chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Hypoxia, Lung infiltration, Procalcitonin, Respiratory failure
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with COVID complications.  Provider d/c note below:    "Brief Summary of Hospital Stay:  Per HPI, a 85 YO male that presented to the ED with c/o shortness of breath. Chronic health conditions include interstitial lung disease, PAF no AC, HFpEF, PVD, T2dm, HLD, rectal cancer history with colostomy, and hypertension.  Patient reports for approximately 4-5 days he has had worsening shortness of breath over his chronic breathing problems in which he is supposed to wear 2 L of oxygen at night when sleeping to treat.  Additionally he reports that he has had a worsening cough with this difficulty in breathing but he was not sure that it was a problem because he has a chronic cough.  He has had a loss of appetite as well.  Today he noticed that he began in feel weak and he had a fall at home outside in the yd for which he denies dizziness or injury of any kind including hitting his head or loss of consciousness.  The patient notices blood sugars were high today running around 280 so he called his PCP who instructed him to go to the emergency department.  The patient called 911 and when they showed up his oxygen levels were approximately 85%.  He reports that his daughter has been recently diagnosed with COVID and that he is vaccinated with all 3 vaccines.  He denies fever, chest pain, nausea and vomiting. He is unsure if he has diarrhea because he has a colostomy.    In the ED, hypoxic with pulse ox 77% on room air - 92% on 5 L nasal cannula, heart rate 137 lactate 2.7, procalcitonin 0.15, troponin 29 > 26 HGB 12.8, glucose 207, sodium 131, COVID positive, CXR shows bilateral infiltrates.  Received Decadron 10 mg and 1 L IV fluid in the emergency department.    Hospital Course:  Acute on Chronic Hypoxic Respiratory Failure -2/2 covid pna/ARDS in setting of underlying interstitial lung disease. Pt was started on remdesivir, dexamethasone, empiric abx with slow improvement, though pt able to wean down to 4L O2 via NC. Pulmonology recommends slow taper of steroids over 6 weeks. "  Of note - patient died on hospice services on 02/10/2022.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with COVID complications.  Provider d/c note below:    "Brief Summary of Hospital Stay:  Per HPI, a 85 YO male that presented to the ED with c/o shortness of breath. Chronic health conditions include interstitial lung disease, PAF no AC, HFpEF, PVD, T2dm, HLD, rectal cancer history with colostomy, and hypertension.  Patient reports for approximately 4-5 days he has had worsening shortness of breath over his chronic breathing problems in which he is supposed to wear 2 L of oxygen at night when sleeping to treat.  Additionally he reports that he has had a worsening cough with this difficulty in breathing but he was not sure that it was a problem because he has a chronic cough.  He has had a loss of appetite as well.  Today he noticed that he began in feel weak and he had a fall at home outside in the yd for which he denies dizziness or injury of any kind including hitting his head or loss of consciousness.  The patient notices blood sugars were high today running around 280 so he called his PCP who instructed him to go to the emergency department.  The patient called 911 and when they showed up his oxygen levels were approximately 85%.  He reports that his daughter has been recently diagnosed with COVID and that he is vaccinated with all 3 vaccines.  He denies fever, chest pain, nausea and vomiting. He is unsure if he has diarrhea because he has a colostomy.    In the ED, hypoxic with pulse ox 77% on room air - 92% on 5 L nasal cannula, heart rate 137 lactate 2.7, procalcitonin 0.15, troponin 29 > 26 HGB 12.8, glucose 207, sodium 131, COVID positive, CXR shows bilateral infiltrates.  Received Decadron 10 mg and 1 L IV fluid in the emergency department.    Hospital Course:  Acute on Chronic Hypoxic Respiratory Failure -2/2 covid pna/ARDS in setting of underlying interstitial lung disease. Pt was started on remdesivir, dexamethasone, empiric abx with slow improvement, though pt able to wean down to 4L O2 via NC. Pulmonology recommends slow taper of steroids over 6 weeks. "  Of note - patient died on hospice services on 02/10/2022.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Femoral neck fracture
Clinical narrative: Patient vaccinated while in the hospital for Nondisplaced fracture of base of neck of right femur. Patient passed away in the hospital on 12/9/2021.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Magnetic resonance imaging heart, Myocarditis, Troponin increased
Clinical narrative: Myocarditis; chest pain with elevated troponin, delayed myocardial enhancement on cardiac MRI
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Pt admitted from ED with a past medical history of active metastatic breast cancer, generalized weakness, difficulty breathing, and a nonproductive cough.  She was transferred to another hospital due to management of pneumonia due to COVID-19 virus.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria
Clinical narrative: Chronic ideopathic urticaria, daily outbreaks that occur in the evenings.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenocarcinoma metastatic, Bladder catheterisation, Condition aggravated, Death
Clinical narrative: Patient has end-stage renal disease and was felt to have fluid overload when he presented to the emergency room. Lasix was given and it was noted that the patient had discomfort in his prepubic area and has urine retention due to no urine output in his home Foley. The patient then vomited blood ( coffee ground emesis )  and was placed on Protonix with Carafate.        The patient's hemoglobin was around 7 so he was transfused 1 unit of blood there.  He came in with acute respiratory failure with hypoxia and hypercapnia: Pt has recurrent metastatic adenocarcinoma. Continue oxygen support. Discharged to hospice at a skilled nursing facility and passed away on 12/8/2021. Hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Haematemesis, Haemoglobin decreased, Hypervolaemia, Recurrent cancer
Clinical narrative: Patient has end-stage renal disease and was felt to have fluid overload when he presented to the emergency room. Lasix was given and it was noted that the patient had discomfort in his prepubic area and has urine retention due to no urine output in his home Foley. The patient then vomited blood ( coffee ground emesis )  and was placed on Protonix with Carafate.        The patient's hemoglobin was around 7 so he was transfused 1 unit of blood there.  He came in with acute respiratory failure with hypoxia and hypercapnia: Pt has recurrent metastatic adenocarcinoma. Continue oxygen support. Discharged to hospice at a skilled nursing facility and passed away on 12/8/2021. Hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, Transfusion, Urinary retention
Clinical narrative: Patient has end-stage renal disease and was felt to have fluid overload when he presented to the emergency room. Lasix was given and it was noted that the patient had discomfort in his prepubic area and has urine retention due to no urine output in his home Foley. The patient then vomited blood ( coffee ground emesis )  and was placed on Protonix with Carafate.        The patient's hemoglobin was around 7 so he was transfused 1 unit of blood there.  He came in with acute respiratory failure with hypoxia and hypercapnia: Pt has recurrent metastatic adenocarcinoma. Continue oxygen support. Discharged to hospice at a skilled nursing facility and passed away on 12/8/2021. Hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Headache
Clinical narrative: Around the end of Feb 2021, I started experiencing frequent headaches and when I checked my BP it was much higher than normal. I visit my doctor in mid-March. I was RX'd Metoprolol at the end of Feb 2022.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain in extremity, Peripheral swelling
Clinical narrative: arm aching, arm swollen, lethargic
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: pt was here for office visit. Moderna 2nd dose was requested by patient and Dr. Chart does not have any prior documentation of covid vaccine. pt was asked and confirmed that this was her second full dose and she confirms. Asked pt if she had Vaccine card with her today and she denies. Asked pt if she has any issues with 1st moderna dose and she denies any problems. pt signed consent and a full dose of Moderna 0.5ml was admistered. pt later returned to front desk and asked if she received booster, after further discussion and clarification it seems that pt did receive full series of Moderna vaccine prior. pt reports 2nd  dose of full series was  received in March of 2021. Advised pt she was given full 3rd dose and to report any adverse reactions or s/e to us if any. Notified pt we will report full 3rd dose to the health dept and will follow up with her if there is any further action needed. pt was agreeable.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient's parent requested Moderna vaccine for patient's booster. Patient was asked to wait 15 minutes after shot, both parent and patient stated that patient did not have any adverse reaction after waiting 15 minutes. Realized after administration of vaccine that Moderna is not approved as a booster dose for individuals under 18 years of age.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Ataxia, CSF cell count normal, CSF protein increased, Endotracheal intubation
Clinical narrative: Patient reported to the emergency department on 11/10/2021 with multiple neurological symptoms including paresthesis, weakness, ataxic gait, pain, and headache with symptoms prior to admission starting 11/06/2021. Patient was admitted to the ICU with Acute Inflammatory Demylenating Polyradiculopathy (AIDP). Treatment included gabapentin and IVIG treatment 11/11/2021 - 11/16/2021. Patient intubated from  11/15/2021-11/19/2021. Additional treatment included PLEX (plasmapheresis) therapy 11/16/2021-11/23/2021 . Patient was discharged to an acute rehabilitation facility on 12/1/21. Noted doing well clinically with ongoing weakness.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Guillain-Barre syndrome, Headache, Immunoglobulin therapy, Intensive care, Lumbar puncture
Clinical narrative: Patient reported to the emergency department on 11/10/2021 with multiple neurological symptoms including paresthesis, weakness, ataxic gait, pain, and headache with symptoms prior to admission starting 11/06/2021. Patient was admitted to the ICU with Acute Inflammatory Demylenating Polyradiculopathy (AIDP). Treatment included gabapentin and IVIG treatment 11/11/2021 - 11/16/2021. Patient intubated from  11/15/2021-11/19/2021. Additional treatment included PLEX (plasmapheresis) therapy 11/16/2021-11/23/2021 . Patient was discharged to an acute rehabilitation facility on 12/1/21. Noted doing well clinically with ongoing weakness.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Neurological symptom, Pain, Paraesthesia, Plasmapheresis, Polymerase chain reaction
Clinical narrative: Patient reported to the emergency department on 11/10/2021 with multiple neurological symptoms including paresthesis, weakness, ataxic gait, pain, and headache with symptoms prior to admission starting 11/06/2021. Patient was admitted to the ICU with Acute Inflammatory Demylenating Polyradiculopathy (AIDP). Treatment included gabapentin and IVIG treatment 11/11/2021 - 11/16/2021. Patient intubated from  11/15/2021-11/19/2021. Additional treatment included PLEX (plasmapheresis) therapy 11/16/2021-11/23/2021 . Patient was discharged to an acute rehabilitation facility on 12/1/21. Noted doing well clinically with ongoing weakness.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Extra dose administered
Clinical narrative: Fever, chills, diarrhea for over 24 hours, weakness, lightheaded. Took Advil, Immodium, ginger ale, sports drink, broth. Felt like the flu without nasal congestion. Everything I drank, came out the other end. However, there wasn't any vomiting. After about 48 hours, diarrhea stopped and I was able to eat some chicken soup. My first 3 vaccines were Pfizer and I didn't experience these symptoms. Unfortunately, the day of my appointment, the pharmacy had an issue with their Pfizer vaccine not being at the correct temperature during delivery to their pharmacy.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Interchange of vaccine products, Pyrexia
Clinical narrative: Fever, chills, diarrhea for over 24 hours, weakness, lightheaded. Took Advil, Immodium, ginger ale, sports drink, broth. Felt like the flu without nasal congestion. Everything I drank, came out the other end. However, there wasn't any vomiting. After about 48 hours, diarrhea stopped and I was able to eat some chicken soup. My first 3 vaccines were Pfizer and I didn't experience these symptoms. Unfortunately, the day of my appointment, the pharmacy had an issue with their Pfizer vaccine not being at the correct temperature during delivery to their pharmacy.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Asthenia, Blood urea increased, COVID-19
Clinical narrative: Patient up to date on COVID vaccinations who admitted to hospital for COVID complications twice.  Initially admitted 12/27/21 to  12/29/21 with provider discharge note below:  "Brief Summary of Hospital Stay:  Per HPI, a 90 YO year old male with past medical history of CVA (07/2018), BCC and SCC of the skin, and hypertension. He is presenting to Hospital via EMS with complaint of generalized weakness and GLF. He states he had his covid booster on 12/23, then developed dysgeusia and anorexia approximately 48 hrs prior to arrival. He has some coughing with fluid intake, but denies fevers or chills. His cough is not worsening.  He denies shortness of breath, n/v/d or abdominal pain. Additionally, he had a GLF after turning on the carpet and his foot got stuck. He denies any chest pain, lightheadedness, pre-syncope or LOC.    Initial evaluation in the emergency department demonstrated stable vitals, with exception of hypoxia with ambulation. CBC was unremarkable. CMP demonstrated mild hyperglycemia, mildly elevated BUN, hypoproteinemia, and hypoalbuminemia. Delta troponin was elevated at 10 without significant changes on EKG. He received a full dose aspirin. He will be admitted for treatment and evaluation of generalized weakness.    Hospital Course: 1. Acute respiratory insufficiency: reported desat to 88% w/ ambulation, maintaining adequate O2 sat on RA while at rest. Patient was started on dexamethasone with brisk improvement, no evidence of desaturation with ambulation on RA prior to d/c.   2. Generalized weakness: w/ mechanical GLF at home, suspect due to above.  - PT/OT recommended home with assist, discussed with family, pt to dc home with HC.   3. NSTEMI: likely due to #1. Troponin downtrending - ASA, statin   4. Hx of CVA - ASA, statin   5. BPH - Finasteride, tamsulosin   6. Insomnia - Home trazodone "  Discharge note from second admission on 12/31/21: "Hospital Course: the patient presented with aches, weakness, drooping right eye, dysphagia. He was found to have covid, later developing respiratory failure treated with decadron, remdesivir and lasix, improved to 4 L NC.    MRI negative but suspect MRI negative stroke with sudden onset dysphagia in setting of multiple risk factors and stroke, history of cva. Diet modified, will go to IPR for continued care. Aspirin changed to plavix. Echo unremarkable as was CT imaging of carotids. Telemetry showed normal sinus rhythm . "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac telemetry normal, Computerised tomogram normal, Cough, Decreased appetite, Dysgeusia
Clinical narrative: Patient up to date on COVID vaccinations who admitted to hospital for COVID complications twice.  Initially admitted 12/27/21 to  12/29/21 with provider discharge note below:  "Brief Summary of Hospital Stay:  Per HPI, a 90 YO year old male with past medical history of CVA (07/2018), BCC and SCC of the skin, and hypertension. He is presenting to Hospital via EMS with complaint of generalized weakness and GLF. He states he had his covid booster on 12/23, then developed dysgeusia and anorexia approximately 48 hrs prior to arrival. He has some coughing with fluid intake, but denies fevers or chills. His cough is not worsening.  He denies shortness of breath, n/v/d or abdominal pain. Additionally, he had a GLF after turning on the carpet and his foot got stuck. He denies any chest pain, lightheadedness, pre-syncope or LOC.    Initial evaluation in the emergency department demonstrated stable vitals, with exception of hypoxia with ambulation. CBC was unremarkable. CMP demonstrated mild hyperglycemia, mildly elevated BUN, hypoproteinemia, and hypoalbuminemia. Delta troponin was elevated at 10 without significant changes on EKG. He received a full dose aspirin. He will be admitted for treatment and evaluation of generalized weakness.    Hospital Course: 1. Acute respiratory insufficiency: reported desat to 88% w/ ambulation, maintaining adequate O2 sat on RA while at rest. Patient was started on dexamethasone with brisk improvement, no evidence of desaturation with ambulation on RA prior to d/c.   2. Generalized weakness: w/ mechanical GLF at home, suspect due to above.  - PT/OT recommended home with assist, discussed with family, pt to dc home with HC.   3. NSTEMI: likely due to #1. Troponin downtrending - ASA, statin   4. Hx of CVA - ASA, statin   5. BPH - Finasteride, tamsulosin   6. Insomnia - Home trazodone "  Discharge note from second admission on 12/31/21: "Hospital Course: the patient presented with aches, weakness, drooping right eye, dysphagia. He was found to have covid, later developing respiratory failure treated with decadron, remdesivir and lasix, improved to 4 L NC.    MRI negative but suspect MRI negative stroke with sudden onset dysphagia in setting of multiple risk factors and stroke, history of cva. Diet modified, will go to IPR for continued care. Aspirin changed to plavix. Echo unremarkable as was CT imaging of carotids. Telemetry showed normal sinus rhythm . "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysphagia, Echocardiogram normal, Electrocardiogram abnormal, Facial paralysis, Fall
Clinical narrative: Patient up to date on COVID vaccinations who admitted to hospital for COVID complications twice.  Initially admitted 12/27/21 to  12/29/21 with provider discharge note below:  "Brief Summary of Hospital Stay:  Per HPI, a 90 YO year old male with past medical history of CVA (07/2018), BCC and SCC of the skin, and hypertension. He is presenting to Hospital via EMS with complaint of generalized weakness and GLF. He states he had his covid booster on 12/23, then developed dysgeusia and anorexia approximately 48 hrs prior to arrival. He has some coughing with fluid intake, but denies fevers or chills. His cough is not worsening.  He denies shortness of breath, n/v/d or abdominal pain. Additionally, he had a GLF after turning on the carpet and his foot got stuck. He denies any chest pain, lightheadedness, pre-syncope or LOC.    Initial evaluation in the emergency department demonstrated stable vitals, with exception of hypoxia with ambulation. CBC was unremarkable. CMP demonstrated mild hyperglycemia, mildly elevated BUN, hypoproteinemia, and hypoalbuminemia. Delta troponin was elevated at 10 without significant changes on EKG. He received a full dose aspirin. He will be admitted for treatment and evaluation of generalized weakness.    Hospital Course: 1. Acute respiratory insufficiency: reported desat to 88% w/ ambulation, maintaining adequate O2 sat on RA while at rest. Patient was started on dexamethasone with brisk improvement, no evidence of desaturation with ambulation on RA prior to d/c.   2. Generalized weakness: w/ mechanical GLF at home, suspect due to above.  - PT/OT recommended home with assist, discussed with family, pt to dc home with HC.   3. NSTEMI: likely due to #1. Troponin downtrending - ASA, statin   4. Hx of CVA - ASA, statin   5. BPH - Finasteride, tamsulosin   6. Insomnia - Home trazodone "  Discharge note from second admission on 12/31/21: "Hospital Course: the patient presented with aches, weakness, drooping right eye, dysphagia. He was found to have covid, later developing respiratory failure treated with decadron, remdesivir and lasix, improved to 4 L NC.    MRI negative but suspect MRI negative stroke with sudden onset dysphagia in setting of multiple risk factors and stroke, history of cva. Diet modified, will go to IPR for continued care. Aspirin changed to plavix. Echo unremarkable as was CT imaging of carotids. Telemetry showed normal sinus rhythm . "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count normal, Hyperglycaemia, Hypoalbuminaemia, Hypoproteinaemia, Hypoxia
Clinical narrative: Patient up to date on COVID vaccinations who admitted to hospital for COVID complications twice.  Initially admitted 12/27/21 to  12/29/21 with provider discharge note below:  "Brief Summary of Hospital Stay:  Per HPI, a 90 YO year old male with past medical history of CVA (07/2018), BCC and SCC of the skin, and hypertension. He is presenting to Hospital via EMS with complaint of generalized weakness and GLF. He states he had his covid booster on 12/23, then developed dysgeusia and anorexia approximately 48 hrs prior to arrival. He has some coughing with fluid intake, but denies fevers or chills. His cough is not worsening.  He denies shortness of breath, n/v/d or abdominal pain. Additionally, he had a GLF after turning on the carpet and his foot got stuck. He denies any chest pain, lightheadedness, pre-syncope or LOC.    Initial evaluation in the emergency department demonstrated stable vitals, with exception of hypoxia with ambulation. CBC was unremarkable. CMP demonstrated mild hyperglycemia, mildly elevated BUN, hypoproteinemia, and hypoalbuminemia. Delta troponin was elevated at 10 without significant changes on EKG. He received a full dose aspirin. He will be admitted for treatment and evaluation of generalized weakness.    Hospital Course: 1. Acute respiratory insufficiency: reported desat to 88% w/ ambulation, maintaining adequate O2 sat on RA while at rest. Patient was started on dexamethasone with brisk improvement, no evidence of desaturation with ambulation on RA prior to d/c.   2. Generalized weakness: w/ mechanical GLF at home, suspect due to above.  - PT/OT recommended home with assist, discussed with family, pt to dc home with HC.   3. NSTEMI: likely due to #1. Troponin downtrending - ASA, statin   4. Hx of CVA - ASA, statin   5. BPH - Finasteride, tamsulosin   6. Insomnia - Home trazodone "  Discharge note from second admission on 12/31/21: "Hospital Course: the patient presented with aches, weakness, drooping right eye, dysphagia. He was found to have covid, later developing respiratory failure treated with decadron, remdesivir and lasix, improved to 4 L NC.    MRI negative but suspect MRI negative stroke with sudden onset dysphagia in setting of multiple risk factors and stroke, history of cva. Diet modified, will go to IPR for continued care. Aspirin changed to plavix. Echo unremarkable as was CT imaging of carotids. Telemetry showed normal sinus rhythm . "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Insomnia, Magnetic resonance imaging normal, Metabolic function test, Pain, Respiratory failure
Clinical narrative: Patient up to date on COVID vaccinations who admitted to hospital for COVID complications twice.  Initially admitted 12/27/21 to  12/29/21 with provider discharge note below:  "Brief Summary of Hospital Stay:  Per HPI, a 90 YO year old male with past medical history of CVA (07/2018), BCC and SCC of the skin, and hypertension. He is presenting to Hospital via EMS with complaint of generalized weakness and GLF. He states he had his covid booster on 12/23, then developed dysgeusia and anorexia approximately 48 hrs prior to arrival. He has some coughing with fluid intake, but denies fevers or chills. His cough is not worsening.  He denies shortness of breath, n/v/d or abdominal pain. Additionally, he had a GLF after turning on the carpet and his foot got stuck. He denies any chest pain, lightheadedness, pre-syncope or LOC.    Initial evaluation in the emergency department demonstrated stable vitals, with exception of hypoxia with ambulation. CBC was unremarkable. CMP demonstrated mild hyperglycemia, mildly elevated BUN, hypoproteinemia, and hypoalbuminemia. Delta troponin was elevated at 10 without significant changes on EKG. He received a full dose aspirin. He will be admitted for treatment and evaluation of generalized weakness.    Hospital Course: 1. Acute respiratory insufficiency: reported desat to 88% w/ ambulation, maintaining adequate O2 sat on RA while at rest. Patient was started on dexamethasone with brisk improvement, no evidence of desaturation with ambulation on RA prior to d/c.   2. Generalized weakness: w/ mechanical GLF at home, suspect due to above.  - PT/OT recommended home with assist, discussed with family, pt to dc home with HC.   3. NSTEMI: likely due to #1. Troponin downtrending - ASA, statin   4. Hx of CVA - ASA, statin   5. BPH - Finasteride, tamsulosin   6. Insomnia - Home trazodone "  Discharge note from second admission on 12/31/21: "Hospital Course: the patient presented with aches, weakness, drooping right eye, dysphagia. He was found to have covid, later developing respiratory failure treated with decadron, remdesivir and lasix, improved to 4 L NC.    MRI negative but suspect MRI negative stroke with sudden onset dysphagia in setting of multiple risk factors and stroke, history of cva. Diet modified, will go to IPR for continued care. Aspirin changed to plavix. Echo unremarkable as was CT imaging of carotids. Telemetry showed normal sinus rhythm . "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient up to date on COVID vaccinations who admitted to hospital for COVID complications twice.  Initially admitted 12/27/21 to  12/29/21 with provider discharge note below:  "Brief Summary of Hospital Stay:  Per HPI, a 90 YO year old male with past medical history of CVA (07/2018), BCC and SCC of the skin, and hypertension. He is presenting to Hospital via EMS with complaint of generalized weakness and GLF. He states he had his covid booster on 12/23, then developed dysgeusia and anorexia approximately 48 hrs prior to arrival. He has some coughing with fluid intake, but denies fevers or chills. His cough is not worsening.  He denies shortness of breath, n/v/d or abdominal pain. Additionally, he had a GLF after turning on the carpet and his foot got stuck. He denies any chest pain, lightheadedness, pre-syncope or LOC.    Initial evaluation in the emergency department demonstrated stable vitals, with exception of hypoxia with ambulation. CBC was unremarkable. CMP demonstrated mild hyperglycemia, mildly elevated BUN, hypoproteinemia, and hypoalbuminemia. Delta troponin was elevated at 10 without significant changes on EKG. He received a full dose aspirin. He will be admitted for treatment and evaluation of generalized weakness.    Hospital Course: 1. Acute respiratory insufficiency: reported desat to 88% w/ ambulation, maintaining adequate O2 sat on RA while at rest. Patient was started on dexamethasone with brisk improvement, no evidence of desaturation with ambulation on RA prior to d/c.   2. Generalized weakness: w/ mechanical GLF at home, suspect due to above.  - PT/OT recommended home with assist, discussed with family, pt to dc home with HC.   3. NSTEMI: likely due to #1. Troponin downtrending - ASA, statin   4. Hx of CVA - ASA, statin   5. BPH - Finasteride, tamsulosin   6. Insomnia - Home trazodone "  Discharge note from second admission on 12/31/21: "Hospital Course: the patient presented with aches, weakness, drooping right eye, dysphagia. He was found to have covid, later developing respiratory failure treated with decadron, remdesivir and lasix, improved to 4 L NC.    MRI negative but suspect MRI negative stroke with sudden onset dysphagia in setting of multiple risk factors and stroke, history of cva. Diet modified, will go to IPR for continued care. Aspirin changed to plavix. Echo unremarkable as was CT imaging of carotids. Telemetry showed normal sinus rhythm . "
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram normal, Fibrin D dimer normal, Hypertension
Clinical narrative: 27 yo M w/ h/o anxiety, septal deviation, mild asthma, and mild idiopathic thrombocytopenia who reported that approx 7-10 days after booster dose of Pfizer Covid vaccine he developed chest pain and palpitations. Seen in ED 8/29/2021. EKG "normal sinus rhythm without evidence of ischemia or arrhythmia." Lab work notable for negative d-dimer and normal/negative troponin. Bedside ultrasound showed no pericardial effusion, global systolic function intact. Saw cardiology at hospital 12/22/21. Noted persistent mild hypertension (130s-140/70-80). Exam again normal.  Likelihood his transient tachycardia and chest discomfort were related to vaccine is debatable (especially given normal evaluation in the ED at the time of symptoms, including ultrasound and troponin labs). Neither I nor his cardiologist thought it likely that his mild hypertension was related to the vaccine (patient was certain it was related).  Patient has pushed for report of "adverse effect" from vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Tachycardia, Troponin normal, Ultrasound scan normal
Clinical narrative: 27 yo M w/ h/o anxiety, septal deviation, mild asthma, and mild idiopathic thrombocytopenia who reported that approx 7-10 days after booster dose of Pfizer Covid vaccine he developed chest pain and palpitations. Seen in ED 8/29/2021. EKG "normal sinus rhythm without evidence of ischemia or arrhythmia." Lab work notable for negative d-dimer and normal/negative troponin. Bedside ultrasound showed no pericardial effusion, global systolic function intact. Saw cardiology at hospital 12/22/21. Noted persistent mild hypertension (130s-140/70-80). Exam again normal.  Likelihood his transient tachycardia and chest discomfort were related to vaccine is debatable (especially given normal evaluation in the ED at the time of symptoms, including ultrasound and troponin labs). Neither I nor his cardiologist thought it likely that his mild hypertension was related to the vaccine (patient was certain it was related).  Patient has pushed for report of "adverse effect" from vaccine.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Muscle fatigue, Paraesthesia
Clinical narrative: Left arm tingling, weakness, and early muscle fatigue
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Extra dose administered, Hypoaesthesia oral, Interchange of vaccine products, Laboratory test
Clinical narrative: After 1st Booster (Moderna) I began having numbness of tongue and sporatic muscle spasms, facilations for approx. 6 mo.. It had gone away prior to getting this 2nd booster (Pfizer), approx 48 hours after the Pfizer booster I began feeling numbness in my tongue again, which is present at this time.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Colonoscopy normal, Endoscopy upper gastrointestinal tract normal, Feeding disorder, Feeling abnormal
Clinical narrative: I had brain fog. Then it when to my stomach. I could not eat anything. It hurts when I eat anything. I went to the doctor about this. They did colposcopy and an upper scope, normal result. They are not sure what is causing it. The symptoms are still ongoing.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I had brain fog. Then it when to my stomach. I could not eat anything. It hurts when I eat anything. I went to the doctor about this. They did colposcopy and an upper scope, normal result. They are not sure what is causing it. The symptoms are still ongoing.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Abortion spontaneous, Exposure during pregnancy, Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging abnormal
Clinical narrative: 10/29/21 - Vaccine administered, 10/31/21 - pain in arm at shot area, miscarriage around 12pm (didn't move much during miscarriage), 11/1/21 - inability to move arm and shooting pain noticed first thing in the morning.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain, Periarthritis, Rotator cuff syndrome, Tendon calcification
Clinical narrative: 10/29/21 - Vaccine administered, 10/31/21 - pain in arm at shot area, miscarriage around 12pm (didn't move much during miscarriage), 11/1/21 - inability to move arm and shooting pain noticed first thing in the morning.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Tendon disorder, X-ray limb abnormal
Clinical narrative: 10/29/21 - Vaccine administered, 10/31/21 - pain in arm at shot area, miscarriage around 12pm (didn't move much during miscarriage), 11/1/21 - inability to move arm and shooting pain noticed first thing in the morning.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Infection, Pain, X-ray
Clinical narrative: I was diagnosed with fibromyalgia before the vaccine but I noticed the pain got worse about 3-4 months ago. I noticed it was much worse in my joints. It would hurt when I would roll my shoulder and I had pain in my hips. The pain still persists until this day. I was referred to a physical therapist but it hasn't helped much. I also had an infection in my arm that started the day after I got the vaccine and I was prescribed antibiotics for it.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Vaccine positive rechallenge
Clinical narrative: Severe Diarrhea. Also had this happen after a Covid vaccine on August 24, 2021 but I didn't relate the two until it happened again.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years old and was given a first dose of Moderna. No adverse reaction that noted.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Feeling abnormal, Myalgia, Nervous system disorder, Photophobia
Clinical narrative: Fever began that night, and did not break until Friday.  Temperature was consistently in the 101.5-103 range,  temperature when well is significantly lower than normal,  so fevers rarely reach 100.  Nontrivial testicular and muscular pain.   These all occurred with  the second of the main shots (also Moderna),  as well as suspected Covid infection a year prior (with the lack of taste  lacking from the vaccine effects).  Primary concern is lasting neurological issues for the following week  that began with the onset of the vaccine. General cloudiness, light sensitivity, blurred vision, and severe balance issues occurred. This lasted until at least the Wednesday after (8 days from booster).   Seemed relevant to report in for data purposes related to severe TBI patients!
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Testicular pain, Vision blurred
Clinical narrative: Fever began that night, and did not break until Friday.  Temperature was consistently in the 101.5-103 range,  temperature when well is significantly lower than normal,  so fevers rarely reach 100.  Nontrivial testicular and muscular pain.   These all occurred with  the second of the main shots (also Moderna),  as well as suspected Covid infection a year prior (with the lack of taste  lacking from the vaccine effects).  Primary concern is lasting neurological issues for the following week  that began with the onset of the vaccine. General cloudiness, light sensitivity, blurred vision, and severe balance issues occurred. This lasted until at least the Wednesday after (8 days from booster).   Seemed relevant to report in for data purposes related to severe TBI patients!
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: 4th dose received 15days early. Error was noted while patient was waiting in Observation. Patient was notified. No adverse reaction reported at that time.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Culture urine negative, Dyspepsia, Micturition urgency, Sexually transmitted disease test
Clinical narrative: I started noticing that after I urinated, I still felt like I needed to go. At the time, they thought it was a UTI, so, they gave me an antibiotic. I thought I recovered, but a few days later I started having the symptoms again. I'm still having trouble with my overall digestion. They aren't quite sure what the problem is. I have an appointment with a gastroenterologist 4/15/22.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia
Clinical narrative: Patient presented to the ED on 10/27/2021 for COVID-19. Patient presented to the ED and was subsequently hospitalized on 10/31/21 for COVID-19 virus infection, dyspnea, hypoxia within 6 weeks of receiving covid vaccination.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Exposure to fungus, Laboratory test, Nasopharyngitis, SARS-CoV-2 test negative
Clinical narrative: I first got a cold (tested negative for COVID twice through a rapid test and then a PCR test). After a few days of recovery, I suffered what was presumably a severe allergic reaction to black mold exposure that triggered my asthma. As a result, I was prescribed prednisone and to go back on a daily Flonase inhaler. While I do not imagine in any way that these incidents were related to either COVID-19 or the vaccine, the CDC called me after my v-safe check-in and directed me to report them, so I am doing so accordingly.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Lymphadenopathy, Pyrexia, Systemic lupus erythematosus
Clinical narrative: Patient presented to the ED on 7/14/21 for diarrhea, epigastric pain. Patient presented to the ED on 7/22/21 and was subsequently hospitalized for fever, SLE, lymphadenopathy. These visits are within 6 weeks of receiving covid vaccination.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Headache, Pain
Clinical narrative: I had congestive, running nose, sneezing, headache, fever, body ache, cough and chills. These lasted for about 3 day but the cough lasted for about 5 days. On Dec 21st, I tested positive for COVID-19.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had congestive, running nose, sneezing, headache, fever, body ache, cough and chills. These lasted for about 3 day but the cough lasted for about 5 days. On Dec 21st, I tested positive for COVID-19.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Angiogram cerebral normal, Anion gap normal, Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody negative, Arteriogram carotid normal
Clinical narrative: I woke up from a nap on 2/10/22 with sudden onset binocular horizontal diplopia accompanied by headache. On 2/12/2022 pain in RIGHT eye with left upward gaze, left side gaze, and left downward gaze began. Eye pain located specifically at left side of right eye only. I assumed everything would disappear as they had appeared, so waited a few days. When waking Monday morning, I called my PCP who advised me to go immediately to the ER. I instead contacted an Ophthalmologist who was able to see me ASAP. After through exam, they sent me directly to ER for MRI and blood work. Following the hospital, I have been followed by Ophthalmologist, and then consequently referred and treated by a Neuro-Ophthalmologist. I was treated with a 15 day round of corticosteroids, which was extended by 10 days, for a total of 25 days. There was improvement while on high dose of steroids (40mg daily), yet when tapering, all symptoms returned. When completely off medication, all symptoms fully returned. I was diagnosed last week with a rare autoimmune: Idiopathic Orbital (Ocular) Myositis and have been told to see a Rheumatologist for steroid sparing treatment.
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Basophil count normal, Blood calcium normal, Blood chloride increased, Blood creatinine normal, Blood glucose normal
Clinical narrative: I woke up from a nap on 2/10/22 with sudden onset binocular horizontal diplopia accompanied by headache. On 2/12/2022 pain in RIGHT eye with left upward gaze, left side gaze, and left downward gaze began. Eye pain located specifically at left side of right eye only. I assumed everything would disappear as they had appeared, so waited a few days. When waking Monday morning, I called my PCP who advised me to go immediately to the ER. I instead contacted an Ophthalmologist who was able to see me ASAP. After through exam, they sent me directly to ER for MRI and blood work. Following the hospital, I have been followed by Ophthalmologist, and then consequently referred and treated by a Neuro-Ophthalmologist. I was treated with a 15 day round of corticosteroids, which was extended by 10 days, for a total of 25 days. There was improvement while on high dose of steroids (40mg daily), yet when tapering, all symptoms returned. When completely off medication, all symptoms fully returned. I was diagnosed last week with a rare autoimmune: Idiopathic Orbital (Ocular) Myositis and have been told to see a Rheumatologist for steroid sparing treatment.
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Blood potassium normal, Blood sodium normal, Blood test, Blood thyroid stimulating hormone decreased, Blood urea normal
Clinical narrative: I woke up from a nap on 2/10/22 with sudden onset binocular horizontal diplopia accompanied by headache. On 2/12/2022 pain in RIGHT eye with left upward gaze, left side gaze, and left downward gaze began. Eye pain located specifically at left side of right eye only. I assumed everything would disappear as they had appeared, so waited a few days. When waking Monday morning, I called my PCP who advised me to go immediately to the ER. I instead contacted an Ophthalmologist who was able to see me ASAP. After through exam, they sent me directly to ER for MRI and blood work. Following the hospital, I have been followed by Ophthalmologist, and then consequently referred and treated by a Neuro-Ophthalmologist. I was treated with a 15 day round of corticosteroids, which was extended by 10 days, for a total of 25 days. There was improvement while on high dose of steroids (40mg daily), yet when tapering, all symptoms returned. When completely off medication, all symptoms fully returned. I was diagnosed last week with a rare autoimmune: Idiopathic Orbital (Ocular) Myositis and have been told to see a Rheumatologist for steroid sparing treatment.
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: C-reactive protein normal, Carbon dioxide decreased, Diplopia, Double stranded DNA antibody, Eosinophil count normal
Clinical narrative: I woke up from a nap on 2/10/22 with sudden onset binocular horizontal diplopia accompanied by headache. On 2/12/2022 pain in RIGHT eye with left upward gaze, left side gaze, and left downward gaze began. Eye pain located specifically at left side of right eye only. I assumed everything would disappear as they had appeared, so waited a few days. When waking Monday morning, I called my PCP who advised me to go immediately to the ER. I instead contacted an Ophthalmologist who was able to see me ASAP. After through exam, they sent me directly to ER for MRI and blood work. Following the hospital, I have been followed by Ophthalmologist, and then consequently referred and treated by a Neuro-Ophthalmologist. I was treated with a 15 day round of corticosteroids, which was extended by 10 days, for a total of 25 days. There was improvement while on high dose of steroids (40mg daily), yet when tapering, all symptoms returned. When completely off medication, all symptoms fully returned. I was diagnosed last week with a rare autoimmune: Idiopathic Orbital (Ocular) Myositis and have been told to see a Rheumatologist for steroid sparing treatment.