chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Leukocytosis, Microcytic anaemia, Myalgia, Normocytic anaemia, Oxygen saturation decreased
Clinical narrative: 74 y/o WF with PMHx including fibromyalgia, chronic back pain/DDD, etc., referred to the ER from the Infusion clinic due to low SpO2.  She was diagnosed with COVID on 8/2 at her PCP's office.  She has felt progressively worse -- noting SOB, cough, myalgias, and weakness -- since about 8/1.  She was vaccinated in March 2021 (received both Pfizer vaccines at Pharmacy).  She had presented today to receive Regeneron infusion; however, she was noted to be tachypneic.  SpO2 there was 81% on room air.  She was sent to the ER for evaluation.  ABG noted hypoxemia with PO2 45.  She was placed on 3 L supplemental oxygen with improvement of her SpO2 -- she is not on oxygen at baseline.  CXR consistent with viral pneum  74 y/o WF with PMHx including fibromyalgia, chronic back pain/DDD, etc., referred to the ER from the Infusion clinic due to low SpO2.  She was diagnosed with COVID on 8/2 at her PCP's office.  She has felt progressively worse -- noting SOB, cough, myalgias, and weakness -- since about 8/1.  She was vaccinated in March 2021 (received both Pfizer vaccines at Pharmacy).  She had presented today to receive Regeneron infusion; however, she was noted to be tachypneic.  SpO2 there was 81% on room air.  She was sent to the ER for evaluation.  ABG noted hypoxemia with PO2 45.  She was placed on 3 L supplemental oxygen with improvement of her SpO2 -- she is not on oxygen at baseline.  CXR consistent with viral pneumonia and emphysematous changes/COPD.  She denies a history of COPD, never smoker, no secondhand exposure, etc.  Not on inhalers at baseline.  Labs noted leukocytosis, normocytic anemia, thrombocytosis, hypokalemia.  With concern for COVID pneumonia, she was admitted to the inpatient service for continued workup and management.  She was admitted to the COVID step-down unit and started on dexamethasone and remdesivir.  We noted interval clinical improvement, fortunately.  Her oxygen requirement was titrated down to 2 L.  She qualified for home oxygen and case management made these arrangements.      Patient was found to have microcytic anemia.  She denied any known history of anemia and also denied any abnormal bleeding or bruising.  We tried to obtain a Hemoccult but no sample was provided.   Of note, she already had an appointment with physician later this month for a diagnostic colonoscopy.  We strongly recommended that the patient follow up with this appointment.  Emphysematous changes were also noted on the patient's imaging.   She had no known history of COPD and was a lifelong nonsmoker.   She denied any smoking exposure, either.  We recommend continued outpatient surveillance.   She should continue to follow-up with her nephrologist regarding her CKD.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia viral, Tachypnoea, Thrombocytosis
Clinical narrative: 74 y/o WF with PMHx including fibromyalgia, chronic back pain/DDD, etc., referred to the ER from the Infusion clinic due to low SpO2.  She was diagnosed with COVID on 8/2 at her PCP's office.  She has felt progressively worse -- noting SOB, cough, myalgias, and weakness -- since about 8/1.  She was vaccinated in March 2021 (received both Pfizer vaccines at Pharmacy).  She had presented today to receive Regeneron infusion; however, she was noted to be tachypneic.  SpO2 there was 81% on room air.  She was sent to the ER for evaluation.  ABG noted hypoxemia with PO2 45.  She was placed on 3 L supplemental oxygen with improvement of her SpO2 -- she is not on oxygen at baseline.  CXR consistent with viral pneum  74 y/o WF with PMHx including fibromyalgia, chronic back pain/DDD, etc., referred to the ER from the Infusion clinic due to low SpO2.  She was diagnosed with COVID on 8/2 at her PCP's office.  She has felt progressively worse -- noting SOB, cough, myalgias, and weakness -- since about 8/1.  She was vaccinated in March 2021 (received both Pfizer vaccines at Pharmacy).  She had presented today to receive Regeneron infusion; however, she was noted to be tachypneic.  SpO2 there was 81% on room air.  She was sent to the ER for evaluation.  ABG noted hypoxemia with PO2 45.  She was placed on 3 L supplemental oxygen with improvement of her SpO2 -- she is not on oxygen at baseline.  CXR consistent with viral pneumonia and emphysematous changes/COPD.  She denies a history of COPD, never smoker, no secondhand exposure, etc.  Not on inhalers at baseline.  Labs noted leukocytosis, normocytic anemia, thrombocytosis, hypokalemia.  With concern for COVID pneumonia, she was admitted to the inpatient service for continued workup and management.  She was admitted to the COVID step-down unit and started on dexamethasone and remdesivir.  We noted interval clinical improvement, fortunately.  Her oxygen requirement was titrated down to 2 L.  She qualified for home oxygen and case management made these arrangements.      Patient was found to have microcytic anemia.  She denied any known history of anemia and also denied any abnormal bleeding or bruising.  We tried to obtain a Hemoccult but no sample was provided.   Of note, she already had an appointment with physician later this month for a diagnostic colonoscopy.  We strongly recommended that the patient follow up with this appointment.  Emphysematous changes were also noted on the patient's imaging.   She had no known history of COPD and was a lifelong nonsmoker.   She denied any smoking exposure, either.  We recommend continued outpatient surveillance.   She should continue to follow-up with her nephrologist regarding her CKD.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination, Palpitations, Visual impairment
Clinical narrative: Decreased vision, mild heart palpitations.  I had an eye exam in September and it was the same as it has been for the last several years.  I had another one in March and it changed drastically and my vision has continued to decline.  I have also had some mild heart palpitations but they are not regular.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to vaccine, Choking sensation, Hypersensitivity, Interchange of vaccine products, Pruritus
Clinical narrative: The patient received her 1st dose Pfizer vaccine outpatient at a different facility and she had an anaphylactic reaction. However, the patient wanted to stay protected from COVID  so she spoke to her doctor. Both, doctor and the patient discussed the risk vs benefit and decided to go with the Moderna vaccine as a patient 2nd dose series. The patient presented to Hospital on 9/15/21 to get her scheduled 2nd vaccine dose. Since the patient had an anaphylactic reaction previously doctor premidicated the patient with acetaminophen 2x 325mg PO ONCE, diphenhydramine 25mg PO ONCE, and loratadine 10mg PO ONCE half-hour (1:30 pm) prior to getting the vaccine dose. The patient received the 2nd dose at 2:00 pm and was stable for a half-hour after receiving the vaccine. Around 2:30 pm she started to feel itchy and felt a choking sensation so she administered her on EpiPen. Due to this, the patient was evaluated by a full code rapid response team and referred to ER. In ER she was diagnosed with an acute allergic reaction to vaccination with complete resolution.  The patient felt better while she was in ER and was monitored for another half-hour prior to discharge.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Pain, Pyrexia
Clinical narrative: Tested positive for Covid, light cough, fever chills aches
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid, light cough, fever chills aches
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid test 09/24/2021
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea
Clinical narrative: SOB, COUGH, DIARHHEA
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arrhythmia, Arthralgia, Back pain, Dizziness
Clinical narrative: I started with extreme abdominal pain, back pain, fever, dizziness, fatigue, hip pain.  I also felt like I had needles in my back.  I had a headache as well.  All of this started about 12 hours after the vaccine.  I also had a sore arm, itchy and swollen.  I did go to the emergency room due to numbness in my right hand and the left side of my face.  I also was experiencing fast heart rate.  As of today, I am lightheaded, and my heart will get out of rhythm.  I am also having numbness in my right hand. My fatigue seems like it is getting better.  I am currently waiting for test results to come back.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heart rate increased, Hypoaesthesia, Laboratory test
Clinical narrative: I started with extreme abdominal pain, back pain, fever, dizziness, fatigue, hip pain.  I also felt like I had needles in my back.  I had a headache as well.  All of this started about 12 hours after the vaccine.  I also had a sore arm, itchy and swollen.  I did go to the emergency room due to numbness in my right hand and the left side of my face.  I also was experiencing fast heart rate.  As of today, I am lightheaded, and my heart will get out of rhythm.  I am also having numbness in my right hand. My fatigue seems like it is getting better.  I am currently waiting for test results to come back.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Pain in extremity, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: I started with extreme abdominal pain, back pain, fever, dizziness, fatigue, hip pain.  I also felt like I had needles in my back.  I had a headache as well.  All of this started about 12 hours after the vaccine.  I also had a sore arm, itchy and swollen.  I did go to the emergency room due to numbness in my right hand and the left side of my face.  I also was experiencing fast heart rate.  As of today, I am lightheaded, and my heart will get out of rhythm.  I am also having numbness in my right hand. My fatigue seems like it is getting better.  I am currently waiting for test results to come back.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chills, Echocardiogram, Electrocardiogram, Fatigue
Clinical narrative: 9/16/2021 Began having fever, chills, muscle and body aches, headache and fatigue 9/22/2021 Sent for covid test; Negative 9/23/2021 Screened for having fever, chills, muscle and body aches, headache and fatigue 9/24/2021 Admitted to  Hospital for continuation of testing from myocarditis 9/25/2021 Still having inflammation around her heart, and remains in the hospital
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Myalgia, Myocarditis, Pain, Pericarditis
Clinical narrative: 9/16/2021 Began having fever, chills, muscle and body aches, headache and fatigue 9/22/2021 Sent for covid test; Negative 9/23/2021 Screened for having fever, chills, muscle and body aches, headache and fatigue 9/24/2021 Admitted to  Hospital for continuation of testing from myocarditis 9/25/2021 Still having inflammation around her heart, and remains in the hospital
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 9/16/2021 Began having fever, chills, muscle and body aches, headache and fatigue 9/22/2021 Sent for covid test; Negative 9/23/2021 Screened for having fever, chills, muscle and body aches, headache and fatigue 9/24/2021 Admitted to  Hospital for continuation of testing from myocarditis 9/25/2021 Still having inflammation around her heart, and remains in the hospital
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Pain, Pain in extremity
Clinical narrative: sharp shooting pains in arm , radiating down shoulder and back
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone increased, Bradycardia, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Friday, September 24, 2021 started around 1:00pm with heart PACs.  Went to the ER Saturday, September 25, 2021 at 8:00pm as the PACs had not stopped and I was having chest pain as well as difficulty breathing at times.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Supraventricular extrasystoles
Clinical narrative: Friday, September 24, 2021 started around 1:00pm with heart PACs.  Went to the ER Saturday, September 25, 2021 at 8:00pm as the PACs had not stopped and I was having chest pain as well as difficulty breathing at times.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt tested positive for covid after being fully vaccinated for covid-19.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood immunoglobulin G decreased, Blood immunoglobulin M decreased, COVID-19, SARS-CoV-2 test positive
Clinical narrative: This is an 85-year-old female with a past medical history of underlying dementia hypertension and vitamin deficiency who is a resident in an assisted care facility. Recently there were resident who were found to be positive for coronavirus infection over there hence patient got tested he was found to be positive. She was hence referred to the ER for infusion of regeneron. After that patient was kept under observation in the hospital, she had an MRT for new onset atrial fibrillation with rapid ventricular rate, she start got started on Cardizem drip and was seen by cardiology.
Age: 89.0
Sex: F
Vaccine: TDAP
Symptoms: Peripheral swelling, Rash pruritic
Clinical narrative: Itchy rash and swelling on right arm
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Maternal exposure during breast feeding, Pain, Pyrexia
Clinical narrative: I am a breastfeeding mother to a 10 month old infant. I received vaccine on 9/1/21 and about 12 hours later (9/2/21) developed fever, headache, body aches and soreness at the injection site. On 9/3/21 my baby developed a fever, fussiness, and decreased appetite and this continued until 9/7/21. He also developed diarrhea on 9/6/21. He was seen at his pediatrician's office on 9/7/21 and they could find nothing wrong (CBC was normal, COVID negative, ears clear) and said he probably had a viral infection that was resolving. He did not have fever the morning of 9/7/21. The fever returned that evening and continued the rest of the week as well as the fussiness and decreased appetite- I took him back to the pediatrician on 9/10/21 and they could again find nothing wrong (this was day 8 of fever > 101). On the morning of 9/11/21 he became inconsolable and was running a fever of 102.1 and I took him to the emergency room at Hospital. They did more intensive lab work, x-ray, respiratory panel and it only showed atelectasis vs. early pneumonia in his lung and they decided to treat with antibiotic and nausea medication.  He continued to breastfeed for the duration of his illness, as it was the only way the he would take fluid
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Haematemesis, Intensive care, Oxygen saturation decreased, Platelet count decreased
Clinical narrative: Came to ER with syncope, coffee ground emesis, O2 sats in the 80's, placed on O2, admit to ICU, was able to wean O2 was then able to move to general medical floor, consults GI, Cardiology and Infectious disease. Remains in hospital on oxygen.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Came to ER with syncope, coffee ground emesis, O2 sats in the 80's, placed on O2, admit to ICU, was able to wean O2 was then able to move to general medical floor, consults GI, Cardiology and Infectious disease. Remains in hospital on oxygen.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient is fully vaccinated, then later hospitalized and died four days later due to Covid related causes.  Patient was resident of long-term care facility
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Rash vesicular
Clinical narrative: He got his 6th grade vaccines, dtap and Meningococcal.  He got a chicken pox-like rash less than 24 hours after the vaccines.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Atelectasis, Bronchoscopy normal, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 9/20/2021; COVID-19 positive 9/20/2021;  fully vaccinated a 60 y.o. female who presents today intubated, tested positive for COVID. According to information obtained from EMS, patient was vaccinated for COVID but started having symptoms last Wednesday.Shje was intubated yesterday. Husband is also COVID positive. ROS limited due to limited hospital record. ASSESSMENT / PLAN: 60 year old female with PMHx significant of but not limited to  of hypertension, COPD presented while intubated AHRF 2/2 COVID ARDS; COVID Pneumonia: Patient was COVID vaccinated in May,developed symptoms( dyspnea) 09/16, intubated 09/19 for worsening hypoxia, previous chest X-Ray indicative of ARDS.Bedside bronchoscopy did not show any mucous plugging. On VC with FiO2 100% ,PEEP 20,TV 360,plateau of 28.Unable to get hold of tocilizumab. Continue decadron 6 mg daily for 10 days. S/p loading dose of remidesivir, will continue maintenance dose. No proneing now, PF ratio 228 Continue lung protective ventilation with low TV Follow up ABGs every 4 hours Follow up blood and sputum culture Holding antibiotics, low suspicion for bacterial pneumonia  Note from 9/26/2021: a 60 y.o. female with a past medical history of significant for hypertension, chronic obstructive pulmonary disease who presented from an outside hospital with ARDS secondary to COVID-19 pneumonia requiring intubation and sedation as well as shock requiring pressors.  Assessment/Plan:  Acute hypoxic respiratory failure secondary to COVID 19 pneumonia COVID ARDS Patient vaccinated in May, develops symptoms 9/16, intubated outside hospital 9/19 for worsening hypoxia.  Recent chest x-ray indicative of COVID ARDS.  Bedside bronchoscopy revealed no mucus plugging.  Currently on volume control PEEP of 18, FiO2 of 55, tidal volume 300.  Plan Decadron 6 mg daily for 10 days -day 5 of 10 Remdesivir discontinued due to AKI P/F improving - maintain FiO2 with goal p/F of >160 Blood cx NGTD CXR 9/26/2021: No significant change. Appliances are in stable, satisfactory position. Normal cardiac size. Mild diffuse coarse bilateral interstitial infiltrates. Mild atelectasis left base.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Endotracheal intubation, Hypoxia, Lung infiltration
Clinical narrative: Hospitalized 9/20/2021; COVID-19 positive 9/20/2021;  fully vaccinated a 60 y.o. female who presents today intubated, tested positive for COVID. According to information obtained from EMS, patient was vaccinated for COVID but started having symptoms last Wednesday.Shje was intubated yesterday. Husband is also COVID positive. ROS limited due to limited hospital record. ASSESSMENT / PLAN: 60 year old female with PMHx significant of but not limited to  of hypertension, COPD presented while intubated AHRF 2/2 COVID ARDS; COVID Pneumonia: Patient was COVID vaccinated in May,developed symptoms( dyspnea) 09/16, intubated 09/19 for worsening hypoxia, previous chest X-Ray indicative of ARDS.Bedside bronchoscopy did not show any mucous plugging. On VC with FiO2 100% ,PEEP 20,TV 360,plateau of 28.Unable to get hold of tocilizumab. Continue decadron 6 mg daily for 10 days. S/p loading dose of remidesivir, will continue maintenance dose. No proneing now, PF ratio 228 Continue lung protective ventilation with low TV Follow up ABGs every 4 hours Follow up blood and sputum culture Holding antibiotics, low suspicion for bacterial pneumonia  Note from 9/26/2021: a 60 y.o. female with a past medical history of significant for hypertension, chronic obstructive pulmonary disease who presented from an outside hospital with ARDS secondary to COVID-19 pneumonia requiring intubation and sedation as well as shock requiring pressors.  Assessment/Plan:  Acute hypoxic respiratory failure secondary to COVID 19 pneumonia COVID ARDS Patient vaccinated in May, develops symptoms 9/16, intubated outside hospital 9/19 for worsening hypoxia.  Recent chest x-ray indicative of COVID ARDS.  Bedside bronchoscopy revealed no mucus plugging.  Currently on volume control PEEP of 18, FiO2 of 55, tidal volume 300.  Plan Decadron 6 mg daily for 10 days -day 5 of 10 Remdesivir discontinued due to AKI P/F improving - maintain FiO2 with goal p/F of >160 Blood cx NGTD CXR 9/26/2021: No significant change. Appliances are in stable, satisfactory position. Normal cardiac size. Mild diffuse coarse bilateral interstitial infiltrates. Mild atelectasis left base.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Shock
Clinical narrative: Hospitalized 9/20/2021; COVID-19 positive 9/20/2021;  fully vaccinated a 60 y.o. female who presents today intubated, tested positive for COVID. According to information obtained from EMS, patient was vaccinated for COVID but started having symptoms last Wednesday.Shje was intubated yesterday. Husband is also COVID positive. ROS limited due to limited hospital record. ASSESSMENT / PLAN: 60 year old female with PMHx significant of but not limited to  of hypertension, COPD presented while intubated AHRF 2/2 COVID ARDS; COVID Pneumonia: Patient was COVID vaccinated in May,developed symptoms( dyspnea) 09/16, intubated 09/19 for worsening hypoxia, previous chest X-Ray indicative of ARDS.Bedside bronchoscopy did not show any mucous plugging. On VC with FiO2 100% ,PEEP 20,TV 360,plateau of 28.Unable to get hold of tocilizumab. Continue decadron 6 mg daily for 10 days. S/p loading dose of remidesivir, will continue maintenance dose. No proneing now, PF ratio 228 Continue lung protective ventilation with low TV Follow up ABGs every 4 hours Follow up blood and sputum culture Holding antibiotics, low suspicion for bacterial pneumonia  Note from 9/26/2021: a 60 y.o. female with a past medical history of significant for hypertension, chronic obstructive pulmonary disease who presented from an outside hospital with ARDS secondary to COVID-19 pneumonia requiring intubation and sedation as well as shock requiring pressors.  Assessment/Plan:  Acute hypoxic respiratory failure secondary to COVID 19 pneumonia COVID ARDS Patient vaccinated in May, develops symptoms 9/16, intubated outside hospital 9/19 for worsening hypoxia.  Recent chest x-ray indicative of COVID ARDS.  Bedside bronchoscopy revealed no mucus plugging.  Currently on volume control PEEP of 18, FiO2 of 55, tidal volume 300.  Plan Decadron 6 mg daily for 10 days -day 5 of 10 Remdesivir discontinued due to AKI P/F improving - maintain FiO2 with goal p/F of >160 Blood cx NGTD CXR 9/26/2021: No significant change. Appliances are in stable, satisfactory position. Normal cardiac size. Mild diffuse coarse bilateral interstitial infiltrates. Mild atelectasis left base.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Peripheral swelling
Clinical narrative: Left leg swollen twice the size of his right leg  Was given prednisone at urgent care on Sunday and benadryl today in our office
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: onset symptoms 9/6/21. Several Emergency dept visits on 9/6, 9/8, 9/15, 9/22 and admitted 9/25 Hospitalized
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Chest pain
Clinical narrative: About 9/15/2021 and 9/16/2021, which is about 5 to 6 days after I received the first dose of the Pfizer Covid vaccine, I started having mild pain in my chest around the heart. This pain is more noticeable when I lie down or when I take deep breath or fast breath. If I bend my body down like to pick something from the floor, I hear some internal grumbling around my chest. I also have some burning sensation around my heart area. I was thinking this pain will go away in a couple of days but still remain till the time of filing this report, 9/27/2021.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Dizziness, Ear pain, Feeling abnormal, Headache
Clinical narrative: Original symptoms presented as possible sinus infection, with no congestion, just sinus pressure at bridge of nose and around the eyes.  Moved into dizziness/equilibrium issues, some brain fog, fullness/ache in ears.  Occasional headache, normally due to sinus pressure, and ringing in ears.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paranasal sinus discomfort, Tinnitus
Clinical narrative: Original symptoms presented as possible sinus infection, with no congestion, just sinus pressure at bridge of nose and around the eyes.  Moved into dizziness/equilibrium issues, some brain fog, fullness/ache in ears.  Occasional headache, normally due to sinus pressure, and ringing in ears.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Dehydration, Dizziness, Electrocardiogram T wave inversion
Clinical narrative: 73-year-old female with a PMH significant for HTN, HLD, diabetes, factor 11 deficiency with recent cochlear implants (1 mo ago), vaccinated with Pfizer x2 and outpatient+ covid-19 test on 9/21/2021 who presented to the ER after experiencing a syncopal episode. . She reports experiencing malaise and symptoms for around 2 weeks, had an outpatient negative test 1 week ago, testing positive this Tuesday; Today, while she was in the bathroom, she felt dizzy, screamed for help and her son came and found her sitting at the edge of the tub. Then, called the ambulance and she was transported to the ER. As a side note, the patient's son who lives in another area and has been caring for her during postop process, tested positive covid-19 over a week ago, vaccinated. The patient's husband is negative covid 19 as of Tuesday, also vaccinated.   In the ER, VS temp 99.4 F, BP 115/57, HR 97, RR 20, O2 sat 100% on RA. EKG read as NSR, rate 90bpm, no STEMI, T wave inversions in V1, V3. Lab significant for mild AKI, dehydration, mild transaminases, D-dimer 2683 .She was given IV fluids, a CTA was attempted but patient declined as she had a prior anaphylactic shock after iodine injection. V/Q scan pending at this time. She is admitted to telemetry with a cardiology, Hematology and Infectious Disease consultations.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Malaise, SARS-CoV-2 antibody test, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: 73-year-old female with a PMH significant for HTN, HLD, diabetes, factor 11 deficiency with recent cochlear implants (1 mo ago), vaccinated with Pfizer x2 and outpatient+ covid-19 test on 9/21/2021 who presented to the ER after experiencing a syncopal episode. . She reports experiencing malaise and symptoms for around 2 weeks, had an outpatient negative test 1 week ago, testing positive this Tuesday; Today, while she was in the bathroom, she felt dizzy, screamed for help and her son came and found her sitting at the edge of the tub. Then, called the ambulance and she was transported to the ER. As a side note, the patient's son who lives in another area and has been caring for her during postop process, tested positive covid-19 over a week ago, vaccinated. The patient's husband is negative covid 19 as of Tuesday, also vaccinated.   In the ER, VS temp 99.4 F, BP 115/57, HR 97, RR 20, O2 sat 100% on RA. EKG read as NSR, rate 90bpm, no STEMI, T wave inversions in V1, V3. Lab significant for mild AKI, dehydration, mild transaminases, D-dimer 2683 .She was given IV fluids, a CTA was attempted but patient declined as she had a prior anaphylactic shock after iodine injection. V/Q scan pending at this time. She is admitted to telemetry with a cardiology, Hematology and Infectious Disease consultations.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Transaminases
Clinical narrative: 73-year-old female with a PMH significant for HTN, HLD, diabetes, factor 11 deficiency with recent cochlear implants (1 mo ago), vaccinated with Pfizer x2 and outpatient+ covid-19 test on 9/21/2021 who presented to the ER after experiencing a syncopal episode. . She reports experiencing malaise and symptoms for around 2 weeks, had an outpatient negative test 1 week ago, testing positive this Tuesday; Today, while she was in the bathroom, she felt dizzy, screamed for help and her son came and found her sitting at the edge of the tub. Then, called the ambulance and she was transported to the ER. As a side note, the patient's son who lives in another area and has been caring for her during postop process, tested positive covid-19 over a week ago, vaccinated. The patient's husband is negative covid 19 as of Tuesday, also vaccinated.   In the ER, VS temp 99.4 F, BP 115/57, HR 97, RR 20, O2 sat 100% on RA. EKG read as NSR, rate 90bpm, no STEMI, T wave inversions in V1, V3. Lab significant for mild AKI, dehydration, mild transaminases, D-dimer 2683 .She was given IV fluids, a CTA was attempted but patient declined as she had a prior anaphylactic shock after iodine injection. V/Q scan pending at this time. She is admitted to telemetry with a cardiology, Hematology and Infectious Disease consultations.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Computerised tomogram head, Concussion, Dizziness, Head injury
Clinical narrative: Patient reports he felt dizzy on Day 2 to the point of losing balance. On day 3 he was still, feeling dizzy, blacked out, hit his head on concrete, and got a concussion. After that he continued to have dizziness, nausea, vomiting. Continued for at least 7 days. Still has some mild sporadic dizziness.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Vomiting
Clinical narrative: Patient reports he felt dizzy on Day 2 to the point of losing balance. On day 3 he was still, feeling dizzy, blacked out, hit his head on concrete, and got a concussion. After that he continued to have dizziness, nausea, vomiting. Continued for at least 7 days. Still has some mild sporadic dizziness.
Age: 25.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Malaise, Pyrexia
Clinical narrative: High Fever, Chills, Malaise occurring 10 hours after injections
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood test abnormal, Chills, Computerised tomogram head, Computerised tomogram neck
Clinical narrative: Got vaccine and that night had worst headache of my life along with fever, chills, and general feeling of being sick. Took OTC pain reliever and woke up feeling slightly better the next morning. Over the next few weeks, I kept getting headaches, which is very out of the norm for me, as I hardly ever have them. OTC pain meds didn't help but they would come and go. Headaches began coming with much more frequency and intensity. Went and saw my PCP on 5/7/2021. She was concerned by the length of the headache without relief (it had been almost 1.5 weeks of a severe headache with no relief at this point, so she called in for me to have MRI). Pain intensified and become constant and excruciating. Ended up in the ER two times on 5/11 and 5/12. Pain was so severe I couldn't function, sleep, or eat. It felt like my head was going to explode and was WAY worse than natural childbirth, which I have gone through 3 times. Had CT Scan with contrast, normal results. Sent home with strong pain meds and gave referral to neurologist. Saw 2 neurologists they have high dose pain meds for me to take. These did help the headache slightly better but gave me stomach issues. Had MRI on 5/17, with normal results. Over the next month relied on family to help my family survive, as I mostly laid in bed. Finally began to feel better and was able to slowly wean off strong meds. Now I have sporadic headaches which are still out of the norm for me but not as intense as the May ones.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Feeding disorder, Head discomfort, Headache, Insomnia
Clinical narrative: Got vaccine and that night had worst headache of my life along with fever, chills, and general feeling of being sick. Took OTC pain reliever and woke up feeling slightly better the next morning. Over the next few weeks, I kept getting headaches, which is very out of the norm for me, as I hardly ever have them. OTC pain meds didn't help but they would come and go. Headaches began coming with much more frequency and intensity. Went and saw my PCP on 5/7/2021. She was concerned by the length of the headache without relief (it had been almost 1.5 weeks of a severe headache with no relief at this point, so she called in for me to have MRI). Pain intensified and become constant and excruciating. Ended up in the ER two times on 5/11 and 5/12. Pain was so severe I couldn't function, sleep, or eat. It felt like my head was going to explode and was WAY worse than natural childbirth, which I have gone through 3 times. Had CT Scan with contrast, normal results. Sent home with strong pain meds and gave referral to neurologist. Saw 2 neurologists they have high dose pain meds for me to take. These did help the headache slightly better but gave me stomach issues. Had MRI on 5/17, with normal results. Over the next month relied on family to help my family survive, as I mostly laid in bed. Finally began to feel better and was able to slowly wean off strong meds. Now I have sporadic headaches which are still out of the norm for me but not as intense as the May ones.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging normal, Malaise, Mobility decreased, Neurological examination
Clinical narrative: Got vaccine and that night had worst headache of my life along with fever, chills, and general feeling of being sick. Took OTC pain reliever and woke up feeling slightly better the next morning. Over the next few weeks, I kept getting headaches, which is very out of the norm for me, as I hardly ever have them. OTC pain meds didn't help but they would come and go. Headaches began coming with much more frequency and intensity. Went and saw my PCP on 5/7/2021. She was concerned by the length of the headache without relief (it had been almost 1.5 weeks of a severe headache with no relief at this point, so she called in for me to have MRI). Pain intensified and become constant and excruciating. Ended up in the ER two times on 5/11 and 5/12. Pain was so severe I couldn't function, sleep, or eat. It felt like my head was going to explode and was WAY worse than natural childbirth, which I have gone through 3 times. Had CT Scan with contrast, normal results. Sent home with strong pain meds and gave referral to neurologist. Saw 2 neurologists they have high dose pain meds for me to take. These did help the headache slightly better but gave me stomach issues. Had MRI on 5/17, with normal results. Over the next month relied on family to help my family survive, as I mostly laid in bed. Finally began to feel better and was able to slowly wean off strong meds. Now I have sporadic headaches which are still out of the norm for me but not as intense as the May ones.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Platelet count increased, Pyrexia
Clinical narrative: Got vaccine and that night had worst headache of my life along with fever, chills, and general feeling of being sick. Took OTC pain reliever and woke up feeling slightly better the next morning. Over the next few weeks, I kept getting headaches, which is very out of the norm for me, as I hardly ever have them. OTC pain meds didn't help but they would come and go. Headaches began coming with much more frequency and intensity. Went and saw my PCP on 5/7/2021. She was concerned by the length of the headache without relief (it had been almost 1.5 weeks of a severe headache with no relief at this point, so she called in for me to have MRI). Pain intensified and become constant and excruciating. Ended up in the ER two times on 5/11 and 5/12. Pain was so severe I couldn't function, sleep, or eat. It felt like my head was going to explode and was WAY worse than natural childbirth, which I have gone through 3 times. Had CT Scan with contrast, normal results. Sent home with strong pain meds and gave referral to neurologist. Saw 2 neurologists they have high dose pain meds for me to take. These did help the headache slightly better but gave me stomach issues. Had MRI on 5/17, with normal results. Over the next month relied on family to help my family survive, as I mostly laid in bed. Finally began to feel better and was able to slowly wean off strong meds. Now I have sporadic headaches which are still out of the norm for me but not as intense as the May ones.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest X-ray, Confusional state, Diarrhoea, Fall
Clinical narrative: Presented to ER on 9/13/2021 for diarrhea, confusion, was discharged and returned to ER on 09/18/2021 after falling. Wife states pt. has become more lethargic, weak. Admitted due to weakness, O2 sats low pt. started on O2
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Oxygen saturation decreased, Platelet count decreased
Clinical narrative: Presented to ER on 9/13/2021 for diarrhea, confusion, was discharged and returned to ER on 09/18/2021 after falling. Wife states pt. has become more lethargic, weak. Admitted due to weakness, O2 sats low pt. started on O2
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: On the 25th of September arm was swollen warm to touch and itching . it seems to be spreading .
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram peripheral abnormal, Anticoagulant therapy, Antiphospholipid antibodies negative, Asthenia, Atrial thrombosis
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to another hospital with sudden onset left leg pain, numbness, and weakness during athletic activity. No Doppler pedal pulse detected and transferred to this facility. Found to have occlusions on left CFA, right profunda, and right popliteal as well as a left atrial mass (myxoma),  left atrial thrombus, and mitral insufficiency.  Admitted, anticoagulated, and underwent balloon embolectomies, mechanical valve replacement, right heart catheterizations, and thrombectomies. Discharged to home stable on anticoagulation with cardiology follow-up in place.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Beta-2 glycoprotein antibody negative, Blood electrolytes normal, Blood fibrinogen, Blood homocysteine, Cardiolipin antibody negative
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to another hospital with sudden onset left leg pain, numbness, and weakness during athletic activity. No Doppler pedal pulse detected and transferred to this facility. Found to have occlusions on left CFA, right profunda, and right popliteal as well as a left atrial mass (myxoma),  left atrial thrombus, and mitral insufficiency.  Admitted, anticoagulated, and underwent balloon embolectomies, mechanical valve replacement, right heart catheterizations, and thrombectomies. Discharged to home stable on anticoagulation with cardiology follow-up in place.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Echocardiogram abnormal, Full blood count, Haematocrit normal, Haemoglobin normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to another hospital with sudden onset left leg pain, numbness, and weakness during athletic activity. No Doppler pedal pulse detected and transferred to this facility. Found to have occlusions on left CFA, right profunda, and right popliteal as well as a left atrial mass (myxoma),  left atrial thrombus, and mitral insufficiency.  Admitted, anticoagulated, and underwent balloon embolectomies, mechanical valve replacement, right heart catheterizations, and thrombectomies. Discharged to home stable on anticoagulation with cardiology follow-up in place.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Heart valve replacement, Hypoaesthesia, International normalised ratio increased, Mitral valve incompetence, Mitral valve stenosis
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to another hospital with sudden onset left leg pain, numbness, and weakness during athletic activity. No Doppler pedal pulse detected and transferred to this facility. Found to have occlusions on left CFA, right profunda, and right popliteal as well as a left atrial mass (myxoma),  left atrial thrombus, and mitral insufficiency.  Admitted, anticoagulated, and underwent balloon embolectomies, mechanical valve replacement, right heart catheterizations, and thrombectomies. Discharged to home stable on anticoagulation with cardiology follow-up in place.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Myxoma, Pain in extremity, Peripheral artery occlusion, Peripheral artery thrombosis, Platelet count normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to another hospital with sudden onset left leg pain, numbness, and weakness during athletic activity. No Doppler pedal pulse detected and transferred to this facility. Found to have occlusions on left CFA, right profunda, and right popliteal as well as a left atrial mass (myxoma),  left atrial thrombus, and mitral insufficiency.  Admitted, anticoagulated, and underwent balloon embolectomies, mechanical valve replacement, right heart catheterizations, and thrombectomies. Discharged to home stable on anticoagulation with cardiology follow-up in place.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, Pulse absent, Right ventricular enlargement, SARS-CoV-2 RNA undetectable, Thrombectomy
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to another hospital with sudden onset left leg pain, numbness, and weakness during athletic activity. No Doppler pedal pulse detected and transferred to this facility. Found to have occlusions on left CFA, right profunda, and right popliteal as well as a left atrial mass (myxoma),  left atrial thrombus, and mitral insufficiency.  Admitted, anticoagulated, and underwent balloon embolectomies, mechanical valve replacement, right heart catheterizations, and thrombectomies. Discharged to home stable on anticoagulation with cardiology follow-up in place.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Thromboembolectomy, Ultrasound Doppler abnormal, White blood cell count increased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to another hospital with sudden onset left leg pain, numbness, and weakness during athletic activity. No Doppler pedal pulse detected and transferred to this facility. Found to have occlusions on left CFA, right profunda, and right popliteal as well as a left atrial mass (myxoma),  left atrial thrombus, and mitral insufficiency.  Admitted, anticoagulated, and underwent balloon embolectomies, mechanical valve replacement, right heart catheterizations, and thrombectomies. Discharged to home stable on anticoagulation with cardiology follow-up in place.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient given expired Moderna COVID 19 vaccine. Vaccine expired on 9/26/2021 and was given on 9/27/2021. There were no immediate adverse signs or symptoms from this vaccine error.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Influenza virus test negative, Lethargy, SARS-CoV-2 antibody test
Clinical narrative: 87-year-old female with a PMH of COPD-O2 dependent, CAD, HTN, HLD and skin cancer who presents for increasing lethargy. He also says there is at COVID-19 outbreak and they have been quarantined. According to records she was tested on Tuesday which was negative. Also according to son she had COVID-19 pneumonia and was hospitalized for about a month in April 2020.  In the ED, COVID-19 antigen positive, influenza negative.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: 87-year-old female with a PMH of COPD-O2 dependent, CAD, HTN, HLD and skin cancer who presents for increasing lethargy. He also says there is at COVID-19 outbreak and they have been quarantined. According to records she was tested on Tuesday which was negative. Also according to son she had COVID-19 pneumonia and was hospitalized for about a month in April 2020.  In the ED, COVID-19 antigen positive, influenza negative.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Polymerase chain reaction positive, Pyrexia
Clinical narrative: Fever and Cough
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Gastrointestinal infection, Laboratory test, Nausea, Stool analysis
Clinical narrative: Gastrointestinal infection with diarrhea at 7-10 times a day to start. Abdominal cramping and nausea. Diarrhea is up to 25 times a day currently with abdominal cramping, nausea and vomiting.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Gastrointestinal infection with diarrhea at 7-10 times a day to start. Abdominal cramping and nausea. Diarrhea is up to 25 times a day currently with abdominal cramping, nausea and vomiting.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: injection site on left arm developed a red rash,  kind of like a welt  , raised read and sometimes itchy.  started day 8 after shot and lasted 12 days.
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Sleep disorder, Vertigo
Clinical narrative: Severe, sudden Vertigo- woke me up from sleeping
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Nasal congestion
Clinical narrative: Headache  fever 100.5 chills.  Nausea Stuffy nose aches Today tired and weak. Nearly better
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Headache  fever 100.5 chills.  Nausea Stuffy nose aches Today tired and weak. Nearly better
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Feeling abnormal
Clinical narrative: Continuous brain fog
Age: 90.0
Sex: F
Vaccine: UNK
Symptoms: Chest pain, Dyspnoea
Clinical narrative: To ER 9/24/21 with chest pain, SOB, admit to hospital
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head, Ear pain, Electrocardiogram, Facial paralysis, Full blood count
Clinical narrative: Facial Droop, numb tongue, headache, ear pain
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoaesthesia oral, Magnetic resonance imaging
Clinical narrative: Facial Droop, numb tongue, headache, ear pain
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Tremor
Clinical narrative: The mother of the patient called and reported that patient had the chills and body shakes that have lasted all night long and she is feeling weak and feels like she is going to pass out when ever she tries to get out of bed.    The mother doesn't believe that she ate or drink anything since getting the shot.  I recommended that she seek medical care immediately.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Neck pain
Clinical narrative: This is continuation of worsening symptoms since last report  started around 8/1/2021. I had additional symptoms that could be related.When I do a workout using 40 pounds of weights now I have different responses to my daily activities. The same daily activities seem to provoke a severe level of pain to my cervical area. On 8/27/2021 had a steroid injection in my neck area to calm it down.I had a MRI on 9/22/2021 on my lower L5,S1 Lumbar as a result of increased symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19