful, purple and swollen.  I thought it was an infection. Went  to the doctor.  My toes were ice cold. Not an infection.  Shortly thereafter, the same pain, discoloration and swelling affected my hands and fingers, most notably on the fingers of my right hand.  These conditions persist to today.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Lip pruritus, Lip swelling, Pharyngeal swelling
Clinical narrative: Spoke with the patient's mother, who reports patient had the following side effects after receiving the Pfizer vaccine on 9/8/21. Symptoms occurred while at home: - "Throat swelling" (she did not call EMS or seek medical attention. Mom gave her Benadryl and symptom improved) - Tongue itchiness - Lower lip swelling and itchiness - small itchy bumps on her chin - "diarrhea" (frequent passage of loose stool) - tactile fever - abdominal pain The mother gave patient OTC Benadryl and symptoms improved. Pt scheduled to see a Provider for follow-up care. .
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Rash pruritic, Tongue pruritus
Clinical narrative: Spoke with the patient's mother, who reports patient had the following side effects after receiving the Pfizer vaccine on 9/8/21. Symptoms occurred while at home: - "Throat swelling" (she did not call EMS or seek medical attention. Mom gave her Benadryl and symptom improved) - Tongue itchiness - Lower lip swelling and itchiness - small itchy bumps on her chin - "diarrhea" (frequent passage of loose stool) - tactile fever - abdominal pain The mother gave patient OTC Benadryl and symptoms improved. Pt scheduled to see a Provider for follow-up care. .
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Blood thyroid stimulating hormone decreased, Hyperthyroidism, Thyroxine free increased, Tri-iodothyronine free increased
Clinical narrative: Development of Graves? disease with severe thyrotoxicosis