chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bone swelling, Chills, Dizziness
Clinical narrative: With the first dose  I felt sick for 1 day. I called out.  The morning after receiving the 2nd dose I had severe fatigue, joint pain, my wrist and my armpit was budging, I noticed swelling my clavicle on my left side, chills, and dizzy. I had to miss work for 2 days. I had to lay bed in for 2 days. By 3rd it was much improved but I still feel weak. About 4 days after receiving the vaccine I was back to feeling my self.  On 2/14-15/2021, my face was itching, I scratched it, and there is a small abrasion. My face started to swell, around 2AM this morning I had to go to the ER because my eyes were getting small, the swelling was getting worse. I also had bumps that looked like hives on my face,  there was some fluid coming out of my face. I went to  early this morning,     The ER doctor said she thinks it is not infected she thinks it is inflamed. I did not mention that I had recently received the COVID  vaccine and did not realize that it may be linked to the vaccine until later in the day. She prescribed Hydrocortisone 0.5 % cream  and Mupirocin 2% cream.   Since I have been home the ER the swelling has worsened. My face is painful, it feels like an orange peel when you touch.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Facial pain, Fatigue, Impaired work ability, Joint swelling
Clinical narrative: With the first dose  I felt sick for 1 day. I called out.  The morning after receiving the 2nd dose I had severe fatigue, joint pain, my wrist and my armpit was budging, I noticed swelling my clavicle on my left side, chills, and dizzy. I had to miss work for 2 days. I had to lay bed in for 2 days. By 3rd it was much improved but I still feel weak. About 4 days after receiving the vaccine I was back to feeling my self.  On 2/14-15/2021, my face was itching, I scratched it, and there is a small abrasion. My face started to swell, around 2AM this morning I had to go to the ER because my eyes were getting small, the swelling was getting worse. I also had bumps that looked like hives on my face,  there was some fluid coming out of my face. I went to  early this morning,     The ER doctor said she thinks it is not infected she thinks it is inflamed. I did not mention that I had recently received the COVID  vaccine and did not realize that it may be linked to the vaccine until later in the day. She prescribed Hydrocortisone 0.5 % cream  and Mupirocin 2% cream.   Since I have been home the ER the swelling has worsened. My face is painful, it feels like an orange peel when you touch.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oedema peripheral, Pruritus, Rash, Skin abrasion
Clinical narrative: With the first dose  I felt sick for 1 day. I called out.  The morning after receiving the 2nd dose I had severe fatigue, joint pain, my wrist and my armpit was budging, I noticed swelling my clavicle on my left side, chills, and dizzy. I had to miss work for 2 days. I had to lay bed in for 2 days. By 3rd it was much improved but I still feel weak. About 4 days after receiving the vaccine I was back to feeling my self.  On 2/14-15/2021, my face was itching, I scratched it, and there is a small abrasion. My face started to swell, around 2AM this morning I had to go to the ER because my eyes were getting small, the swelling was getting worse. I also had bumps that looked like hives on my face,  there was some fluid coming out of my face. I went to  early this morning,     The ER doctor said she thinks it is not infected she thinks it is inflamed. I did not mention that I had recently received the COVID  vaccine and did not realize that it may be linked to the vaccine until later in the day. She prescribed Hydrocortisone 0.5 % cream  and Mupirocin 2% cream.   Since I have been home the ER the swelling has worsened. My face is painful, it feels like an orange peel when you touch.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Skin weeping, Swelling face
Clinical narrative: With the first dose  I felt sick for 1 day. I called out.  The morning after receiving the 2nd dose I had severe fatigue, joint pain, my wrist and my armpit was budging, I noticed swelling my clavicle on my left side, chills, and dizzy. I had to miss work for 2 days. I had to lay bed in for 2 days. By 3rd it was much improved but I still feel weak. About 4 days after receiving the vaccine I was back to feeling my self.  On 2/14-15/2021, my face was itching, I scratched it, and there is a small abrasion. My face started to swell, around 2AM this morning I had to go to the ER because my eyes were getting small, the swelling was getting worse. I also had bumps that looked like hives on my face,  there was some fluid coming out of my face. I went to  early this morning,     The ER doctor said she thinks it is not infected she thinks it is inflamed. I did not mention that I had recently received the COVID  vaccine and did not realize that it may be linked to the vaccine until later in the day. She prescribed Hydrocortisone 0.5 % cream  and Mupirocin 2% cream.   Since I have been home the ER the swelling has worsened. My face is painful, it feels like an orange peel when you touch.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Paraesthesia
Clinical narrative: Patient started having shortness of breath and tingling in fingers shortly (approximately 10 minutes) after receiving vaccine dose.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot
Clinical narrative: Feeling slightly warm and tired
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: About 7-8 days days after 1st dose, noticed a large area near injection site that looked like a bruise, the next day the area had expanded and turned red (the bruise & discomfort from the initial injection had resolved several days prior to this appearing). It was firm/mildly swollen and warm to the touch, and appeared to expand further throughout the day. When first measured it was approximately 2.75 inches across at it's widest point and a border was drawn to track changes. Two days later it was ~3.75 inches across at its widest part and we drew another border to track. It has continued to expand past the borders. Swelling also noticeably increased in my upper arm and axilla (also has intermittent itching). Treatment has consisted of benedryl at night and occasional ice packs. Ice decreases redness temporarily, but then returns and the area has continued to expand.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Oedema peripheral
Clinical narrative: About 7-8 days days after 1st dose, noticed a large area near injection site that looked like a bruise, the next day the area had expanded and turned red (the bruise & discomfort from the initial injection had resolved several days prior to this appearing). It was firm/mildly swollen and warm to the touch, and appeared to expand further throughout the day. When first measured it was approximately 2.75 inches across at it's widest point and a border was drawn to track changes. Two days later it was ~3.75 inches across at its widest part and we drew another border to track. It has continued to expand past the borders. Swelling also noticeably increased in my upper arm and axilla (also has intermittent itching). Treatment has consisted of benedryl at night and occasional ice packs. Ice decreases redness temporarily, but then returns and the area has continued to expand.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphonia, Dyspnoea, Erythema, Pruritus
Clinical narrative: Pt reported feeling symptoms approx 10 minutes after receiving injection. She complained of mild shortness of breath and "itchy throat." She was questioned about having any other symptoms and immediately escorted to the medical attention tent. She was seated, and EMS began evaluation; her vital signs were taken: RR 22, HR 82, BP 156/102, PULSE OX 98%. She then reported an increase in symptoms, as face itching, increased tightness in her throat. Objective symptoms observed by myself and EMS: cough/clearing of the throat, increased SOB/labored breathing, facial erythema, hoarseness. EMS asked for her consent to give her Benadryl and Epinephrine. She repeatedly refused this, and refused any attempt at IV placement. She eventually agreed to IM Benadryl, of which 50mg were administered by EMS. Both EMS and I suggested more than once that she allow us to transfer her to the hospital for further management and preparation in the event that she needs further care. I explained that she was having symptoms of anaphylaxis. She repeatedly refused transfer. She reported a decrease in symptoms, saying she felt well enough to go home. Her objective symptoms observed by myself: continued hoarseness and clearing of the throat. VS were repeated: RR 18, HR 68, BP 160/98, PULSE OX 99%. Airway remained patent and clear. Patient again requested to leave, and agreed to EMS escorting her to her car.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Throat clearing, Throat irritation, Throat tightness
Clinical narrative: Pt reported feeling symptoms approx 10 minutes after receiving injection. She complained of mild shortness of breath and "itchy throat." She was questioned about having any other symptoms and immediately escorted to the medical attention tent. She was seated, and EMS began evaluation; her vital signs were taken: RR 22, HR 82, BP 156/102, PULSE OX 98%. She then reported an increase in symptoms, as face itching, increased tightness in her throat. Objective symptoms observed by myself and EMS: cough/clearing of the throat, increased SOB/labored breathing, facial erythema, hoarseness. EMS asked for her consent to give her Benadryl and Epinephrine. She repeatedly refused this, and refused any attempt at IV placement. She eventually agreed to IM Benadryl, of which 50mg were administered by EMS. Both EMS and I suggested more than once that she allow us to transfer her to the hospital for further management and preparation in the event that she needs further care. I explained that she was having symptoms of anaphylaxis. She repeatedly refused transfer. She reported a decrease in symptoms, saying she felt well enough to go home. Her objective symptoms observed by myself: continued hoarseness and clearing of the throat. VS were repeated: RR 18, HR 68, BP 160/98, PULSE OX 99%. Airway remained patent and clear. Patient again requested to leave, and agreed to EMS escorting her to her car.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Computerised tomogram head, Echocardiogram, Embolic stroke
Clinical narrative: I experienced and embolic Stroke that is currently not determined a cause for at this time
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Implantable cardiac monitor insertion, Intensive care, Magnetic resonance imaging brain
Clinical narrative: I experienced and embolic Stroke that is currently not determined a cause for at this time
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Respiratory distress, Urticaria
Clinical narrative: Rash, urticaria, respiratory distress.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Oedema, Pruritus, Rash, Skin warm
Clinical narrative: Rash, itching, swelling, heat.  At 8:45 pm 2/15/2021 the red portion of the rash was approximately the size of a quarter with low level edema.  Light warmth.  Took Benedryl, lowest dose recommended on package.  1:00 pm 2/15/2021 the reddened portion of the rash was 2 1/4 inches, continuing to be itchy, red, warm.  The area of swelling has extended now to approximately 3/4 beyond the area of the redness.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site swelling, Vaccination site warmth
Clinical narrative: REPORTING A REACTION: One week following the Moderna COVID-19  vaccination there is swelling (hardness), redness, and heat, about 2.5 inches in diameter at the vaccination site.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: TMM: Patient#1 COVID 1/6/21. Subsequently developed Covid (sx  onset 1/13/21 and tested positive 1/14/21). Has competed 10 day quarantine and all sxs have resolved. Patient is back to work. Patient is scheduled for #2 vaccine dose 1/27/21.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: This nurse was alerted to call pt today due to pt had left message at department with concerns of a reaction. On talking to pt she states that she started to have hardness, itching, redness, and warmth to left arm under injection site on Feb 14th. Pt states that this area is now 5inches long and 2 1/2 inches wide. This nurse instructed pt to outline redness with a black marker to see if redness continues to increase. If redness does keep increasing pt go to a MD right away as she might need antibiotics. This nurse reviewed that pt should try neosporin and ice to site for now. Pt agrees with this plan. This nurse also gave pt her phone number for any further questions.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster, treated with Valacyclovir 1000mg PO qhs x7 days
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Malaise, Pain
Clinical narrative: Headache, Body Aches, Chills, Feeling ill
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Injection site rash, Injection site warmth, Nausea
Clinical narrative: pt stated her left arm was sore and warm to the touch after getting the vax.   On the next day she developed a fever of 101-102 along with  fatigue, nausea, weakness, so she slept all day.  Third day her fever was 99.8, she still had fatigue and arm was hot to the touch at the injection site.  She now has a rash an inch below the injection site and is about 3x4 inches in size.  Pt has not contacted her PCP at this time.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: pt stated her left arm was sore and warm to the touch after getting the vax.   On the next day she developed a fever of 101-102 along with  fatigue, nausea, weakness, so she slept all day.  Third day her fever was 99.8, she still had fatigue and arm was hot to the touch at the injection site.  She now has a rash an inch below the injection site and is about 3x4 inches in size.  Pt has not contacted her PCP at this time.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: It was itching. The outside of my upper arm was itchy and I rubbed it and scratched it a little and the itchiness seemed to be centered at the injection site. The itchiness lasted for about 3 days. I have not been itchy today which is the 4th day so it seems to have gone away. It was not irritating me all of the time, I could concentrate on other things and be oblivious to it. But sometimes when I rubbed it I could feel a little bit of swelling again at the injection site. When I looked at it there was some redness that could have been caused by my rubbing or scratching, some redness on the skin.  I tried to located swelling when it first appeared but couldn't find any and I didn't notice any that was worrying.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural, Hyperhidrosis, Nervousness, Syncope
Clinical narrative: Vaccine given at 1304. Patient reported feeling light headed and sweaty. Patient reported feeling nervous. 1310: Patient tried to stand and felt really dizzy. Patient transported via wheelchair to lay down and then syncopal episode lasting 30 seconds. Patient transported to cot. 1318: Blood pressure, in right arm, 110/52, heart rate 88 and oxygen saturation level 98% on room air. 1328: Blood pressure, sitting, 92/48. Patient reports that she took all medications this morning and has been exercising more. 1333: Blood pressure, lying, 110/72, heart rate 85, and oxygen saturation level of 99% on room air. 1339: Patient attempted to sit up. "Feeling a little better." "I'm definitely cooling off. I'm not sweating anymore." 1341: Blood pressure, sitting, 100/68, in right arm. 1349: Blood pressure 118/760, sitting, in right arm
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Lip swelling, Pain, Pain in extremity
Clinical narrative: states that at 4:00pm on 1/21/2021 she started to have a headache and arm pain. took 50mmg of Tylenol and it helped relieve headache. At around 10:00 pm started to feel body aches and was unable to sleep. On 1/22/21 at 10:00 am started to feel a tingling sensation on lips, @10:30 am checked and her lips were very swollen and she started to feel numbness and tingling on left side of face. was seen by NP and was given 50mg of Benadryl IM and 6mg of dexamethasone IM, she was monitored for 2hrs and swelling slowly subsided. was prescribed cimetidine 400mg twice a day for 2 days and prednisone 20mg every day for 3 days. @12:00pm went to hospital and she was given Pepcid and was monitored for 3 hours and discharged home..
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Sleep disorder
Clinical narrative: states that at 4:00pm on 1/21/2021 she started to have a headache and arm pain. took 50mmg of Tylenol and it helped relieve headache. At around 10:00 pm started to feel body aches and was unable to sleep. On 1/22/21 at 10:00 am started to feel a tingling sensation on lips, @10:30 am checked and her lips were very swollen and she started to feel numbness and tingling on left side of face. was seen by NP and was given 50mg of Benadryl IM and 6mg of dexamethasone IM, she was monitored for 2hrs and swelling slowly subsided. was prescribed cimetidine 400mg twice a day for 2 days and prednisone 20mg every day for 3 days. @12:00pm went to hospital and she was given Pepcid and was monitored for 3 hours and discharged home..
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Heart rate increased, Injection site pain
Clinical narrative: High heart rate, hard to breath, shivers, sore at injection site and general weak feeling
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: It started on the 12th with itching, and on the 13th it was a bumpy rash, I used cortisone and taking benadryl and it spread by the 14th. it was pretty much gone by the 16th.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Influenza like illness, Pain
Clinical narrative: Extreme flu like symptoms. Fever, Chills, Sweats, headache, body ache
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Extreme flu like symptoms. Fever, Chills, Sweats, headache, body ache
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Rash macular
Clinical narrative: I noticed that in the past few days, my arm was still somewhat tender and achy, despite more than ten days passing since receiving the vaccine.  It was also a bit itchy.  Over the weekend, I did try to move my arm around a bit more and massage the injection site.  This morning, as I was about to get into the shower, I noticed in the mirror that I had a fairly large, splotchy rash on my right bicep, and somewhat on my tricep area.  My arm is no longer sore, but it is still a bit itchy.  I decided to take pictures of both of my arms to try to help keep track of my symptoms.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated
Clinical narrative: Blood pressure went up
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Anger, Exposure to SARS-CoV-2, Sleep disorder, Stress
Clinical narrative: Unable to wake up for 48 hours, stressed out and short temper. Plus I've been exposed to covid-19 at work numerous times and probably had it shortly before or during the shot. No course of action was taken after numerous people were diagnosed with covid-19 at my place of work. UCSD on campus
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Pulmonary embolism
Clinical narrative: bilateral unprovoked Pulmonary emboli
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Rash macular
Clinical narrative: my left arm at the injection site became red, blotchy, and itchy.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Cough, Dizziness, Dyspnoea
Clinical narrative: Nausea, headache, dizzy, tingling on day of vaccine. Went to ER, reported hot flashes, tongue started tingling, felt weak, dizzy, and a little short of breath.  Given benadryl and solumedrol in the ED as well as zofran and tylenol. On 2-15 vomiting x 2, cough, congestion. PCP aware. Has taken zofran and mucinex  for symptoms.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Full blood count, Headache, Hot flush
Clinical narrative: Nausea, headache, dizzy, tingling on day of vaccine. Went to ER, reported hot flashes, tongue started tingling, felt weak, dizzy, and a little short of breath.  Given benadryl and solumedrol in the ED as well as zofran and tylenol. On 2-15 vomiting x 2, cough, congestion. PCP aware. Has taken zofran and mucinex  for symptoms.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Nausea, Paraesthesia, Paraesthesia oral, Respiratory tract congestion
Clinical narrative: Nausea, headache, dizzy, tingling on day of vaccine. Went to ER, reported hot flashes, tongue started tingling, felt weak, dizzy, and a little short of breath.  Given benadryl and solumedrol in the ED as well as zofran and tylenol. On 2-15 vomiting x 2, cough, congestion. PCP aware. Has taken zofran and mucinex  for symptoms.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea, headache, dizzy, tingling on day of vaccine. Went to ER, reported hot flashes, tongue started tingling, felt weak, dizzy, and a little short of breath.  Given benadryl and solumedrol in the ED as well as zofran and tylenol. On 2-15 vomiting x 2, cough, congestion. PCP aware. Has taken zofran and mucinex  for symptoms.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Arthralgia, Ataxia, Balance disorder, Blood test
Clinical narrative: Initial pain in Shoulders and Neck (Bilateral) Descending Peripheral Bilateral Neuropathy  in legs and Feet on Wednesday , Followed by Ataxia  Tremors in 5 th digit of both hands , Itching on both wrists up to elbows bilaterally Numbness appears to have resolved. Numbness persists on left abdomen from waist to underarm. Thursday and then Friday then stronger in legs . Saturday weaker in legs , lack of balance with  some word retrieval relative to previous days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Hypoaesthesia, Immunodeficiency, Magnetic resonance imaging brain, Magnetic resonance imaging spinal
Clinical narrative: Initial pain in Shoulders and Neck (Bilateral) Descending Peripheral Bilateral Neuropathy  in legs and Feet on Wednesday , Followed by Ataxia  Tremors in 5 th digit of both hands , Itching on both wrists up to elbows bilaterally Numbness appears to have resolved. Numbness persists on left abdomen from waist to underarm. Thursday and then Friday then stronger in legs . Saturday weaker in legs , lack of balance with  some word retrieval relative to previous days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myelitis transverse, Neck pain, Neuropathy peripheral, Pruritus
Clinical narrative: Initial pain in Shoulders and Neck (Bilateral) Descending Peripheral Bilateral Neuropathy  in legs and Feet on Wednesday , Followed by Ataxia  Tremors in 5 th digit of both hands , Itching on both wrists up to elbows bilaterally Numbness appears to have resolved. Numbness persists on left abdomen from waist to underarm. Thursday and then Friday then stronger in legs . Saturday weaker in legs , lack of balance with  some word retrieval relative to previous days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Tremor
Clinical narrative: Initial pain in Shoulders and Neck (Bilateral) Descending Peripheral Bilateral Neuropathy  in legs and Feet on Wednesday , Followed by Ataxia  Tremors in 5 th digit of both hands , Itching on both wrists up to elbows bilaterally Numbness appears to have resolved. Numbness persists on left abdomen from waist to underarm. Thursday and then Friday then stronger in legs . Saturday weaker in legs , lack of balance with  some word retrieval relative to previous days.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Pallor, Unresponsive to stimuli, Vision blurred, Vomiting
Clinical narrative: Observed patient getting fanning patient as he became light-headed and explained blurry vision. Patient became increasingly unresponsive and pale. Immediately obtained an Epinephrine 0.3mg pen and injected into thigh, patient immediately vomited and 911 was called.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Dizziness, Dyspnoea, Electrocardiogram normal, Laboratory test
Clinical narrative: Observed patient getting fanning patient as he became light-headed and explained blurry vision. Patient became increasingly unresponsive and pale. Immediately obtained an Epinephrine 0.3mg pen and injected into thigh, patient immediately vomited and 911 was called.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Pallor, Troponin normal, Vision blurred, Vomiting
Clinical narrative: Observed patient getting fanning patient as he became light-headed and explained blurry vision. Patient became increasingly unresponsive and pale. Immediately obtained an Epinephrine 0.3mg pen and injected into thigh, patient immediately vomited and 911 was called.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctivitis
Clinical narrative: Morning after shot, patient woke up with severe case of conjunctivitis in both eyes.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: This lot expired the day prior to it's administration (02/09/2021)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Gait inability, Inflammation, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Three days after receiving the first dose of the COVID vaccine I developed severe radiating low back and leg pain and inflammation and pain in my right knee .  I also developed a persistent pain in my right hand and thumb along with "trigger finger" type symptoms in my hand where it clenches up and I cant open my hand up without using force. At times the pain is so bad I am unable to walk normally  and also unable to utilize my right hand to open or hold things.  In the 22 days that have passed since the shot the symptoms have not subsided and are effecting my ability to get around and carry my normal activities of daily life.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Three days after receiving the first dose of the COVID vaccine I developed severe radiating low back and leg pain and inflammation and pain in my right knee .  I also developed a persistent pain in my right hand and thumb along with "trigger finger" type symptoms in my hand where it clenches up and I cant open my hand up without using force. At times the pain is so bad I am unable to walk normally  and also unable to utilize my right hand to open or hold things.  In the 22 days that have passed since the shot the symptoms have not subsided and are effecting my ability to get around and carry my normal activities of daily life.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Throat tightness
Clinical narrative: Began having tight throat and anxiety after vaccine. no wheezing, lungs clear billaterally. Vitals stable, waited 30 minutes and then discharged to home.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine  Itching, swelling and redness at site of injection.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Basophil count normal, Basophil percentage, Dysstasia, Eosinophil count normal
Clinical narrative: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.    ASSESSMENT UPON ADMIT:  *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.   ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?),  DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil percentage, Fall, Gait disturbance, Granulocyte count, Granulocyte percentage
Clinical narrative: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.    ASSESSMENT UPON ADMIT:  *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.   ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?),  DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haematuria, Haemoglobin decreased, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.    ASSESSMENT UPON ADMIT:  *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.   ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?),  DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean platelet volume, Monocyte count normal, Monocyte percentage
Clinical narrative: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.    ASSESSMENT UPON ADMIT:  *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.   ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?),  DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Neutrophil count, Neutrophil percentage, Penile pain, Platelet aggregation decreased
Clinical narrative: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.    ASSESSMENT UPON ADMIT:  *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.   ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?),  DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Platelet transfusion, Red blood cell count decreased, Red cell distribution width normal, Thrombocytopenia
Clinical narrative: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.    ASSESSMENT UPON ADMIT:  *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.   ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?),  DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Transfusion, White blood cell count increased
Clinical narrative: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.    ASSESSMENT UPON ADMIT:  *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21.  PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE.  HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT.  HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND.  HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS.  EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING.  EMS NOTED URINARY BAG HAD GROSS HEMATURIA.  PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT.  PATIENT COMPLAINS OF PENILE PAIN.  NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA.   ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?),  DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Presyncope
Clinical narrative: first pregnancy. 24 weeks.  Felt very dizzy and almost passed out.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Paraesthesia oral, Throat tightness, Urticaria
Clinical narrative: lip tingling, throat tightness, dyspnea, facial hives
Age: 102.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Anion gap, Asthenia, Blood creatinine increased, Blood fibrinogen
Clinical narrative: Patient is 102 years old history of hypertension hypothyroidism, patient presenting with altered mental status, hemoglobin of 4.6 with creatinine of 2.53, patient has lactic acidosis, anion gap metabolic acidosis.  Stool Hemoccult is positive, platelet count of 23,000 noted.  Patient is awake but confused, patient's son is by the bedside.Patient has diffuse oozing from multiple skin wounds,Patient has received 2 units of blood along with 2 units of platelets and 2 units of FFP.  Fibrinogin of 209. Hematology service recommended starting dexamethasone for suspected ITP.  Patient is a PMH of  spontaneous subdural > 20 years ago, surgically evacuated, HTN, Hypothyroidism ,pre-diabetes who presented to the ED with CC of AMS and slurred speech x 1 day.  History obtained from son at bedside and chart review. At baseline patient is reportedly very independent and able to ambulate in the home without assistive devices. He handles his own ADLs. Patient reportedly received his 2nd dose of the COVID vaccine on Monday and since then has been experiencing fatigue and generalized weakness, in addition to decreased appetite.  AMS started yesterday.  He reportedly fell out of bed last night around 2 AM and family found him at 7 AM on the floor. Denied loss of consciousness. He was evaluated by Stroke team, CT of the head was un-revealing for an acute process and stable chronic changes, and CTA revealed some mild intracranial stenoses, Stroke team felt was unlikely to be an acute stroke. He was found to have Hb 4.6 on admission. Platelets were 23, He was transfused 1 unit of blood and 1 unit of platelets. Hematology was consulted and recommended dexamethasone 20 mg daily for 3 days. Rectal exam was done and he was found to be Guaiac positive was started on Protonix 40 BID.
Age: 102.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral artery stenosis, Confusional state, Decreased appetite, Dysarthria, Fall
Clinical narrative: Patient is 102 years old history of hypertension hypothyroidism, patient presenting with altered mental status, hemoglobin of 4.6 with creatinine of 2.53, patient has lactic acidosis, anion gap metabolic acidosis.  Stool Hemoccult is positive, platelet count of 23,000 noted.  Patient is awake but confused, patient's son is by the bedside.Patient has diffuse oozing from multiple skin wounds,Patient has received 2 units of blood along with 2 units of platelets and 2 units of FFP.  Fibrinogin of 209. Hematology service recommended starting dexamethasone for suspected ITP.  Patient is a PMH of  spontaneous subdural > 20 years ago, surgically evacuated, HTN, Hypothyroidism ,pre-diabetes who presented to the ED with CC of AMS and slurred speech x 1 day.  History obtained from son at bedside and chart review. At baseline patient is reportedly very independent and able to ambulate in the home without assistive devices. He handles his own ADLs. Patient reportedly received his 2nd dose of the COVID vaccine on Monday and since then has been experiencing fatigue and generalized weakness, in addition to decreased appetite.  AMS started yesterday.  He reportedly fell out of bed last night around 2 AM and family found him at 7 AM on the floor. Denied loss of consciousness. He was evaluated by Stroke team, CT of the head was un-revealing for an acute process and stable chronic changes, and CTA revealed some mild intracranial stenoses, Stroke team felt was unlikely to be an acute stroke. He was found to have Hb 4.6 on admission. Platelets were 23, He was transfused 1 unit of blood and 1 unit of platelets. Hematology was consulted and recommended dexamethasone 20 mg daily for 3 days. Rectal exam was done and he was found to be Guaiac positive was started on Protonix 40 BID.
Age: 102.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin decreased, Occult blood positive, Platelet count decreased, Platelet transfusion
Clinical narrative: Patient is 102 years old history of hypertension hypothyroidism, patient presenting with altered mental status, hemoglobin of 4.6 with creatinine of 2.53, patient has lactic acidosis, anion gap metabolic acidosis.  Stool Hemoccult is positive, platelet count of 23,000 noted.  Patient is awake but confused, patient's son is by the bedside.Patient has diffuse oozing from multiple skin wounds,Patient has received 2 units of blood along with 2 units of platelets and 2 units of FFP.  Fibrinogin of 209. Hematology service recommended starting dexamethasone for suspected ITP.  Patient is a PMH of  spontaneous subdural > 20 years ago, surgically evacuated, HTN, Hypothyroidism ,pre-diabetes who presented to the ED with CC of AMS and slurred speech x 1 day.  History obtained from son at bedside and chart review. At baseline patient is reportedly very independent and able to ambulate in the home without assistive devices. He handles his own ADLs. Patient reportedly received his 2nd dose of the COVID vaccine on Monday and since then has been experiencing fatigue and generalized weakness, in addition to decreased appetite.  AMS started yesterday.  He reportedly fell out of bed last night around 2 AM and family found him at 7 AM on the floor. Denied loss of consciousness. He was evaluated by Stroke team, CT of the head was un-revealing for an acute process and stable chronic changes, and CTA revealed some mild intracranial stenoses, Stroke team felt was unlikely to be an acute stroke. He was found to have Hb 4.6 on admission. Platelets were 23, He was transfused 1 unit of blood and 1 unit of platelets. Hematology was consulted and recommended dexamethasone 20 mg daily for 3 days. Rectal exam was done and he was found to be Guaiac positive was started on Protonix 40 BID.
Age: 102.0
Sex: M
Vaccine: COVID19
Symptoms: Rectal examination abnormal, Skin wound, Transfusion
Clinical narrative: Patient is 102 years old history of hypertension hypothyroidism, patient presenting with altered mental status, hemoglobin of 4.6 with creatinine of 2.53, patient has lactic acidosis, anion gap metabolic acidosis.  Stool Hemoccult is positive, platelet count of 23,000 noted.  Patient is awake but confused, patient's son is by the bedside.Patient has diffuse oozing from multiple skin wounds,Patient has received 2 units of blood along with 2 units of platelets and 2 units of FFP.  Fibrinogin of 209. Hematology service recommended starting dexamethasone for suspected ITP.  Patient is a PMH of  spontaneous subdural > 20 years ago, surgically evacuated, HTN, Hypothyroidism ,pre-diabetes who presented to the ED with CC of AMS and slurred speech x 1 day.  History obtained from son at bedside and chart review. At baseline patient is reportedly very independent and able to ambulate in the home without assistive devices. He handles his own ADLs. Patient reportedly received his 2nd dose of the COVID vaccine on Monday and since then has been experiencing fatigue and generalized weakness, in addition to decreased appetite.  AMS started yesterday.  He reportedly fell out of bed last night around 2 AM and family found him at 7 AM on the floor. Denied loss of consciousness. He was evaluated by Stroke team, CT of the head was un-revealing for an acute process and stable chronic changes, and CTA revealed some mild intracranial stenoses, Stroke team felt was unlikely to be an acute stroke. He was found to have Hb 4.6 on admission. Platelets were 23, He was transfused 1 unit of blood and 1 unit of platelets. Hematology was consulted and recommended dexamethasone 20 mg daily for 3 days. Rectal exam was done and he was found to be Guaiac positive was started on Protonix 40 BID.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: complained of fever and chills. Temp. 101.4. Nausea and vomiting,, body aches, and headaches. Bed rest, Fluids was her treatment and Tylenol for the fever. she is feeling better today.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: complained of fever and chills. Temp. 101.4. Nausea and vomiting,, body aches, and headaches. Bed rest, Fluids was her treatment and Tylenol for the fever. she is feeling better today.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule
Clinical narrative: Left arm has a nodule, pain in arm weeks after shot
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient scheduled for 1st Dose of Pfizer vaccine on 2/12/21.  After vaccine given patient was entered into PASIIS - where records showed patient recieved the Moderna vaccine on 1/28/21.  On 1/28/21, patient was scheduled for 2nd dose of Moderna on 2/25/20 at 1000.