chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Acute respiratory failure due to COVID-19 (CMS/HCC) Assessment & Plan Symptom onset: 9/13/2021 Test date: 9/18/2021    Elderly male who received 2 doses of Moderna vaccine, last on 6/23.  Symptoms consistent with mild to moderate Covid infection with hypoxemia.     Following discussion with the patient will initiate therapy with Dexamethasone and Remdesivir COVID steroid recommendations are for 10 days duration or stopped on discharge, whichever comes first. Remdesivir is a typical 5 day IV duration, however can be stopped earlier if recovery is unexpectedly rapid Prophylactic Lovenox dosing, monitor d-dimer for 2500 level where empiric therapeutic dosing is indicated, refer to BH covid treatment guidelines Monitor closely for progression to advanced O2 management devices.  Discussed expectations of care Encourage incentive spirometry and self proning
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fluid intake reduced, Headache, Hypoxia, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Acute respiratory failure due to COVID-19 (CMS/HCC) Assessment & Plan Symptom onset: 9/13/2021 Test date: 9/18/2021    Elderly male who received 2 doses of Moderna vaccine, last on 6/23.  Symptoms consistent with mild to moderate Covid infection with hypoxemia.     Following discussion with the patient will initiate therapy with Dexamethasone and Remdesivir COVID steroid recommendations are for 10 days duration or stopped on discharge, whichever comes first. Remdesivir is a typical 5 day IV duration, however can be stopped earlier if recovery is unexpectedly rapid Prophylactic Lovenox dosing, monitor d-dimer for 2500 level where empiric therapeutic dosing is indicated, refer to BH covid treatment guidelines Monitor closely for progression to advanced O2 management devices.  Discussed expectations of care Encourage incentive spirometry and self proning
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal abscess, Abdominal distension, Abdominal pain, Abdominal pain lower, Asthenia
Clinical narrative: Immediate sore arm/swelling.  Nausea and headache in 2-3 hours.  Fever, diarrhea, abdominal pain in 4-5 hours.  Symptoms escalated - extreme chills/tremors and severe abdominal pain, nausea, diarrhea, headache in approximately 20 hours from injection.  Severe symptoms subsided to moderate, with fatigue, after approximately 24 more hours.  Following 24 hours was tolerable, although not able to eat without discomfort.  Severe symptoms began returning at roughly the 72 point following injection and escalated rapidly.  Collapsed in 60-90 minutes with excrutiating abdominal pain, fever, chills, extreme weakness.  Rushed to hospital by squad, underwent emergency surgery for perforated bowel/internal bleeding in jejunum.  Removed 50cm of jejunum, infused platelets.  Developed pneumonia and UTI toward end of several days in hospital.  Went home on Levaquin 750mg.  Three weeks postop, it was determined that I had an infection in GI tract - took another week of Levaquin.  8 weeks postop, gynecologist noted pelvic inflammation with no apparent root cause.  August 30, went to emergency room with fever and low abdominal pain.  CT scan showed a new perforation of sigmoid colon with adjacent abdominal abscess.  Abdominal inflammation was too extreme to perform surgery at that time as tissues were too inflamed to hold up to any repair.  Three antibiotics, NPO for days, then clear liquids, finally tolerated some soft foods.  Went home on two antibiotics for another week.  Currently, abscess is reduced to half size, inflammation is diminished roughly 50%.  Continued dietary modifications and continued low grade fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Diarrhoea, Discomfort, Fatigue
Clinical narrative: Immediate sore arm/swelling.  Nausea and headache in 2-3 hours.  Fever, diarrhea, abdominal pain in 4-5 hours.  Symptoms escalated - extreme chills/tremors and severe abdominal pain, nausea, diarrhea, headache in approximately 20 hours from injection.  Severe symptoms subsided to moderate, with fatigue, after approximately 24 more hours.  Following 24 hours was tolerable, although not able to eat without discomfort.  Severe symptoms began returning at roughly the 72 point following injection and escalated rapidly.  Collapsed in 60-90 minutes with excrutiating abdominal pain, fever, chills, extreme weakness.  Rushed to hospital by squad, underwent emergency surgery for perforated bowel/internal bleeding in jejunum.  Removed 50cm of jejunum, infused platelets.  Developed pneumonia and UTI toward end of several days in hospital.  Went home on Levaquin 750mg.  Three weeks postop, it was determined that I had an infection in GI tract - took another week of Levaquin.  8 weeks postop, gynecologist noted pelvic inflammation with no apparent root cause.  August 30, went to emergency room with fever and low abdominal pain.  CT scan showed a new perforation of sigmoid colon with adjacent abdominal abscess.  Abdominal inflammation was too extreme to perform surgery at that time as tissues were too inflamed to hold up to any repair.  Three antibiotics, NPO for days, then clear liquids, finally tolerated some soft foods.  Went home on two antibiotics for another week.  Currently, abscess is reduced to half size, inflammation is diminished roughly 50%.  Continued dietary modifications and continued low grade fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal infection, Headache, Hypophagia, Immediate post-injection reaction, Inflammation
Clinical narrative: Immediate sore arm/swelling.  Nausea and headache in 2-3 hours.  Fever, diarrhea, abdominal pain in 4-5 hours.  Symptoms escalated - extreme chills/tremors and severe abdominal pain, nausea, diarrhea, headache in approximately 20 hours from injection.  Severe symptoms subsided to moderate, with fatigue, after approximately 24 more hours.  Following 24 hours was tolerable, although not able to eat without discomfort.  Severe symptoms began returning at roughly the 72 point following injection and escalated rapidly.  Collapsed in 60-90 minutes with excrutiating abdominal pain, fever, chills, extreme weakness.  Rushed to hospital by squad, underwent emergency surgery for perforated bowel/internal bleeding in jejunum.  Removed 50cm of jejunum, infused platelets.  Developed pneumonia and UTI toward end of several days in hospital.  Went home on Levaquin 750mg.  Three weeks postop, it was determined that I had an infection in GI tract - took another week of Levaquin.  8 weeks postop, gynecologist noted pelvic inflammation with no apparent root cause.  August 30, went to emergency room with fever and low abdominal pain.  CT scan showed a new perforation of sigmoid colon with adjacent abdominal abscess.  Abdominal inflammation was too extreme to perform surgery at that time as tissues were too inflamed to hold up to any repair.  Three antibiotics, NPO for days, then clear liquids, finally tolerated some soft foods.  Went home on two antibiotics for another week.  Currently, abscess is reduced to half size, inflammation is diminished roughly 50%.  Continued dietary modifications and continued low grade fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Internal haemorrhage, Intestinal perforation, Laboratory test, Large intestine perforation, Nausea
Clinical narrative: Immediate sore arm/swelling.  Nausea and headache in 2-3 hours.  Fever, diarrhea, abdominal pain in 4-5 hours.  Symptoms escalated - extreme chills/tremors and severe abdominal pain, nausea, diarrhea, headache in approximately 20 hours from injection.  Severe symptoms subsided to moderate, with fatigue, after approximately 24 more hours.  Following 24 hours was tolerable, although not able to eat without discomfort.  Severe symptoms began returning at roughly the 72 point following injection and escalated rapidly.  Collapsed in 60-90 minutes with excrutiating abdominal pain, fever, chills, extreme weakness.  Rushed to hospital by squad, underwent emergency surgery for perforated bowel/internal bleeding in jejunum.  Removed 50cm of jejunum, infused platelets.  Developed pneumonia and UTI toward end of several days in hospital.  Went home on Levaquin 750mg.  Three weeks postop, it was determined that I had an infection in GI tract - took another week of Levaquin.  8 weeks postop, gynecologist noted pelvic inflammation with no apparent root cause.  August 30, went to emergency room with fever and low abdominal pain.  CT scan showed a new perforation of sigmoid colon with adjacent abdominal abscess.  Abdominal inflammation was too extreme to perform surgery at that time as tissues were too inflamed to hold up to any repair.  Three antibiotics, NPO for days, then clear liquids, finally tolerated some soft foods.  Went home on two antibiotics for another week.  Currently, abscess is reduced to half size, inflammation is diminished roughly 50%.  Continued dietary modifications and continued low grade fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pelvic inflammatory disease, Peripheral swelling, Platelet transfusion, Pneumonia
Clinical narrative: Immediate sore arm/swelling.  Nausea and headache in 2-3 hours.  Fever, diarrhea, abdominal pain in 4-5 hours.  Symptoms escalated - extreme chills/tremors and severe abdominal pain, nausea, diarrhea, headache in approximately 20 hours from injection.  Severe symptoms subsided to moderate, with fatigue, after approximately 24 more hours.  Following 24 hours was tolerable, although not able to eat without discomfort.  Severe symptoms began returning at roughly the 72 point following injection and escalated rapidly.  Collapsed in 60-90 minutes with excrutiating abdominal pain, fever, chills, extreme weakness.  Rushed to hospital by squad, underwent emergency surgery for perforated bowel/internal bleeding in jejunum.  Removed 50cm of jejunum, infused platelets.  Developed pneumonia and UTI toward end of several days in hospital.  Went home on Levaquin 750mg.  Three weeks postop, it was determined that I had an infection in GI tract - took another week of Levaquin.  8 weeks postop, gynecologist noted pelvic inflammation with no apparent root cause.  August 30, went to emergency room with fever and low abdominal pain.  CT scan showed a new perforation of sigmoid colon with adjacent abdominal abscess.  Abdominal inflammation was too extreme to perform surgery at that time as tissues were too inflamed to hold up to any repair.  Three antibiotics, NPO for days, then clear liquids, finally tolerated some soft foods.  Went home on two antibiotics for another week.  Currently, abscess is reduced to half size, inflammation is diminished roughly 50%.  Continued dietary modifications and continued low grade fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Small intestinal haemorrhage, Surgery, Syncope, Tremor
Clinical narrative: Immediate sore arm/swelling.  Nausea and headache in 2-3 hours.  Fever, diarrhea, abdominal pain in 4-5 hours.  Symptoms escalated - extreme chills/tremors and severe abdominal pain, nausea, diarrhea, headache in approximately 20 hours from injection.  Severe symptoms subsided to moderate, with fatigue, after approximately 24 more hours.  Following 24 hours was tolerable, although not able to eat without discomfort.  Severe symptoms began returning at roughly the 72 point following injection and escalated rapidly.  Collapsed in 60-90 minutes with excrutiating abdominal pain, fever, chills, extreme weakness.  Rushed to hospital by squad, underwent emergency surgery for perforated bowel/internal bleeding in jejunum.  Removed 50cm of jejunum, infused platelets.  Developed pneumonia and UTI toward end of several days in hospital.  Went home on Levaquin 750mg.  Three weeks postop, it was determined that I had an infection in GI tract - took another week of Levaquin.  8 weeks postop, gynecologist noted pelvic inflammation with no apparent root cause.  August 30, went to emergency room with fever and low abdominal pain.  CT scan showed a new perforation of sigmoid colon with adjacent abdominal abscess.  Abdominal inflammation was too extreme to perform surgery at that time as tissues were too inflamed to hold up to any repair.  Three antibiotics, NPO for days, then clear liquids, finally tolerated some soft foods.  Went home on two antibiotics for another week.  Currently, abscess is reduced to half size, inflammation is diminished roughly 50%.  Continued dietary modifications and continued low grade fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, White blood cell count
Clinical narrative: Immediate sore arm/swelling.  Nausea and headache in 2-3 hours.  Fever, diarrhea, abdominal pain in 4-5 hours.  Symptoms escalated - extreme chills/tremors and severe abdominal pain, nausea, diarrhea, headache in approximately 20 hours from injection.  Severe symptoms subsided to moderate, with fatigue, after approximately 24 more hours.  Following 24 hours was tolerable, although not able to eat without discomfort.  Severe symptoms began returning at roughly the 72 point following injection and escalated rapidly.  Collapsed in 60-90 minutes with excrutiating abdominal pain, fever, chills, extreme weakness.  Rushed to hospital by squad, underwent emergency surgery for perforated bowel/internal bleeding in jejunum.  Removed 50cm of jejunum, infused platelets.  Developed pneumonia and UTI toward end of several days in hospital.  Went home on Levaquin 750mg.  Three weeks postop, it was determined that I had an infection in GI tract - took another week of Levaquin.  8 weeks postop, gynecologist noted pelvic inflammation with no apparent root cause.  August 30, went to emergency room with fever and low abdominal pain.  CT scan showed a new perforation of sigmoid colon with adjacent abdominal abscess.  Abdominal inflammation was too extreme to perform surgery at that time as tissues were too inflamed to hold up to any repair.  Three antibiotics, NPO for days, then clear liquids, finally tolerated some soft foods.  Went home on two antibiotics for another week.  Currently, abscess is reduced to half size, inflammation is diminished roughly 50%.  Continued dietary modifications and continued low grade fever.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Magnetic resonance imaging
Clinical narrative: On that Saturday morning I developed an abrupt onset headache. I decided to lay down. I took my blood pressure of 230/30, and I went to the ER. They did an MRI in the ER to rule out a bleed. I was discharged after my blood pressure went down. The next day my blood pressure went back up. I did go back to the ER, and they just monitored me and then I was discharged after that. The next few weeks I did not have any more problems with my blood pressure.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient walked in to the Health Department to receive what was supposed to be their first Johnson & Johnson vaccine. They filled out the necessary paperwork, and their immunization record was supposed to be checked for previous COVID-19 vaccination but was missed. The patient then received the 2nd Johnson & Johnson vaccine, and did not report they previously received the first dose. No adverse symptoms were reported.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admission to critical care hospital with COVID-19 diagnosis on admission
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Echocardiogram normal, Palpitations
Clinical narrative: Have developed heart palpitations as a result.  Did not have palpitations prior to  vaccination.  Occurs primarily at night when trying to get back to sleep after waking up to use the bathroom.  Can feel symptoms during the day on occasion when not overly active.
Age: 28.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Injection site vesicles, Nausea, Vomiting
Clinical narrative: Injection given at 1530. Headache started at 1900, nausea and vomiting started at 2030. Symptoms self resolved after rest. Small blisters noted around injection site the next day.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Extra dose administered, Fatigue, Headache
Clinical narrative: Severe muscle aches, fever, chills, fatigue, headache
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Severe muscle aches, fever, chills, fatigue, headache
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dialysis, SARS-CoV-2 test positive, Syncope
Clinical narrative: Situation/Background: The patient is an 85 year old foreign language speaking female who at 1000 today had a syncopal episode.  This was witnessed by her son who caught the patient, no trauma and the patient took 60 seconds to return to normal.  The patient has dialysis M-W-F, missed her run today and last received dialysis Friday 9/24/2021.  The patient has a medical history that includes Diabetes Mellitus Type II, ESRD, CAD, Aortic Stenosis with valve, HTN, poor vision and CVA.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: 24 hours after patient developed hives . Was seen at urgent care . Given Benadryl and Prednisone if needed
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiac failure congestive, Dyspnoea
Clinical narrative: SEEN IN ER 9/3/21 FOR COVID pna.  did not get admitted. SEEN AGAIN 9/26/21 for  Shortness of breath in the setting of recent PE/DVT a few weeks ago and more recently COVID 19 pneumonia.  However, ischemic underlying coronary artery disease cannot be ruled out.  It would be reasonable to proceed with stress test using Lexiscan study.   new onset chf. admitted 1 day
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: About 18 hours later: shortness of breath Throughout the next few days: sharp random pains in chest.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Influenza like illness, Myalgia, Oropharyngeal pain
Clinical narrative: The morning after my vaccine, 08/31/2021- my arm was swollen and did not feel good.  I had a scratchy sore throat.  I felt like I was coming down with a  real bad cold-- body aches, muscles aches, and later on a fever. Then I had chills and everything you feel when you have a bad flu. All these symptoms lasted for about 5 to 6 days. I had a telehealth appointment on 09/06/2021.   They said it sounded like I had developed a sinus infection again from the symptoms. They prescribed me an antibiotic- generic for Augmentin.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia, Sinusitis
Clinical narrative: The morning after my vaccine, 08/31/2021- my arm was swollen and did not feel good.  I had a scratchy sore throat.  I felt like I was coming down with a  real bad cold-- body aches, muscles aches, and later on a fever. Then I had chills and everything you feel when you have a bad flu. All these symptoms lasted for about 5 to 6 days. I had a telehealth appointment on 09/06/2021.   They said it sounded like I had developed a sinus infection again from the symptoms. They prescribed me an antibiotic- generic for Augmentin.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood test, Mobility decreased, Muscle tightness, Oedema peripheral
Clinical narrative: Achy pain in arm, tightness in bicep, pain underneath arm, under arm swollen with a knot, unable to stretch arm
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Achy pain in arm, tightness in bicep, pain underneath arm, under arm swollen with a knot, unable to stretch arm
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Electrocardiogram, Fibrin D dimer
Clinical narrative: fevers, chills, myalgias, dizziness, diarrhea x 9 days
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Myalgia, Pyrexia, Transaminases increased
Clinical narrative: fevers, chills, myalgias, dizziness, diarrhea x 9 days
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: none
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Cardiac pacemaker insertion, Sudden death
Clinical narrative: Bradycardia and needed a pacemaker implanted around 8/16/2021. She died suddenly on 9/2/2021 in the afternoon.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Grip strength decreased, Hypoaesthesia
Clinical narrative: adversve reaction from booster only:  numbness in fingers of both hands. worse in right hand. worse in little finger and finger next to it.  dropping things. have trouble turning lamp switches and opening bottle caps.  etc.  never had these symptoms before.
Age: 74.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Anosmia, Asthenia, Blood potassium decreased, Burning sensation, COVID-19
Clinical narrative: CHIEF COMPLAINT COVID-19 pneumonia   HISTORY OF PRESENT ILLNESS Patient is a 75 y.o. male with medical comorbidities consisting atrial flutter on Eliquis, diabetes mellitus type 2 on oral agents, coronary artery disease, CIDP on CellCept and weekly IVIG infusions who presented to the emergency department with cough, shortness of breath and headache.  He has experienced these symptoms since 9/24/2021.  In the emergency department, COVID PCR returned positive.  Labs revealed INR 1.6, D-dimer 402, potassium 3.4.  Chest x-ray revealed vague patchy infiltrates in both lower lungs.  He was noted to have oxygen desaturations with activity.  He also had difficulty with ambulation.  He lives alone and is now being admitted to the Medicine 18 team for further management.   Upon my examination, he is lying in hospital bed.  Currently he has a strong frequent cough that is nonproductive.  He has also noted pretty persistent headache.  He has noted loss strength and weakness as well as loss of smell.  He notices his taste sensation has significantly changed.  He states he uses a walker at baseline but has been challenged over the past couple days with activity.  He states he has chronic dizziness with standing.  He has 3-4 loose bowel movements per day that has been happening for a few months.  He also has had some urinary urgency with urge incontinence for which he has urology appointment set.  He also endorses chronic numbness of the bottom of bilateral feet as well as finger tip "burning".  He denies chest pain, bleeding, skin wounds or rashes.
Age: 74.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cough, Diarrhoea, Dizziness postural
Clinical narrative: CHIEF COMPLAINT COVID-19 pneumonia   HISTORY OF PRESENT ILLNESS Patient is a 75 y.o. male with medical comorbidities consisting atrial flutter on Eliquis, diabetes mellitus type 2 on oral agents, coronary artery disease, CIDP on CellCept and weekly IVIG infusions who presented to the emergency department with cough, shortness of breath and headache.  He has experienced these symptoms since 9/24/2021.  In the emergency department, COVID PCR returned positive.  Labs revealed INR 1.6, D-dimer 402, potassium 3.4.  Chest x-ray revealed vague patchy infiltrates in both lower lungs.  He was noted to have oxygen desaturations with activity.  He also had difficulty with ambulation.  He lives alone and is now being admitted to the Medicine 18 team for further management.   Upon my examination, he is lying in hospital bed.  Currently he has a strong frequent cough that is nonproductive.  He has also noted pretty persistent headache.  He has noted loss strength and weakness as well as loss of smell.  He notices his taste sensation has significantly changed.  He states he uses a walker at baseline but has been challenged over the past couple days with activity.  He states he has chronic dizziness with standing.  He has 3-4 loose bowel movements per day that has been happening for a few months.  He also has had some urinary urgency with urge incontinence for which he has urology appointment set.  He also endorses chronic numbness of the bottom of bilateral feet as well as finger tip "burning".  He denies chest pain, bleeding, skin wounds or rashes.
Age: 74.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Dyspnoea, Fibrin D dimer, Gait disturbance, Headache, Hypoaesthesia
Clinical narrative: CHIEF COMPLAINT COVID-19 pneumonia   HISTORY OF PRESENT ILLNESS Patient is a 75 y.o. male with medical comorbidities consisting atrial flutter on Eliquis, diabetes mellitus type 2 on oral agents, coronary artery disease, CIDP on CellCept and weekly IVIG infusions who presented to the emergency department with cough, shortness of breath and headache.  He has experienced these symptoms since 9/24/2021.  In the emergency department, COVID PCR returned positive.  Labs revealed INR 1.6, D-dimer 402, potassium 3.4.  Chest x-ray revealed vague patchy infiltrates in both lower lungs.  He was noted to have oxygen desaturations with activity.  He also had difficulty with ambulation.  He lives alone and is now being admitted to the Medicine 18 team for further management.   Upon my examination, he is lying in hospital bed.  Currently he has a strong frequent cough that is nonproductive.  He has also noted pretty persistent headache.  He has noted loss strength and weakness as well as loss of smell.  He notices his taste sensation has significantly changed.  He states he uses a walker at baseline but has been challenged over the past couple days with activity.  He states he has chronic dizziness with standing.  He has 3-4 loose bowel movements per day that has been happening for a few months.  He also has had some urinary urgency with urge incontinence for which he has urology appointment set.  He also endorses chronic numbness of the bottom of bilateral feet as well as finger tip "burning".  He denies chest pain, bleeding, skin wounds or rashes.
Age: 74.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: International normalised ratio increased, Lung infiltration, Micturition urgency, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT COVID-19 pneumonia   HISTORY OF PRESENT ILLNESS Patient is a 75 y.o. male with medical comorbidities consisting atrial flutter on Eliquis, diabetes mellitus type 2 on oral agents, coronary artery disease, CIDP on CellCept and weekly IVIG infusions who presented to the emergency department with cough, shortness of breath and headache.  He has experienced these symptoms since 9/24/2021.  In the emergency department, COVID PCR returned positive.  Labs revealed INR 1.6, D-dimer 402, potassium 3.4.  Chest x-ray revealed vague patchy infiltrates in both lower lungs.  He was noted to have oxygen desaturations with activity.  He also had difficulty with ambulation.  He lives alone and is now being admitted to the Medicine 18 team for further management.   Upon my examination, he is lying in hospital bed.  Currently he has a strong frequent cough that is nonproductive.  He has also noted pretty persistent headache.  He has noted loss strength and weakness as well as loss of smell.  He notices his taste sensation has significantly changed.  He states he uses a walker at baseline but has been challenged over the past couple days with activity.  He states he has chronic dizziness with standing.  He has 3-4 loose bowel movements per day that has been happening for a few months.  He also has had some urinary urgency with urge incontinence for which he has urology appointment set.  He also endorses chronic numbness of the bottom of bilateral feet as well as finger tip "burning".  He denies chest pain, bleeding, skin wounds or rashes.
Age: 74.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Taste disorder, Urge incontinence
Clinical narrative: CHIEF COMPLAINT COVID-19 pneumonia   HISTORY OF PRESENT ILLNESS Patient is a 75 y.o. male with medical comorbidities consisting atrial flutter on Eliquis, diabetes mellitus type 2 on oral agents, coronary artery disease, CIDP on CellCept and weekly IVIG infusions who presented to the emergency department with cough, shortness of breath and headache.  He has experienced these symptoms since 9/24/2021.  In the emergency department, COVID PCR returned positive.  Labs revealed INR 1.6, D-dimer 402, potassium 3.4.  Chest x-ray revealed vague patchy infiltrates in both lower lungs.  He was noted to have oxygen desaturations with activity.  He also had difficulty with ambulation.  He lives alone and is now being admitted to the Medicine 18 team for further management.   Upon my examination, he is lying in hospital bed.  Currently he has a strong frequent cough that is nonproductive.  He has also noted pretty persistent headache.  He has noted loss strength and weakness as well as loss of smell.  He notices his taste sensation has significantly changed.  He states he uses a walker at baseline but has been challenged over the past couple days with activity.  He states he has chronic dizziness with standing.  He has 3-4 loose bowel movements per day that has been happening for a few months.  He also has had some urinary urgency with urge incontinence for which he has urology appointment set.  He also endorses chronic numbness of the bottom of bilateral feet as well as finger tip "burning".  He denies chest pain, bleeding, skin wounds or rashes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Patient presented to office for left axillary swelling following administration of vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder catheter replacement, COVID-19, Chest X-ray, Cough, Dyspnoea
Clinical narrative: Note: hx and exam below carried out by medical resident on my service. I did not directly interview pt nor examine him in order to minimize the risk of transmission of COVID to myself and others. Idid carefully review the chart and discuss with other physician providers as appropriate   Patient is a 68y.o. year old male with PMH of HFpEF, COPD on 3L at home, chronic suprapubic catheter, legally blind who presnets for shortness of breath. Patient states that he has had to have his suprapubic catheter changed mutiple times at home d/t his continual penile leakage of urine. He states that his catheter site has been fine, but that he has been having urine leak out of his penis which is abnormal for him. Patient states that he has not been in to see his urologist recently though. Patient also explains that he has been short of breath more recently. Patient was vaccinated in April and does not recall any sick contacts. However, patient does live with two grandchildren and is unsure their vaccination status. Patient states he has been experiencing a worsening cough with increased sputum production. Patient has also required 4L, increased from his 3L baseline. Patient denies fevers, chills. Denies new muscle aches. Patient denies loss of taste, smell.    FULLY VACCINATED (Moderna in 4/2021)   ED course- BP- 123/70, HR 97, Temp- 100.1F, SpO2 89% on 3L, improved on 4L to 90s SpO2. CXR showed no acute changes COVID +
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Post procedural urine leak, SARS-CoV-2 test positive, Sputum increased
Clinical narrative: Note: hx and exam below carried out by medical resident on my service. I did not directly interview pt nor examine him in order to minimize the risk of transmission of COVID to myself and others. Idid carefully review the chart and discuss with other physician providers as appropriate   Patient is a 68y.o. year old male with PMH of HFpEF, COPD on 3L at home, chronic suprapubic catheter, legally blind who presnets for shortness of breath. Patient states that he has had to have his suprapubic catheter changed mutiple times at home d/t his continual penile leakage of urine. He states that his catheter site has been fine, but that he has been having urine leak out of his penis which is abnormal for him. Patient states that he has not been in to see his urologist recently though. Patient also explains that he has been short of breath more recently. Patient was vaccinated in April and does not recall any sick contacts. However, patient does live with two grandchildren and is unsure their vaccination status. Patient states he has been experiencing a worsening cough with increased sputum production. Patient has also required 4L, increased from his 3L baseline. Patient denies fevers, chills. Denies new muscle aches. Patient denies loss of taste, smell.    FULLY VACCINATED (Moderna in 4/2021)   ED course- BP- 123/70, HR 97, Temp- 100.1F, SpO2 89% on 3L, improved on 4L to 90s SpO2. CXR showed no acute changes COVID +
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Nodule, Pain in extremity
Clinical narrative: I went to bed last night around 11pm (day I received vaccine) with an extremely sore arm. When I woke up around 5am my left arm was still really sore and I have a knot that has appeared on my wrist. Its hurts to touch it. I did not bump, hit, or drop anything on my wrist or do anything that would cause a knot on my wrist. I am not saying that the knot is caused by the vaccine, but I do know that there were no signs prior to me receiving the vaccine of a knot and no visible signs of the knot before bed. I have not been to visit a doctor for evaluation.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Neck pain, Pyrexia
Clinical narrative: I developed swelling in my left armpit, and pain in my neck. I also had a fever.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chills, Dizziness, Erythema, Hyperhidrosis
Clinical narrative: Woke at 3 am with chills, all over body pain, and soreness at injection site. 7:15am had one episode of vasovagal syncope, continued body pain, increased redness and injection site pain, w/ dizziness, lightheadedness, and sweating. Ate breakfast. 9:40am second episode of vasovagal syncope with EMS called. EMS checked vitals and patient was found to have BP 97/53 and BS 217 with no previous blood sugar issues. Transported via EMS to ER. Fluids were given and I was monitored for a couple of hours. Blood pressure did finally come up before discharge, blood sugar was still 152 at blood draw in ER. Went home and slept for 16 hours. When I awoke I had significant arm pain, redness the size of baseball or greater, and swelling, along with itching to arm. Went to PCP on 9/22, blood pressure and sugar were back to normal. Did not feel better until 9/24/21. ER doctor told me that since I had COVID in December of 2020 I probably should not have gotten both doses of the vaccine and that is what caused my symptoms. We have not been told this if that is the case.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Injection site erythema, Injection site pain, Laboratory test, Malaise
Clinical narrative: Woke at 3 am with chills, all over body pain, and soreness at injection site. 7:15am had one episode of vasovagal syncope, continued body pain, increased redness and injection site pain, w/ dizziness, lightheadedness, and sweating. Ate breakfast. 9:40am second episode of vasovagal syncope with EMS called. EMS checked vitals and patient was found to have BP 97/53 and BS 217 with no previous blood sugar issues. Transported via EMS to ER. Fluids were given and I was monitored for a couple of hours. Blood pressure did finally come up before discharge, blood sugar was still 152 at blood draw in ER. Went home and slept for 16 hours. When I awoke I had significant arm pain, redness the size of baseball or greater, and swelling, along with itching to arm. Went to PCP on 9/22, blood pressure and sugar were back to normal. Did not feel better until 9/24/21. ER doctor told me that since I had COVID in December of 2020 I probably should not have gotten both doses of the vaccine and that is what caused my symptoms. We have not been told this if that is the case.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pruritus, Syncope
Clinical narrative: Woke at 3 am with chills, all over body pain, and soreness at injection site. 7:15am had one episode of vasovagal syncope, continued body pain, increased redness and injection site pain, w/ dizziness, lightheadedness, and sweating. Ate breakfast. 9:40am second episode of vasovagal syncope with EMS called. EMS checked vitals and patient was found to have BP 97/53 and BS 217 with no previous blood sugar issues. Transported via EMS to ER. Fluids were given and I was monitored for a couple of hours. Blood pressure did finally come up before discharge, blood sugar was still 152 at blood draw in ER. Went home and slept for 16 hours. When I awoke I had significant arm pain, redness the size of baseball or greater, and swelling, along with itching to arm. Went to PCP on 9/22, blood pressure and sugar were back to normal. Did not feel better until 9/24/21. ER doctor told me that since I had COVID in December of 2020 I probably should not have gotten both doses of the vaccine and that is what caused my symptoms. We have not been told this if that is the case.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Woke at 3 am with chills, all over body pain, and soreness at injection site. 7:15am had one episode of vasovagal syncope, continued body pain, increased redness and injection site pain, w/ dizziness, lightheadedness, and sweating. Ate breakfast. 9:40am second episode of vasovagal syncope with EMS called. EMS checked vitals and patient was found to have BP 97/53 and BS 217 with no previous blood sugar issues. Transported via EMS to ER. Fluids were given and I was monitored for a couple of hours. Blood pressure did finally come up before discharge, blood sugar was still 152 at blood draw in ER. Went home and slept for 16 hours. When I awoke I had significant arm pain, redness the size of baseball or greater, and swelling, along with itching to arm. Went to PCP on 9/22, blood pressure and sugar were back to normal. Did not feel better until 9/24/21. ER doctor told me that since I had COVID in December of 2020 I probably should not have gotten both doses of the vaccine and that is what caused my symptoms. We have not been told this if that is the case.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Rash on forearm of arm that received pfizer covid vaccine. This was the patient's 3rd dose. Pt did not have any adverse effects to the first or second doses. The rash was an itchy, red, bumpy patch. Itching resolved after about 20mins w/o tx. Pt used hydrocortisone cream and took a 25mg benadryl tablet. Reported to the pharmacy the following day. Rash appears to be getting better/definitely not doing any worse.  Has not used cream or taken any additional doses of benadryl.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: none
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Breast pain, Breast swelling
Clinical narrative: Headache, fever, discomfort and pain under armpit, swelling in arm,  armpit , breast , and back (left side), pain w/ swelling areas, pain at injection site, swollen lymph nodes, pain in shoulder.   Injection site seemed higher than "normal."
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Headache, Immunisation, Injection site pain, Lymphadenopathy
Clinical narrative: Headache, fever, discomfort and pain under armpit, swelling in arm,  armpit , breast , and back (left side), pain w/ swelling areas, pain at injection site, swollen lymph nodes, pain in shoulder.   Injection site seemed higher than "normal."
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Peripheral swelling, Product administered at inappropriate site, Pyrexia
Clinical narrative: Headache, fever, discomfort and pain under armpit, swelling in arm,  armpit , breast , and back (left side), pain w/ swelling areas, pain at injection site, swollen lymph nodes, pain in shoulder.   Injection site seemed higher than "normal."
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt was in the hospital and was  tested for covid pre-surgical testing and was positive. pt is asymtomatic
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Computerised tomogram, Dizziness, Electrocardiogram, Presyncope
Clinical narrative: Within 10 minutes of receiving vaccine, got really dizzy, light headed, chest tightening and hot. Felt like I couldve passed out.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Flushing
Clinical narrative: Almost immediately felt flush and light-headed. That passed within 60 - 90 seconds. Experienced some transient pain when walking, primarily in my hips. Within a half-hour, I experienced uncontrolled shivering. That evening I was unusually tired. I experienced another period of chills/shivering about 7 hours after the injection. I slept 11 hours, got up, and immediately went back to bed, too tired to stay up. I slept another 4 hours. 24 hours post-injection I feel fine.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: Almost immediately felt flush and light-headed. That passed within 60 - 90 seconds. Experienced some transient pain when walking, primarily in my hips. Within a half-hour, I experienced uncontrolled shivering. That evening I was unusually tired. I experienced another period of chills/shivering about 7 hours after the injection. I slept 11 hours, got up, and immediately went back to bed, too tired to stay up. I slept another 4 hours. 24 hours post-injection I feel fine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site plaque, Injection site pruritus, Skin exfoliation
Clinical narrative: Significant itching and scaly/peeling skin at/around  the injection site (within about two inches).  Duration was approximately 10 days after presenting.  No treatment sought or required for full recovery.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated asymptomatic
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Pulmonary oedema, Stent placement
Clinical narrative: approximately 3 or 4 days later developed fluid on the lungs. Had an angiogram and had 2 stents put in..
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Onset of NEW moderate bilateral tinnitus 72 hours after 1st dose.  Onset of right pulsatile tinnitus  72hours after 2nd dose.  Moderate bilateral tinnitus is still present. Pulsatile tinnitus has decreased in both intensity and frequency.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hypoaesthesia, Pyrexia
Clinical narrative: Fever, Chills, Fatigue, Headache and slight numbness in fingers and toes.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Pain, Pain in extremity
Clinical narrative: Sore arm, headache. body aches, fever 99.1 and coughing/breathing difficulties
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sore arm, headache. body aches, fever 99.1 and coughing/breathing difficulties
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during breast feeding, Suppressed lactation
Clinical narrative: My breast milk production went from 700ml a day (pumping) to less than an ounce. I had to stop breastfeeding my month old child.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Pt stated her became red, swollen, warm, and itchy approximately one week after the vaccine. It was described as about the diameter of a standard coffee cup.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy
Clinical narrative: Patient states she developed soreness in her right arm.  Glands became swollen in the throat.  Denies ever having COVID-19 virus. Glands were sore, but not painful.  No swelling in underarms,.  Checked back on 8/18/2021 and patient stated she was doing better.  Had an appointment for follow-up with her doctor on 8/30/2021.   She was seen by doctor on 8/30/2021 at a HCF and was told she was doing okay with no further issues. Contacted on 9/20/2021- patient stated she was doing okay.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Chills, Contusion, Hyperhidrosis, Nodule
Clinical narrative: 9/24/2021 Ringing in both ears. Right side of chest developed 5 nodules size of a quarter, under the skin, could be felt by touch. Large bruise appeared over all the nodules. There was no injury or trauma to that area. 9/28/2021 My family physician suspects that these are adverse reaction to the covid vaccine. 9/29/2021 rigging in both ears has increased, body chills and sweats, blurry vision.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Vision blurred
Clinical narrative: 9/24/2021 Ringing in both ears. Right side of chest developed 5 nodules size of a quarter, under the skin, could be felt by touch. Large bruise appeared over all the nodules. There was no injury or trauma to that area. 9/28/2021 My family physician suspects that these are adverse reaction to the covid vaccine. 9/29/2021 rigging in both ears has increased, body chills and sweats, blurry vision.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: administration error: patient only 13
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Aspartate aminotransferase increased, Basophil count increased, Basophil count normal
Clinical narrative: Patient received COVID-19 Pfizer vaccine 09 Sep 2021, 1 of 2 series, and developed symptoms 15 days after this first dose. Presented with pleuritic CP day 15 Trop I 0.050 (ref 0.012) ESR 1 CRP <0.5 Eos 0.2 Treated with torrodol, ibuprofen, colchicine and discharged
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride decreased
Clinical narrative: Patient received COVID-19 Pfizer vaccine 09 Sep 2021, 1 of 2 series, and developed symptoms 15 days after this first dose. Presented with pleuritic CP day 15 Trop I 0.050 (ref 0.012) ESR 1 CRP <0.5 Eos 0.2 Treated with torrodol, ibuprofen, colchicine and discharged
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood magnesium normal, Blood potassium normal
Clinical narrative: Patient received COVID-19 Pfizer vaccine 09 Sep 2021, 1 of 2 series, and developed symptoms 15 days after this first dose. Presented with pleuritic CP day 15 Trop I 0.050 (ref 0.012) ESR 1 CRP <0.5 Eos 0.2 Treated with torrodol, ibuprofen, colchicine and discharged
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, C-reactive protein decreased, Carbon dioxide normal, Chest pain
Clinical narrative: Patient received COVID-19 Pfizer vaccine 09 Sep 2021, 1 of 2 series, and developed symptoms 15 days after this first dose. Presented with pleuritic CP day 15 Trop I 0.050 (ref 0.012) ESR 1 CRP <0.5 Eos 0.2 Treated with torrodol, ibuprofen, colchicine and discharged
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Eosinophil count decreased, Eosinophil count normal, Full blood count, Glomerular filtration rate
Clinical narrative: Patient received COVID-19 Pfizer vaccine 09 Sep 2021, 1 of 2 series, and developed symptoms 15 days after this first dose. Presented with pleuritic CP day 15 Trop I 0.050 (ref 0.012) ESR 1 CRP <0.5 Eos 0.2 Treated with torrodol, ibuprofen, colchicine and discharged
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Lymphocyte count normal, Lymphocyte percentage decreased
Clinical narrative: Patient received COVID-19 Pfizer vaccine 09 Sep 2021, 1 of 2 series, and developed symptoms 15 days after this first dose. Presented with pleuritic CP day 15 Trop I 0.050 (ref 0.012) ESR 1 CRP <0.5 Eos 0.2 Treated with torrodol, ibuprofen, colchicine and discharged