chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was fully vaccinated in February 2021. I was exposed to COVID on July 30, and developed symptoms two days later. I tested positive for COVID on August 4.   It started off as an itchy throat and slight sinus pain. Within a couple days it had progressed to fever, extreme sinus/facial pain, loss of taste and smell, throbbing headache, sever congestions, plugged ears, and extreme fatigue. I was really sick for 8 days and developed a bad sinus infection after.  Three weeks after becoming sick, I went in to the doctor about my sinus pain and found out I also had a sinus infection.   It looks about 4 weeks to start to feel better, despite being fully vaccinated. A little over a month out, and I still tired and having an elevated heart rate when exercising that never existed before.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus pain, Sinusitis, Throat irritation
Clinical narrative: I was fully vaccinated in February 2021. I was exposed to COVID on July 30, and developed symptoms two days later. I tested positive for COVID on August 4.   It started off as an itchy throat and slight sinus pain. Within a couple days it had progressed to fever, extreme sinus/facial pain, loss of taste and smell, throbbing headache, sever congestions, plugged ears, and extreme fatigue. I was really sick for 8 days and developed a bad sinus infection after.  Three weeks after becoming sick, I went in to the doctor about my sinus pain and found out I also had a sinus infection.   It looks about 4 weeks to start to feel better, despite being fully vaccinated. A little over a month out, and I still tired and having an elevated heart rate when exercising that never existed before.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID after completing the Pfizer vaccine series > 14 days prior to illness
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Red bumps that look like mosquito bites all over left arm where the shot was given. Bumps also on left leg and some on right arm as well. They are very itchy and are raised. Started 1 day after the shot and have not gone down. Have taken over the counter medicine to help reduce the itch and used Cortizone cream as well.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: numbness and pain top of both hands and left foot. pain in left hand between 1st and 2nd finger during movement
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Uterine dilation and curettage
Clinical narrative: Two miscarriages since administered. First on May 17. Second on August 30.   No prior history of miscarriage or pregnancy issues. Previously had 2 healthy, normal pregnancies
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic-foul taste in mouth.  Happened within 1 minute of injection.  Still ongoing.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Patient states that her menstrual cycle has been affected.  She started her period on the morning she received the vaccine.  She reports active bleeding for 13 days and then had a 4 day break in bleeding and then started bleeding again.  This is unusual for her.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Migraine, Pain, Pyrexia
Clinical narrative: Migraine beginning at 9/7/21 @  0930.  Fever, lethargy, body aches beginning at 1200. For over 24 hours sustained fever of 102.5-103.5* regardless of being packed with ice, cool rags, 4g Tylenol administered q6h. It broke around 1200 on 9/8/21 and now is back at 101.8*
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Exercise tolerance decreased, Joint stiffness, Joint swelling, Mobility decreased
Clinical narrative: I am a runner who is no longer able to run and train for my September event due to the pain stiffness and slight swelling in my left knee- the same knee that over a year ago was swollen from my first case of shingles that ran down my left leg all the way to my ankle. I am so angry since I asked my dr whether I should wait until after my race to get this shingles vaccine and she said I would not have any adverse effects except the pain in the arm like the Covid vaccine. That is not the case and I am so angry at myself for not putting off this vaccine until November after my international and local running events.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: I am a runner who is no longer able to run and train for my September event due to the pain stiffness and slight swelling in my left knee- the same knee that over a year ago was swollen from my first case of shingles that ran down my left leg all the way to my ankle. I am so angry since I asked my dr whether I should wait until after my race to get this shingles vaccine and she said I would not have any adverse effects except the pain in the arm like the Covid vaccine. That is not the case and I am so angry at myself for not putting off this vaccine until November after my international and local running events.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Pain, Pyrexia
Clinical narrative: 08/24/2021 I was very tired, low fever, chills, aches all over, lower back hurt, my nose runny all the time, lasted for about 6 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: 08/24/2021 I was very tired, low fever, chills, aches all over, lower back hurt, my nose runny all the time, lasted for about 6 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Influenza like illness, Paraesthesia oral, Throat tightness
Clinical narrative: Flu Like symptoms , felt like throat was closing, metalic and salty taste. lips tingly.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Groin pain
Clinical narrative: Developed achey pain in R groin that has been consistent and not yet resolved. with concern it could be the developement of a blood clot. But unknown at this time
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Bladder catheterisation, Bladder irrigation, COVID-19, Haematuria
Clinical narrative: Pt admitted on 8/24/2021: He recommended he come to the ER for admission and for bladder irrigation.  The patient has a history of neurogenic bladder and does self catheterization.  He is fully vaccinated for COVID, but did get diagnosed with COVID, I believe on August 13.  It sounds like he has had symptoms for about 2 weeks and about completely resolved.  It appears that he has finished up his 10 days of dexamethasone.  Pt discharged on 8/26/2021: Patient was admitted to the hospital medicine service and Neurology consulted for his gross hematuria.  Foley catheter placed and was started on continues bladder irrigation.  His hematuria improved and resolved and therefore his CBI was turned off.  Neurology recommends continue antibiotics for 5 more days at discharge and aortic has a prescription for cefdinir and I recommended continuing this for 5 more days.  He will follow up in Neurology Clinic soon for further management of his hematuria.  He did have some anemia which is expected from his hematuria and he has follow-up with PCP early next week have a CBC checked. Overall the patient did well during hospital stay and will be discharged home in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: Pt admitted on 8/24/2021: He recommended he come to the ER for admission and for bladder irrigation.  The patient has a history of neurogenic bladder and does self catheterization.  He is fully vaccinated for COVID, but did get diagnosed with COVID, I believe on August 13.  It sounds like he has had symptoms for about 2 weeks and about completely resolved.  It appears that he has finished up his 10 days of dexamethasone.  Pt discharged on 8/26/2021: Patient was admitted to the hospital medicine service and Neurology consulted for his gross hematuria.  Foley catheter placed and was started on continues bladder irrigation.  His hematuria improved and resolved and therefore his CBI was turned off.  Neurology recommends continue antibiotics for 5 more days at discharge and aortic has a prescription for cefdinir and I recommended continuing this for 5 more days.  He will follow up in Neurology Clinic soon for further management of his hematuria.  He did have some anemia which is expected from his hematuria and he has follow-up with PCP early next week have a CBC checked. Overall the patient did well during hospital stay and will be discharged home in stable condition.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Amnesia, Axillary pain, Blood albumin, Blood test
Clinical narrative: right after injection had a indescribable feeling going through rt. arm kind of felt like circulation was off. next day had a taste of metal, sore arm and sharp pain in chest behind rt. breast, that continued on and off for weeks. about 2 weeks after shot, woke up with tingling in shoulders arms and hands for a few days. tingling pinching and burning sensation in rt. ear, tingling and numbness on rt. side of face from lips to ears. ringing in both ears pain in back of neck with tingling running down back of neck head and shoulders. strange feeling in rt. arm like it had a rubber band on it.sharp stabbing pain in rt. arm pit lasted one day then would happen occasionally. mild swelling in arm pit sharp stabbing pains under rib cage ,hands and feet . tingling legs hands and feet. rt. foot very cold had to use heating pad nothing else worked.heart palpitations about he same time in evening for several days in a row. chills on and off for a few days confusion, brain fog and hard to concentrate and remember things.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Confusional state, Disturbance in attention, Dysgeusia
Clinical narrative: right after injection had a indescribable feeling going through rt. arm kind of felt like circulation was off. next day had a taste of metal, sore arm and sharp pain in chest behind rt. breast, that continued on and off for weeks. about 2 weeks after shot, woke up with tingling in shoulders arms and hands for a few days. tingling pinching and burning sensation in rt. ear, tingling and numbness on rt. side of face from lips to ears. ringing in both ears pain in back of neck with tingling running down back of neck head and shoulders. strange feeling in rt. arm like it had a rubber band on it.sharp stabbing pain in rt. arm pit lasted one day then would happen occasionally. mild swelling in arm pit sharp stabbing pains under rib cage ,hands and feet . tingling legs hands and feet. rt. foot very cold had to use heating pad nothing else worked.heart palpitations about he same time in evening for several days in a row. chills on and off for a few days confusion, brain fog and hard to concentrate and remember things.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Feeling abnormal, Hypoaesthesia, Limb discomfort, Lymphadenopathy
Clinical narrative: right after injection had a indescribable feeling going through rt. arm kind of felt like circulation was off. next day had a taste of metal, sore arm and sharp pain in chest behind rt. breast, that continued on and off for weeks. about 2 weeks after shot, woke up with tingling in shoulders arms and hands for a few days. tingling pinching and burning sensation in rt. ear, tingling and numbness on rt. side of face from lips to ears. ringing in both ears pain in back of neck with tingling running down back of neck head and shoulders. strange feeling in rt. arm like it had a rubber band on it.sharp stabbing pain in rt. arm pit lasted one day then would happen occasionally. mild swelling in arm pit sharp stabbing pains under rib cage ,hands and feet . tingling legs hands and feet. rt. foot very cold had to use heating pad nothing else worked.heart palpitations about he same time in evening for several days in a row. chills on and off for a few days confusion, brain fog and hard to concentrate and remember things.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Musculoskeletal chest pain, Neck pain, Pain in extremity, Palpitations
Clinical narrative: right after injection had a indescribable feeling going through rt. arm kind of felt like circulation was off. next day had a taste of metal, sore arm and sharp pain in chest behind rt. breast, that continued on and off for weeks. about 2 weeks after shot, woke up with tingling in shoulders arms and hands for a few days. tingling pinching and burning sensation in rt. ear, tingling and numbness on rt. side of face from lips to ears. ringing in both ears pain in back of neck with tingling running down back of neck head and shoulders. strange feeling in rt. arm like it had a rubber band on it.sharp stabbing pain in rt. arm pit lasted one day then would happen occasionally. mild swelling in arm pit sharp stabbing pains under rib cage ,hands and feet . tingling legs hands and feet. rt. foot very cold had to use heating pad nothing else worked.heart palpitations about he same time in evening for several days in a row. chills on and off for a few days confusion, brain fog and hard to concentrate and remember things.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia ear, Peripheral coldness, Tinnitus
Clinical narrative: right after injection had a indescribable feeling going through rt. arm kind of felt like circulation was off. next day had a taste of metal, sore arm and sharp pain in chest behind rt. breast, that continued on and off for weeks. about 2 weeks after shot, woke up with tingling in shoulders arms and hands for a few days. tingling pinching and burning sensation in rt. ear, tingling and numbness on rt. side of face from lips to ears. ringing in both ears pain in back of neck with tingling running down back of neck head and shoulders. strange feeling in rt. arm like it had a rubber band on it.sharp stabbing pain in rt. arm pit lasted one day then would happen occasionally. mild swelling in arm pit sharp stabbing pains under rib cage ,hands and feet . tingling legs hands and feet. rt. foot very cold had to use heating pad nothing else worked.heart palpitations about he same time in evening for several days in a row. chills on and off for a few days confusion, brain fog and hard to concentrate and remember things.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Tinnitus
Clinical narrative: Developed tinnitus in both ears which I still have after five months. Also have some hearing loss in one ear.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Burning sensation, Hypoaesthesia, Injection site induration, Injection site mass
Clinical narrative: The day after the vaccine my left shoulder was frozen. I had a hard lump that was painful at the place where I got the shot. I could not raise my arm to dress myself. One week later I woke up and I was very swollen from my neck to my upper arm. I woke up and my arm was on fire and it was very itchy. It was all the way down my arm and the focal point of the pain was around the injection site. I was prescribed some antihistamines and some muscle relaxers. After six months I still have no range of motion and my arm gets numb. Since I returned to work I have had chronic pain and I am using Lidocaine patches. Anytime my arm is at a 90 degree angle it goes numb and I am experiencing nerve pain. It feels like a nerve compression and I get sharp pain in my clavicle and down my back. I get burning and tingling in my fingers and I can?t sit still for long. My range of motion has improved since I started Physical Therapy. I got my second shot in the same arm but I premedicated with some muscle relaxers and antihistamines. My reaction was much less that time. I have pain every day and it is very bad by the end of my work day and physical activity is not possible right now.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Joint range of motion decreased, Loss of personal independence in daily activities, Neuralgia, Pain
Clinical narrative: The day after the vaccine my left shoulder was frozen. I had a hard lump that was painful at the place where I got the shot. I could not raise my arm to dress myself. One week later I woke up and I was very swollen from my neck to my upper arm. I woke up and my arm was on fire and it was very itchy. It was all the way down my arm and the focal point of the pain was around the injection site. I was prescribed some antihistamines and some muscle relaxers. After six months I still have no range of motion and my arm gets numb. Since I returned to work I have had chronic pain and I am using Lidocaine patches. Anytime my arm is at a 90 degree angle it goes numb and I am experiencing nerve pain. It feels like a nerve compression and I get sharp pain in my clavicle and down my back. I get burning and tingling in my fingers and I can?t sit still for long. My range of motion has improved since I started Physical Therapy. I got my second shot in the same arm but I premedicated with some muscle relaxers and antihistamines. My reaction was much less that time. I have pain every day and it is very bad by the end of my work day and physical activity is not possible right now.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Periarthritis, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: The day after the vaccine my left shoulder was frozen. I had a hard lump that was painful at the place where I got the shot. I could not raise my arm to dress myself. One week later I woke up and I was very swollen from my neck to my upper arm. I woke up and my arm was on fire and it was very itchy. It was all the way down my arm and the focal point of the pain was around the injection site. I was prescribed some antihistamines and some muscle relaxers. After six months I still have no range of motion and my arm gets numb. Since I returned to work I have had chronic pain and I am using Lidocaine patches. Anytime my arm is at a 90 degree angle it goes numb and I am experiencing nerve pain. It feels like a nerve compression and I get sharp pain in my clavicle and down my back. I get burning and tingling in my fingers and I can?t sit still for long. My range of motion has improved since I started Physical Therapy. I got my second shot in the same arm but I premedicated with some muscle relaxers and antihistamines. My reaction was much less that time. I have pain every day and it is very bad by the end of my work day and physical activity is not possible right now.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: The day after the vaccine my left shoulder was frozen. I had a hard lump that was painful at the place where I got the shot. I could not raise my arm to dress myself. One week later I woke up and I was very swollen from my neck to my upper arm. I woke up and my arm was on fire and it was very itchy. It was all the way down my arm and the focal point of the pain was around the injection site. I was prescribed some antihistamines and some muscle relaxers. After six months I still have no range of motion and my arm gets numb. Since I returned to work I have had chronic pain and I am using Lidocaine patches. Anytime my arm is at a 90 degree angle it goes numb and I am experiencing nerve pain. It feels like a nerve compression and I get sharp pain in my clavicle and down my back. I get burning and tingling in my fingers and I can?t sit still for long. My range of motion has improved since I started Physical Therapy. I got my second shot in the same arm but I premedicated with some muscle relaxers and antihistamines. My reaction was much less that time. I have pain every day and it is very bad by the end of my work day and physical activity is not possible right now.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: She came in wanting the covid vaccine and 2 techs and myself asked her the questions. She did not have a fever or ever say she had covid after getting the vaccine she stated she was in the hospital last week with covid and had the monoclonal antibodies treatment.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Decreased appetite, Muscular weakness, Nausea, Somnolence
Clinical narrative: WEAKENED MUSCLES, AND JOINTS, DROWSINESS, LOSS OF APPETITE, NAUSEA
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Syncope
Clinical narrative: Patient experienced syncope after getting her first Pfizer Covid shot - patient's husband was present and said that this had happened before after receiving a shot.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Fall, Pallor
Clinical narrative: At 1028, patient fell from chair to the floor. RN arrived on scene. Patient's eyes were closed for approximately 3 seconds. RN shook patient's shoulders and called out to patient. Patient opened eyes. Patient sat up. Patient was alert and oriented to person, place, time and situation. Patient reported he wanted to lay down on the ground. EMT elevated patient's feet on a chair. EMT assessed patient. EMT noted skin was clammy and pallor of the face. Patient denied hitting head. Patient denied pain, tenderness, redness on head and on left and right knees. Patient reported no history of fainting with vaccinations. Patient reported no chronic conditions, no current medications, and no known allergies. At 1032, assessed patient vital signs: 116/70 mmHg, pulse 88 beats/minute and SpO2 100%. At 1037, EMT reassessed patient vital signs: blood pressure 122/76 mmHg, pulse 78 beats/minute, and SpO2 99%. At 1042, EMT reassessed patient vital signs: blood pressure 120/ 78 mmHg, pulse 76 beats/minute, and SpO2 98%. At 1045, patient was able to stand and sit in chair. Patient denied dizziness and lightheadedness. Patient given water. Patient able to drink water. At 1050, EMT reassessed patient vital signs: blood pressure 118/76 mmHg, pulse 78 beats/minute, and SpO2 98%. EMT educated patient on signs/symptoms of when to seek emergency care, to follow up with primary care provider, and to sign up on v-safe. Patient reported he "feels fine". At 1058, patient left facility with unlabored respirations and steady gait.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Biopsy, Blood test, Cardioversion
Clinical narrative: After I got the vaccine, within a day I ran a temperature a little over 100 degrees. I was fatigued and not feeling very well. I slept the next day. On the 17th of March 2021 I decided to do yard work outside. I came in after that and I sat on the couch. My heart started rattling in my chest. I have never experienced that before. I called my tele doctor and she said I need to go to ER and get seen as soon as possible. They confirmed that I did have A-FIB and my heart was beating at 140 beats per minute. I was given beta blockers but that didn't help so the doctors did a cardioversion on me twice to get my heart back on a normal rhythm. Since then I haven't had anymore events of A-FIB. I felt fatigued on and off for at least 3 months and I didn't have as much energy as I used to have. On April 7th I found out my PSA was high. It normally ran around 3, but it was at 8.3.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Magnetic resonance imaging, Malaise, Palpitations, Prostatic specific antigen increased
Clinical narrative: After I got the vaccine, within a day I ran a temperature a little over 100 degrees. I was fatigued and not feeling very well. I slept the next day. On the 17th of March 2021 I decided to do yard work outside. I came in after that and I sat on the couch. My heart started rattling in my chest. I have never experienced that before. I called my tele doctor and she said I need to go to ER and get seen as soon as possible. They confirmed that I did have A-FIB and my heart was beating at 140 beats per minute. I was given beta blockers but that didn't help so the doctors did a cardioversion on me twice to get my heart back on a normal rhythm. Since then I haven't had anymore events of A-FIB. I felt fatigued on and off for at least 3 months and I didn't have as much energy as I used to have. On April 7th I found out my PSA was high. It normally ran around 3, but it was at 8.3.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Confusional state, Injection site swelling, Injection site urticaria, Pyrexia, Vomiting
Clinical narrative: Child vomited, developed a fever, confusion, hives, and swelling at the injection site of the leg that Kinrix was given in.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Computerised tomogram abnormal, Splenic artery aneurysm
Clinical narrative: I been having really bad left side stomach pain.  I went to doctor about it.  They made me got to a CT scan.  They find spleen artery antrum.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness
Clinical narrative: Patient was standing/leaning on a chair when they lost consciousness and fell from standing onto the floor. (syncope) Patient regained consciousness within a few minutes. Patient recovered after having some water within 15 or so minutes.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood gases abnormal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Pt admitted on 8/25/2021: A 41-year-old female with no primary care physician, is followed by Doctor P of Gastroenterology for Crohn disease, and is also followed by Doctor L at Oncology for anemia.  She recently moved to and has not set up with a primary care provider there.  She was vaccinated for COVID back in March 2021.  However, she is on chronic Remicade for Crohn disease.  She gets it every 6 weeks and was due to have it this coming weekend.  One week ago, she began having malaise, generally feeling poorly, body aches, and a cough.  The following day, she began having fever and worsened symptoms and tested positive for COVID initially on August 20th.  She took it easy at home and tried to go back to work today. However, at work, she became very fatigued, dizzy, short of breath, and had to leave work and went back to an urgent care clinic.  They prescribed her prednisone, cefdinir, Symbicort, but she never got these filled. She thinks her oxygen saturation was in the upper 80s in the urgent care clinic, but does not know this for certain period. Because she was feeling worse, she came to the emergency room. Her oxygen saturation here has gone down into the upper 80s. Of note, the patient was also prescribed albuterol, azithromycin, and Breo Ellipta on August 20th. Pt discharged 8/29/2021: 41 y/o F with PMHx including Crohn disease, DM2, HTN, obesity, etc., presented to the ER c/o worsening shortness of breath, cough, fatigue, etc.  Her symptoms began 1 week prior to admission.  ABG with pO2 56 and CXR consistent with SARS pneumonia.  With concern for severe COVID-19, she was admitted to the inpatient service (SDU) for continued workup & management.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Impaired work ability
Clinical narrative: Pt admitted on 8/25/2021: A 41-year-old female with no primary care physician, is followed by Doctor P of Gastroenterology for Crohn disease, and is also followed by Doctor L at Oncology for anemia.  She recently moved to and has not set up with a primary care provider there.  She was vaccinated for COVID back in March 2021.  However, she is on chronic Remicade for Crohn disease.  She gets it every 6 weeks and was due to have it this coming weekend.  One week ago, she began having malaise, generally feeling poorly, body aches, and a cough.  The following day, she began having fever and worsened symptoms and tested positive for COVID initially on August 20th.  She took it easy at home and tried to go back to work today. However, at work, she became very fatigued, dizzy, short of breath, and had to leave work and went back to an urgent care clinic.  They prescribed her prednisone, cefdinir, Symbicort, but she never got these filled. She thinks her oxygen saturation was in the upper 80s in the urgent care clinic, but does not know this for certain period. Because she was feeling worse, she came to the emergency room. Her oxygen saturation here has gone down into the upper 80s. Of note, the patient was also prescribed albuterol, azithromycin, and Breo Ellipta on August 20th. Pt discharged 8/29/2021: 41 y/o F with PMHx including Crohn disease, DM2, HTN, obesity, etc., presented to the ER c/o worsening shortness of breath, cough, fatigue, etc.  Her symptoms began 1 week prior to admission.  ABG with pO2 56 and CXR consistent with SARS pneumonia.  With concern for severe COVID-19, she was admitted to the inpatient service (SDU) for continued workup & management.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Oxygen saturation decreased, PO2 decreased, Pain, Pyrexia
Clinical narrative: Pt admitted on 8/25/2021: A 41-year-old female with no primary care physician, is followed by Doctor P of Gastroenterology for Crohn disease, and is also followed by Doctor L at Oncology for anemia.  She recently moved to and has not set up with a primary care provider there.  She was vaccinated for COVID back in March 2021.  However, she is on chronic Remicade for Crohn disease.  She gets it every 6 weeks and was due to have it this coming weekend.  One week ago, she began having malaise, generally feeling poorly, body aches, and a cough.  The following day, she began having fever and worsened symptoms and tested positive for COVID initially on August 20th.  She took it easy at home and tried to go back to work today. However, at work, she became very fatigued, dizzy, short of breath, and had to leave work and went back to an urgent care clinic.  They prescribed her prednisone, cefdinir, Symbicort, but she never got these filled. She thinks her oxygen saturation was in the upper 80s in the urgent care clinic, but does not know this for certain period. Because she was feeling worse, she came to the emergency room. Her oxygen saturation here has gone down into the upper 80s. Of note, the patient was also prescribed albuterol, azithromycin, and Breo Ellipta on August 20th. Pt discharged 8/29/2021: 41 y/o F with PMHx including Crohn disease, DM2, HTN, obesity, etc., presented to the ER c/o worsening shortness of breath, cough, fatigue, etc.  Her symptoms began 1 week prior to admission.  ABG with pO2 56 and CXR consistent with SARS pneumonia.  With concern for severe COVID-19, she was admitted to the inpatient service (SDU) for continued workup & management.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt admitted on 8/25/2021: A 41-year-old female with no primary care physician, is followed by Doctor P of Gastroenterology for Crohn disease, and is also followed by Doctor L at Oncology for anemia.  She recently moved to and has not set up with a primary care provider there.  She was vaccinated for COVID back in March 2021.  However, she is on chronic Remicade for Crohn disease.  She gets it every 6 weeks and was due to have it this coming weekend.  One week ago, she began having malaise, generally feeling poorly, body aches, and a cough.  The following day, she began having fever and worsened symptoms and tested positive for COVID initially on August 20th.  She took it easy at home and tried to go back to work today. However, at work, she became very fatigued, dizzy, short of breath, and had to leave work and went back to an urgent care clinic.  They prescribed her prednisone, cefdinir, Symbicort, but she never got these filled. She thinks her oxygen saturation was in the upper 80s in the urgent care clinic, but does not know this for certain period. Because she was feeling worse, she came to the emergency room. Her oxygen saturation here has gone down into the upper 80s. Of note, the patient was also prescribed albuterol, azithromycin, and Breo Ellipta on August 20th. Pt discharged 8/29/2021: 41 y/o F with PMHx including Crohn disease, DM2, HTN, obesity, etc., presented to the ER c/o worsening shortness of breath, cough, fatigue, etc.  Her symptoms began 1 week prior to admission.  ABG with pO2 56 and CXR consistent with SARS pneumonia.  With concern for severe COVID-19, she was admitted to the inpatient service (SDU) for continued workup & management.
Age: 59.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: pt was waiting for Flu vaccine. Rph gave him Covid -19 ( PFIZER ) vaccine instead of flu..Pt. got 1st and 2nd dose of covid-19 vaccine ( MODERNA) 7 months ago.  ( Rphs had 4 people waiting for covid  shots and 1 for flu.so by mistake gave the last customer covid-19 shot)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Confusional state, Dizziness, Fatigue, Injection site pain
Clinical narrative: PT STATES ONCE SHE MADE IT HOME WITHIN AN HOUR AFTER RECEIVING THE VACCINE SHE WAS CONFUSED AND LIGHTHEADED. SHE ALSO REPORTED DIZZINESS AND FATIGUE. SHE STATES SHE ALSO HAD SORENESS AT THE SIGHT AS WELL AS MEMORY LOSS.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pain, Product administered at inappropriate site, Skin disorder
Clinical narrative: Pt stated skin was rasied, red mark, and lots of pain.  Pt believes this was due to improper placement of immunization.  awaiting more information at this time from the patient.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Deep vein thrombosis, Joint swelling, Ultrasound Doppler abnormal
Clinical narrative: Approx 3 weeks after second shot, pain, swelling behind rt knee. Went to Urgent Care who sent me to ER.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Rash morbilliform, Swelling
Clinical narrative: Morbilliform rash with blisters and swelling. Ranging from large patches to multiple areas of small bumps across different areas (legs, thighs, neck, ribs, arms).
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash pruritic
Clinical narrative: Rash on entire body, severe itching and red face
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Immediate post-injection reaction, Limb discomfort, Paraesthesia
Clinical narrative: Immediate tingling in the arm/down to the finger tips, arm/hand/fingers feels asleep and heavy 24/7
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Antibody test positive, Anticoagulant therapy, Blood fibrinogen decreased
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Blood lactate dehydrogenase normal, Brain death, Cerebral haemorrhage, Computerised tomogram head abnormal, Craniotomy
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Death, Fibrin D dimer increased, Haemoglobin normal, Haemostasis, Haptoglobin normal
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Headache, Heparin-induced thrombocytopenia test positive, Immunoglobulin therapy, Infarction, International normalised ratio increased
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Intracranial pressure increased, Neurological decompensation, Ovarian vein thrombosis, Platelet count decreased, Prothrombin time prolonged
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Renal vein thrombosis, Thrombocytopenia, Transfusion, Ventricular drainage, White blood cell count increased
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Withdrawal of life support
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Brain death, Cerebral haemorrhage, Cerebral mass effect, Death
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Decompressive craniectomy, Immunoglobulin therapy, Loss of consciousness, Thrombosis with thrombocytopenia syndrome, Unresponsive to stimuli
Clinical narrative: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.