chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Internal haemorrhage, Laparoscopy, Maternal exposure before pregnancy, Pregnancy, Pregnancy test
Clinical narrative: I became pregnant in early August. Began bleeding September 11th. Went to doctor after 3 weeks of bleeding and they told me it was likely a miscarriage. Multiple visits, calls, scans  and mistaken diagnoses later, it turned out I had an ectopic pregnancy, I was bleeding internally, and I needed an emergency laparoscopy and salpingectomy on October 12th. I was treated with antibx during surgery, opined pain medication after surgery, and as of this point in time, my menstrual cycles are absent since the surgery.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test urine, Salpingectomy, Ultrasound antenatal screen abnormal
Clinical narrative: I became pregnant in early August. Began bleeding September 11th. Went to doctor after 3 weeks of bleeding and they told me it was likely a miscarriage. Multiple visits, calls, scans  and mistaken diagnoses later, it turned out I had an ectopic pregnancy, I was bleeding internally, and I needed an emergency laparoscopy and salpingectomy on October 12th. I was treated with antibx during surgery, opined pain medication after surgery, and as of this point in time, my menstrual cycles are absent since the surgery.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Immediate post-injection reaction, Incorrect route of product administration, Injection
Clinical narrative: Patient got immediate pain when vaccine was administered too high on the arm. Pain continued to arm immobility including swelling and tenderness with shoulder and joint pain. She also had numbing in the thumb. Patient too 325 mg on tylenol thursday evening for the pain and it did not help.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Mobility decreased, Pain in extremity, Rotator cuff syndrome, Swelling
Clinical narrative: Patient got immediate pain when vaccine was administered too high on the arm. Pain continued to arm immobility including swelling and tenderness with shoulder and joint pain. She also had numbing in the thumb. Patient too 325 mg on tylenol thursday evening for the pain and it did not help.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Ultrasound scan abnormal, X-ray
Clinical narrative: Patient got immediate pain when vaccine was administered too high on the arm. Pain continued to arm immobility including swelling and tenderness with shoulder and joint pain. She also had numbing in the thumb. Patient too 325 mg on tylenol thursday evening for the pain and it did not help.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Haematochezia
Clinical narrative: Information obtained from chart. Unable to provide further information. Client presented to the emergency department for evaluation of an blood in his stool. He was experiencing increasing fatigue and increasing shortness of breath above his baseline. The patient denied significant chest pain, productive cough, fevers or chills, nausea, vomiting or abdominal pain.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Death, Dyspnoea, General physical health deterioration
Clinical narrative: pt recently treated at local Medical Center for COVID pneumonia; was sent home on 2 L O2; increasing SOB and weakness; EMS reports pt had O2 sats 70% on 3 L O2; placed on NRB in ED; admitted to hosp; transferred to ICU; given steroids, and bronchodilators, ABX; pt's condition continued to decline; DNR/DNI; transitioned to comfort measures and passed away in the hosp
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care
Clinical narrative: pt recently treated at local Medical Center for COVID pneumonia; was sent home on 2 L O2; increasing SOB and weakness; EMS reports pt had O2 sats 70% on 3 L O2; placed on NRB in ED; admitted to hosp; transferred to ICU; given steroids, and bronchodilators, ABX; pt's condition continued to decline; DNR/DNI; transitioned to comfort measures and passed away in the hosp
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient administered undiluted dose of Covid 19 vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID case.  I tested positive on 02-01-2022 and had symptoms through 02-05-2022.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: At time of administration, vaccine was 1 day past beyond-use-date. Vaccine stored in refrigeration for 71 days. Patient tolerated vaccination well. Pfizer reports data to support vaccine stability for 72-hours in refrigeration.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Swelling
Clinical narrative: Patient received Moderna Booster shot Friday and experienced swelling on right side of neck (shot administered in right arm) the following day, Saturday.  Also experienced bruising in right leg -describing it as comparable to a varicose vein. Patient worked Saturday and Sunday (12 hour shifts).  We have not seen actual swelling on neck or leg.  Have asked patient to send us pictures or come by. Patient states today, swelling has gone down but not completely resolved.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Influenza virus test negative, Laboratory test, Productive cough, SARS-CoV-2 test negative
Clinical narrative: That Saturday when I started coughing up stuff I went that following Sunday to get a Covid test to rule it out. That came back negative. That following Wednesday I did a telehealth call with my doctor thinking I needed to get on antibiotics to clear it up. It didn't seem to do anything. On 12/31/2021 I went to an urgent care because I was coughing up stuff. They said my lungs were fine and they did a Covid test which was negative. They said it might just take time to clear up on its own they diagnosed it as acute bronchitis. It lasted up through the middle of February.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Blood creatine phosphokinase normal, C-reactive protein increased, Chronic fatigue syndrome
Clinical narrative: Pt developed dizziness, followed by headaches, then fatigue and body aches/myalgias,  Abdominal pain also developed. these symptoms persisted for 4+ months.  Symptoms were debilitating at times, causing her to miss a lot of school. Pt denied any preceeding viral illness. Symptoms began after the first dose, but worsened after the second dose of the vaccine. Labs showed  mild iron deficiency anemia, iron was supplemented with improvement in iron stores.  ESR was also elevated and remained elevated as of a few weeks ago. At this point many symptoms have improve, but she still reports fatigue with myalgias/arthralgias. Neurology evaluated with normal brain MRI. She has been referred to rheumatology. Her clinical picture is most consistent with a Chronic Fatigue Syndrome, which we suspect could have been triggered by the vaccinations.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Haemoglobin normal, Headache, Iron binding capacity total normal
Clinical narrative: Pt developed dizziness, followed by headaches, then fatigue and body aches/myalgias,  Abdominal pain also developed. these symptoms persisted for 4+ months.  Symptoms were debilitating at times, causing her to miss a lot of school. Pt denied any preceeding viral illness. Symptoms began after the first dose, but worsened after the second dose of the vaccine. Labs showed  mild iron deficiency anemia, iron was supplemented with improvement in iron stores.  ESR was also elevated and remained elevated as of a few weeks ago. At this point many symptoms have improve, but she still reports fatigue with myalgias/arthralgias. Neurology evaluated with normal brain MRI. She has been referred to rheumatology. Her clinical picture is most consistent with a Chronic Fatigue Syndrome, which we suspect could have been triggered by the vaccinations.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Iron deficiency anaemia, Loss of personal independence in daily activities, Magnetic resonance imaging head normal, Myalgia, Pain
Clinical narrative: Pt developed dizziness, followed by headaches, then fatigue and body aches/myalgias,  Abdominal pain also developed. these symptoms persisted for 4+ months.  Symptoms were debilitating at times, causing her to miss a lot of school. Pt denied any preceeding viral illness. Symptoms began after the first dose, but worsened after the second dose of the vaccine. Labs showed  mild iron deficiency anemia, iron was supplemented with improvement in iron stores.  ESR was also elevated and remained elevated as of a few weeks ago. At this point many symptoms have improve, but she still reports fatigue with myalgias/arthralgias. Neurology evaluated with normal brain MRI. She has been referred to rheumatology. Her clinical picture is most consistent with a Chronic Fatigue Syndrome, which we suspect could have been triggered by the vaccinations.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count increased, Red blood cell sedimentation rate increased, Red cell distribution width increased, Rheumatoid factor, Vitamin D
Clinical narrative: Pt developed dizziness, followed by headaches, then fatigue and body aches/myalgias,  Abdominal pain also developed. these symptoms persisted for 4+ months.  Symptoms were debilitating at times, causing her to miss a lot of school. Pt denied any preceeding viral illness. Symptoms began after the first dose, but worsened after the second dose of the vaccine. Labs showed  mild iron deficiency anemia, iron was supplemented with improvement in iron stores.  ESR was also elevated and remained elevated as of a few weeks ago. At this point many symptoms have improve, but she still reports fatigue with myalgias/arthralgias. Neurology evaluated with normal brain MRI. She has been referred to rheumatology. Her clinical picture is most consistent with a Chronic Fatigue Syndrome, which we suspect could have been triggered by the vaccinations.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired Pfizer. Bottle transferred from Ultra Frozen/freezer to fridge on 2/10/2022. Expired 03/13/2022. Vaccine given on day 36 after transferred to Fridge. Per call with Pfizer, dose does not need to be repeated as vial is considered stabile x 45 days after transfer.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: When I woke up in the morning. I felt cold like symptoms. I felt tried, had a headache and I had a cough. My grandson was not feeling well. He tested positive so I decided to get tested. I went to urgent care and my COVID test came back negative. My symptoms started to get worse so I decided to go back to urgent care and get tested again. My test came back positive.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: When I woke up in the morning. I felt cold like symptoms. I felt tried, had a headache and I had a cough. My grandson was not feeling well. He tested positive so I decided to get tested. I went to urgent care and my COVID test came back negative. My symptoms started to get worse so I decided to go back to urgent care and get tested again. My test came back positive.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Confusional state
Clinical narrative: pt brought to ED from a nursing home (name of facility not in med records) with increasing SOB and confusion; acute on chronic hypercapneic respiratory failure; O2 supplementation; tested positive for COVID; COVID pneumonia; admitted to hosp; DNI; steroids given; O2 demand increased; placed on BiPAP; experienced A Fib with rapid ventricular response; eventually converted to sinus rhythm with amidarone infusion; unable to tolerate oral intake; DNR/DNI; transitioned to comfort care; removed BiPAP and pt passed away in the hospital
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Hypophagia, Positive airway pressure therapy, Respiratory failure
Clinical narrative: pt brought to ED from a nursing home (name of facility not in med records) with increasing SOB and confusion; acute on chronic hypercapneic respiratory failure; O2 supplementation; tested positive for COVID; COVID pneumonia; admitted to hosp; DNI; steroids given; O2 demand increased; placed on BiPAP; experienced A Fib with rapid ventricular response; eventually converted to sinus rhythm with amidarone infusion; unable to tolerate oral intake; DNR/DNI; transitioned to comfort care; removed BiPAP and pt passed away in the hospital
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt brought to ED from a nursing home (name of facility not in med records) with increasing SOB and confusion; acute on chronic hypercapneic respiratory failure; O2 supplementation; tested positive for COVID; COVID pneumonia; admitted to hosp; DNI; steroids given; O2 demand increased; placed on BiPAP; experienced A Fib with rapid ventricular response; eventually converted to sinus rhythm with amidarone infusion; unable to tolerate oral intake; DNR/DNI; transitioned to comfort care; removed BiPAP and pt passed away in the hospital
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Cardiac failure, Cardiac stress test abnormal, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Approximately 2 weeks after vaccine, I felt like I was short of breath and at nights felt like I was smothering. I went to doctor and received a nuclear stress test, echocardiogram, and blood work and was diagnosed with Diastolic Heart failure with preserved ejection fraction. I was sent to a cardiologist to confirm my diagnosis. I was put on Lasix. I was told the prognosis was not very good. There are different stages and mine is between stage 3 and stage 4.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Left ventricular failure, Suffocation feeling
Clinical narrative: Approximately 2 weeks after vaccine, I felt like I was short of breath and at nights felt like I was smothering. I went to doctor and received a nuclear stress test, echocardiogram, and blood work and was diagnosed with Diastolic Heart failure with preserved ejection fraction. I was sent to a cardiologist to confirm my diagnosis. I was put on Lasix. I was told the prognosis was not very good. There are different stages and mine is between stage 3 and stage 4.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Biopsy skin, Electroencephalogram, Erythema, Fatigue
Clinical narrative: 03/24/2021 after 10-15 of the vaccine at 11:50AM, I started feeling the analectic, red rash, hot, I was itching, scalp, mouth, arms, all over my body. The pharmacy tech gave me Benadryl, I became very dizzy. My husband took me home. I slept a lot, I missed work. I was tired I couldn't function well. On April 27/2021, May 07,2021 and May18,2021, I had tight throat, red rash, red face, scalp itching, I took allergy medication. I past out 2 twice on mid April. I was diagnosed with nerve damage vertigo. To help nerve damager I went to physical therapy, May-August stimulation therapy. On May at the same time my local primary care doctor got me transfer to more doctors. I went to 12 doctors which are dermatology, neurology, cardiovascular disease specialist, allergist, physical therapist, otorhinolaryngology, COVID doctor, 5 times I  went to the emergency room. 2 were ambulance transfers.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Impaired work ability, Loss of consciousness, Loss of personal independence in daily activities, Lumbar puncture
Clinical narrative: 03/24/2021 after 10-15 of the vaccine at 11:50AM, I started feeling the analectic, red rash, hot, I was itching, scalp, mouth, arms, all over my body. The pharmacy tech gave me Benadryl, I became very dizzy. My husband took me home. I slept a lot, I missed work. I was tired I couldn't function well. On April 27/2021, May 07,2021 and May18,2021, I had tight throat, red rash, red face, scalp itching, I took allergy medication. I past out 2 twice on mid April. I was diagnosed with nerve damage vertigo. To help nerve damager I went to physical therapy, May-August stimulation therapy. On May at the same time my local primary care doctor got me transfer to more doctors. I went to 12 doctors which are dermatology, neurology, cardiovascular disease specialist, allergist, physical therapist, otorhinolaryngology, COVID doctor, 5 times I  went to the emergency room. 2 were ambulance transfers.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Nerve injury, Oral pruritus, Pruritus, Rash erythematous
Clinical narrative: 03/24/2021 after 10-15 of the vaccine at 11:50AM, I started feeling the analectic, red rash, hot, I was itching, scalp, mouth, arms, all over my body. The pharmacy tech gave me Benadryl, I became very dizzy. My husband took me home. I slept a lot, I missed work. I was tired I couldn't function well. On April 27/2021, May 07,2021 and May18,2021, I had tight throat, red rash, red face, scalp itching, I took allergy medication. I past out 2 twice on mid April. I was diagnosed with nerve damage vertigo. To help nerve damager I went to physical therapy, May-August stimulation therapy. On May at the same time my local primary care doctor got me transfer to more doctors. I went to 12 doctors which are dermatology, neurology, cardiovascular disease specialist, allergist, physical therapist, otorhinolaryngology, COVID doctor, 5 times I  went to the emergency room. 2 were ambulance transfers.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Skin test, Somnolence, Throat tightness, Vertigo
Clinical narrative: 03/24/2021 after 10-15 of the vaccine at 11:50AM, I started feeling the analectic, red rash, hot, I was itching, scalp, mouth, arms, all over my body. The pharmacy tech gave me Benadryl, I became very dizzy. My husband took me home. I slept a lot, I missed work. I was tired I couldn't function well. On April 27/2021, May 07,2021 and May18,2021, I had tight throat, red rash, red face, scalp itching, I took allergy medication. I past out 2 twice on mid April. I was diagnosed with nerve damage vertigo. To help nerve damager I went to physical therapy, May-August stimulation therapy. On May at the same time my local primary care doctor got me transfer to more doctors. I went to 12 doctors which are dermatology, neurology, cardiovascular disease specialist, allergist, physical therapist, otorhinolaryngology, COVID doctor, 5 times I  went to the emergency room. 2 were ambulance transfers.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Exposure during pregnancy, Fatigue, SARS-CoV-2 test negative
Clinical narrative: I couldn't breath, cough, fatigued and was pregnant at the time. It lasted out 3 or 4 weeks. I am still having some difficulty breathing.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Blood test, Gait disturbance, Restless legs syndrome
Clinical narrative: Two hours after the vaccine I took two ibuprofen to prevent any symptoms, the next morning I had swelling. I waited two weeks to see a physician about the swelling, my appointment was on 02/22/2022. I had pain from the knee down to my ankle area, my leg felt restless and I had problems walking. I went to the walk in clinic for further evaluation and had blood work and ultrasound. It was confirmed, I had a blood clot and was prescribed Xarelto. I went for a follow up on 03/25/2022, the blood clot is still there and I was told to continue to keep taking the prescribed medication and wear compression stockings. I've also been referred to see a hematologist for further evaluation on 04/18/2022.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling, Thrombosis, Ultrasound scan
Clinical narrative: Two hours after the vaccine I took two ibuprofen to prevent any symptoms, the next morning I had swelling. I waited two weeks to see a physician about the swelling, my appointment was on 02/22/2022. I had pain from the knee down to my ankle area, my leg felt restless and I had problems walking. I went to the walk in clinic for further evaluation and had blood work and ultrasound. It was confirmed, I had a blood clot and was prescribed Xarelto. I went for a follow up on 03/25/2022, the blood clot is still there and I was told to continue to keep taking the prescribed medication and wear compression stockings. I've also been referred to see a hematologist for further evaluation on 04/18/2022.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Chronic cutaneous lupus erythematosus, Rash
Clinical narrative: She saw her dermatologist on 12/18/21, had a tiny tiny crust/scratch on her forehead that was frozen, was not concerned about it.  She got her vaccine, started to get a rash on her forehead where it was frozen and above her eyebrow.  She has one larger area on her forehead, another one above her eyebrow and 3 or more in her scalp region.  It started to get larger and larger and went to the doctor again, was not sure what it was.  She gave her topical cream that did not help, and went back last week, she did a biopsy which showed discoid lupus.  She is going to be referred to a rheumatologist.  She did not have any issues with lupus before the vaccine.     She also has not had any skin conditions prior to this either.     Dermatologist, Seen two of the Doctors at the same location.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Moderna 3/4/21 040A21A, Moderna 4/1/21 026B21A and booster Moderna 11/28/21 012H21B
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Patient called 3/28/22 to report arm was still sore from vaccine back in November, states now hurting up into shoulder area. Patient was advised of otc medications such as tylenol and ibuprofen to treat soreness but was encouraged to reach out to dr for evaluation to make sure soreness from vaccine back in November as pharmacy cannot diagnose
Age: 12.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Abdominal pain upper, Dizziness, Nausea
Clinical narrative: Student felt dizzy, nauseas and complained of stomach pain.  After 15 minutes of observation, water, and cold pack to forehead, student felt better.  Instructed to parent if symptoms return or worsen to seek medical attention.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient positive COVID test on 10/8/21; admitted to hospice on 10/21/21; per death certificate, pt died in the Rehab Center with condition contributing to death as  recent COVID 19
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Somnolence
Clinical narrative: c/o dizziness and feeling sleepy.
Age: 67.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Body temperature increased, Cough, Erythema, Local reaction, Respiratory disorder
Clinical narrative: Severe hives, redness and swelling of the entire shoulder. And then temp elevation then it was causing me some respiratory compromise. Lots of wheezing and coughs. That resulted in me getting Benadryl injection and steroids', topicals and use of my inhaler. I probably added a couple of nebulizer treatments too. Dr. stated it's a localize reaction. It took about 3 weeks for me to be fine.
Age: 67.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Swelling, Urticaria, Wheezing
Clinical narrative: Severe hives, redness and swelling of the entire shoulder. And then temp elevation then it was causing me some respiratory compromise. Lots of wheezing and coughs. That resulted in me getting Benadryl injection and steroids', topicals and use of my inhaler. I probably added a couple of nebulizer treatments too. Dr. stated it's a localize reaction. It took about 3 weeks for me to be fine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol withdrawal syndrome, COVID-19, Confusional state, Cough, Intensive care
Clinical narrative: Case vaccinated and boosted against Covid by October 2021,. He contracted Covid while hospitalized for non-covid issues in January 2022. Hospitalized at:  Hospital.   COVID-19 virus infection Assessment & Plan Noted febrile 1/20. COVID test turned +. Likely nosocomial as he had been admitted 10 days. Placed in contact/droplet isolation. On room air. Seemed more confused late last week, this is probably why. Is fully vaccinated against covid. Chronic liver disease probably places him at higher risk for severe disease.  -Discussed use of monoclonal abs with the ID service and his transplant team, both prefered he receive so administered 1/21 without adverse reaction -Coughing frequently but held off on CXR given normal oxygen levels -No indication for specific covid treatments otherwise -Continue isolation. Discussing discharge options with family, but has high-risk elder at home, also vaccinated and boosted per report.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nosocomial infection, Pyrexia, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Case vaccinated and boosted against Covid by October 2021,. He contracted Covid while hospitalized for non-covid issues in January 2022. Hospitalized at:  Hospital.   COVID-19 virus infection Assessment & Plan Noted febrile 1/20. COVID test turned +. Likely nosocomial as he had been admitted 10 days. Placed in contact/droplet isolation. On room air. Seemed more confused late last week, this is probably why. Is fully vaccinated against covid. Chronic liver disease probably places him at higher risk for severe disease.  -Discussed use of monoclonal abs with the ID service and his transplant team, both prefered he receive so administered 1/21 without adverse reaction -Coughing frequently but held off on CXR given normal oxygen levels -No indication for specific covid treatments otherwise -Continue isolation. Discussing discharge options with family, but has high-risk elder at home, also vaccinated and boosted per report.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Conjunctivitis allergic, Eye irritation, Eye pain, Eye swelling, Guttate psoriasis
Clinical narrative: The eye doctor visit on January 10 2022 and diagnosis is allergic conjunctivitis. Could be auto-immune - in some patients it does reoccur as a disorder, per doctor. Resulted in severe eye irritation, swelling, redness, pain  - as if I was looking through a fog. Originally prescribed Bepotastine Besilate 1.5%. Loteprednol Etadonate 0.5%. Antihistamine drops, with a mild steroid drops. Didn't really help so I went back again and she took me off the drops and put me on stronger steroid drop Prednisol Acetate 1% drops. After about 10 days it started to resolve and eventually subsided. Another illness on March 1, 2022 - COVID like symptoms, high fever for 3 days. Negative for COVID via Rapid w/Control test. Resolved, but over the course of the next week or two, I began to notice rash and small hives. Diagnosis  -Guttate Psoriasis - can be auto-immune - indicated sickness from march may have been strep and it moved to my skin. On mild steroid cream and antibiotics twice a day and issue seems to be resolving.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperpyrexia, Illness, Ocular hyperaemia, Rash, SARS-CoV-2 test negative
Clinical narrative: The eye doctor visit on January 10 2022 and diagnosis is allergic conjunctivitis. Could be auto-immune - in some patients it does reoccur as a disorder, per doctor. Resulted in severe eye irritation, swelling, redness, pain  - as if I was looking through a fog. Originally prescribed Bepotastine Besilate 1.5%. Loteprednol Etadonate 0.5%. Antihistamine drops, with a mild steroid drops. Didn't really help so I went back again and she took me off the drops and put me on stronger steroid drop Prednisol Acetate 1% drops. After about 10 days it started to resolve and eventually subsided. Another illness on March 1, 2022 - COVID like symptoms, high fever for 3 days. Negative for COVID via Rapid w/Control test. Resolved, but over the course of the next week or two, I began to notice rash and small hives. Diagnosis  -Guttate Psoriasis - can be auto-immune - indicated sickness from march may have been strep and it moved to my skin. On mild steroid cream and antibiotics twice a day and issue seems to be resolving.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria, Vision blurred
Clinical narrative: The eye doctor visit on January 10 2022 and diagnosis is allergic conjunctivitis. Could be auto-immune - in some patients it does reoccur as a disorder, per doctor. Resulted in severe eye irritation, swelling, redness, pain  - as if I was looking through a fog. Originally prescribed Bepotastine Besilate 1.5%. Loteprednol Etadonate 0.5%. Antihistamine drops, with a mild steroid drops. Didn't really help so I went back again and she took me off the drops and put me on stronger steroid drop Prednisol Acetate 1% drops. After about 10 days it started to resolve and eventually subsided. Another illness on March 1, 2022 - COVID like symptoms, high fever for 3 days. Negative for COVID via Rapid w/Control test. Resolved, but over the course of the next week or two, I began to notice rash and small hives. Diagnosis  -Guttate Psoriasis - can be auto-immune - indicated sickness from march may have been strep and it moved to my skin. On mild steroid cream and antibiotics twice a day and issue seems to be resolving.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Hypercapnia
Clinical narrative: Patient admitted for COVID-19 and COPD after being found to be hypercapneic after receiving two doses of the Moderna vaccine in 2021. Patient's underlying lung disease was exacerbated by COVID-19.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, COVID-19, Dysphagia, Headache
Clinical narrative: I contracted COVID-19. Some of my symptoms included were a sore throat, difficulty swallowing due to swelling in my throat, headache, muscle aches, back pain, and stomach pain. I went to urgent care. I was prescribed several medications.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pharyngeal swelling, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19. Some of my symptoms included were a sore throat, difficulty swallowing due to swelling in my throat, headache, muscle aches, back pain, and stomach pain. I went to urgent care. I was prescribed several medications.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Skin warm
Clinical narrative: Client received Pfizer booster injection at 3:40 PM and was asked to wait in waiting room, At 3:45 PM, client had c/o of being lightheaded and dizzy. Band aid called v/s take, client remained alert and oriented, skin warm and dry. Client denies CP, tingling and SOB.  Pulse ox 94% on RA. Mom came in from parking lot to be with client. Mom states client has been in ER 03/09/2022 due to migraines, new medication started Ubrelvy. Mom called neurologist and ARNP spoke with neurologist via phone. Client was given water and cool cloth placed on head. After about 20 minutes, client symptoms improved. ARNP informed client and Mom if symptoms worsen to go to ER for evaluation. Client able to walk independently without any assistance, left with Mom @ 4:10 PM
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Menstrual disorder
Clinical narrative: ABNORMAL MENSTRUATION PERIOD FOR ALMOST 2 MONTH A FEW TIMES.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site nodule
Clinical narrative: Injection site nodule, patient was prescribed ibuprofen to take every 8hrs prn.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Higher than usual dose: given 1.2mL No signs/symptoms at time of reporting.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cerumen removal, Chills, Fatigue, Illness, Nausea
Clinical narrative: I got very sick from my second Pfizer Covid shot.  (Chills, Low grade fever, nausea, vomiting on and off for a few hours, and extreme fatigue the next day) The next day I noticed a buzzing in my ear.  It continued on and off for the next few months.  On Nov. 08, 2021, I got my booster.  I got sick again.  The buzzing in my ear returned and at times is worse than ever.  The lot number of that shot is FH8028.  That shot was given at pharmacy at 10:00 am.  I am seeing Dr. an ENT.  He prescribed two nasal sprays and ear drops. I do have some sinus issues.  He also removed ear wax from my ears.  However, after using the nasal sprays and ear drops for a few weeks the buzzing continues.  Some days the sound is softer, but is constantly there.  I am scheduled for a hearing test in a few weeks.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sinus disorder, Tinnitus, Vomiting
Clinical narrative: I got very sick from my second Pfizer Covid shot.  (Chills, Low grade fever, nausea, vomiting on and off for a few hours, and extreme fatigue the next day) The next day I noticed a buzzing in my ear.  It continued on and off for the next few months.  On Nov. 08, 2021, I got my booster.  I got sick again.  The buzzing in my ear returned and at times is worse than ever.  The lot number of that shot is FH8028.  That shot was given at pharmacy at 10:00 am.  I am seeing Dr. an ENT.  He prescribed two nasal sprays and ear drops. I do have some sinus issues.  He also removed ear wax from my ears.  However, after using the nasal sprays and ear drops for a few weeks the buzzing continues.  Some days the sound is softer, but is constantly there.  I am scheduled for a hearing test in a few weeks.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland abnormal, Computerised tomogram normal, Dyspepsia, Gastrooesophageal reflux disease, Laryngoscopy
Clinical narrative: 10/31/2021, two weeks of feeling unwell, ENT ran a scope and could not find anything, gave a strong penicillin that broke me out, 11/09/2021. Acute strep throat and I was given a steroid shot. Amox-clav took those tablets and started break out over the medication back 12/16/2021 to see him. Allergy medication and Flonase and Claritin. Went to see another ENT Doctor.  02/20/2022 CAT scan of the throat biopsy Prilosec for heart burn and acid reflex. Sent in for CAT scan; did not show any thing. 03/15/2022 biopsy for a biopsies of the right lymph node and took four samples, lymphoma cancer have appointed 03/25/2022 received the results and schedule to cancer center 03/30/2022.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphoma, Malaise
Clinical narrative: 10/31/2021, two weeks of feeling unwell, ENT ran a scope and could not find anything, gave a strong penicillin that broke me out, 11/09/2021. Acute strep throat and I was given a steroid shot. Amox-clav took those tablets and started break out over the medication back 12/16/2021 to see him. Allergy medication and Flonase and Claritin. Went to see another ENT Doctor.  02/20/2022 CAT scan of the throat biopsy Prilosec for heart burn and acid reflex. Sent in for CAT scan; did not show any thing. 03/15/2022 biopsy for a biopsies of the right lymph node and took four samples, lymphoma cancer have appointed 03/25/2022 received the results and schedule to cancer center 03/30/2022.
Age: 22.0
Sex: M
Vaccine: MMR
Symptoms: Confusional state, Dehydration, Feeling abnormal, Hyperhidrosis, Loss of consciousness
Clinical narrative: Employee is a 22 year old male with PMHx of depression on Wellbutrin, presenting today for an MMR booster. He recieved the vaccine and shortly after, stated that he felt pre-syncopal. He had a witnessed LOC event lasting ~30 seconds while in vaccination chair. Did not fall or hit head. Upon regaining consciousness, stated that he was confused, but was alert and oriented x3. Denied any nausea. Stated feeling "off". Denies any drugs/alcohol yesterday or today. States that he is likely dehydrated, did not drink water today. Had a meal about 2 hours prior to arrival. Has has syncopal events in the past, usually with prolonged standing.   OBJECTIVE: Vitals checked immediately after syncope: BP 90/50, HR 101, Oxygen level 97% on room air Vitals checked 10 minutes later: BP 131/82, HR 80, oxygen level 98% on room air Diaphoretic and pale appearing, improved with time  ASSESSMENT: Syncopal event post-MMR booster vaccination, likely vasovagal  PLAN: - Patient was  provided with cold towel for head/neck, juice, peanut butter and granola bar. Stated that he began to feel better right away.  - After ~20 minutes of recovery, patient stated he felt back to normal and was ready to leave without assistance.
Age: 22.0
Sex: M
Vaccine: MMR
Symptoms: Pallor, Presyncope
Clinical narrative: Employee is a 22 year old male with PMHx of depression on Wellbutrin, presenting today for an MMR booster. He recieved the vaccine and shortly after, stated that he felt pre-syncopal. He had a witnessed LOC event lasting ~30 seconds while in vaccination chair. Did not fall or hit head. Upon regaining consciousness, stated that he was confused, but was alert and oriented x3. Denied any nausea. Stated feeling "off". Denies any drugs/alcohol yesterday or today. States that he is likely dehydrated, did not drink water today. Had a meal about 2 hours prior to arrival. Has has syncopal events in the past, usually with prolonged standing.   OBJECTIVE: Vitals checked immediately after syncope: BP 90/50, HR 101, Oxygen level 97% on room air Vitals checked 10 minutes later: BP 131/82, HR 80, oxygen level 98% on room air Diaphoretic and pale appearing, improved with time  ASSESSMENT: Syncopal event post-MMR booster vaccination, likely vasovagal  PLAN: - Patient was  provided with cold towel for head/neck, juice, peanut butter and granola bar. Stated that he began to feel better right away.  - After ~20 minutes of recovery, patient stated he felt back to normal and was ready to leave without assistance.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chronic obstructive pulmonary disease, Condition aggravated, Respiratory syncytial virus infection
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for COPD with a cute exacerbation, Acute bronchitis due to respiratory syncytial virus, within 6 weeks of receiving COVID vaccination. She is currently hospitalized.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 14 days between first and second doses, given too early.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Computerised tomogram head abnormal, Fatigue, Feeling abnormal, Headache
Clinical narrative: Constant low grade fever (30+ days), soreness in arm, muscle aches all over, itchy injection site, nauseas, tired, constant headache; 60 days later, subarachnoid hemorrhage, severe all-over head pain, constant fast heart rate, no energy, constant memory recall/lapses, fogginess, and currently still experiencing...
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site pruritus, Laboratory test, Magnetic resonance imaging head abnormal, Memory impairment
Clinical narrative: Constant low grade fever (30+ days), soreness in arm, muscle aches all over, itchy injection site, nauseas, tired, constant headache; 60 days later, subarachnoid hemorrhage, severe all-over head pain, constant fast heart rate, no energy, constant memory recall/lapses, fogginess, and currently still experiencing...
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain in extremity, Pyrexia, Subarachnoid haemorrhage
Clinical narrative: Constant low grade fever (30+ days), soreness in arm, muscle aches all over, itchy injection site, nauseas, tired, constant headache; 60 days later, subarachnoid hemorrhage, severe all-over head pain, constant fast heart rate, no energy, constant memory recall/lapses, fogginess, and currently still experiencing...
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Cardiac stress test normal, Electrocardiogram normal, Erythema, Injection site discomfort
Clinical narrative: One week after the first shot I got a raised red ban on my left arm. My doctor saw me in person and said it was COVID arm and that some people were getting it and it would probably go away. By April 2021 (and after my second shot) I began having pain in my upper left arm which felt like burning and pressure.  I was on Sabbatical and traveling but my doctor by phone said to use Tylenol. By the time I got back at the end of July 2021 it was still bothering me and we talked about it at my annual visit. He said to try applying Diclofenac Sodium Topical Gel which provided some relief. By the fall it continued and I called the urgent care. The nurse on call was worried that left arm pain might indicate a heart issue and sent me to the urgent care. That doctor ordered some blood tests and an EKG. I was sure that it was from the shots. The Urgent Care doctor prescribed Cymbalta for the pain which is turns out I had an adverse reaction to and which trigged two emergency room visits, once more with the doctors worrying about cardiac issues. All those test came back fine...and I told them all along the arm pain was from the vaccinations.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain, Pain in extremity, Swelling, X-ray normal
Clinical narrative: One week after the first shot I got a raised red ban on my left arm. My doctor saw me in person and said it was COVID arm and that some people were getting it and it would probably go away. By April 2021 (and after my second shot) I began having pain in my upper left arm which felt like burning and pressure.  I was on Sabbatical and traveling but my doctor by phone said to use Tylenol. By the time I got back at the end of July 2021 it was still bothering me and we talked about it at my annual visit. He said to try applying Diclofenac Sodium Topical Gel which provided some relief. By the fall it continued and I called the urgent care. The nurse on call was worried that left arm pain might indicate a heart issue and sent me to the urgent care. That doctor ordered some blood tests and an EKG. I was sure that it was from the shots. The Urgent Care doctor prescribed Cymbalta for the pain which is turns out I had an adverse reaction to and which trigged two emergency room visits, once more with the doctors worrying about cardiac issues. All those test came back fine...and I told them all along the arm pain was from the vaccinations.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Pneumonia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt in Rehabilitation Center; tested positive for COVID on 1/24/22; per death certificate, pt passed away on 1/25/22 in the nursing home with the causes of death being Respiratory Failure, Pneumonia, COVID 19
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray normal, Confusional state
Clinical narrative: Case received primary 2 doses of coivid vaccine by Feb. 2021, then was hospitalized for Covid in January 2022. Hospitalized at: (Privacy).    * Pneumonia due to COVID-19 virus Assessment & Plan Presented with increased somnolence and confusion one day after testing positive for covid at facility. She was mildly hypoxic on arrival although CXR showed no infiltrates. She received two doses of Pfizer vaccine last winter but it appears she missed her booster shot due to her recent injuries and hospitalizations. Her O2 needs during admission have been variable, although she is currently on room air.  - Finished dexamethasone x10 days, last day 1/29 - Finished remdesivir x5 days, last day 1/24       Acute respiratory failure with hypoxia (HCC) Assessment & Plan Due to covid pneumonia. At time of admit was 87% on RA, crackly, rhonchorous - see notes there
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Crepitations, Fall, Hypoxia, Rhonchi, SARS-CoV-2 test positive
Clinical narrative: Case received primary 2 doses of coivid vaccine by Feb. 2021, then was hospitalized for Covid in January 2022. Hospitalized at: (Privacy).    * Pneumonia due to COVID-19 virus Assessment & Plan Presented with increased somnolence and confusion one day after testing positive for covid at facility. She was mildly hypoxic on arrival although CXR showed no infiltrates. She received two doses of Pfizer vaccine last winter but it appears she missed her booster shot due to her recent injuries and hospitalizations. Her O2 needs during admission have been variable, although she is currently on room air.  - Finished dexamethasone x10 days, last day 1/29 - Finished remdesivir x5 days, last day 1/24       Acute respiratory failure with hypoxia (HCC) Assessment & Plan Due to covid pneumonia. At time of admit was 87% on RA, crackly, rhonchorous - see notes there
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Case received primary 2 doses of coivid vaccine by Feb. 2021, then was hospitalized for Covid in January 2022. Hospitalized at: (Privacy).    * Pneumonia due to COVID-19 virus Assessment & Plan Presented with increased somnolence and confusion one day after testing positive for covid at facility. She was mildly hypoxic on arrival although CXR showed no infiltrates. She received two doses of Pfizer vaccine last winter but it appears she missed her booster shot due to her recent injuries and hospitalizations. Her O2 needs during admission have been variable, although she is currently on room air.  - Finished dexamethasone x10 days, last day 1/29 - Finished remdesivir x5 days, last day 1/24       Acute respiratory failure with hypoxia (HCC) Assessment & Plan Due to covid pneumonia. At time of admit was 87% on RA, crackly, rhonchorous - see notes there
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Carpal tunnel syndrome, Cerebrovascular accident, Neck pain, Nerve injury, Neurological examination abnormal
Clinical narrative: Swelling in my hands. I had a stroke. When I got the booster, it seems it has aggravated things that are going from me having a stroke after doses 1 and 2. This 3rd Dose I can't distinguish if it is the third dose of my stroke. My hands are swelling more on left side where I had my stroke. It is worse than the swelling on my right hand as well. The pain is a constant ache. It is a pain on my neck on my left side similar to the pain in my hand. I had a reaction after the 1st Dose of the vaccine. I was just told to sit longer. My fingers started to swell and red. It lasted a few minutes; it went down enough that they checked my blood pressure and let me go home. Between my 2nd dose I think back in March of 2021. I had a stroke after my 2nd dose in June. I don't if it caused it, I had no major issues before I taken the vaccine. I didn't get put on the diabetes medication after my stroke.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Swelling in my hands. I had a stroke. When I got the booster, it seems it has aggravated things that are going from me having a stroke after doses 1 and 2. This 3rd Dose I can't distinguish if it is the third dose of my stroke. My hands are swelling more on left side where I had my stroke. It is worse than the swelling on my right hand as well. The pain is a constant ache. It is a pain on my neck on my left side similar to the pain in my hand. I had a reaction after the 1st Dose of the vaccine. I was just told to sit longer. My fingers started to swell and red. It lasted a few minutes; it went down enough that they checked my blood pressure and let me go home. Between my 2nd dose I think back in March of 2021. I had a stroke after my 2nd dose in June. I don't if it caused it, I had no major issues before I taken the vaccine. I didn't get put on the diabetes medication after my stroke.