chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Productive cough, Pyrexia, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Hospitalized;  COVID-19 positive (8.26.21) - after being fully vaccinated   Admission Date: 8/26/2021 Discharge Date: 8/30/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/26/2021 Yes ? ESRD (end stage renal disease) on dialysis (HCC) 07/31/2019 Yes   HOSPITAL COURSE: 68 year old man with hx of CAD, pacemaker in place, NIDDM2, HTN, ESRD on HD on compassionate dialysis program.  He was dialyzed on 8/23/21 and felt well. Developed cough, sputum, shortness of breath over the past 3 days.  He developed a fever.  Denied any weight gain or pedal edema or chest pain. His appetite has been down.  He presented to the ER on 8/26/21. In the ER, he had a fever 38, 76 bpm, 95% on RA, CXR showed bilateral infiltrates, COVID PCR was positive. He will be admitted for further treatment of COVID pneumonia. CRP 64.6. D-dimer 1130. He is previously vaccinated, Pfizer COVID-19 vaccine: 3/18/2021, 2/23/2021. He was started on Decadron 6 mg po daily and received 5 doses, he needs 5 more days. Should stay in isolation until he finish Decadron 6 mg daily. He was evaluated by the dr. and was found to needs 2 l/m at all times. Airway Oxygen will deliver portable tank to room for DC home.    ESRD on hemodialysis, he had 2 hemodialysis while in hospital. Should continue compassionate hemodialysis as before. He had mild thrombocytopenia with Plt. Count of 110 at discharge. PCP to follow.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness
Clinical narrative: 1 month after injection she noted stiffness in hands every am lasting for <30 minutes, continuing and reported on 9/2/2021 since that time. Resolves on own with stretching. Never had prior and has not changed since.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Eye pain, Fatigue, Headache, Influenza like illness
Clinical narrative: Sat night night headache started, flu like and sunday and fatigue. Monday - all gone except headache. Tuesday - telehealth - doctor said that was normal. Wed - continued to have headache. Thursday it got extreme painful. Right side to the right eye. Went ER. PCP on tuesday - sought medical 4 times and still had headaches.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Intra-abdominal haematoma
Clinical narrative: breakthrough covid + weakness, decreased appetite, cough, plan hospital admission. additional acute medical issues fa;;, L flank hematoma
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: breakthrough covid + weakness, decreased appetite, cough, plan hospital admission. additional acute medical issues fa;;, L flank hematoma
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash, Scar
Clinical narrative: I got Shingles with rash and scarring right after the COVID vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Covid infection despite vaccination
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 positive due to possible contact with family member or at work.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Did not have any side effects but did become COVID positive on August 30, 2021
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Hospitalization for two days due to shortness of breath and difficulty breathing
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling cold, Headache, Myalgia, Pain
Clinical narrative: Chills, low-grade fever, muscle/body aches, headache experienced on 8/17/21.  Recovered from these symptoms. Muscle/body aches experienced on 8/18/21.  Recovered from these symptoms. Metallic taste in mouth present since 8/17/21 up until now, still currently experiencing it.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, low-grade fever, muscle/body aches, headache experienced on 8/17/21.  Recovered from these symptoms. Muscle/body aches experienced on 8/18/21.  Recovered from these symptoms. Metallic taste in mouth present since 8/17/21 up until now, still currently experiencing it.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chest pain, Chills, Cough
Clinical narrative: Pt std onset began 8/6/2021 with extreme fatigue and SOB. All other symps gradually developed. Pt was admitted into the hospital 8/9-8/11. Pt has also been fully vaccinated. Pt has a med hx of Heart disease and 2 hip replacements.  Symptoms: fever, chills, muscle or body aches, new loss of taste or smell, runny nose/congestion, sore throat, cough, shortness of breath, chest pain, fatigue, headache, diarrhea.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Headache, Myalgia
Clinical narrative: Pt std onset began 8/6/2021 with extreme fatigue and SOB. All other symps gradually developed. Pt was admitted into the hospital 8/9-8/11. Pt has also been fully vaccinated. Pt has a med hx of Heart disease and 2 hip replacements.  Symptoms: fever, chills, muscle or body aches, new loss of taste or smell, runny nose/congestion, sore throat, cough, shortness of breath, chest pain, fatigue, headache, diarrhea.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Pt std onset began 8/6/2021 with extreme fatigue and SOB. All other symps gradually developed. Pt was admitted into the hospital 8/9-8/11. Pt has also been fully vaccinated. Pt has a med hx of Heart disease and 2 hip replacements.  Symptoms: fever, chills, muscle or body aches, new loss of taste or smell, runny nose/congestion, sore throat, cough, shortness of breath, chest pain, fatigue, headache, diarrhea.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye irritation, Gait inability, Headache, Limb discomfort
Clinical narrative: Legs felt as if they were 200lbs, was unable to walk, burning eyes, faint feeling, severe headache.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Occupational exposure to SARS-CoV-2
Clinical narrative: Works at hospital.  Contact positive
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Swelling face
Clinical narrative: 3 hours after received vaccine face, right arm and leg swelling. Swelling still present three days later
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Hypersensitivity, Metabolic function test, Pain, Paraesthesia
Clinical narrative: 3 hours after received vaccine face, right arm and leg swelling. Swelling still present three days later
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Treponema test, Urticaria
Clinical narrative: 3 hours after received vaccine face, right arm and leg swelling. Swelling still present three days later
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection given 8/24/2021. Sore at injection site 8/25-8/27/2021. Sore arm lessened but injection site remained very tender. 9/1/2021, injection site became red, swollen, itchy and warm to the touch.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Nausea, Visual impairment, Weight decreased
Clinical narrative: vision changes, fatigue, weight loss, nausea
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Mobility decreased, Nausea
Clinical narrative: Severe weakness. Unable to rise from a chair or walk by myself. Fatigue. Slight nausea.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Adverse effects began within 5 minutes post-vaccination. Pt experienced sensations of nausea and dizziness; pt became pale. Mother was with pt. Had pt lay on floor and elevated legs. Pt was fanned and a cold pack was used to keep pt cool. Cold water was offered to pt if needed. Pt recovered about 20 minutes later.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive due to contact with positive family member
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Heavy menstrual bleeding, Impaired work ability, Injection site pain
Clinical narrative: I was on the last day or two of a normal menstrual cycle, with very light bleeding and getting darker when I received my 2nd vaccination.  I had the "normal" adverse reaction of very sore injection site, lightheaded (fuzzy brain), fatigue, muscle aches, and random shooting joint pain.  These symptoms come on about 24 hours after the injection and got better after 48 hours or so.  However, my menstrual bleeding ramped back up at about 72 hours after the injections and became an extremely heavy flow, one ultra tampon and an overnight maxi-pad every hour to two hours for almost 10 days.  On day 9, I had to leave work as I was unable to contain the flow without leakage.  I went to the pharmacy and purchased black cohosh and soy lecithin.  I also bought soy milk and bean curd to eat as I read that these items might help get my system back in balance.  It worked as by day 11 or 12 the bleeding had stopped.  However, I was then experiencing EXTREME fatigue.  Very light exertion, lifting, walking upstairs would cause my muscles to sting and my limbs to feel as though they weighed about 100 pounds, my heart would pound and I couldn't catch my breath in my burning lungs.  I also experienced lightheadedness when going from a seated or bent over to a standing position.  I made an appointment with my primary care physician after dealing with this for several months, thinking it would just get better.  She changed my blood pressure medicine (at my request) and did some labs.  A week later she advised me that I was critically iron anemic.  She believes that it must have been from the long period of time that I was bleeding so heavily after the 2nd vaccine.  I am now on Iron pills and have "beefed" up my diet, and am feeling better, however, I still have some lightheadedness and fatigue.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Pain, Pain in extremity
Clinical narrative: I was on the last day or two of a normal menstrual cycle, with very light bleeding and getting darker when I received my 2nd vaccination.  I had the "normal" adverse reaction of very sore injection site, lightheaded (fuzzy brain), fatigue, muscle aches, and random shooting joint pain.  These symptoms come on about 24 hours after the injection and got better after 48 hours or so.  However, my menstrual bleeding ramped back up at about 72 hours after the injections and became an extremely heavy flow, one ultra tampon and an overnight maxi-pad every hour to two hours for almost 10 days.  On day 9, I had to leave work as I was unable to contain the flow without leakage.  I went to the pharmacy and purchased black cohosh and soy lecithin.  I also bought soy milk and bean curd to eat as I read that these items might help get my system back in balance.  It worked as by day 11 or 12 the bleeding had stopped.  However, I was then experiencing EXTREME fatigue.  Very light exertion, lifting, walking upstairs would cause my muscles to sting and my limbs to feel as though they weighed about 100 pounds, my heart would pound and I couldn't catch my breath in my burning lungs.  I also experienced lightheadedness when going from a seated or bent over to a standing position.  I made an appointment with my primary care physician after dealing with this for several months, thinking it would just get better.  She changed my blood pressure medicine (at my request) and did some labs.  A week later she advised me that I was critically iron anemic.  She believes that it must have been from the long period of time that I was bleeding so heavily after the 2nd vaccine.  I am now on Iron pills and have "beefed" up my diet, and am feeling better, however, I still have some lightheadedness and fatigue.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Peripheral coldness, Pruritus, Sleep disorder, Tinea pedis
Clinical narrative: Actually two doses were taken (Code #208). In the case of Item #4, issues like unusual cramping (possible parasite but no test taken) on June 1, 2021 at 5 a.m. resulting in hospital viist and check with doctor. There was also an issue with sensation of "freezing" in legs. The stomach cramp issue has continued from time to time. After the second Pfizer dose, received on June 23, Lot EY0579, I noticed some exacerbation of issues like athletes foot infection so I made an emergency visit on August 24 and was referred to my doctor's clinic.  On August 25 at 1:00 a.m. I noticed unusual itching in my left hand (enough to keep me awake).  Last night I had overall body itching (everywhere) during the night that kept me awake
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache, Hot flush, Neck pain
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 08/27/2021, started experiencing symptoms 09/01/2021 of weakness, headache, dizziness, neck pain, and hot flashes. No noted Primary visit. Still continuing to experience symptoms.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID 19 08/31/2021
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Mechanical ventilation
Clinical narrative: Patient admitted to Hospital with acute hypoxic respiratory failure secondary to viral pneumonia from COVID-19 and exacerbation of COPD.  Worsening of symptoms prompted Average Volume-Assured Pressure Support.  Ventilation did not seem an option d/t HX of severe inflammatory interstitial lung disease.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia viral
Clinical narrative: Patient admitted to Hospital with acute hypoxic respiratory failure secondary to viral pneumonia from COVID-19 and exacerbation of COPD.  Worsening of symptoms prompted Average Volume-Assured Pressure Support.  Ventilation did not seem an option d/t HX of severe inflammatory interstitial lung disease.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive.  Contact unknown
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Red spot at injection site, hot, itching, sore, raised area at injection site,  occurring 11 days after first shot of Moderna,  red spot about 3in long by 2 in wide
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dyspnoea, Fatigue, Migraine, Productive cough
Clinical narrative: I had a consistent migraine for 14 days following the second dose. Which I could not break with medication. It broke for one night after the 14 days and then it came back the  very next day and lasted about three days  (it broke each of those three nights of these days but then would come back again in the morning)- even with medication. And then finally after about three doctor appts ( neurologist ) and a cocktail of meds it went away. I also had really bad fatigue that lasted for months. I had some extra first vaccine but it was mild and this fatigue after the second vaccine hit me like a freight train.  Auto Injector once a month: Engility - Added  After the shot after the 14 day migraine. Changed from Rizatriptan to Sumatriptan. They also gave me a bunch of different kinds of cocktails to abort the migraine - Butaloprol (?) (Acetaminophen Caffeine cocktail to take once during the migraine and it didn't knock it out. Tried ibuprofen with one of the Triptans and that didn't work.  Other cocktail: Triptan; Ibuprofen; Prochlorperazine and a Benadryl, too, and that is what finally got rid of the migraine. I also had problems with breathing - was worse -  and I started coughing up phlegm really badly. The fatigue has slowly been getting better. That is still getting worked on - I did have some pre-existing fatigue beforehand and it's not quite back to that. I would say that I am about at 7 of trying to get back to my normal "10" if "10" was where I was before. It had gone down to a 4 or 5 before.  The phlegm issue comes and goes and with that the breathing is affected. I have sinus issues that have gotten worse - they started getting worse within the first week after the vaccine and got their worse about 2 weeks after.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: I had a consistent migraine for 14 days following the second dose. Which I could not break with medication. It broke for one night after the 14 days and then it came back the  very next day and lasted about three days  (it broke each of those three nights of these days but then would come back again in the morning)- even with medication. And then finally after about three doctor appts ( neurologist ) and a cocktail of meds it went away. I also had really bad fatigue that lasted for months. I had some extra first vaccine but it was mild and this fatigue after the second vaccine hit me like a freight train.  Auto Injector once a month: Engility - Added  After the shot after the 14 day migraine. Changed from Rizatriptan to Sumatriptan. They also gave me a bunch of different kinds of cocktails to abort the migraine - Butaloprol (?) (Acetaminophen Caffeine cocktail to take once during the migraine and it didn't knock it out. Tried ibuprofen with one of the Triptans and that didn't work.  Other cocktail: Triptan; Ibuprofen; Prochlorperazine and a Benadryl, too, and that is what finally got rid of the migraine. I also had problems with breathing - was worse -  and I started coughing up phlegm really badly. The fatigue has slowly been getting better. That is still getting worked on - I did have some pre-existing fatigue beforehand and it's not quite back to that. I would say that I am about at 7 of trying to get back to my normal "10" if "10" was where I was before. It had gone down to a 4 or 5 before.  The phlegm issue comes and goes and with that the breathing is affected. I have sinus issues that have gotten worse - they started getting worse within the first week after the vaccine and got their worse about 2 weeks after.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Muscle spasms, Sleep disorder
Clinical narrative: 4 days after the shot I started cramping very very badly. I do not get cramps regularly. I woke up out of a deep sleep and had my period so bad. My period is on time every month and is not normally this heavy. My period arrived 3 days early while sleeping.  I use soft discs to control my period. I am bleeding so much the disc is over filling and I have to change the cup 3 to 4 times per day. This has never happened. I am still on day 5 and still bleeding heavily and the blood is so dark it looks purple.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood lactate dehydrogenase increased, Blood lactic acid
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, Brain natriuretic peptide increased, C-reactive protein increased
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Extra dose administered, Glomerular filtration rate normal, Inflammatory marker test
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio, Liver function test normal, Lung opacity, Oxygen saturation decreased, Patient isolation
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin increased, Staphylococcus test negative, Tachypnoea, Transaminases increased
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I normal
Clinical narrative: 79 y/o man with Diabetes Mellitus type II (not on meds), Afib(on Warfarin), MDD, chronic kidney disease stage 3 (baseline creat 1-1.3), Coronary artery disease (per MPS 6/2019, previously medical management), who is fully COVID-19 vaccinated (including 3rd shot 8/20/21), presents to ED with decreased O2 sat of 87% when ambulating at home in setting of 2 week history of dry cough (sxs starting 8/15) and positive COVID-19 test on 8/23/21, found to have COVID-19 pneumonia. Patient with mild desat at rest but very tachypneic with ambulation so was admitted for further monitoring and treatment. Started on Remdesivir and Decadron. Patient had stable respiratory status with improvement in SOB. Was able to ambulate without any desaturation or shortness of breath. COVID-19 Pneumonia- Symptom onset on 8/15. COVID positive on 8/23. Now on RA at rest and with exertion. Inflammatory markers improved. Will continue Decadron 6mg PO qday for another 7 days; Remdesivir 200mg IV x1 (8/30-), followed by 100mg IV daily. Stop after today's dose; Daily LFTs stable; Pepcid for GI prophylaxis; Patient on Warfarin; continue isolation in hospital per Regional/Local ID guidance. Mild transaminitis: no abdominal symptoms. Improving Afib: rate controlled; Cont Metoprolol 25mg BID; Warfarin per protocol. INR has been supratherapeutic. Hold Warfarin 8/31. INR check 9/1/21; Diabetes Mellitus type II: A1c 6.7 3/16/21. Not on meds. Was placed on correctional scale insulin during hospitalization. Overall controlled even with Decadron.  Coronary artery disease: per MPS. No chest pain. Patient previously on ASA, Atorvastatin, unclear why no longer on this. F/u with PCP; Chronic kidney disease stage 3: stable monitor; Reason for Hospital Admission (Admitting Diagnosis): COVID-19 Pneumonia; Previous COVID  Vaccine History; 8/20/2021 Given 0.3 mL Lt deltoid IM  PFR EW0191 PFIZER COVID-19 VACCINE (PF) Delete History; 3/1/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History; 2/8/2021 Given 0.3 mL Lt deltoid IM PFR EN6201 PFIZER COVID-19 VACCINE (PF) Delete History.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Hypoaesthesia, Magnetic resonance imaging head normal, Vertigo
Clinical narrative: Vertigo and off balance of sudden onset with numbness in left foot
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed mood, Disorientation, Dizziness, Impaired driving ability
Clinical narrative: continue dizziness  after eat and very disoriented to the point that I can not driver, I feel depress and sad, before the second doses  I was feeling perfectly happy, I have no reason to feel that.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Laboratory test, Pericarditis
Clinical narrative: acute pericarditis
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Peripheral swelling
Clinical narrative: about 3-4 hours after getting the second dose of Moderna, she started having swelling of her hands and the swelling extended down to her feet.  She also said she had some shortness of breath.  She did not report the reaction until about 24 hours later.  I told her to go to urgent care/emergency room.  she said she had doctors appointment the next morning at 9am.  I encouraged her to go anyway or at least call her doctor.  She did call and md said ok to come in the next morning .  MD confirmed allergic reaction and she called me about 1 hour after appt to tell me.  she did say she was better and I told her to watch closely and go back to md if not better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Maternal exposure before pregnancy, Nausea
Clinical narrative: Symptoms: - High fever for 4 days - chills for 3 days - nausea for 1 day - fatigue for 2 days - locked jaw from intense chills for 2 days - shortness of breath for 7 days - Body aches for a couple days  Adverse event: Miscarriage on 8/6/21
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Trismus
Clinical narrative: Symptoms: - High fever for 4 days - chills for 3 days - nausea for 1 day - fatigue for 2 days - locked jaw from intense chills for 2 days - shortness of breath for 7 days - Body aches for a couple days  Adverse event: Miscarriage on 8/6/21
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive due to contact with church member
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Seizure
Clinical narrative: about 24 hours after vaccination with covid-19 (Pfizer) vaccine, patient had a 5 minute seizure. Patient fell while having seizure and hit his head.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: 18 yof, presented for her first dose of Pfzer on 09/02/21. Approximately 5 minutes after receiving the vaccine she stated, ?I feel dizzy?. Ice pack, water, juice, and gram crackers given to pt. 0901 Vitals: Temp: 97.0, BP 99/60, HR 62, Resp 16. Pt was diaphoretic; therefore, we lowered her to the floor and propped her feet up. She was fanned while laying down. 0908 she started to feel better. She ate some graham crackers and drank a little bit of juice. She did not eat breakfast today. She also reported that this happens every time she gets a shot. 0915 Temp 98.0, BP 118/70, HR 66, Resp 16. Pt was assisted to a nearby couch to finish out her observation period. 0940 Temp 98.1, BP 122/76, HR 74, and Resp 18. 0943 Pt feeling much better. She was instructed to rest, eat, and drink plenty of fluids. 0943 Pt left
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Cough, Exposure to SARS-CoV-2, Pyrexia, Rhinorrhoea
Clinical narrative: Fully vaccinated and hospitalized.  The patient's daughter reported that she experienced a: Fever, Abdominal Pains, Cough and a runny nose. Symptoms started on 8/6. The patient's daughter stated that she lives with her and her fiance who both tested positive. Reported current smoker and Diabetes as pre-existing medical conditions.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood test abnormal, Chest pain, Computerised tomogram normal, Dyspnoea
Clinical narrative: Ever since getting the vaccine I have had high blood pressure. I normally have lower end blood pressure. Also my heart rate has been steadily in the 120s-150s. I ended up at the ER Bc I was having chest pains. My was elevated and they did scans to check for blood clots. Scans were clear. Also my left leg now has horrible pains and feels heavy all the time. Can?t catch a good breathe. Also I have been having ketones in my urine despite having very well controlled blood sugar numbers. A lot of my bloodwork came back elevated. My MPV and others were all elevated. This vaccine did something to my body and I haven?t been the same since.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Heart rate increased, Hypertension, Limb discomfort, Mean platelet volume increased
Clinical narrative: Ever since getting the vaccine I have had high blood pressure. I normally have lower end blood pressure. Also my heart rate has been steadily in the 120s-150s. I ended up at the ER Bc I was having chest pains. My was elevated and they did scans to check for blood clots. Scans were clear. Also my left leg now has horrible pains and feels heavy all the time. Can?t catch a good breathe. Also I have been having ketones in my urine despite having very well controlled blood sugar numbers. A lot of my bloodwork came back elevated. My MPV and others were all elevated. This vaccine did something to my body and I haven?t been the same since.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound Doppler normal, Urine ketone body present
Clinical narrative: Ever since getting the vaccine I have had high blood pressure. I normally have lower end blood pressure. Also my heart rate has been steadily in the 120s-150s. I ended up at the ER Bc I was having chest pains. My was elevated and they did scans to check for blood clots. Scans were clear. Also my left leg now has horrible pains and feels heavy all the time. Can?t catch a good breathe. Also I have been having ketones in my urine despite having very well controlled blood sugar numbers. A lot of my bloodwork came back elevated. My MPV and others were all elevated. This vaccine did something to my body and I haven?t been the same since.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Allergy to vaccine, Aphonia, Asthenia, Decreased appetite
Clinical narrative: Almost immediately after the vaccine I started feeling numbness and tingling in my bilateral hand and face. I had to lay down and was dry heaving and immediately I had to go to the restroom 3 different times in a row with severe diarrhea. That night my face was numb and loss of appetite. No appetite the next morning but went to work. Started not feeling well so I left work and around 2pm I lost my voice and couldn't talk, began vomiting and loss all energy. I was so out of it I could not talk for about 24hrs. I was vomiting for about 8hrs straight with diarrhea close to every 30 minutes. I had a bad headache feeling like my head was going to explode and severe body pain. I was extremely nauseated. The next day my stomach felt as if it was burning, and I couldn't keep any food down. I have had diarrhea, been fatigued and extremely nauseated with acid burning from my stomach to my throat, can't sleep and gastritis since the day of the vaccine. On 8/18 I went to the ER because the symptoms were just so bad.  I was administered Zofran and was sent home.  On 8/31 I went back to the ER at and was given IV fluids and various meds to try to calm my stomach to bring down the acid. I have been referred to a GI specialist. I have a disability appointment scheduled. 9/10 appointment scheduled for an Endoscopy and have since been prescribed: Famotidine, Zofran, Pepcid, Ativan and Phenergan if the Zofran doesn't work. And I continue to have the diarrhea, nausea, upset stomachs and I still can't sleep without the Ativan. One provider feels I am allergic to the poly ethanol in the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspepsia, Fatigue, Full blood count normal, Gastritis
Clinical narrative: Almost immediately after the vaccine I started feeling numbness and tingling in my bilateral hand and face. I had to lay down and was dry heaving and immediately I had to go to the restroom 3 different times in a row with severe diarrhea. That night my face was numb and loss of appetite. No appetite the next morning but went to work. Started not feeling well so I left work and around 2pm I lost my voice and couldn't talk, began vomiting and loss all energy. I was so out of it I could not talk for about 24hrs. I was vomiting for about 8hrs straight with diarrhea close to every 30 minutes. I had a bad headache feeling like my head was going to explode and severe body pain. I was extremely nauseated. The next day my stomach felt as if it was burning, and I couldn't keep any food down. I have had diarrhea, been fatigued and extremely nauseated with acid burning from my stomach to my throat, can't sleep and gastritis since the day of the vaccine. On 8/18 I went to the ER because the symptoms were just so bad.  I was administered Zofran and was sent home.  On 8/31 I went back to the ER at and was given IV fluids and various meds to try to calm my stomach to bring down the acid. I have been referred to a GI specialist. I have a disability appointment scheduled. 9/10 appointment scheduled for an Endoscopy and have since been prescribed: Famotidine, Zofran, Pepcid, Ativan and Phenergan if the Zofran doesn't work. And I continue to have the diarrhea, nausea, upset stomachs and I still can't sleep without the Ativan. One provider feels I am allergic to the poly ethanol in the vaccine.