chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Patient was administered a prefilled Covid-19 vaccine injection in L deltoid. Patient was monitored for 15 minutes following vaccine administration. Post injection the clinic soon realized the injection was empty without the vaccine present. The "prefilled' Johnson and Johnson vaccine was pulled back to 0.5 ml and individually packed and appeared to be a single use vaccine. The patient was called and notified via phone call of the situation and that the patient unintentionally did not receive COVID-19 immunization. Advised patient to FU for any questions or concerns. The Health Department was notified. Patient was understanding and denies acute concerns.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Heart rate increased, Limb discomfort, Nausea, Pain
Clinical narrative: Rapid uneven heart beat . Sore body, nausea, dead right arm (shot arm) lowered blood pressure,
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Diarrhoea, Immediate post-injection reaction
Clinical narrative: immediate severe arm pain, 102 fever, severe weakness, severe chills, loss of appetite, diarrhea, severe body aches, the worst of which lasted 24 to 36 hours. Symptoms were to the point I could barely take care of myself and needed help. Considered going to ER
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity, Pyrexia
Clinical narrative: immediate severe arm pain, 102 fever, severe weakness, severe chills, loss of appetite, diarrhea, severe body aches, the worst of which lasted 24 to 36 hours. Symptoms were to the point I could barely take care of myself and needed help. Considered going to ER
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Influenza like illness, Injection site pain
Clinical narrative: Moderna COVID-19 Vaccine EUA: Soreness at vaccine point of arm, mild flu-like symptoms about 16 hours after shot, aching joints (especially at arthritis areas).  Took ibuprofen. Felt 100% normal about 42 hours after injection.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Hallucination, Neurological symptom
Clinical narrative: ANAPHYLACTIC NEUROLOGIC SYMPTOMS INCLUDING HALLUCINATIONS DEVELOPING WITHIN 7 DAYS OF VACCINATION, SECOND DOSE NOT ADVISED BY CDC, SECOND DOSE DUE 3/12/2021, SECOND DOSE NOT ADMINISTERED AND DOCUMENTED AS ANAPHYLACTIC REACTION TO FIRST DOSE
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: I had a seizure about twelve hours after I received my vaccine. I was conscious for it and it involved both my legs and feet.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Patient was administered a prefilled Covid-19 vaccine injection in L deltoid. Patient was monitored for 15 minutes following vaccine administration. Post injection the clinic soon realized the injection was empty without the vaccine present. The "prefilled' Johnson and Johnson vaccine was pulled back to 0.5 ml and individually packed and appeared to be a single use vaccine. The patient was called and notified via phone call of the situation and that the patient unintentionally did not receive COVID-19 immunization. Advised patient to FU for any questions or concerns. The Health Department was notified. Patient was understanding and denies acute concerns.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Exposure during pregnancy, Fatigue, Pain, Pyrexia
Clinical narrative: I am 6 months pregnant (28 weeks).   Approximately 8 hours after the injection, I developed a fever of 103 degrees. Other symptoms were severe body aches, tremors, and chills. I took two 500mg Tylenol pills, but the fever remained at 103 degrees for 12 hours. After 12 hours, the fever reduced to 100 degrees for another 6 hours. Body aches, tremors and chills decreased in severity along with the fever. After 18 hours, my temperature returned to normal and tremors and chills subsided completely. I remained very fatigued with some body aches and general soreness for another 24 hours.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I am 6 months pregnant (28 weeks).   Approximately 8 hours after the injection, I developed a fever of 103 degrees. Other symptoms were severe body aches, tremors, and chills. I took two 500mg Tylenol pills, but the fever remained at 103 degrees for 12 hours. After 12 hours, the fever reduced to 100 degrees for another 6 hours. Body aches, tremors and chills decreased in severity along with the fever. After 18 hours, my temperature returned to normal and tremors and chills subsided completely. I remained very fatigued with some body aches and general soreness for another 24 hours.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache
Clinical narrative: Fatigue, Achy Joints, Chills, Headache
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural, Dyspnoea, Nausea, Pain in extremity
Clinical narrative: vaccine at 1246. 1248 arm started to hurt, light-headed, nauseated, SOB followed by emesis. B/P 78/42, HR-55, 02 sat 99%, r-18. Pt given crackers and water.  Pt reports only eating  banana today. 1313 hr-64,02 sat 98% ra, b/p 88/60. Pt states she is starting to feel better. 1329 had pt stand up  cont to be slightly dizzy. Instructed to f/u with MD as needed. 1335 escorted to her parents car who came to get her and updated of the situation per pt ok.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: vaccine at 1246. 1248 arm started to hurt, light-headed, nauseated, SOB followed by emesis. B/P 78/42, HR-55, 02 sat 99%, r-18. Pt given crackers and water.  Pt reports only eating  banana today. 1313 hr-64,02 sat 98% ra, b/p 88/60. Pt states she is starting to feel better. 1329 had pt stand up  cont to be slightly dizzy. Instructed to f/u with MD as needed. 1335 escorted to her parents car who came to get her and updated of the situation per pt ok.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, CSF test, Guillain-Barre syndrome, Immunoglobulin therapy, Magnetic resonance imaging head
Clinical narrative: Patient states she received her second COVID vaccine Moderna on 2/22/2021; presented to hospital and admitted with history of weakness starting 3/3/2021; diagnosed with  Guillian Barre Syndrome sensory >motor variant resulting in progressive weakness and inpatient hospitalization;
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture
Clinical narrative: Patient states she received her second COVID vaccine Moderna on 2/22/2021; presented to hospital and admitted with history of weakness starting 3/3/2021; diagnosed with  Guillian Barre Syndrome sensory >motor variant resulting in progressive weakness and inpatient hospitalization;
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Muscular weakness, Paraesthesia
Clinical narrative: Patient states she received her second COVID vaccine Moderna on 2/22/2021; presented to hospital and admitted with history of weakness starting 3/3/2021; diagnosed with  Guillian Barre Syndrome sensory >motor variant resulting in progressive weakness and inpatient hospitalization;
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dark circles under eyes, Eye pain, Periorbital swelling
Clinical narrative: puffiness of eyes, especially left eye.  Also bag and dark circle under left eye. Eye balls feel sore
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: red tender area size of hand where vaccine needle entered
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Eye movement disorder, Loss of consciousness, Malaise
Clinical narrative: Patient did not report any allergic reaction to any vaccine or medications when asked during consultation prior to administration. The pharmacist had administered the vaccine and patient was sent to the waiting area to wait the mandatory 15-20 minutes after receiving the shot. Patient was seated and after 5 minutes, patient disclosed with another patient in the waiting area that she was not feeling well. After a few min she lost consciousness for less than a minute, her eyes rolled back. Epinephrine was not administered. When she became conscious, she refused medical treatment. Patient was nauseous and vomited a few times.  A pharmacist checked vitals and all were within normal limits and a neuro check was also performed which was normal. Patient was given water, gingerale, raw ginger, and ginger tablets for the nausea. Patient was also given saltine crackers. Patient's aunt arrived at the scene. Patient reported feeling chills and weakness. Patient did not feel comfortable standing/leaving. Pharmacist stayed with the patient for 90 min until patient was stable and walked the patient to the aunts car. At the end of the event patient reported having vasovagal syncope and has a history of fainting at the site of blood, too much stress, and anxiety, but never after vaccines.She reported she did not eat anything in the morning and just drank coffee.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Patient did not report any allergic reaction to any vaccine or medications when asked during consultation prior to administration. The pharmacist had administered the vaccine and patient was sent to the waiting area to wait the mandatory 15-20 minutes after receiving the shot. Patient was seated and after 5 minutes, patient disclosed with another patient in the waiting area that she was not feeling well. After a few min she lost consciousness for less than a minute, her eyes rolled back. Epinephrine was not administered. When she became conscious, she refused medical treatment. Patient was nauseous and vomited a few times.  A pharmacist checked vitals and all were within normal limits and a neuro check was also performed which was normal. Patient was given water, gingerale, raw ginger, and ginger tablets for the nausea. Patient was also given saltine crackers. Patient's aunt arrived at the scene. Patient reported feeling chills and weakness. Patient did not feel comfortable standing/leaving. Pharmacist stayed with the patient for 90 min until patient was stable and walked the patient to the aunts car. At the end of the event patient reported having vasovagal syncope and has a history of fainting at the site of blood, too much stress, and anxiety, but never after vaccines.She reported she did not eat anything in the morning and just drank coffee.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea, Syncope, Tinnitus
Clinical narrative: Patient immediately got lightheaded after receiving the vaccine. About 5-10 minutes after she fainted but regained consciousness. Patient was nauseous, her ears were ringing, and felt extremely hot. 911 was called and patient was taken to the hospital.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Injection site pain, Mental impairment, Nausea
Clinical narrative: I felt very lightheaded starting around 10 am Monday morning. Perhaps also some nausea but I did not vomit.  I had very slight pain at the injection site. I was not able to concentrate on my work for about 4 hours and felt unstable walking.  So I just rested.   I felt better later in the day, and was completely normal the next day.  I took more Aleve after I was already feeling better from the lightheaded feelings as I was continuing to experience cramping from my menstruation beginning early Monday (woke up a 4 am from pain and took Aleve then).  I have not experienced lightheaded feelings or inability to concentrate or unstable walking when I have had cramping or taken Aleve in the past.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: After injection, immediately had localized swelling at the site of injection (right deltoid)  No complaints of pain, SOA.  Ice pack applied.  Monitored for 30 min, no complaints at the time of discharge.  Left voice mail for him to contact his PCP for 2nd shot recommendations.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Patient was administered a prefilled Covid-19 vaccine injection in L deltoid. Patient was monitored for 15 minutes following vaccine administration. Post injection the clinic soon realized the injection was empty without the vaccine present. The "prefilled' Johnson and Johnson vaccine was pulled back to 0.5 ml and individually packed and appeared to be a single use vaccine. The patient was called and notified via phone call of the situation and that the patient unintentionally did not receive COVID-19 immunization. Advised patient to FU for any questions or concerns. The Health Department was notified. Patient was understanding and denies acute concerns.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain
Clinical narrative: Severe abdominal pain
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute disseminated encephalomyelitis, Balance disorder, CSF protein increased, CSF test, CSF white blood cell count increased
Clinical narrative: The patient received her vaccine on Wednesday March 3.  On Sunday March 7, she started to feel fatigue and had difficulty with her balance while walking.  Then later that day, she developed double vision.  When things did not improve, she sought medical care.  She has nystagmus on examination, past-pointing in the left hand, and mild dysmetria on both legs.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Central nervous system lesion, Demyelination, Diplopia, Dysmetria, Fatigue
Clinical narrative: The patient received her vaccine on Wednesday March 3.  On Sunday March 7, she started to feel fatigue and had difficulty with her balance while walking.  Then later that day, she developed double vision.  When things did not improve, she sought medical care.  She has nystagmus on examination, past-pointing in the left hand, and mild dysmetria on both legs.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging head abnormal, Nystagmus, Past-pointing, Viral test negative
Clinical narrative: The patient received her vaccine on Wednesday March 3.  On Sunday March 7, she started to feel fatigue and had difficulty with her balance while walking.  Then later that day, she developed double vision.  When things did not improve, she sought medical care.  She has nystagmus on examination, past-pointing in the left hand, and mild dysmetria on both legs.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute disseminated encephalomyelitis, Alcohol test, Anti-aquaporin-4 antibody, Ataxia, CSF cell count
Clinical narrative: The patient received her vaccine on Wednesday March 3.  On Sunday March 7, she started to feel fatigue and had difficulty with her balance while walking.  Then later that day, she developed double vision.  When things did not improve, she sought medical care.  She has nystagmus on examination, past-pointing in the left hand, and mild dysmetria on both legs.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: CSF oligoclonal band, Diplopia, Epstein-Barr virus test, HIV test, Hepatitis C virus test
Clinical narrative: The patient received her vaccine on Wednesday March 3.  On Sunday March 7, she started to feel fatigue and had difficulty with her balance while walking.  Then later that day, she developed double vision.  When things did not improve, she sought medical care.  She has nystagmus on examination, past-pointing in the left hand, and mild dysmetria on both legs.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes simplex test, Human chorionic gonadotropin, Lumbar puncture, Magnetic resonance imaging abnormal, Metabolic function test
Clinical narrative: The patient received her vaccine on Wednesday March 3.  On Sunday March 7, she started to feel fatigue and had difficulty with her balance while walking.  Then later that day, she developed double vision.  When things did not improve, she sought medical care.  She has nystagmus on examination, past-pointing in the left hand, and mild dysmetria on both legs.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Protein total, Toxoplasma serology, Treponema test
Clinical narrative: The patient received her vaccine on Wednesday March 3.  On Sunday March 7, she started to feel fatigue and had difficulty with her balance while walking.  Then later that day, she developed double vision.  When things did not improve, she sought medical care.  She has nystagmus on examination, past-pointing in the left hand, and mild dysmetria on both legs.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Oxygen saturation decreased, Pulmonary infarction, Vena cava thrombosis
Clinical narrative: IVC thrombus w/wedge-shaped R-sided pulmonary infarct, suspect PE. Pt initially on Lovenox 100mg subQ bid., started on Apixaban 10mg PO bid for 5 days followed by Apixaban 5mg PO bid for 5 days. Pt continued to demonstrate need for supplemental O2 w/O2Sat 86% on room air at rest, d/c from hospital with home O2.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: Fever of 102.3, chills, headache, nausea
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain
Clinical narrative: Vet reports difficulty lifting arms above head beginning 8 days after dose. Continued difficulty lifting above head and has pain that radiates to buttocks
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling
Clinical narrative: Felt mild fatigue evening of vaccination. Day 2 reddish goose egg surrounded by slightly swollen upper arm at injection site. Sore to touch but otherwise non eventful. Lasted approx 3-4 days.   Day 8, noticed a mild itch at injection site and pink smaller sized raised area with non-painful swelling in upper arm.  Day 9, a bit more red and very mild itch sensation along left forearm. No rash, no big deal.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Tenderness
Clinical narrative: Felt mild fatigue evening of vaccination. Day 2 reddish goose egg surrounded by slightly swollen upper arm at injection site. Sore to touch but otherwise non eventful. Lasted approx 3-4 days.   Day 8, noticed a mild itch at injection site and pink smaller sized raised area with non-painful swelling in upper arm.  Day 9, a bit more red and very mild itch sensation along left forearm. No rash, no big deal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Alanine aminotransferase increased, Aortic aneurysm, Aphasia
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Aspiration pleural cavity, Blood alkaline phosphatase increased, Blood alkaline phosphatase normal, Blood bilirubin increased
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood culture negative, Blood culture positive, Blood lactic acid increased, Blood potassium decreased
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Body temperature increased, Chest X-ray abnormal, Confusional state, Decreased appetite
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Electrolyte imbalance, Feeling abnormal, Hypokalaemia
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Lactic acidosis, Lethargy, Liver function test increased, Mental disorder
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pleural effusion, Pneumonia, Pulmonary mass, Pyrexia
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sepsis, Streptococcus test positive, Tachycardia, Tachypnoea
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Ultrasound biliary tract normal
Clinical narrative: Pfizer COVID-19 Vaccine EUA  3/2: Pt received Pfizer vaccine 2/26/2021 and started feeling progressively worse - endorsed fever, diarrhea, body aches, trouble breathing, lack of appetite. On 3/2/2021 pt and husband presented to ED. Pt's husband stated that pt had become more and more confused since she received the vaccine and that on 3/2 she could not complete her sentences. Temp 101.6 on arrival, tachycardic in 130s, tachypneic in 120s, but not hypoxic. Patient was given acetaminophen on arrival. IV was inserted and patient was given 1 L intravenous fluid replacement as well as 2 g ceftriaxone for broad-spectrum coverage within 3 hours of arrival. Blood work was drawn that shows no leukocytosis but lactic acidosis to 3.3.  There are multiple electrolyte abnormalities, hyponatremia 127, hypokalemia 2.8, creatinine 1.01, ALT 59 AST 53, ALP 136, total bili 1.3, lactic acidosis 3.3, troponin 0.02. Patient was given 40 mEq of oral potassium.  Additional L of normal saline was given for total of 2 L normal saline bolus.  Chest x-ray shows right basilar pneumonia. Also shows pulmonary nodule of which husband was made aware. LFTs are noted be elevated, so biliary ultrasound was obtained that was negative with limit to body habitus. Husband was updated. Azithromycin was added on. Rapid COVID antigen was negative.  3/3/21: Febrile, SOB overnight. Pt more lethargic, trailing off in the middle of sentences and having difficulties following conversation. Continue sepsis protocol, add vancomycin IV to ceftriaxone and azithromycin. Frequent neuro checks. MRCP. Chest pain-free, serial cardiac enzymes from yesterday to demonstrate nonischemic pattern likely type 2 NSTEMI. 2/2 blood cultures from 3/2 positive for Streptococcus pyogenes (Group A). Vancomycin and azithromycin dc'd.  3/11: Discharged from hospital. Patient admitted for acute hypoxic respiratory failure secondary to right basilar community-acquired pneumonia.  Blood culture grew Streptococcus pyogenes, patient was initially treated with ceftriaxone and switched to Ancef . repeat blood culture on 03/04/2021 showed no growth. Patient will complete a total 14 day course of antibiotics with amoxicillin from culture negative date. Patient had right-sided pleural effusion, pulmonary consulted and she underwent thoracentesis x2 culture showed no growth, considered parapneumonic effusion.  Patient required 2 L continuous oxygen and deemed stable for discharge.  She will follow up with Pulmonary in 3 weeks, outpatient chest CT in 4-6 weeks to be ordered by Pulmonary to assess lung nodule and known thoracic aortic aneurysm.   PTOT recommended home discharge with VNA. On discharge patient was a febrile and hemodynamically stable. Remained COVID negative throughout.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: fatigue, headache, muscle pain, joint pain, chills, nausea and fever.  I slept on and off for 48 hrs
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: fatigue, headache, muscle pain, joint pain, chills, nausea and fever.  I slept on and off for 48 hrs
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Patient was administered a prefilled Covid-19 vaccine injection in L deltoid. Patient was monitored for 15 minutes following vaccine administration. Post injection the clinic soon realized the injection was empty without the vaccine present. The "prefilled' Johnson and Johnson vaccine was pulled back to 0.5 ml and individually packed and appeared to be a single use vaccine. The patient was called and notified via phone call of the situation and that the patient unintentionally did not receive COVID-19 immunization. Advised patient to FU for any questions or concerns. The Health Department was notified. Patient was understanding and denies acute concerns.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever, flu-like symptoms, injection site soreness and swelling
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Fatigue, Malaise, Nausea
Clinical narrative: Extreme fatigue, nausea, lightheadedness, malaise; couldn't eat. Lasted 24 - 48 hours.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dental examination normal, Ear infection, Eye pain, Facial pain, Pain in jaw
Clinical narrative: Starts around 4 pm.  Lot of pain right side of face like:  1.  toothache, whole jaw aches   2.  neck arthritis   3. sinus infection  4.  ear infection all at the same time.  Strong pain all through right side of face, sometimes up through eye.  Worse lying down.  Cause?   Dental exam complete mouth x-rays indicated no problems with any teeth.  Saw Dr. 3/3/2021, was checked for ear, sinus infections, felt all around my neck, no problems.  Prescribed gabapentin, told to continue the Tylenol Arthritis I had been taking on my own.  Symptoms continue today, only right side of face, head, temple area, sometimes up through right eye, teeth on right side ache.  Only take the Tylenol once a day since that is all that I need it.  More painful if I lie down in bed at night so sit upright until pain is gone; then sleep through the night.  No problem all during the day when I?m up and around doing whatever. . .no pain then.  Someone in my dental office has the same symptoms along with Bells Palsy, was told by her doctor it's from the Covid shot and could last 3 months? Pharmacist also told me filling the gabapentin for several others with same symptoms (I live in a small town).