chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: About 12 hours after shot experienced fever and chills,  that subsided after 24 hours after the shot,  about 40 hours after the shot had sudden onset of blurred vision in right eye.    Received shot on 09/21/2021 at 4:30 pm,   blurred vison started on 09/23/2021.     Went to eye doctor on 09/27/2021 at 10:00am,   Did eye exam and tests and showed atypical spots on the cornea of right eye.  Started lubercated eye drops and Doctor sent pics of cornea to a cornea specialist.   Had follow up appointment on 09/29/2021,  Shows some slight change. Cornea specialist said that it looked like cells in cornea had burst.   No change in blurred vision yet but continuing eye drops every two hours and added gel eye drops at night.  Unable to drive due to extreme blurred vision in right eye.  Have a follow up appointment scheduled for 10/08/2021 with eye doctor
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient falsified DOB when registering for vaccination, stating a different DOB for the minor. Guardian consented to the vaccination. Department of Health verified with statistical records what the patient's actual DOB was which made the vaccine a contraindication.  No known adverse reactions noted.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dysstasia, Fear, Gait disturbance, Pain
Clinical narrative: Started to develop back pain that spread through out my lower body.  Went to emergency clinic and received two shots for pain relief Problem persisted for three plus weeks managed with pain relievers.  Ultimately diagnosed as sciatica but that was only to describe location of pain.  Meds and physical therapy continued for several weeks.  Pain made it difficult to walk, stand .  After several weeks, pain stopped and I needed to continue physical therapy to strengthen muscles.  FYI, I had a similar reaction during a heart scan with contrast injection.  However, the symptoms only lasted about fifteen minutes while the tech had me pant taking deep breathes.  Do not know if these reactions are related.  I would like to know the recommendation for me to proceed to get vaccinated to develop immunity.  I am scared to take a second shot but will do so if recommended although I read the second shot is stronger than the first. Is it possible to take a booster shot or something else that would have less likelihood of a similar reaction.  It was terrible although I am pretty much fine now.  Thank you
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Sciatica
Clinical narrative: Started to develop back pain that spread through out my lower body.  Went to emergency clinic and received two shots for pain relief Problem persisted for three plus weeks managed with pain relievers.  Ultimately diagnosed as sciatica but that was only to describe location of pain.  Meds and physical therapy continued for several weeks.  Pain made it difficult to walk, stand .  After several weeks, pain stopped and I needed to continue physical therapy to strengthen muscles.  FYI, I had a similar reaction during a heart scan with contrast injection.  However, the symptoms only lasted about fifteen minutes while the tech had me pant taking deep breathes.  Do not know if these reactions are related.  I would like to know the recommendation for me to proceed to get vaccinated to develop immunity.  I am scared to take a second shot but will do so if recommended although I read the second shot is stronger than the first. Is it possible to take a booster shot or something else that would have less likelihood of a similar reaction.  It was terrible although I am pretty much fine now.  Thank you
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient falsified DOB when registering for vaccination. Stated the child's DOB was 06/21/2009. Guardian consented to the vaccination. Verified with statistical records the actual DOB is 06/21/2010, which made the vaccine a contraindication. No known adverse reactions noted.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Endotracheal intubation, Extubation, General physical health deterioration
Clinical narrative: Patient was one of 8 patients sent from a local nursing facility secondary to COVID-19 outbreak. No reported complaints initially, but was found to be hypoxic on arrival. Improved to 95% on 3L nasal cannula. Febrile on admission at 100.1 degrees F. CT scan of chest showed no evidence for pulmonary embolus, but there was bilateral ground glass opacities, small pericardial effusion, and lytic lesions throughout the bones consistent with metastatic disease. Patient declined, satting at 80%, which led to intubation and PICC line placement. Patient was stabilized and eventually extubated. Discharged in stable condition.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Influenza virus test, Lung opacity, Metastatic neoplasm, Osteolysis
Clinical narrative: Patient was one of 8 patients sent from a local nursing facility secondary to COVID-19 outbreak. No reported complaints initially, but was found to be hypoxic on arrival. Improved to 95% on 3L nasal cannula. Febrile on admission at 100.1 degrees F. CT scan of chest showed no evidence for pulmonary embolus, but there was bilateral ground glass opacities, small pericardial effusion, and lytic lesions throughout the bones consistent with metastatic disease. Patient declined, satting at 80%, which led to intubation and PICC line placement. Patient was stabilized and eventually extubated. Discharged in stable condition.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pericardial effusion, Pyrexia, Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: Patient was one of 8 patients sent from a local nursing facility secondary to COVID-19 outbreak. No reported complaints initially, but was found to be hypoxic on arrival. Improved to 95% on 3L nasal cannula. Febrile on admission at 100.1 degrees F. CT scan of chest showed no evidence for pulmonary embolus, but there was bilateral ground glass opacities, small pericardial effusion, and lytic lesions throughout the bones consistent with metastatic disease. Patient declined, satting at 80%, which led to intubation and PICC line placement. Patient was stabilized and eventually extubated. Discharged in stable condition.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: has complained of a dull frontal headache intermittently since receiving his first COVID-19 vaccine.  BP was 152/90, physical exam was normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood glucose increased, Blood test, Blood thyroid stimulating hormone increased, Glycosylated haemoglobin
Clinical narrative: Approximately 1 month after receiving the 1st dose of the Pfizer Covid-19 vaccination, my blood glucose level rose & my thyroid TSH level spiked. Approximately 5 months after receiving both doses of the Pfizer Covid-19 vaccination, my hair started falling out.  As of this date, I continue to have hair loss and tender scalp.   My thyroid TSH level did spike in my past, but is not high enough to cause hair fall per my endocrinologist.  I have never had hair loss in my past even when my TSH level spiked.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin
Clinical narrative: Approximately 1 month after receiving the 1st dose of the Pfizer Covid-19 vaccination, my blood glucose level rose & my thyroid TSH level spiked. Approximately 5 months after receiving both doses of the Pfizer Covid-19 vaccination, my hair started falling out.  As of this date, I continue to have hair loss and tender scalp.   My thyroid TSH level did spike in my past, but is not high enough to cause hair fall per my endocrinologist.  I have never had hair loss in my past even when my TSH level spiked.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Aptyalism, Arthralgia, Bell's palsy, Dry eye, Dysphagia
Clinical narrative: Bell's Palsy symptoms showed up on 7/2/2021.  Diagnosed on 7/7/2021 at Urgent Care.   Note: Moderna shot #1 was on 3/20/2021 at the same urgent care, and the lot number was 037A21B.    The symptoms include a slightly droopy right eyelid, slightly droopy right side of mouth, partly paralyzed tongue causing a speech impediment and difficulty swallowing, an ache in the neck and shoulders, dry eye, and less saliva.  The mouth improved quickly.  The other symptoms appeared and got worse over the next two months.  After three months the ache in the shoulders is less, the tongue and speech is still bad.  Have relied on rest, sunglasses and a blindfold, massages, a heatpad, and Biofreeze cream.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Laboratory test, Neck pain, Speech disorder, Tongue paralysis
Clinical narrative: Bell's Palsy symptoms showed up on 7/2/2021.  Diagnosed on 7/7/2021 at Urgent Care.   Note: Moderna shot #1 was on 3/20/2021 at the same urgent care, and the lot number was 037A21B.    The symptoms include a slightly droopy right eyelid, slightly droopy right side of mouth, partly paralyzed tongue causing a speech impediment and difficulty swallowing, an ache in the neck and shoulders, dry eye, and less saliva.  The mouth improved quickly.  The other symptoms appeared and got worse over the next two months.  After three months the ache in the shoulders is less, the tongue and speech is still bad.  Have relied on rest, sunglasses and a blindfold, massages, a heatpad, and Biofreeze cream.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound antenatal screen abnormal
Clinical narrative: I started cramping and when the ultrasound was done on September 10 2021, I measured 5 weeks 2 days and I should have been 6 weeks 2 days. My baby stopped growing the day I received the second vaccination, which then resulted in a miscarriage.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Oligomenorrhoea
Clinical narrative: Three cycles after my shot (approximately 90 days), my periods began to last 11-12 days,  the flow was abnormal, and they began being 30+ days apart. For 5+ years they have been 28 days apart on the dot, exactly 7 days with the same flow. Although I have PCOS, nothing in that condition has changed and have had no significant changes in my diet, exercise or stress levels - nothing that would cause my period to change after being the same for years.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive household member
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PATIENT RECIEVED PFIZER DOSE AFTER RECIEVING 2 DOSES OF MODERNA
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dupuytren's contracture
Clinical narrative: Dupuytrens contracture
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Influenza virus test negative, Respiratory syncytial virus test negative, Respiratory tract congestion
Clinical narrative: persistent cough, congestion, no SOB, chest pain or fever.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: persistent cough, congestion, no SOB, chest pain or fever.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Back pain, Blood potassium decreased, COVID-19
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.25.21);  Fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/23/2021 Discharge Date: Sep 26, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute cholecystitis [K81.0] Fever and chills [R50.9] Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type [R11.2] Left lower quadrant abdominal pain [R10.32] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a  65 yo female with a PMH of HTN admitted for abdominal pain secondary to acute cholecystitis and COVID pneumonia.  She presented with a 2 day history of acute abdominal pain radiating to her back associated with food intake.  In the emergency department, a right upper quadrant ultrasound was obtained and concerning for cholelithiasis/CBD dilation/acute cholecystitis.  General surgery was consulted and HIDA scan was obtained which confirmed acute cholecystitis.  Patient was also noted to be febrile on admission for which she was started on Zosyn.  She also tested positive for COVID, and other than fevers, she had no other COVID symptoms.  Due to her COVID positive status, general surgery recommended IR consult for cholecystostomy tube placement with plans for cholecystectomy in 6 weeks.  Cholecystostomy tube was placed successfully on 09/25.  Patient was started on a diet and able to tolerate oral intake with no problems.  She was discharged home stable condition on Augmentin to complete a 5 day course of antibiotics.  She will follow-up with Interventional Radiology for drain management as well as General surgery for cholecystectomy.  Of note, patient also was noted to have hypokalemia during admission, and was discharged on 5 days of supplementation with instructions to follow-up with PCP for repeat check. Discharge Disposition:  home or self care  Active Issues Requiring Follow-up:  1. Acute cholecystitis: Follow up with IR and General surgery to discuss plans for cholecystostomy tube removal and cholecystectomy plans 2. Hypokalemia:  Follow-up with PCP for repeat potassium check
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cholecystitis acute, Cholecystostomy, Flank pain, Hepatobiliary scan abnormal
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.25.21);  Fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/23/2021 Discharge Date: Sep 26, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute cholecystitis [K81.0] Fever and chills [R50.9] Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type [R11.2] Left lower quadrant abdominal pain [R10.32] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a  65 yo female with a PMH of HTN admitted for abdominal pain secondary to acute cholecystitis and COVID pneumonia.  She presented with a 2 day history of acute abdominal pain radiating to her back associated with food intake.  In the emergency department, a right upper quadrant ultrasound was obtained and concerning for cholelithiasis/CBD dilation/acute cholecystitis.  General surgery was consulted and HIDA scan was obtained which confirmed acute cholecystitis.  Patient was also noted to be febrile on admission for which she was started on Zosyn.  She also tested positive for COVID, and other than fevers, she had no other COVID symptoms.  Due to her COVID positive status, general surgery recommended IR consult for cholecystostomy tube placement with plans for cholecystectomy in 6 weeks.  Cholecystostomy tube was placed successfully on 09/25.  Patient was started on a diet and able to tolerate oral intake with no problems.  She was discharged home stable condition on Augmentin to complete a 5 day course of antibiotics.  She will follow-up with Interventional Radiology for drain management as well as General surgery for cholecystectomy.  Of note, patient also was noted to have hypokalemia during admission, and was discharged on 5 days of supplementation with instructions to follow-up with PCP for repeat check. Discharge Disposition:  home or self care  Active Issues Requiring Follow-up:  1. Acute cholecystitis: Follow up with IR and General surgery to discuss plans for cholecystostomy tube removal and cholecystectomy plans 2. Hypokalemia:  Follow-up with PCP for repeat potassium check
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Nausea, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.25.21);  Fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/23/2021 Discharge Date: Sep 26, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute cholecystitis [K81.0] Fever and chills [R50.9] Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type [R11.2] Left lower quadrant abdominal pain [R10.32] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a  65 yo female with a PMH of HTN admitted for abdominal pain secondary to acute cholecystitis and COVID pneumonia.  She presented with a 2 day history of acute abdominal pain radiating to her back associated with food intake.  In the emergency department, a right upper quadrant ultrasound was obtained and concerning for cholelithiasis/CBD dilation/acute cholecystitis.  General surgery was consulted and HIDA scan was obtained which confirmed acute cholecystitis.  Patient was also noted to be febrile on admission for which she was started on Zosyn.  She also tested positive for COVID, and other than fevers, she had no other COVID symptoms.  Due to her COVID positive status, general surgery recommended IR consult for cholecystostomy tube placement with plans for cholecystectomy in 6 weeks.  Cholecystostomy tube was placed successfully on 09/25.  Patient was started on a diet and able to tolerate oral intake with no problems.  She was discharged home stable condition on Augmentin to complete a 5 day course of antibiotics.  She will follow-up with Interventional Radiology for drain management as well as General surgery for cholecystectomy.  Of note, patient also was noted to have hypokalemia during admission, and was discharged on 5 days of supplementation with instructions to follow-up with PCP for repeat check. Discharge Disposition:  home or self care  Active Issues Requiring Follow-up:  1. Acute cholecystitis: Follow up with IR and General surgery to discuss plans for cholecystostomy tube removal and cholecystectomy plans 2. Hypokalemia:  Follow-up with PCP for repeat potassium check
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Hospitalized (9.23.21);  COVID-19 positive (9.25.21);  Fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/23/2021 Discharge Date: Sep 26, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute cholecystitis [K81.0] Fever and chills [R50.9] Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type [R11.2] Left lower quadrant abdominal pain [R10.32] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a  65 yo female with a PMH of HTN admitted for abdominal pain secondary to acute cholecystitis and COVID pneumonia.  She presented with a 2 day history of acute abdominal pain radiating to her back associated with food intake.  In the emergency department, a right upper quadrant ultrasound was obtained and concerning for cholelithiasis/CBD dilation/acute cholecystitis.  General surgery was consulted and HIDA scan was obtained which confirmed acute cholecystitis.  Patient was also noted to be febrile on admission for which she was started on Zosyn.  She also tested positive for COVID, and other than fevers, she had no other COVID symptoms.  Due to her COVID positive status, general surgery recommended IR consult for cholecystostomy tube placement with plans for cholecystectomy in 6 weeks.  Cholecystostomy tube was placed successfully on 09/25.  Patient was started on a diet and able to tolerate oral intake with no problems.  She was discharged home stable condition on Augmentin to complete a 5 day course of antibiotics.  She will follow-up with Interventional Radiology for drain management as well as General surgery for cholecystectomy.  Of note, patient also was noted to have hypokalemia during admission, and was discharged on 5 days of supplementation with instructions to follow-up with PCP for repeat check. Discharge Disposition:  home or self care  Active Issues Requiring Follow-up:  1. Acute cholecystitis: Follow up with IR and General surgery to discuss plans for cholecystostomy tube removal and cholecystectomy plans 2. Hypokalemia:  Follow-up with PCP for repeat potassium check
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling
Clinical narrative: One week after receiving  the vaccine my left knee became painful and swollen.  I had the same thing happen  one week after the first  dose only it mostly effected my right knee.   The pain and swelling  lasts about  2 weeks plus.  When it  happened to my right knee I thought it was because of previous surgery (ACL) 25 years ago.  I have pain in my right knee from time to time, but I have not had a problem with my left knee and no history of injury.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Confusional state, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Dizziness starting a few hours after shot, but gone a few hours later, mild; same for upset stomach and mild nausea, diarrhea around midnight after the shot and again the following morning, general tiredness for next two days or so, some mild confusion, and some general muscle soreness for the day following the shot.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea
Clinical narrative: Dizziness starting a few hours after shot, but gone a few hours later, mild; same for upset stomach and mild nausea, diarrhea around midnight after the shot and again the following morning, general tiredness for next two days or so, some mild confusion, and some general muscle soreness for the day following the shot.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 4/1/21 and 4/25/21, so was fully vaccinated when testing positive for COVID-19 on 9/26/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Tinnitus
Clinical narrative: I don't know if this is related to the Pfizer vaccine but on September 1st (5 months after vaccination)I started having tinnitus in both ears. I have visited my doctor and an audiologist about this. This tinnitus has not gone away. Also at about the same time my sense of smell became heightened so that I keep smelling scents that are gone such as toast in the morning that I smell for several hours after. Also smell things that aren't there at all.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever of 101.7, chills, muscle aches, diarrhea, rash, fatigue.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Fever of 101.7, chills, muscle aches, diarrhea, rash, fatigue.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT RECIEVED PFIZER DOSE AFTER ALREADY RECIEVING MODERNA VACCINE
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Extra dose administered, Headache, Lymph node pain, Mobility decreased
Clinical narrative: Patient calling to report that he received his 3rd dose of Pfizer on 9/28/21. That evening began to have a lot of joint and body aches, headache, very sore arm "unable to lift it". He did not take anything initially, but yesterday/last night he did need ibuprofen to sleep and took it again this morning. In general body aches and headache are better (he is able to work) but he noticed what sound like a reactionary lymph node tenderness in his right axilla this morning. He denies fever, swelling, or redness and states that he cannot palpate any lymph nodes but says there is one spot on under that arm that received the vaccine that is quite tender.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient calling to report that he received his 3rd dose of Pfizer on 9/28/21. That evening began to have a lot of joint and body aches, headache, very sore arm "unable to lift it". He did not take anything initially, but yesterday/last night he did need ibuprofen to sleep and took it again this morning. In general body aches and headache are better (he is able to work) but he noticed what sound like a reactionary lymph node tenderness in his right axilla this morning. He denies fever, swelling, or redness and states that he cannot palpate any lymph nodes but says there is one spot on under that arm that received the vaccine that is quite tender.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chest discomfort
Clinical narrative: Hospitalized (9.26.21);  COVID-19 positive (9.26.21);  Fully Vaccinated  Discharge Provider Primary Care Provider: MD Admission Date: 9/26/2021 Discharge Date: Sep 27, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other acute pulmonary embolism without acute cor pulmonale Pneumonia due to COVID-19 virus COVID-19 HOSPITAL COURSE: Patient is a 56y/o male male who presented with flu like symptoms and chest tightness. He was found to be COVID positive but was not hypoxic and did not meet criteria for either Remdesivir or Decadron. He had a CT angiogram done that showed acute nonocclusive pulmonary emboli in the proximal basal segmental branches of the left lower lobe, posterior right lower lobe and posterior right upper lobe without right heart strain.  Patient was started on heparin infusion.  Lower extremity ultrasound was done and did not reveal any evidence of DVT. He continued to remain hemodynamically stable and did not require any oxygen therapy. Care management did check that patient had coverage for Eliquis. He was transitioned off heparin drip and placed on Eliquis. He had no other acute issues and was discharged home in stable condition 9/27 Discharge Disposition:  Home without services  Active Issues Requiring Follow-up:  Acute pulmonary embolism-to continue with Eliquis therapy. Patient's PCP office was contacted and informed that patient had been started on anticoagulation COVID 19 pneumonia-to follow with PCP
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Pulmonary embolism, SARS-CoV-2 test positive, Ultrasound Doppler normal
Clinical narrative: Hospitalized (9.26.21);  COVID-19 positive (9.26.21);  Fully Vaccinated  Discharge Provider Primary Care Provider: MD Admission Date: 9/26/2021 Discharge Date: Sep 27, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other acute pulmonary embolism without acute cor pulmonale Pneumonia due to COVID-19 virus COVID-19 HOSPITAL COURSE: Patient is a 56y/o male male who presented with flu like symptoms and chest tightness. He was found to be COVID positive but was not hypoxic and did not meet criteria for either Remdesivir or Decadron. He had a CT angiogram done that showed acute nonocclusive pulmonary emboli in the proximal basal segmental branches of the left lower lobe, posterior right lower lobe and posterior right upper lobe without right heart strain.  Patient was started on heparin infusion.  Lower extremity ultrasound was done and did not reveal any evidence of DVT. He continued to remain hemodynamically stable and did not require any oxygen therapy. Care management did check that patient had coverage for Eliquis. He was transitioned off heparin drip and placed on Eliquis. He had no other acute issues and was discharged home in stable condition 9/27 Discharge Disposition:  Home without services  Active Issues Requiring Follow-up:  Acute pulmonary embolism-to continue with Eliquis therapy. Patient's PCP office was contacted and informed that patient had been started on anticoagulation COVID 19 pneumonia-to follow with PCP
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Angiogram pulmonary, Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19
Clinical narrative: Hospitalized (9.26.21);  COVID-19 positive (9.26.21);  Fully Vaccinated  Discharge Provider Primary Care Provider: MD Admission Date: 9/26/2021 Discharge Date: Sep 27, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other acute pulmonary embolism without acute cor pulmonale Pneumonia due to COVID-19 virus COVID-19 HOSPITAL COURSE: Patient is a 56y/o male male who presented with flu like symptoms and chest tightness. He was found to be COVID positive but was not hypoxic and did not meet criteria for either Remdesivir or Decadron. He had a CT angiogram done that showed acute nonocclusive pulmonary emboli in the proximal basal segmental branches of the left lower lobe, posterior right lower lobe and posterior right upper lobe without right heart strain.  Patient was started on heparin infusion.  Lower extremity ultrasound was done and did not reveal any evidence of DVT. He continued to remain hemodynamically stable and did not require any oxygen therapy. Care management did check that patient had coverage for Eliquis. He was transitioned off heparin drip and placed on Eliquis. He had no other acute issues and was discharged home in stable condition 9/27 Discharge Disposition:  Home without services  Active Issues Requiring Follow-up:  Acute pulmonary embolism-to continue with Eliquis therapy. Patient's PCP office was contacted and informed that patient had been started on anticoagulation COVID 19 pneumonia-to follow with PCP
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest discomfort, Influenza like illness, Pulmonary embolism, SARS-CoV-2 test
Clinical narrative: Hospitalized (9.26.21);  COVID-19 positive (9.26.21);  Fully Vaccinated  Discharge Provider Primary Care Provider: MD Admission Date: 9/26/2021 Discharge Date: Sep 27, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other acute pulmonary embolism without acute cor pulmonale Pneumonia due to COVID-19 virus COVID-19 HOSPITAL COURSE: Patient is a 56y/o male male who presented with flu like symptoms and chest tightness. He was found to be COVID positive but was not hypoxic and did not meet criteria for either Remdesivir or Decadron. He had a CT angiogram done that showed acute nonocclusive pulmonary emboli in the proximal basal segmental branches of the left lower lobe, posterior right lower lobe and posterior right upper lobe without right heart strain.  Patient was started on heparin infusion.  Lower extremity ultrasound was done and did not reveal any evidence of DVT. He continued to remain hemodynamically stable and did not require any oxygen therapy. Care management did check that patient had coverage for Eliquis. He was transitioned off heparin drip and placed on Eliquis. He had no other acute issues and was discharged home in stable condition 9/27 Discharge Disposition:  Home without services  Active Issues Requiring Follow-up:  Acute pulmonary embolism-to continue with Eliquis therapy. Patient's PCP office was contacted and informed that patient had been started on anticoagulation COVID 19 pneumonia-to follow with PCP
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound Doppler, Ultrasound Doppler normal, Ultrasound scan, Vaccination failure
Clinical narrative: Hospitalized (9.26.21);  COVID-19 positive (9.26.21);  Fully Vaccinated  Discharge Provider Primary Care Provider: MD Admission Date: 9/26/2021 Discharge Date: Sep 27, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other acute pulmonary embolism without acute cor pulmonale Pneumonia due to COVID-19 virus COVID-19 HOSPITAL COURSE: Patient is a 56y/o male male who presented with flu like symptoms and chest tightness. He was found to be COVID positive but was not hypoxic and did not meet criteria for either Remdesivir or Decadron. He had a CT angiogram done that showed acute nonocclusive pulmonary emboli in the proximal basal segmental branches of the left lower lobe, posterior right lower lobe and posterior right upper lobe without right heart strain.  Patient was started on heparin infusion.  Lower extremity ultrasound was done and did not reveal any evidence of DVT. He continued to remain hemodynamically stable and did not require any oxygen therapy. Care management did check that patient had coverage for Eliquis. He was transitioned off heparin drip and placed on Eliquis. He had no other acute issues and was discharged home in stable condition 9/27 Discharge Disposition:  Home without services  Active Issues Requiring Follow-up:  Acute pulmonary embolism-to continue with Eliquis therapy. Patient's PCP office was contacted and informed that patient had been started on anticoagulation COVID 19 pneumonia-to follow with PCP
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Extra dose administered, Lymph node palpable
Clinical narrative: 1 week and half after covid booster, developed red streak on R upper arm and palpable lymph node. Booster was given in L arm.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Eye movement disorder, Hyperhidrosis
Clinical narrative: After receiving the vaccine the patient stood and walked to the restroom, she returned minutes later reporting feeling light headed.  Sweaty and eyes fluttering. Assisted to sit in chair. BP checked 73/39.  911 called at patients request.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Full blood count, Human chorionic gonadotropin, Maternal exposure before pregnancy, Metabolic function test
Clinical narrative: After receiving the vaccine the patient stood and walked to the restroom, she returned minutes later reporting feeling light headed.  Sweaty and eyes fluttering. Assisted to sit in chair. BP checked 73/39.  911 called at patients request.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan vagina, Urine analysis
Clinical narrative: After receiving the vaccine the patient stood and walked to the restroom, she returned minutes later reporting feeling light headed.  Sweaty and eyes fluttering. Assisted to sit in chair. BP checked 73/39.  911 called at patients request.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Adenocarcinoma, Condition aggravated, Death
Clinical narrative: Dose 1 04/22/2021 Lot # EW0172 Pfizer   Pt died on 9/30/2021 in the ED from complications with her end stage adenocarcinoma. This was not a Covid illness related death
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient was vaccinated on 1/2/2021 and 1/23/2021, so was fully vaccinated when testing positive for COVID-19 on 9/29/21.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Condition aggravated, Diarrhoea, Essential thrombocythaemia, Haematoma
Clinical narrative: SEVERE REACTION TO PFIZER COVID VACCINE WITH ORAL MUCOSA AND GUM BLEEDING, HEMATOMA FORMATION IN THIGHS, SEVERE BONE PAIN, DIARRHEA STARTING 3 HOURS AFTER FIRST DOSE, NEEDS TO BE REPORTED TO CDC AND FDA.   She is here today because of a recent experience with her COVID vaccination. As stated 3 hours after the vaccine, the patient spontaneously developed significant bleeding in her oral mucosa all over the place and it is impacting to see the photographs that she has related to this. Subsequently she developed a large hematoma in the left thigh. The symptoms slowly subsided. She had diarrhea, fever and pain in her lower extremities. The diarrhea still persists until today. She has 1 large loose bowel movement a day with no passage of blood in the stool. No abdominal pain to speak of. It raises the question if the vaccine that was Pfizer vaccine, triggered an autoimmune condition or some other activation of coagulation that triggered the significant abnormal bleeding that she developed at that time. We know that patients with thrombocytosis can clot or can bleed and I think in this occasion she bled. She never has had an episode of thrombosis as far as we have recorded. Therefore, I think we need to check on all these issues including coagulation and she will require an analysis of PT, PTT, fibrinogen as well as platelet function studies.   copied from  dictation
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth haemorrhage, Pain in extremity, Pyrexia
Clinical narrative: SEVERE REACTION TO PFIZER COVID VACCINE WITH ORAL MUCOSA AND GUM BLEEDING, HEMATOMA FORMATION IN THIGHS, SEVERE BONE PAIN, DIARRHEA STARTING 3 HOURS AFTER FIRST DOSE, NEEDS TO BE REPORTED TO CDC AND FDA.   She is here today because of a recent experience with her COVID vaccination. As stated 3 hours after the vaccine, the patient spontaneously developed significant bleeding in her oral mucosa all over the place and it is impacting to see the photographs that she has related to this. Subsequently she developed a large hematoma in the left thigh. The symptoms slowly subsided. She had diarrhea, fever and pain in her lower extremities. The diarrhea still persists until today. She has 1 large loose bowel movement a day with no passage of blood in the stool. No abdominal pain to speak of. It raises the question if the vaccine that was Pfizer vaccine, triggered an autoimmune condition or some other activation of coagulation that triggered the significant abnormal bleeding that she developed at that time. We know that patients with thrombocytosis can clot or can bleed and I think in this occasion she bled. She never has had an episode of thrombosis as far as we have recorded. Therefore, I think we need to check on all these issues including coagulation and she will require an analysis of PT, PTT, fibrinogen as well as platelet function studies.   copied from  dictation
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Rash, Urticaria
Clinical narrative: Hives, slight difficulty breathing beginning approximately 1PM - hives began on right arm, then spread to left, then spread to whole body. Breathing gradually became more difficult over a period of approx. 2 hours. Benadryl was taken approx. 4PM and hives receded. The following day (9/29/2021), hives returned across the body and only receded after a double dose of Benadryl
Age: 30.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Erythema, itching swelling at injection site + surrounding 3 cm
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint stiffness, Mobility decreased, X-ray
Clinical narrative: Both shoulder joints ached, the right more than the left. The left shoulder pain became minor. The right became stiff by the third day and the pain was 10/10. This lasted for two more days, then pain subsided a bit and some mobility came back. 10 days later the right shoulder is still limited in movement due to pain 6/10.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: Covid positive community/household member
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dysstasia, Fatigue, Gait disturbance
Clinical narrative: Patient complained of fatigue and weakness beginning the evening after receiving the dose, the morning after dose the patient was unable to stand/walk on her own.  Patient was taken to hospital via ambulance and currently in hospital.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Inmate previously received COVID vaccine, accepted second Janssen knowing this information.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMRV, PNC13
Symptoms: Rash
Clinical narrative: Rash started 9 days after vaccines were given. No treatment other than Tylenol, ibuprofen and Benadryl if  needed.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain, Pyrexia, Somnolence
Clinical narrative: After my second dose vaccine I feel extremely exhausted, unable to really start get through a day without having to go to bed. My days have been extremely short. I am having hard time, fatigue and achiness are really bad. I also had a low grade fever after my vaccine. I still have the symptoms today.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: After my second dose vaccine I feel extremely exhausted, unable to really start get through a day without having to go to bed. My days have been extremely short. I am having hard time, fatigue and achiness are really bad. I also had a low grade fever after my vaccine. I still have the symptoms today.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT RECIEVED PFIZER DOSE AFTER MODERNA VACCINE PRIOR
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid positive community
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Pyrexia
Clinical narrative: Patient admitted testing positive for COVID Pt is 76 yo male with PMH of RA, Hypothyroidism, COPD, HLD, BPH, depression, OSA who is presenting with fever up to 103 at home, fatigue and cough started last monday, tested negative for COVID-19 x3 times, symptoms started last week and he was seen in urgent care on 9/24/21 and was started on azithromycin and doxycyline. His symptoms continue to get worse, he was exposed to his COVID-19 positive father on 9/16/21 after he was discharged from the hospital. Father now at HCF with no active symptoms of COVID-19. He is fully vaccinated with Moderna, first dose 1/2021, second dose 2/2021.  His RA is well controlled, on 1 mg of prednisone daily and 200 mg of Hydroxychloroquine  He lives at home with his wife who is asymptomatic, he will be able to self isolate when he returns home.  He denies any recent travel history.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient admitted testing positive for COVID Pt is 76 yo male with PMH of RA, Hypothyroidism, COPD, HLD, BPH, depression, OSA who is presenting with fever up to 103 at home, fatigue and cough started last monday, tested negative for COVID-19 x3 times, symptoms started last week and he was seen in urgent care on 9/24/21 and was started on azithromycin and doxycyline. His symptoms continue to get worse, he was exposed to his COVID-19 positive father on 9/16/21 after he was discharged from the hospital. Father now at HCF with no active symptoms of COVID-19. He is fully vaccinated with Moderna, first dose 1/2021, second dose 2/2021.  His RA is well controlled, on 1 mg of prednisone daily and 200 mg of Hydroxychloroquine  He lives at home with his wife who is asymptomatic, he will be able to self isolate when he returns home.  He denies any recent travel history.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Axillary pain, Chills, Headache
Clinical narrative: High heart rate day after with a  headache. Day 6, elevated heart rate, heart palpitations, headache, stomach pain, muscle and joint pain, enlarged lymph node in left armpit hurts, chills. Day 7 stomach pain has worsened, and still have heart palpitations and joint and muscle pain and chills.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Lymphadenopathy, Myalgia, Palpitations
Clinical narrative: High heart rate day after with a  headache. Day 6, elevated heart rate, heart palpitations, headache, stomach pain, muscle and joint pain, enlarged lymph node in left armpit hurts, chills. Day 7 stomach pain has worsened, and still have heart palpitations and joint and muscle pain and chills.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac disorder, Chills, Headache, Hot flush
Clinical narrative: chills, hot flashes, sweats, weakness, heart trouble and headache
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: chills, hot flashes, sweats, weakness, heart trouble and headache
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthrogram, Periarthritis
Clinical narrative: adhesive capsulitis of the left shoulder began around the time of the vaccine injections Treated with physical therapy and Cortisone shot. Recovering but still have symptoms as of 9/30/2021
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Infection
Clinical narrative: Pt was diagnosed with shingles in ED on 8/14/21. The patient received his first COVID vaccine on 9/3/21 after lesions had healed. He was seen again in ED 9/16/21 and diagnosed with a recurrence of shingles.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Diarrhoea, Headache, Influenza like illness
Clinical narrative: flu like symptoms, diarrhea, headache, loss of taste and smell
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 57.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Arthralgia, Lethargy, Myalgia, Oedema peripheral, Pyrexia
Clinical narrative: Fever, muscle pain, joint pain, swollen axilla left, lethargy.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test abnormal, Echocardiogram normal
Clinical narrative: A Fib - My Apple watch started going off. It lasted for four or five hours. I went to a primary care physician at my clinic. He recommended me to the cardiologist and she started me on cholesterol medication - Repatha - an injectable that is not a statin. I have had three shots and I seem to be tolerating it. And Eliquis - a blood thinner. My weight loss regimen.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Influenza like illness, Laboratory test, Myalgia
Clinical narrative: I felt like I had the flu and nausea. Muscle soreness and headache. I became dizzy and had to catch myself before I fell. Doctor gave me shot.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: I felt like I had the flu and nausea. Muscle soreness and headache. I became dizzy and had to catch myself before I fell. Doctor gave me shot.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: pt reported nausea with sound starting on day after receiving the dose. Pt has reported consistent symptoms daily since that date. Pt reports that symptoms still occur after taking an antihistamine for allergy symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 12/29/2020 and 1/19/2021, so was fully vaccinated when testing positive for COVID-19 on 9/30/21.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Gait disturbance, Inflammatory marker increased, Loss of personal independence in daily activities, Swelling
Clinical narrative: On 03/28/2021 my fingers, feet, and ankles swelled like if it was arthritis.  I could barely walk because of that. I could not even open a milk carton with my fingers. I saw my PCP and she referred me to a rheumatologist. They did blood work and my inflammatory markers were elevated. I had an appointment on 06/01/2021 with my orthopedic doctor because he injects my knees for arthritis every 4 months. He injected me with a steroid and it all went away. I was feeling better. I got a shingles shot and the symptoms came back. The rheumatoid doctor is starting me on a new medication and it seems to be working.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Burning sensation, Chest pain, Condition aggravated, Electrocardiogram normal
Clinical narrative: 15mins after 1st dose burning sensation travelled through my whole body 15-20mins and then you were safe to drive. I felt this way during the time I had covid 27dec2020.  Chest pains 2 months ago. Went to the doctors on 30Aug2021.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Blood test normal, Dehydration, Diarrhoea, Dizziness
Clinical narrative: Diarrhea, headache and arm pain started the day after and lasted for 3 days. Became dehydrated and almost passed out multiple times, Went to Medical Center ER and was seen on 9/6/21. Bloodwork was crazy. Followed up with my PCP on 9/16 and bloodwork was back to normal. Now I have shingles on my forehead. Symptoms for shingles started approx 9/19.