chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Muscular weakness, Paraesthesia
Clinical narrative: 48yr old female with history of anxiety, previous episodes of arm and leg weakness currently undergoing work-up for intermittent neurologic symptoms x 2yrs (on , allergies (insect venom: hives, shortness of breath; poison ivy:  hives, shortness of breath; sulfa:  hives) presented for COVID-19 J&J vaccine on 4/8/21.  RN administered JANSSEN COVID19 VACC (LOT # 207A21A, exp 6/23/21) IM in patient's left deltoid at 1410.  Approximately 5 minutes after receiving vaccine, patient complained of dizziness which later manifested as increased fatigue, malaise, weakness of the extremities with eventual report of tingling in the face.  Patient unable to ambulate.  Patient transported to exam room via wheelchair and transferred
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Increased resting heart rate from 60 to 80 1-2 weeks after second dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 63 yo female patient complaining of a "tightness in her throat" Pt states she had multiple allergies. Pt given benadryl. No swelling to mouth or tongue noted. Pt denies any shortness of breath. Vital signs wnl. Pt stated she would sit and wait for awhile to see if she began feeling better. Pt advised she did not want to go to the hospital.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cardiac arrest, Cardioversion, Death, Diarrhoea
Clinical narrative: Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Life support, Resuscitation
Clinical narrative: Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Death, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Loss of consciousness
Clinical narrative: Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever 102. Generally. Very tired
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 Y/O PATIENT RECEIVED THE COVID19 (JANSSEN) VACCINE AT OUR WALK-IN CLINIC ON 4/8/21
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: I noticed increased pain, swelling and redness at the base of my right hand baby finger into the hand (palm side up)- very painful to the touch, can't bend' can't use.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness shortly after receiving the shot. Dizziness resolved after a few minutes.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd Vaccine was given early.  First dose given on 3/19/21 second does was due on 4/16/21 but was not due until 4/16/21
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second shot Moderna 4/9/21 and first shot was Pfizer 3/19/21.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Insomnia
Clinical narrative: two weeks after i was given the moderna vaccine i had very intense mental fog, fatigue, trouble sleeping, and joint pain. I have been taking prednisone for three weeks now and am starting to get better.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Feeling abnormal, Paraesthesia oral
Clinical narrative: Pt c/o difficulty swallowing, tongue tingling, and feeling "fuzzy overall" 25 min post vaccination. EMS called. Transferred to local hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Pharyngeal swelling, Throat irritation
Clinical narrative: Pt c/o difficulty swallowing, tongue tingling, and feeling "fuzzy overall" 25 min post vaccination. EMS called. Transferred to local hospital.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Breast mass
Clinical narrative: A lump has formed under her right arm and breast.  Her physician has scheduled her for a scan and says the lump needs to be removed.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was in store to receive the second Moderna vaccination and the pharmacist gave the J&J vaccine instead
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received 1st dose Moderna at a different location 2/11/2021.  On 3/11/2021 pt present to facility with appointment for 2nd dose appointment.  Patient received 2nd dose Pfizer vaccine at this time.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Erythema, Feeling hot, Pharyngeal swelling, Swelling face
Clinical narrative: We didn't adminster the vaccine at our location, however, she alerted us of her reaction that started immediately after getting vaccine:  Per patient:"I had a generalized reaction. My face swelled, turned red, got hot; my throat had some swelling; I had to remove my mask to breathe. I had to stay an hour and a half before they would let me go home. My face swelling diminished over the next 24 hours."
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Depressed mood, Dyspnoea, Erythema, Feeling hot
Clinical narrative: We didn't adminster the vaccine at our location, however, she alerted us of her reaction that started immediately after getting vaccine:  Per patient:"I had a generalized reaction. My face swelled, turned red, got hot; my throat had some swelling; I had to remove my mask to breathe. I had to stay an hour and a half before they would let me go home. My face swelling diminished over the next 24 hours."
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Paranasal sinus hypersecretion, Periorbital swelling, Swelling face
Clinical narrative: We didn't adminster the vaccine at our location, however, she alerted us of her reaction that started immediately after getting vaccine:  Per patient:"I had a generalized reaction. My face swelled, turned red, got hot; my throat had some swelling; I had to remove my mask to breathe. I had to stay an hour and a half before they would let me go home. My face swelling diminished over the next 24 hours."
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient did NOT have a reaction.  Patient was given a vaccine that had expired on 03/28/2021
Age: 8.0
Sex: M
Vaccine: IPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: child given expired polio vaccine by accident.  Nurse thought expiration date was 03/31/2021 but it was 03/13/2021.  No adverse reaction or side effects noted.  Parent informed and child re-vaccinated the next week.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Nausea, Vomiting
Clinical narrative: The client experienced mild nausea and anxiety 5 minutes after receiving his first Pfizer covid vaccine. He left observation after 15 minutes at 1345 with no treatment, except bottled water. An hour later at 1445 the client returned to Observation c/o increasing nausea and vomiting. At this time, I administered 50 mg IM benadryl to the client. The client waited in observation for 30 additional minutes and left at 1515. At this time of departure, the client had no signs or symptoms of N/V.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Paraesthesia
Clinical narrative: I have a strange pin prick feeling in the top of my head that only exhibits pain when my facial expressions or other movements cause my scalp to be moved or stretched. When I try to feel for something poking the top of my head, there is nothing there and touching the area does not cause pain. But then I may look to the right and frown, and suddenly there is a sharp needle feeling in the top of my head.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Herpes zoster, Pain, Pruritus, Rash
Clinical narrative: Shingles around the left eye and forehead area, as well as scalp. Itchiness, rash and pain, pain associated with the left eye as well Rash began 4/5/2021 Pain began 4/6/2021
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Viral test
Clinical narrative: Shingles around the left eye and forehead area, as well as scalp. Itchiness, rash and pain, pain associated with the left eye as well Rash began 4/5/2021 Pain began 4/6/2021
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: Patient felt faint and fell to the floor within 15 minutes of vaccination.  Patient was transported to ER by EMS.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Myalgia, Nausea
Clinical narrative: muscle soreness dizziness weakness nausea
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Whole body aches and fatigue beginning at 7pm day of vaccination lasting til 1pm following day, Severe Chills beginning at 8:30pm lasting til 12pm, Headache starting 12pm relieved with Tylenol, Mild-Moderate Nausea starting at 4am until 5am
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Oxygen saturation
Clinical narrative: Pt feels dizzy on the way to the observation area. EMT provides oxygen. paramedics called and transport to hospital
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Rash erythematous
Clinical narrative: Extreme pain first day with red swollen injection site. Pain lessened next few days. Pus filled bump on injection site with patchy red hot rash surrounding. Arm still tender to move a week after.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Extreme pain first day with red swollen injection site. Pain lessened next few days. Pus filled bump on injection site with patchy red hot rash surrounding. Arm still tender to move a week after.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain upper, Amylase normal, Blood chloride normal
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine normal, Blood potassium normal, Blood pressure increased, Blood sodium normal, Blood urea increased
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Cardiac assistance device user, Cardiomegaly, Chest X-ray normal, Cholelithiasis
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram abnormal, Diverticulum intestinal, Electrocardiogram normal, Fibrin D dimer normal
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Gallbladder necrosis, Haematocrit decreased, Haemobilia, Haemoglobin decreased, International normalised ratio increased
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Intervertebral disc degeneration, Lipase normal, Lung infiltration, Mean cell volume increased, Myocardial necrosis marker normal
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nephrolithiasis, Osteopenia, Perforation bile duct, Platelet count normal, Pleural effusion
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, Pulmonary granuloma, Pulmonary mass, Renal cyst, Renal fusion anomaly
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: 3/8: Admitted to hospital dx chest pain;  3/9 transferred to a different hospital, dx gallbladder necrosis. Hospital course: 74 y.o. female admitted on 4/8/2021 for abdominal pain. Notable PMHx: aortic valve replacement, HTN   On morning of admission, patient woke up with severe epigastric pain.  Describes pain as a pressure.  Has had vomiting.  Had bowel movement after pain started.  Patient came to the emergency room.  Patient received an antiemetic and Demerol.  Patient has continued to have pain in got a dose of morphine as well.  Pain eased some but was still 7/10.  In the ER, blood pressure was very elevated with systolic in 200s.  Cardiac enzymes negative.  EKG look good with normal sinus rhythm.  Patient has aortic valve replacement and is on Coumadin with INR goal of 2.5-3.5.  INR was elevated at 4.3.  D-dimer was negative.  Amylase and lipase negative.  Creatinine normal at 0.9.  Chest x-ray done which showed no acute disease.  On the floor, we ordered a CT abdomen.  It did show gallstones, but nonobstructing.  It showed kidney stones in the renal pelvis, but none obstructing.  No other inflammation or signs of bleeding.  Blood pressure came down after medicines in the ER.  Did have some lower blood pressures through the afternoon evening which was felt to be a combination of blood pressure low in medicines in the ER and pain medication.  From 11:00 p.m. onward blood pressures were controlled.   Patient continued to have severe abdominal pain.  Hemoglobin down to 9.0 from prior 12.4 yesterday.  Creatinine up from 0.9 yesterday to 1.8.  White count up from 8.3 yesterday to 14.4.  INR from 4.3 yesterday to 4.2.  Coumadin was held yesterday.   CT abdomen was repeated. CT abdomen was read as worrisome for necrotic gallbladder and small bile leak Contacted transfer line at hospital.  Surgery accepted and wanted transfer to go through the ER. Patient has PCN allergy.  Surgery said that if reaction was not severe, they wanted Invanz given before she left.  Patient says that she had a itching rash in the 70s.  No trouble breathing or swallowing.  No other reaction.  Dose of Invanz ordered.  IVF were increased.  HPI from hospital: 74 y.o. female who presents with Chief Complaint Patient presents with? Abnormal Scan   Patient presents via EMS as a medical transfer from hospital after having gallbladder necrosis seen on CT imaging.  She was given IV Invanz there.  General surgeon was contacted by that facility and he accepted the patient for transfer to this facility.   Apparently, the patient began having abdominal pain yesterday. Timing of onset was gradual.  Severity is rated as severe at maximum intensity. Quality is described as aching abdominal pain.  Symptoms have been improved after IV pain medicine.  Symptoms worsen with nothing, and improve with IV pain medicine.     History was provided by patient, EMS, transfer paperwork and EMR, and I spoke with treating doctor in general surgery who accepted the patient for transfer.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Received 2nd Covid19 Moderna vaccine on April 6  in left arm.  Very hard rock-like lump area appeared within a couple hrs.  By next day large red area around injection site.  Painful to touch, and very itchy.  Could not sleep on left side.    FYI received first Covid19 Moderna vaccine on March 9.  Arm slightly sore for couple days, but no other reaction, no  redness or itching.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Received 2nd Covid19 Moderna vaccine on April 6  in left arm.  Very hard rock-like lump area appeared within a couple hrs.  By next day large red area around injection site.  Painful to touch, and very itchy.  Could not sleep on left side.    FYI received first Covid19 Moderna vaccine on March 9.  Arm slightly sore for couple days, but no other reaction, no  redness or itching.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Injection site is itching, red, and hard one week and one day after receding vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Vital signs measurement
Clinical narrative: Pt felt light headed, patient takes many meds. Had not eaten since 1:00pm, was given orange juice during visit, patient claimed to feel better. Patient spoke to primary care physician and put him on speaker phone, he noted blood pressure that was taken at 5:05pm which was 212/119, heart rate 80, spO2 98%. Blood pressure trended downward to 190/108, doctor felt comfortable with patient going home.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral mucosal blistering, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: On day 1 injection day, sore arm; day 2 sore body and throat; day 2-3 blisters at the edge of my mouth which is very unusual as I don?t get cold sores.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Very severe diahrrea  on the day of the vaccination starting about 6:00 PM lasting for about 14 hours
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Gave the immunization and a few minutes later he started to feel dizzy, nauseated and was sweating.  He said he felt like he was going to pass out.  I laid him on the floor with his legs up and ice packs on his neck.  He never lost consciousness and recovered quickly.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Malaise, Nausea
Clinical narrative: Noon the day after the vaccine I was suddenly overcome with nausea, and dizziness that sent me stumbling to bed and vomiting into a bucket next to me. Vomiting lasted for one session, but dizziness and nausea stayed for about 3 hours, and then nausea, fatigue and general sick feeling kept me in bed until the next day. April 9 I woke up still feeling out of sorts, but not as bad. Note: 28 minutes after having the vaccine, once I started driving home, the vision in my left eye suddenly went blurry, and I nearly lost vision in that eye. I tried to find a safe place to pull over but couldn't. After 5-8 minutes the vision came back but stayed a bit blurry for a couple hours. Never had any such thing happen before.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Vomiting
Clinical narrative: Noon the day after the vaccine I was suddenly overcome with nausea, and dizziness that sent me stumbling to bed and vomiting into a bucket next to me. Vomiting lasted for one session, but dizziness and nausea stayed for about 3 hours, and then nausea, fatigue and general sick feeling kept me in bed until the next day. April 9 I woke up still feeling out of sorts, but not as bad. Note: 28 minutes after having the vaccine, once I started driving home, the vision in my left eye suddenly went blurry, and I nearly lost vision in that eye. I tried to find a safe place to pull over but couldn't. After 5-8 minutes the vision came back but stayed a bit blurry for a couple hours. Never had any such thing happen before.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Autism spectrum disorder, Condition aggravated, Confusional state, Dizziness, Dry mouth
Clinical narrative: -Within first day through 1 week: dry mouth, excessive thirst, thick mucus, skin sensitivity, dizziness, hyperactivity, hypervigilance, insomnia, irritability,  -Persistent even 4 weeks after vaccine: confusion, increase in autism symptoms of sensitivity, "scrambled propioception sensory symptoms", "mismatch of emotions"
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Hypervigilance, Increased viscosity of upper respiratory secretion, Insomnia, Irritability
Clinical narrative: -Within first day through 1 week: dry mouth, excessive thirst, thick mucus, skin sensitivity, dizziness, hyperactivity, hypervigilance, insomnia, irritability,  -Persistent even 4 weeks after vaccine: confusion, increase in autism symptoms of sensitivity, "scrambled propioception sensory symptoms", "mismatch of emotions"
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Psychomotor hyperactivity, Sensitive skin, Thirst
Clinical narrative: -Within first day through 1 week: dry mouth, excessive thirst, thick mucus, skin sensitivity, dizziness, hyperactivity, hypervigilance, insomnia, irritability,  -Persistent even 4 weeks after vaccine: confusion, increase in autism symptoms of sensitivity, "scrambled propioception sensory symptoms", "mismatch of emotions"
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Vasovagal reaction
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swelling of lymph nodes both right and left sides cervical, axillary and pectoral with mild discomfort. Most notably on the left side there are 3 supraclavicular lymph nodes that are so swollen they are visible to the naked eye and are painful to touch/pressure (ex. seat belt strap).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Throat irritation
Clinical narrative: No adverse events during 15 minute observation period at clinic. Driving home my throat began to swell and became itchy. I pulled into gas station, purchased Benadryl and administered one tablet. I rested and after 15 minutes the swelling did not progress. I then drove home and contacted my GP. She advised me to monitor symptoms and advised to receive 2nd dose in a hospital setting due to concerns about adverse event.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia, Somnolence
Clinical narrative: extreme muscle aches lasting all day the day after injection, drowsiness, very mild headache, fever lasting no more than 1-2 hours around the middle of the day
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Body aches. Headache. Low grade fever. Congestion. Coughing. Fatigue. Exhaustion.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Body aches. Headache. Low grade fever. Congestion. Coughing. Fatigue. Exhaustion.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Dizziness, Dyspnoea, Fatigue
Clinical narrative: I (patient) began feeling flushed, nauseous, and dizzy ten minutes after injection. Experienced diarrhea and GI upset. Nausea and dizziness increased. I laid down on a cot at the vaccination site for about half an hour. While walking back to my car, I was very fatigued (the walk felt long and difficult and had been fine when coming in). Over the next 12 hours, experienced fatigue, chills, and nausea with mild body aches. 12 hours after injection, I began experiencing fever, chills, sweating, nausea without vomiting, and severe muscle and joint aches throughout my entire body. The muscle aches were extremely painful and seemed to worsen nausea. Fever increased to 100.5 at highest reading. All of these symptoms continued until about 48 hours after initial injection. 5 days after injection, I am still experiencing mild to moderate nausea, dizziness, fatigue with shortness of breath, and mild to moderate muscle aches that increase with exercise.  I have also had two instances of feeling like I might faint with tingling sensation in feet, legs, and arms.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Nausea, Pain, Paraesthesia
Clinical narrative: I (patient) began feeling flushed, nauseous, and dizzy ten minutes after injection. Experienced diarrhea and GI upset. Nausea and dizziness increased. I laid down on a cot at the vaccination site for about half an hour. While walking back to my car, I was very fatigued (the walk felt long and difficult and had been fine when coming in). Over the next 12 hours, experienced fatigue, chills, and nausea with mild body aches. 12 hours after injection, I began experiencing fever, chills, sweating, nausea without vomiting, and severe muscle and joint aches throughout my entire body. The muscle aches were extremely painful and seemed to worsen nausea. Fever increased to 100.5 at highest reading. All of these symptoms continued until about 48 hours after initial injection. 5 days after injection, I am still experiencing mild to moderate nausea, dizziness, fatigue with shortness of breath, and mild to moderate muscle aches that increase with exercise.  I have also had two instances of feeling like I might faint with tingling sensation in feet, legs, and arms.