chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Stress, Tremor, Troponin, Urine analysis, Urine ketone body present
Clinical narrative: 1. Shock likely hypovolemic  - presents with chest pain, shortness of breath, presyncope, shaking chills, all symptoms started in last 24 hours, hypotensive with systolic BP in 60s, BP still in 90-100s despite 3 lt IV fluids and 10 mcg levophed, afebrile, WBC normal, hemoglobin 11.3, no recent baseline, no active bleeding noted, lactate 1.9, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, troponin -ve x 1, pro BNP normal, LFTs and lipase normal, testing for influenza A/B and SARS-CoV2 negative,, UA no pyuria. Has AKI, EKG NSR, no st-t changes, low voltage QRS noted, CXR negative for acute findings, CTA chest, CT abdomen/pelvis, CT head and CT cervical spine negative. Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump  - based on this has shock likely hypovolemic due to DKA, septic shock seems unlikely due to absence of clear infection source, adrenal insufficiency is in differential especially if shock fails to respond to therapy  - continue IV levophed, start DKA protocol with IV insulin, received dose of ceftriaxone in ER, will monitor off abx for now, low threshold to start abx if spikes fevers or hypotension persists, trend troponins, monitor H&H, please f/u blood Cx and serum cortisol results 2. DKA (diabetic ketoacidosis)    - please see problem #1, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump, also elevated anion gap persists despite fluid resuscitation  - based on this has DKA, recent stress might be driving the DKA  - start DKA protocol with IV insulin, hold insulin pump while on IV insulin 3. AKI (acute kidney injury)  - serum creatinine 1.1 from baseline of 0.7-0.8, BUN 18, AKI is likely prerenal, continue IV fluids and levophed as above 4. Anemia  - hemoglobin 11.3, no recent levels available, denies active bleeding, MCV normal, will monitor H&H, consider further evaluation as appropriate 5. ANXIETY  - Has been on lot of stress lately as she had to get COVID vaccine, will start PRN ativan
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: 1. Shock likely hypovolemic  - presents with chest pain, shortness of breath, presyncope, shaking chills, all symptoms started in last 24 hours, hypotensive with systolic BP in 60s, BP still in 90-100s despite 3 lt IV fluids and 10 mcg levophed, afebrile, WBC normal, hemoglobin 11.3, no recent baseline, no active bleeding noted, lactate 1.9, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, troponin -ve x 1, pro BNP normal, LFTs and lipase normal, testing for influenza A/B and SARS-CoV2 negative,, UA no pyuria. Has AKI, EKG NSR, no st-t changes, low voltage QRS noted, CXR negative for acute findings, CTA chest, CT abdomen/pelvis, CT head and CT cervical spine negative. Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump  - based on this has shock likely hypovolemic due to DKA, septic shock seems unlikely due to absence of clear infection source, adrenal insufficiency is in differential especially if shock fails to respond to therapy  - continue IV levophed, start DKA protocol with IV insulin, received dose of ceftriaxone in ER, will monitor off abx for now, low threshold to start abx if spikes fevers or hypotension persists, trend troponins, monitor H&H, please f/u blood Cx and serum cortisol results 2. DKA (diabetic ketoacidosis)    - please see problem #1, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump, also elevated anion gap persists despite fluid resuscitation  - based on this has DKA, recent stress might be driving the DKA  - start DKA protocol with IV insulin, hold insulin pump while on IV insulin 3. AKI (acute kidney injury)  - serum creatinine 1.1 from baseline of 0.7-0.8, BUN 18, AKI is likely prerenal, continue IV fluids and levophed as above 4. Anemia  - hemoglobin 11.3, no recent levels available, denies active bleeding, MCV normal, will monitor H&H, consider further evaluation as appropriate 5. ANXIETY  - Has been on lot of stress lately as she had to get COVID vaccine, will start PRN ativan
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test, Computerised tomogram, Echocardiogram, Electrocardiogram, Fibrin D dimer
Clinical narrative: 1. Shock likely hypovolemic  - presents with chest pain, shortness of breath, presyncope, shaking chills, all symptoms started in last 24 hours, hypotensive with systolic BP in 60s, BP still in 90-100s despite 3 lt IV fluids and 10 mcg levophed, afebrile, WBC normal, hemoglobin 11.3, no recent baseline, no active bleeding noted, lactate 1.9, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, troponin -ve x 1, pro BNP normal, LFTs and lipase normal, testing for influenza A/B and SARS-CoV2 negative,, UA no pyuria. Has AKI, EKG NSR, no st-t changes, low voltage QRS noted, CXR negative for acute findings, CTA chest, CT abdomen/pelvis, CT head and CT cervical spine negative. Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump  - based on this has shock likely hypovolemic due to DKA, septic shock seems unlikely due to absence of clear infection source, adrenal insufficiency is in differential especially if shock fails to respond to therapy  - continue IV levophed, start DKA protocol with IV insulin, received dose of ceftriaxone in ER, will monitor off abx for now, low threshold to start abx if spikes fevers or hypotension persists, trend troponins, monitor H&H, please f/u blood Cx and serum cortisol results 2. DKA (diabetic ketoacidosis)    - please see problem #1, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump, also elevated anion gap persists despite fluid resuscitation  - based on this has DKA, recent stress might be driving the DKA  - start DKA protocol with IV insulin, hold insulin pump while on IV insulin 3. AKI (acute kidney injury)  - serum creatinine 1.1 from baseline of 0.7-0.8, BUN 18, AKI is likely prerenal, continue IV fluids and levophed as above 4. Anemia  - hemoglobin 11.3, no recent levels available, denies active bleeding, MCV normal, will monitor H&H, consider further evaluation as appropriate 5. ANXIETY  - Has been on lot of stress lately as she had to get COVID vaccine, will start PRN ativan
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Intensive care, Laboratory test, Shock, Troponin
Clinical narrative: 1. Shock likely hypovolemic  - presents with chest pain, shortness of breath, presyncope, shaking chills, all symptoms started in last 24 hours, hypotensive with systolic BP in 60s, BP still in 90-100s despite 3 lt IV fluids and 10 mcg levophed, afebrile, WBC normal, hemoglobin 11.3, no recent baseline, no active bleeding noted, lactate 1.9, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, troponin -ve x 1, pro BNP normal, LFTs and lipase normal, testing for influenza A/B and SARS-CoV2 negative,, UA no pyuria. Has AKI, EKG NSR, no st-t changes, low voltage QRS noted, CXR negative for acute findings, CTA chest, CT abdomen/pelvis, CT head and CT cervical spine negative. Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump  - based on this has shock likely hypovolemic due to DKA, septic shock seems unlikely due to absence of clear infection source, adrenal insufficiency is in differential especially if shock fails to respond to therapy  - continue IV levophed, start DKA protocol with IV insulin, received dose of ceftriaxone in ER, will monitor off abx for now, low threshold to start abx if spikes fevers or hypotension persists, trend troponins, monitor H&H, please f/u blood Cx and serum cortisol results 2. DKA (diabetic ketoacidosis)    - please see problem #1, labs indicate elevated anion gap metabolic acidosis, also has positive urine ketones and trace acetone in serum, Has been on lot of stress lately as she had to get COVID vaccine, has type 1 DM on insulin pump, also elevated anion gap persists despite fluid resuscitation  - based on this has DKA, recent stress might be driving the DKA  - start DKA protocol with IV insulin, hold insulin pump while on IV insulin 3. AKI (acute kidney injury)  - serum creatinine 1.1 from baseline of 0.7-0.8, BUN 18, AKI is likely prerenal, continue IV fluids and levophed as above 4. Anemia  - hemoglobin 11.3, no recent levels available, denies active bleeding, MCV normal, will monitor H&H, consider further evaluation as appropriate 5. ANXIETY  - Has been on lot of stress lately as she had to get COVID vaccine, will start PRN ativan
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appetite disorder, Back pain, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient admitted to the ED, who tested positive for covid-19 for further management of acute abdominal, low back, spinal, and neck pain with multiple other complaints.   She was found to have MRSA bacteremia secondary to Infective Endocarditis complicated septic pulmonary emboli. Patient cultures became negative on 09/10 and ID recommended an extended course of IV antibiotics due to difficulty clearing cultures (9/10-11/05).   Viral pneumonia secondary to SARS/COVID-19 pneumonia - patient was isolated   Constitutional: Positive for appetite change, chills, fatigue and fever.  HENT: Positive for rhinorrhea. Negative for congestion, sneezing and sore throat.   Gastrointestinal: Positive for abdominal pain, diarrhea, nausea and vomiting. Negative for constipation.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Culture negative, Diarrhoea, Endocarditis, Fatigue
Clinical narrative: Patient admitted to the ED, who tested positive for covid-19 for further management of acute abdominal, low back, spinal, and neck pain with multiple other complaints.   She was found to have MRSA bacteremia secondary to Infective Endocarditis complicated septic pulmonary emboli. Patient cultures became negative on 09/10 and ID recommended an extended course of IV antibiotics due to difficulty clearing cultures (9/10-11/05).   Viral pneumonia secondary to SARS/COVID-19 pneumonia - patient was isolated   Constitutional: Positive for appetite change, chills, fatigue and fever.  HENT: Positive for rhinorrhea. Negative for congestion, sneezing and sore throat.   Gastrointestinal: Positive for abdominal pain, diarrhea, nausea and vomiting. Negative for constipation.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pneumonia viral, Pyrexia, Rhinorrhoea
Clinical narrative: Patient admitted to the ED, who tested positive for covid-19 for further management of acute abdominal, low back, spinal, and neck pain with multiple other complaints.   She was found to have MRSA bacteremia secondary to Infective Endocarditis complicated septic pulmonary emboli. Patient cultures became negative on 09/10 and ID recommended an extended course of IV antibiotics due to difficulty clearing cultures (9/10-11/05).   Viral pneumonia secondary to SARS/COVID-19 pneumonia - patient was isolated   Constitutional: Positive for appetite change, chills, fatigue and fever.  HENT: Positive for rhinorrhea. Negative for congestion, sneezing and sore throat.   Gastrointestinal: Positive for abdominal pain, diarrhea, nausea and vomiting. Negative for constipation.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic pulmonary embolism, Spinal pain, Staphylococcal bacteraemia, Vomiting
Clinical narrative: Patient admitted to the ED, who tested positive for covid-19 for further management of acute abdominal, low back, spinal, and neck pain with multiple other complaints.   She was found to have MRSA bacteremia secondary to Infective Endocarditis complicated septic pulmonary emboli. Patient cultures became negative on 09/10 and ID recommended an extended course of IV antibiotics due to difficulty clearing cultures (9/10-11/05).   Viral pneumonia secondary to SARS/COVID-19 pneumonia - patient was isolated   Constitutional: Positive for appetite change, chills, fatigue and fever.  HENT: Positive for rhinorrhea. Negative for congestion, sneezing and sore throat.   Gastrointestinal: Positive for abdominal pain, diarrhea, nausea and vomiting. Negative for constipation.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: After vaccination patient felt dizzy and then began to continuously vomit. Patient wanted to sit for a little but symptoms continued, and paramedics were called.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital 11/15 with increased shortness of breath, found to be COVID ++
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Just to let you know the side effects of the vaccine that I experienced and am slowly getting over?.. 1} Sore arm   ---lasted 4 days ---not now 2} Itchy arm ? with three small holes around the injection site now from the itchiness   ---starting to scab over 3} A little swollen arm  ---lasted 4 days ---not now 4} Headache to migraine   --- migraine lasted 4 days ---now slight headache only 5} Bending over, down or moving quickly made me dizzy and my head hurt more   ---not really now, only the bending down to long causes a throbbing in my head 6} Kind of foggy in mind and sight  ---lasted 4 days ---not now 7}Short of breath ? which I still have   ---still have   ---this one has me really worried I enjoy the outdoors and being active with hiking and more what problems will this cause me 8} Cough from the short or breath   ---if I do too much 9} Nauseous and vomiting  lasted 2 days ---now there is no vomit only nauseous 10} Body hurts  ---lasted 4 days ---not now 11} Temp change to feeling hotter without a temp, between 97.0-98.0 once was 95.9   ---I still feel warm even turned my house thermostat down to 67-68---   still 12} felt like there was lead in my feet when walking hard to move   ---lasted 4 days   ---not now 13} tired only wanted to rest or sleep   ---lasted 4 days   ---still tired but not like it was  I know I was told this cannot be from the vaccine, I will guarantee that it is. Not one of these were present or an issue until I had the vaccine.  There may be more common ones people have listed and reported, but not everyone reacts to the vaccine the same and some are more severe than others.  All side effects should and must be acknowledged for any possibility of future problems or complications.  I did give this information to clinic worker, and she had me come in for a covid test {letting me know my shortness of breath and hard to breathe cannot be part of the vaccine} and the two tests came in as negative. Anything is possible and should not be disregarded, like I said no two people are alike.  Still having SOB which worsens with talking and activity
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Gait disturbance, Headache, Injection site pruritus, Injection site scab
Clinical narrative: Just to let you know the side effects of the vaccine that I experienced and am slowly getting over?.. 1} Sore arm   ---lasted 4 days ---not now 2} Itchy arm ? with three small holes around the injection site now from the itchiness   ---starting to scab over 3} A little swollen arm  ---lasted 4 days ---not now 4} Headache to migraine   --- migraine lasted 4 days ---now slight headache only 5} Bending over, down or moving quickly made me dizzy and my head hurt more   ---not really now, only the bending down to long causes a throbbing in my head 6} Kind of foggy in mind and sight  ---lasted 4 days ---not now 7}Short of breath ? which I still have   ---still have   ---this one has me really worried I enjoy the outdoors and being active with hiking and more what problems will this cause me 8} Cough from the short or breath   ---if I do too much 9} Nauseous and vomiting  lasted 2 days ---now there is no vomit only nauseous 10} Body hurts  ---lasted 4 days ---not now 11} Temp change to feeling hotter without a temp, between 97.0-98.0 once was 95.9   ---I still feel warm even turned my house thermostat down to 67-68---   still 12} felt like there was lead in my feet when walking hard to move   ---lasted 4 days   ---not now 13} tired only wanted to rest or sleep   ---lasted 4 days   ---still tired but not like it was  I know I was told this cannot be from the vaccine, I will guarantee that it is. Not one of these were present or an issue until I had the vaccine.  There may be more common ones people have listed and reported, but not everyone reacts to the vaccine the same and some are more severe than others.  All side effects should and must be acknowledged for any possibility of future problems or complications.  I did give this information to clinic worker, and she had me come in for a covid test {letting me know my shortness of breath and hard to breathe cannot be part of the vaccine} and the two tests came in as negative. Anything is possible and should not be disregarded, like I said no two people are alike.  Still having SOB which worsens with talking and activity
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Just to let you know the side effects of the vaccine that I experienced and am slowly getting over?.. 1} Sore arm   ---lasted 4 days ---not now 2} Itchy arm ? with three small holes around the injection site now from the itchiness   ---starting to scab over 3} A little swollen arm  ---lasted 4 days ---not now 4} Headache to migraine   --- migraine lasted 4 days ---now slight headache only 5} Bending over, down or moving quickly made me dizzy and my head hurt more   ---not really now, only the bending down to long causes a throbbing in my head 6} Kind of foggy in mind and sight  ---lasted 4 days ---not now 7}Short of breath ? which I still have   ---still have   ---this one has me really worried I enjoy the outdoors and being active with hiking and more what problems will this cause me 8} Cough from the short or breath   ---if I do too much 9} Nauseous and vomiting  lasted 2 days ---now there is no vomit only nauseous 10} Body hurts  ---lasted 4 days ---not now 11} Temp change to feeling hotter without a temp, between 97.0-98.0 once was 95.9   ---I still feel warm even turned my house thermostat down to 67-68---   still 12} felt like there was lead in my feet when walking hard to move   ---lasted 4 days   ---not now 13} tired only wanted to rest or sleep   ---lasted 4 days   ---still tired but not like it was  I know I was told this cannot be from the vaccine, I will guarantee that it is. Not one of these were present or an issue until I had the vaccine.  There may be more common ones people have listed and reported, but not everyone reacts to the vaccine the same and some are more severe than others.  All side effects should and must be acknowledged for any possibility of future problems or complications.  I did give this information to clinic worker, and she had me come in for a covid test {letting me know my shortness of breath and hard to breathe cannot be part of the vaccine} and the two tests came in as negative. Anything is possible and should not be disregarded, like I said no two people are alike.  Still having SOB which worsens with talking and activity
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: Just to let you know the side effects of the vaccine that I experienced and am slowly getting over?.. 1} Sore arm   ---lasted 4 days ---not now 2} Itchy arm ? with three small holes around the injection site now from the itchiness   ---starting to scab over 3} A little swollen arm  ---lasted 4 days ---not now 4} Headache to migraine   --- migraine lasted 4 days ---now slight headache only 5} Bending over, down or moving quickly made me dizzy and my head hurt more   ---not really now, only the bending down to long causes a throbbing in my head 6} Kind of foggy in mind and sight  ---lasted 4 days ---not now 7}Short of breath ? which I still have   ---still have   ---this one has me really worried I enjoy the outdoors and being active with hiking and more what problems will this cause me 8} Cough from the short or breath   ---if I do too much 9} Nauseous and vomiting  lasted 2 days ---now there is no vomit only nauseous 10} Body hurts  ---lasted 4 days ---not now 11} Temp change to feeling hotter without a temp, between 97.0-98.0 once was 95.9   ---I still feel warm even turned my house thermostat down to 67-68---   still 12} felt like there was lead in my feet when walking hard to move   ---lasted 4 days   ---not now 13} tired only wanted to rest or sleep   ---lasted 4 days   ---still tired but not like it was  I know I was told this cannot be from the vaccine, I will guarantee that it is. Not one of these were present or an issue until I had the vaccine.  There may be more common ones people have listed and reported, but not everyone reacts to the vaccine the same and some are more severe than others.  All side effects should and must be acknowledged for any possibility of future problems or complications.  I did give this information to clinic worker, and she had me come in for a covid test {letting me know my shortness of breath and hard to breathe cannot be part of the vaccine} and the two tests came in as negative. Anything is possible and should not be disregarded, like I said no two people are alike.  Still having SOB which worsens with talking and activity
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymph node pain, Lymphadenopathy, Mobility decreased, Oedema peripheral
Clinical narrative: 10/21/21 reported lymph node swelling in neck and right armpit. Stated very sore. 11/10/21 - Per Dr note: Continued pain and swelling since vaccination of right armpit. Steroids prescribed which caused increased blood sugar issues. He noted "softball size lymphadenopathy" that resulted in pain and reduced use of right arm. Continues to be treated by her PCP with next appt on 11/17/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The patient was given a dose of a Moderna booster shot that was drawn from a recently expired vial. The manufacturer was contacted regarding this event. We are not aware of any adverse outcomes.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Computerised tomogram head normal, Dyskinesia, Electrocardiogram normal, Fall, Head injury
Clinical narrative: Pt. had received his vaccines, and at check out, pt. fainted.  He hit his right parietal/occipital area on the linoleum floor from a standing position.  The nurses reported some jerky motions briefly after the head injury.  He was assessed immediately afterwards by myself and looked pale in color and was conscious.  There was no signs of external injury of his scalp.  Patient was allow to lay in the recumbent position for a few minutes.  He was sat up and given water and Sprite to drink.  I reassessed him three times afterwards.  The second time he had complained of red spots in his vision to the nurses which had resolved on my assessment.  He had some blurriness of vision.  The third time he complained of a HA and was given ibuprofen 300 mg.   The blurriness of vision had resolved.   Prior to discharge, pt. was conversant.   His was discharged home with his mother to observe him for the next 24 hours.   Mother reported several episodes of vomiting after leaving office. Advised to proceed to the local Emergency Room.  Arrived there at 1232pm for evaluation.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Pallor, Syncope, Vision blurred, Visual impairment
Clinical narrative: Pt. had received his vaccines, and at check out, pt. fainted.  He hit his right parietal/occipital area on the linoleum floor from a standing position.  The nurses reported some jerky motions briefly after the head injury.  He was assessed immediately afterwards by myself and looked pale in color and was conscious.  There was no signs of external injury of his scalp.  Patient was allow to lay in the recumbent position for a few minutes.  He was sat up and given water and Sprite to drink.  I reassessed him three times afterwards.  The second time he had complained of red spots in his vision to the nurses which had resolved on my assessment.  He had some blurriness of vision.  The third time he complained of a HA and was given ibuprofen 300 mg.   The blurriness of vision had resolved.   Prior to discharge, pt. was conversant.   His was discharged home with his mother to observe him for the next 24 hours.   Mother reported several episodes of vomiting after leaving office. Advised to proceed to the local Emergency Room.  Arrived there at 1232pm for evaluation.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Pt. had received his vaccines, and at check out, pt. fainted.  He hit his right parietal/occipital area on the linoleum floor from a standing position.  The nurses reported some jerky motions briefly after the head injury.  He was assessed immediately afterwards by myself and looked pale in color and was conscious.  There was no signs of external injury of his scalp.  Patient was allow to lay in the recumbent position for a few minutes.  He was sat up and given water and Sprite to drink.  I reassessed him three times afterwards.  The second time he had complained of red spots in his vision to the nurses which had resolved on my assessment.  He had some blurriness of vision.  The third time he complained of a HA and was given ibuprofen 300 mg.   The blurriness of vision had resolved.   Prior to discharge, pt. was conversant.   His was discharged home with his mother to observe him for the next 24 hours.   Mother reported several episodes of vomiting after leaving office. Advised to proceed to the local Emergency Room.  Arrived there at 1232pm for evaluation.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Limb discomfort
Clinical narrative: Bottom of feet feel like they are on fire
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Chest pain and some shortness of breath.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Interchange of vaccine products, Pyrexia, Sleep disorder
Clinical narrative: Pfizer BOOSTER. Was fully vaccinated with Moderna in March. Fever (100.8°F), headache, joint pain, bad sleep
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Hot flush, Myalgia
Clinical narrative: - Dizziness, hot flash, rigors/chills, fatigue, muscle sorenees in L arm  - most of these symptoms came on suddenly at 12:30pm (I felt like I was about to faint, but I put my head between my knees and breathed deep breaths, and I did not actually faint) - I did not need to seek medical treatment for the symptoms, they resolved on their own with lots of rest, drinking water, and eating food - dizziness and hot flash (the feeling of fainting) resolved within 10 minutes - rigors/chills were intermittent and resolved when waking up on 11/16 (~8am) - fatigue also resolved on 11/16
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Intense Hives all over body (soles of feet to ears)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood thyroid stimulating hormone increased, Cardiac flutter, Hypothyroidism
Clinical narrative: Subclinical hypothyroiditis. No symptoms. I have never had elevated TSH. All other blood work fairly normal.  I do have heart flutters that are being evaluated as well. My TSH was 5.36 . I will go for more blood work in 6 weeks.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Condition aggravated, Cough, Incorrect dose administered, Nasal congestion
Clinical narrative: Patient was given an incorrect dose of the Pfizer Covid 19 vaccine.  We were giving booster doses and the staff member administering patients vaccine though that Pfizer vaccine was like the Moderna vaccine and the booster doses were only half the amount of the initial and secondary doses.  Due to this error patient was given 0.6ml of Pfizer Covid 19 vaccine.  Her symptoms post vaccine were simiilar to her initial vaccine symptoms with temp, cough, stuffy/runny nose, nausea.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rhinorrhoea
Clinical narrative: Patient was given an incorrect dose of the Pfizer Covid 19 vaccine.  We were giving booster doses and the staff member administering patients vaccine though that Pfizer vaccine was like the Moderna vaccine and the booster doses were only half the amount of the initial and secondary doses.  Due to this error patient was given 0.6ml of Pfizer Covid 19 vaccine.  Her symptoms post vaccine were simiilar to her initial vaccine symptoms with temp, cough, stuffy/runny nose, nausea.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Tinnitus
Clinical narrative: No side effects until tinnitus developed later
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Electrocardiogram, Nausea
Clinical narrative: Bad blotchy rash over entire torso and upper inner arms, up the back of neck and into hair. Went to Urgent Care and ER. They had no idea what the rash was and suggested taking Benadryl which I have been doing. 9 days later rash is the same. Nausea and pressure in chest like indigestion. Nausea lasted a day. Chest pressure lasted 11 days. EKG, bloodwork and chest x ray were all ok. Not given anything for symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Bad blotchy rash over entire torso and upper inner arms, up the back of neck and into hair. Went to Urgent Care and ER. They had no idea what the rash was and suggested taking Benadryl which I have been doing. 9 days later rash is the same. Nausea and pressure in chest like indigestion. Nausea lasted a day. Chest pressure lasted 11 days. EKG, bloodwork and chest x ray were all ok. Not given anything for symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Heart rate increased, Hyperhidrosis, Hypertension
Clinical narrative: I started getting rapid heartbeat and sweating. I took my blood pressure and it was high 160/100 and my pulse was over double its norm at 130. I went to emergency room where they monitored me on ekg for few hours.  I was sent home with medication to lower blood pressure.  It lasted about 7 days.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Given monoclonal antibody infusion 3 days prior to admission.  Now with covid PNA and admitted to the hospital.  On room air right now dexamethasone started,
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Blood test, Deafness neurosensory, Deafness unilateral, Magnetic resonance imaging head
Clinical narrative: .  Sensorineural hearing loss in my left ear.  Happened 4 days after receiving  the Moderna booster for Covid-19.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Feeling cold, Feeling hot
Clinical narrative: Approximately nine hours after receiving the vaccine I began feeling fatigue in my muscles and joints. Within a half hour I start to feel cold and used a heating blanket to warm up. Despite being under a heating blanket, I began shivering and feeling pain and soreness in my muscles and joints.  The shivering became severe and the pain increased. The shivering went on for about an hour and a half and finally started to subside. I was able to fall asleep, but woke up  again about 30 minutes later and started to feel hot. I had a fever of 102.6, but felt like my insides were on fire. That went away approximately three hours later. I am still feeling a lot of fatigue,  it my temperature seems to have leveled out.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Myalgia, Pyrexia
Clinical narrative: Approximately nine hours after receiving the vaccine I began feeling fatigue in my muscles and joints. Within a half hour I start to feel cold and used a heating blanket to warm up. Despite being under a heating blanket, I began shivering and feeling pain and soreness in my muscles and joints.  The shivering became severe and the pain increased. The shivering went on for about an hour and a half and finally started to subside. I was able to fall asleep, but woke up  again about 30 minutes later and started to feel hot. I had a fever of 102.6, but felt like my insides were on fire. That went away approximately three hours later. I am still feeling a lot of fatigue,  it my temperature seems to have leveled out.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Blood test, Chest X-ray, Electrocardiogram
Clinical narrative: A few days after receiving my vaccine I started experiencing heart palpitations and increased pulse. On Aug 26, one week after my vaccine I was again having an episode of heart palpitations and racing heart. I took my blood pressure and it was 166/93, pulse 106. My average BP has always been low, in the 115/65 range, so seeing those high numbers was very disconcerting. I monitored my BP for about an hour and it only went down to 157/91.  I called my PCP and spoke to the nurse who asked me if I had had a vaccine recently, and yes I had just had my first dose one week prior.  They advised me to go to the ER.  By the time I got to the ER my BP was about 145/88.  I spent several hours there and had several tests.  Th ER doctor did mention that the high BP may be caused by my immune system response to the vaccine.  A couple days later I had a spike of 194/96, which was scary.  I had blood drawn that day and as the technician was withdrawing the needle, the vein bulged and I had a dark bruise for several days.  During that 1st month I had a follow-up appointment with an orthopedic and when the nurse took my BP, it was 156/87.  She is also an ER nurse and she also told me she has seen others in the ER who were there for high blood pressure after a covid vaccine.  It took a month for my BP to stabilize to acceptable levels and 2-3 months to return to my normal levels
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Heart rate increased, Palpitations
Clinical narrative: A few days after receiving my vaccine I started experiencing heart palpitations and increased pulse. On Aug 26, one week after my vaccine I was again having an episode of heart palpitations and racing heart. I took my blood pressure and it was 166/93, pulse 106. My average BP has always been low, in the 115/65 range, so seeing those high numbers was very disconcerting. I monitored my BP for about an hour and it only went down to 157/91.  I called my PCP and spoke to the nurse who asked me if I had had a vaccine recently, and yes I had just had my first dose one week prior.  They advised me to go to the ER.  By the time I got to the ER my BP was about 145/88.  I spent several hours there and had several tests.  Th ER doctor did mention that the high BP may be caused by my immune system response to the vaccine.  A couple days later I had a spike of 194/96, which was scary.  I had blood drawn that day and as the technician was withdrawing the needle, the vein bulged and I had a dark bruise for several days.  During that 1st month I had a follow-up appointment with an orthopedic and when the nurse took my BP, it was 156/87.  She is also an ER nurse and she also told me she has seen others in the ER who were there for high blood pressure after a covid vaccine.  It took a month for my BP to stabilize to acceptable levels and 2-3 months to return to my normal levels
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Angiotensin converting enzyme, Antibody test, Bell's palsy, Blepharospasm, Borrelia test
Clinical narrative: Bell's palsy. Treatment included course of steroids and anti-virals. On 11/4/21, I started having ear pain and eye twitching. On 11/5/21, I suffered from L-sided facial paralysis, pain, inability to close L eye,  decreased taste sensitivity, pins/needles, and decreased sensation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Ear pain, Eyelid disorder, Facial paralysis, Glycosylated haemoglobin
Clinical narrative: Bell's palsy. Treatment included course of steroids and anti-virals. On 11/4/21, I started having ear pain and eye twitching. On 11/5/21, I suffered from L-sided facial paralysis, pain, inability to close L eye,  decreased taste sensitivity, pins/needles, and decreased sensation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: HIV test, Hemiplegia, Hypogeusia, Laboratory test, Magnetic resonance imaging
Clinical narrative: Bell's palsy. Treatment included course of steroids and anti-virals. On 11/4/21, I started having ear pain and eye twitching. On 11/5/21, I suffered from L-sided facial paralysis, pain, inability to close L eye,  decreased taste sensitivity, pins/needles, and decreased sensation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Sensory loss, Vitamin B12
Clinical narrative: Bell's palsy. Treatment included course of steroids and anti-virals. On 11/4/21, I started having ear pain and eye twitching. On 11/5/21, I suffered from L-sided facial paralysis, pain, inability to close L eye,  decreased taste sensitivity, pins/needles, and decreased sensation.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient transferred from outside facility s/p PEA arrest and renal failure. Outside facility name is: Hospital. Of note, unclear what provider cared for the patient at this hospital from the electronic health record. Patient originally admitted for worsening dyspnea onset 2 weeks prior to arrival at hospital (8/8), developed hemoptysis and was admitted for acute hypoxic respiratory failure 2/2 COVID pneumonia vs. acute on chronic HF. Patient was initially placed on IV abx, dexamethasone and remdesivir.  Noted poor tolerance to BiPAP and was found on the floor in PEA  on 8/28. Subsequently intubated. Had pressor requirement, but has since been weaned off. Developed oliguric AKI with uptrending creatinine and volume overload prompting transfer to bigger hospital for further management of his HFrEF and Renal failure. Patient had a complicated hospital course. On discharge, patient was stable on minimal ventilator settings. Discharge Disposition/Condition. Disposition: Long Term Acute Care facility (LTACH) (specify), Condition: Stable (s/sx potential problems absent or manageable)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure acute, Condition aggravated, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient transferred from outside facility s/p PEA arrest and renal failure. Outside facility name is: Hospital. Of note, unclear what provider cared for the patient at this hospital from the electronic health record. Patient originally admitted for worsening dyspnea onset 2 weeks prior to arrival at hospital (8/8), developed hemoptysis and was admitted for acute hypoxic respiratory failure 2/2 COVID pneumonia vs. acute on chronic HF. Patient was initially placed on IV abx, dexamethasone and remdesivir.  Noted poor tolerance to BiPAP and was found on the floor in PEA  on 8/28. Subsequently intubated. Had pressor requirement, but has since been weaned off. Developed oliguric AKI with uptrending creatinine and volume overload prompting transfer to bigger hospital for further management of his HFrEF and Renal failure. Patient had a complicated hospital course. On discharge, patient was stable on minimal ventilator settings. Discharge Disposition/Condition. Disposition: Long Term Acute Care facility (LTACH) (specify), Condition: Stable (s/sx potential problems absent or manageable)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoptysis, Hypervolaemia, Mechanical ventilation, Positive airway pressure therapy, Pulseless electrical activity
Clinical narrative: Patient transferred from outside facility s/p PEA arrest and renal failure. Outside facility name is: Hospital. Of note, unclear what provider cared for the patient at this hospital from the electronic health record. Patient originally admitted for worsening dyspnea onset 2 weeks prior to arrival at hospital (8/8), developed hemoptysis and was admitted for acute hypoxic respiratory failure 2/2 COVID pneumonia vs. acute on chronic HF. Patient was initially placed on IV abx, dexamethasone and remdesivir.  Noted poor tolerance to BiPAP and was found on the floor in PEA  on 8/28. Subsequently intubated. Had pressor requirement, but has since been weaned off. Developed oliguric AKI with uptrending creatinine and volume overload prompting transfer to bigger hospital for further management of his HFrEF and Renal failure. Patient had a complicated hospital course. On discharge, patient was stable on minimal ventilator settings. Discharge Disposition/Condition. Disposition: Long Term Acute Care facility (LTACH) (specify), Condition: Stable (s/sx potential problems absent or manageable)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Renal failure, SARS-CoV-2 test positive
Clinical narrative: Patient transferred from outside facility s/p PEA arrest and renal failure. Outside facility name is: Hospital. Of note, unclear what provider cared for the patient at this hospital from the electronic health record. Patient originally admitted for worsening dyspnea onset 2 weeks prior to arrival at hospital (8/8), developed hemoptysis and was admitted for acute hypoxic respiratory failure 2/2 COVID pneumonia vs. acute on chronic HF. Patient was initially placed on IV abx, dexamethasone and remdesivir.  Noted poor tolerance to BiPAP and was found on the floor in PEA  on 8/28. Subsequently intubated. Had pressor requirement, but has since been weaned off. Developed oliguric AKI with uptrending creatinine and volume overload prompting transfer to bigger hospital for further management of his HFrEF and Renal failure. Patient had a complicated hospital course. On discharge, patient was stable on minimal ventilator settings. Discharge Disposition/Condition. Disposition: Long Term Acute Care facility (LTACH) (specify), Condition: Stable (s/sx potential problems absent or manageable)
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: itching rash - hives to chest, arms, abdomen, back for over  a week
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glossodynia, Headache, Lymphadenopathy, Neck pain, Oropharyngeal pain
Clinical narrative: Sore neck, extreme pain in back of skull.  Swollen lymph nodes Sore throat Open sore on side of tongue
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Flank pain, Herpes zoster, Hypoaesthesia, Neuralgia
Clinical narrative: About 3 weeks later, I began having pain in my upper right-side back. 5 days later, my skin began to go numb and the pain had spread to a band around my upper right side and the folllowing Friday evening a rash had broken out. I was diagnosed with Shingles the following Monday at Health work and all pain & rash treatment I was followed with my primary care provider. The Nerve pain lasted for over 1 month.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash
Clinical narrative: About 3 weeks later, I began having pain in my upper right-side back. 5 days later, my skin began to go numb and the pain had spread to a band around my upper right side and the folllowing Friday evening a rash had broken out. I was diagnosed with Shingles the following Monday at Health work and all pain & rash treatment I was followed with my primary care provider. The Nerve pain lasted for over 1 month.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: n/a patient received vaccine prior to admission to hospital on 11/3/2021 patient expired on 11/13/2021, DNR CC
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Moderna COVID-19 Vaccine EUA:   Patient reported today 11/12/2021 and has a large, hot, red swollen area on left arm, measuring 8.0cm wide X 7.0 cm long and is located 12.0cm down from scapular/humeral joint.  Patient states that reaction started 11/12/2021 @ 2000, and by Saturday she had red streaks down to near elbow.  She saw a physician yesterday, 11/11/2021, who stated that the injection was given too low.  Provider prescribed Prednisone for the patient and she is taking Motrin.  Red streaks are not present at this time, and large red area is as described below.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial test, Blood creatinine increased, Blood sodium decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 55 y.o. male with PMH significant for renal transplant, amyloidosis, hypertension, asthma and history of DVT who presented to the emergency department on 11/3/21 with chest pain.  He reports onset of symptoms last Tuesday with progressive cough and developed a fever on Thursday.  Has had poor orally intake but has tried to stay hydrated with water.  Has been having frequent diarrhea up to 6 times per day but only 2 episodes today.  Continues to intermittently feel feverish.  Denies any emesis.  He was seen by his PCP on 11/02 at which time he tested positive for COVID.   In the emergency department, VS remained stable on RA.  Labs notable for sodium 120, creatinine 2.49, eGFR 27. CXR showed airspace opacities within the right lung.  He was given monoclonal antibodies after which he began to feel more short of breath.  He was noted to be satting 88-90% and was placed on 2 L O2.  He was later able to be weaned back to room air.  Patient was admitted for ongoing management of hyponatremia.   Nephrology was consulted. GI symptoms essentially resolved by time of DC.  Na improved with fluids and was stable at 130 and Cr improved to 1.9 at time of DC.  Patient noted to have tremors and tacro trough level was high at 9 (goal 4-6) likely 2/2 COVID19 and diarrhea and so dose was temporarily decreased to 0.5/0.5 from 1/1 and patient reached out to his transplant team at time of DC and is arranging f/u trough level to be obtained (likely Monday).  He will f/u with PCP and need BMP rechecked in next 3-5 days.