chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachypnoea
Clinical narrative: Fully vaccinated patient admitted through ED with COVID.  Provider d/c note:    "63 year old vaccinated female with past medical history significant for longstanding nicotine dependence (at least 40 pack years) in remission (quit 4 years ago), severe COPD with bronchiectasis and generalized anxiety presented with worsening cough and shortness of breath found to have acute respiratory failure with lung exam consistent with a COPD exacerbation in setting of COVID viral infection and possible RLL community acquired pneumonia.  She also had a leukocytosis and tachycardia with tachypnea consistent with sepsis due to COVID 19 pneumonia.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute Hypercapnic Hypoxic Respiratory Failure with sepsis - the respiratory failure was likely multifactorial due to COVID 19 pneumonia superimposed on severe COPD with bronchiectasis with exacerbation,  there was some concern for aspiration.  The sepsis was likely due to COVID 19 pneumonia with possible superimposed bacterial pneumonia. She was transferred to ICU on 11/12 due to worsening hypercapneic respiratory failure and CO2 narcosis - improved on bipap, steroids, antibiotics and aggressive pulm hygiene, did not require intubation. She was transferred back to the progressive care unit and showed steady improvement weaning high flow NC (initially at 40 liters with 45% FiO2 down to 4 liters nasal cannula by time of discharge).  CRP decreased from 12 to 0.3 by time of discharge. D-dimer decreased from high of 6420 to 1020 by time of discharge.  There was no evidence of PE on CT Angio of Chest.  She was originally on Decadron but was transitioned to Solumedrol in the ICU.  She completed 5 day Remdesivir protocol, was on Lovenox subq, encouraged to prone position, Doxycycline/Ceftriaxone for 5 days, then Doxycycline/Unasyn for 6 days with some concern for aspiration when she was encephalopathic.   Pulmonology a one week taper of steroids on discharge "
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Decreased appetite, Diarrhoea, Dizziness, Erythema
Clinical narrative: Woke up in the middle of the night (early Friday morning) about 12 hours after the shot with such severe soreness that it was painful. In the morning, I nearly fainted then vomited. The rest of the day, my fever rose and became the worst at night, going up to 103.5. Tylenol did not help the fever break, it only slightly lowered my fever each time I took a dose. The following day, Saturday, I woke up still with a fever and chills, vomited everywhere with no advanced warning from my body. Had fever the rest of the day. On Sunday, I had a fever in the morning, and then my temperature turned normal. In the evening, it went up again to about 100.3. My temperature was consistently normal by Monday morning. Throughout the entire reaction, I had severe pain in my right arm, swelling and redness that covered a wide area. I also had diarrhea and no appetite throughout the reaction.
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pain in extremity, Pyrexia, Swelling, Vomiting
Clinical narrative: Woke up in the middle of the night (early Friday morning) about 12 hours after the shot with such severe soreness that it was painful. In the morning, I nearly fainted then vomited. The rest of the day, my fever rose and became the worst at night, going up to 103.5. Tylenol did not help the fever break, it only slightly lowered my fever each time I took a dose. The following day, Saturday, I woke up still with a fever and chills, vomited everywhere with no advanced warning from my body. Had fever the rest of the day. On Sunday, I had a fever in the morning, and then my temperature turned normal. In the evening, it went up again to about 100.3. My temperature was consistently normal by Monday morning. Throughout the entire reaction, I had severe pain in my right arm, swelling and redness that covered a wide area. I also had diarrhea and no appetite throughout the reaction.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Blood creatinine increased, Blood potassium increased, COVID-19
Clinical narrative: This is a 93y.o. female with type 2 diabetes mellitus, hypertension, sleep apnea, and atrial fibrillation who presents with body aches and back pain. She had sustained a fall recently with multiple injuries and believed her current pain was related to this event. She was seen in the ED on 11/4/21 and had negative trauma work-up and discharged home with Tylenol and a lidocaine patch. She did have an incidental finding of a right ovarian cyst at that time. Since her discharge, she's also been having intermittent abdominal pain. She denies any known fever or known exposures. She is fully vaccinated against COVID-19 since 4/14/21, but has not received a booster. She denies any further falls. No nausea, vomiting, diarrhea, chest pain, shortness of breath, or cough.   On arrival to the ED, BP was 127/58 and she was afebrile. HR 68, RR 18. SpO2 initially 97% on room air and 2 liters of supplemental oxygen later applied. Labs notable for potassium 5.7, creatinine 1.12, WBC 10.0. Chest x-ray negative for acute process. COVID-19 positive. The patient was admitted for further evaluation and management.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chronic kidney disease, Computerised tomogram abdomen abnormal, Computerised tomogram head normal, Computerised tomogram spine
Clinical narrative: This is a 93y.o. female with type 2 diabetes mellitus, hypertension, sleep apnea, and atrial fibrillation who presents with body aches and back pain. She had sustained a fall recently with multiple injuries and believed her current pain was related to this event. She was seen in the ED on 11/4/21 and had negative trauma work-up and discharged home with Tylenol and a lidocaine patch. She did have an incidental finding of a right ovarian cyst at that time. Since her discharge, she's also been having intermittent abdominal pain. She denies any known fever or known exposures. She is fully vaccinated against COVID-19 since 4/14/21, but has not received a booster. She denies any further falls. No nausea, vomiting, diarrhea, chest pain, shortness of breath, or cough.   On arrival to the ED, BP was 127/58 and she was afebrile. HR 68, RR 18. SpO2 initially 97% on room air and 2 liters of supplemental oxygen later applied. Labs notable for potassium 5.7, creatinine 1.12, WBC 10.0. Chest x-ray negative for acute process. COVID-19 positive. The patient was admitted for further evaluation and management.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Full blood count, Hyperkalaemia, Laboratory test, Metabolic function test
Clinical narrative: This is a 93y.o. female with type 2 diabetes mellitus, hypertension, sleep apnea, and atrial fibrillation who presents with body aches and back pain. She had sustained a fall recently with multiple injuries and believed her current pain was related to this event. She was seen in the ED on 11/4/21 and had negative trauma work-up and discharged home with Tylenol and a lidocaine patch. She did have an incidental finding of a right ovarian cyst at that time. Since her discharge, she's also been having intermittent abdominal pain. She denies any known fever or known exposures. She is fully vaccinated against COVID-19 since 4/14/21, but has not received a booster. She denies any further falls. No nausea, vomiting, diarrhea, chest pain, shortness of breath, or cough.   On arrival to the ED, BP was 127/58 and she was afebrile. HR 68, RR 18. SpO2 initially 97% on room air and 2 liters of supplemental oxygen later applied. Labs notable for potassium 5.7, creatinine 1.12, WBC 10.0. Chest x-ray negative for acute process. COVID-19 positive. The patient was admitted for further evaluation and management.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Multiple injuries, Obesity, Ovarian cyst, Pain, SARS-CoV-2 test positive
Clinical narrative: This is a 93y.o. female with type 2 diabetes mellitus, hypertension, sleep apnea, and atrial fibrillation who presents with body aches and back pain. She had sustained a fall recently with multiple injuries and believed her current pain was related to this event. She was seen in the ED on 11/4/21 and had negative trauma work-up and discharged home with Tylenol and a lidocaine patch. She did have an incidental finding of a right ovarian cyst at that time. Since her discharge, she's also been having intermittent abdominal pain. She denies any known fever or known exposures. She is fully vaccinated against COVID-19 since 4/14/21, but has not received a booster. She denies any further falls. No nausea, vomiting, diarrhea, chest pain, shortness of breath, or cough.   On arrival to the ED, BP was 127/58 and she was afebrile. HR 68, RR 18. SpO2 initially 97% on room air and 2 liters of supplemental oxygen later applied. Labs notable for potassium 5.7, creatinine 1.12, WBC 10.0. Chest x-ray negative for acute process. COVID-19 positive. The patient was admitted for further evaluation and management.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound pelvis abnormal, White blood cell count normal, X-ray normal
Clinical narrative: This is a 93y.o. female with type 2 diabetes mellitus, hypertension, sleep apnea, and atrial fibrillation who presents with body aches and back pain. She had sustained a fall recently with multiple injuries and believed her current pain was related to this event. She was seen in the ED on 11/4/21 and had negative trauma work-up and discharged home with Tylenol and a lidocaine patch. She did have an incidental finding of a right ovarian cyst at that time. Since her discharge, she's also been having intermittent abdominal pain. She denies any known fever or known exposures. She is fully vaccinated against COVID-19 since 4/14/21, but has not received a booster. She denies any further falls. No nausea, vomiting, diarrhea, chest pain, shortness of breath, or cough.   On arrival to the ED, BP was 127/58 and she was afebrile. HR 68, RR 18. SpO2 initially 97% on room air and 2 liters of supplemental oxygen later applied. Labs notable for potassium 5.7, creatinine 1.12, WBC 10.0. Chest x-ray negative for acute process. COVID-19 positive. The patient was admitted for further evaluation and management.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Malaise, Nausea, Oral herpes, Pain
Clinical narrative: 1) On 3/1/21, 3 days after first dose of Pfizer, started to get a cold sore on mouth. Self-treated with L-lysine for 2-3 days to keep it from breaking out. Disappeared after about 3-4 days.  2) On the night of 3/4/21, 6 days after vaccine, came down with achiness, chills, general malaise, a little nausea. Treated with rest. Lasted  18-24 hours.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Blood pressure increased, Condition aggravated, Electrocardiogram
Clinical narrative: Approximately two weeks after the vaccine had been given, began increase in blood pressure. Still elevated, ARPN prescribed Lisinoprol 2.5 mg, on December 1, 2021, to help lower the BP. Partially worked but still in the range of 140s, compared to mainly `120 with Terazosin. Now Terazosin and  Lisinoprol 2.5 mg taken at night. Today a lowering of the BP appears to have started. At 12.30pm it had dropped to 125/63, pulse 68, taken again while filling out form, slightly higher at 3;40 pm, 131/71 pulse 51. It was recommended I see a cariologist, appointment made, but not available until Februay 2, 2022. Hopefully the Lisinoprol 2.5 mg will help keep the BP at acceptable levels for my age of 85.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bone disorder, Dyspnoea, Throat tightness
Clinical narrative: Closed throat, shortness of breath, hardened bones.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I tested positive at home. I was asymptomatic. I isolated on 12/1/2021. I started having blurry vison in my left eye. It was red, tearing, and crusty. I had an intermittent cough. On 12/2/2021 I went to an urgent care and had another another COVID test did. It was confirmed that I did have COVID. I ran a low grade temperature of about 99 degrees. I had more significant fatigue, a stuffy nose, a  headache, and body aches. My eye seemed better but still red and I had an intermittent cough still. On 12/3/2021 I was feelin better, but the low grade fever came back. I was very tired and had a stuffy nose. On 12/4/2021 my fever went away. I just had a mild headache, some congestion, and some fatigue. On 12/5/2021 I had a normal temperature, joint pain, and still felt  fatigued. I started having a little bit of occasional diarrhea. On 12/6/2021 I was asymptomatic but still had  occasional diarrhea and my nose felt a little clogged but the congestion is mostly gone. I checked my O2 levels that night when I tested positive for COVID and it was at 96% and has been 97% since then. I didn't have any respiratory problems just a stuffy nose.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia, Somnolence, Vomiting
Clinical narrative: Next day, patient after booster dose, mom reports patient became lethargic, had fever 102.0 and began vomiting. Fever was present upon rising, vomiting started 2 hours after taking seizure medication Oxcarbazepine. Fever lasted one day. Lethargy and vomiting persisted, worse after taking seizure medications for 3 full days. On day 4, mom only gave 1/2 dose of typical seizure meds and the patient did not have the lethargy and vomiting again. Mom suspects the Pfizer vaccine enhanced the blood level of her seizure meds. She has been on these seizures meds for 3 years with no problems.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The booster dose was given one month too early. Notified patient and she is having no problems.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: 12/4/21  46-year-old white male multiple medical problems reviewed former smoker with multiple drug allergies noted including sulfa and penicillin allergy comes to clinic complaining of ongoing cough he is Covid vaccinated continue to work in the public he is vaccinated for Covid still having nonproductive cough no shortness of breath he has history of asthma uses nebulizer at home multiple medications multiple drug allergies noted does not smoke
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: PT CALLED AFTER SHE LEFT HEALTH DEPARTMENT AND STATED SHE HAD ITCHING ALL OVER.   SHE STATED SHE STAYED 30MIN AFTER GETTING VACCINE, AND ITCHING STARTED 20 MIN AFTER SHE GOT THE VACCINE, BUT DID NOT TELL US.  SHE STATED SHE THOUGHT IT WOULD JUST GO AWAY.   SHE TOOK BENADRYL ORALLY AFTER SHE GOT HOME.  INSTRUCTED HER TO GO TO ER IF HAS ANY SHORTNESS OF BREATH, ITCHING THROAT, OR RASH.  PT VOICED UNDERSTANDING AND AGREEMENT.   I CALLED HER BACK AT 2PM TO CHECK ON PT AND SHE STATED ITCHING HAS IMPROVED, BUT NOT TOTALLY GONE.  DENIES ANY RASH, SHORTNESS OF BREATH, OR ITCHY THROAT.  INSTRUCTED HER TO GO TO ER IF DEVELOPS RASH, ITCHY THROAT, OR SHORTNESS OF BREATH.  PT VOICED UNDERSTANDING AND AGREEMENT.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bicarbonate decreased, Blood gases abnormal, Blood glucose normal, Blood pH normal, COVID-19 pneumonia
Clinical narrative: ADMITTED 12032021: Pt arrives via EMS from home c/o increasing SOB x1 wk. Pt tested neg for covid on 11/28. Pt has hx copd. pt was on 4L nc at home at 76%, normally only wears O2 at night. History of Present Illness: Patient is a 65 y/o female with hx of COPD on 4L home O2, hypothyroidism who presented to the ED with SOB. History is limited from patient as she is on Bipap. She reports she initially became ill earlier this week. She reports dry cough with SOB and fever to 102. She endorses N/V and diarrhea. She denies loss of taste or smell. She reports myalgias. She has completed 2 doses of COVID vaccine. She has had family who have tested positive for COVID-19.   In the ED, patient is noted to have O2 saturation in the 70s upon arrival on CPAP. Patient was placed on Bipap with improvement in O2 saturation to 90s. She was noted to be febrile to 101.5 and otherwise hemodynamically stable. Laboratory studies are significant for WBC 2.7, platelets 122, bicarbonate 19, glucose 120, procalcitonin 0.1. ABG reveals pH 7.43, pCO2 26, pO2 69 on 80% FiO2. CXR reveals diffuse bilateral alveolar infiltrates consistent with COVID-19 pneumonia. Patient was trialed on HHFNC but was unable to maintain O2 saturations and was placed back on Bipap. Hospitalist service is asked for admission.  PT CONTINUES TO BE AN INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Diarrhoea, Dyspnoea, Laboratory test
Clinical narrative: ADMITTED 12032021: Pt arrives via EMS from home c/o increasing SOB x1 wk. Pt tested neg for covid on 11/28. Pt has hx copd. pt was on 4L nc at home at 76%, normally only wears O2 at night. History of Present Illness: Patient is a 65 y/o female with hx of COPD on 4L home O2, hypothyroidism who presented to the ED with SOB. History is limited from patient as she is on Bipap. She reports she initially became ill earlier this week. She reports dry cough with SOB and fever to 102. She endorses N/V and diarrhea. She denies loss of taste or smell. She reports myalgias. She has completed 2 doses of COVID vaccine. She has had family who have tested positive for COVID-19.   In the ED, patient is noted to have O2 saturation in the 70s upon arrival on CPAP. Patient was placed on Bipap with improvement in O2 saturation to 90s. She was noted to be febrile to 101.5 and otherwise hemodynamically stable. Laboratory studies are significant for WBC 2.7, platelets 122, bicarbonate 19, glucose 120, procalcitonin 0.1. ABG reveals pH 7.43, pCO2 26, pO2 69 on 80% FiO2. CXR reveals diffuse bilateral alveolar infiltrates consistent with COVID-19 pneumonia. Patient was trialed on HHFNC but was unable to maintain O2 saturations and was placed back on Bipap. Hospitalist service is asked for admission.  PT CONTINUES TO BE AN INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Malaise, Myalgia, Nausea, PCO2 decreased
Clinical narrative: ADMITTED 12032021: Pt arrives via EMS from home c/o increasing SOB x1 wk. Pt tested neg for covid on 11/28. Pt has hx copd. pt was on 4L nc at home at 76%, normally only wears O2 at night. History of Present Illness: Patient is a 65 y/o female with hx of COPD on 4L home O2, hypothyroidism who presented to the ED with SOB. History is limited from patient as she is on Bipap. She reports she initially became ill earlier this week. She reports dry cough with SOB and fever to 102. She endorses N/V and diarrhea. She denies loss of taste or smell. She reports myalgias. She has completed 2 doses of COVID vaccine. She has had family who have tested positive for COVID-19.   In the ED, patient is noted to have O2 saturation in the 70s upon arrival on CPAP. Patient was placed on Bipap with improvement in O2 saturation to 90s. She was noted to be febrile to 101.5 and otherwise hemodynamically stable. Laboratory studies are significant for WBC 2.7, platelets 122, bicarbonate 19, glucose 120, procalcitonin 0.1. ABG reveals pH 7.43, pCO2 26, pO2 69 on 80% FiO2. CXR reveals diffuse bilateral alveolar infiltrates consistent with COVID-19 pneumonia. Patient was trialed on HHFNC but was unable to maintain O2 saturations and was placed back on Bipap. Hospitalist service is asked for admission.  PT CONTINUES TO BE AN INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: PO2 decreased, Platelet count decreased, Positive airway pressure therapy, Procalcitonin increased, Pyrexia
Clinical narrative: ADMITTED 12032021: Pt arrives via EMS from home c/o increasing SOB x1 wk. Pt tested neg for covid on 11/28. Pt has hx copd. pt was on 4L nc at home at 76%, normally only wears O2 at night. History of Present Illness: Patient is a 65 y/o female with hx of COPD on 4L home O2, hypothyroidism who presented to the ED with SOB. History is limited from patient as she is on Bipap. She reports she initially became ill earlier this week. She reports dry cough with SOB and fever to 102. She endorses N/V and diarrhea. She denies loss of taste or smell. She reports myalgias. She has completed 2 doses of COVID vaccine. She has had family who have tested positive for COVID-19.   In the ED, patient is noted to have O2 saturation in the 70s upon arrival on CPAP. Patient was placed on Bipap with improvement in O2 saturation to 90s. She was noted to be febrile to 101.5 and otherwise hemodynamically stable. Laboratory studies are significant for WBC 2.7, platelets 122, bicarbonate 19, glucose 120, procalcitonin 0.1. ABG reveals pH 7.43, pCO2 26, pO2 69 on 80% FiO2. CXR reveals diffuse bilateral alveolar infiltrates consistent with COVID-19 pneumonia. Patient was trialed on HHFNC but was unable to maintain O2 saturations and was placed back on Bipap. Hospitalist service is asked for admission.  PT CONTINUES TO BE AN INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vomiting, White blood cell count decreased
Clinical narrative: ADMITTED 12032021: Pt arrives via EMS from home c/o increasing SOB x1 wk. Pt tested neg for covid on 11/28. Pt has hx copd. pt was on 4L nc at home at 76%, normally only wears O2 at night. History of Present Illness: Patient is a 65 y/o female with hx of COPD on 4L home O2, hypothyroidism who presented to the ED with SOB. History is limited from patient as she is on Bipap. She reports she initially became ill earlier this week. She reports dry cough with SOB and fever to 102. She endorses N/V and diarrhea. She denies loss of taste or smell. She reports myalgias. She has completed 2 doses of COVID vaccine. She has had family who have tested positive for COVID-19.   In the ED, patient is noted to have O2 saturation in the 70s upon arrival on CPAP. Patient was placed on Bipap with improvement in O2 saturation to 90s. She was noted to be febrile to 101.5 and otherwise hemodynamically stable. Laboratory studies are significant for WBC 2.7, platelets 122, bicarbonate 19, glucose 120, procalcitonin 0.1. ABG reveals pH 7.43, pCO2 26, pO2 69 on 80% FiO2. CXR reveals diffuse bilateral alveolar infiltrates consistent with COVID-19 pneumonia. Patient was trialed on HHFNC but was unable to maintain O2 saturations and was placed back on Bipap. Hospitalist service is asked for admission.  PT CONTINUES TO BE AN INPATIENT AT THIS TIME.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Asthenia, COVID-19, Chest X-ray normal
Clinical narrative: Fully vaccinated patient who admitted through ED after a fall.  Upon admission was noted to be COVID positive.  Provider d/c note:  "Patient with three days of generalized weakness leading to a Fall at home from which he could not get himself up and was found on the floor by his son.  He had reported that his right leg ""gave out"" and when evaluated in emergency department he was felt to be weak about right hip flexor so he was evaluated for a stroke. He has a history of ischemic multifocal multiple vascular territories stroke noted in 2016 and  In 2018 had 3 cm right frontal lobe hematoma.  Unclear if his right leg weakness is a residual from these events.  His CT head and computed tomography angiogram head/neck negative for acute findings.  An MRI brain was requested but patient declined.  He has been improving with physical therapy and the patient is going to have further subacute rehab at an extended care facility.    He was incidentally was found to have a COVID-19 virus infection (a caregiver had tested positive).  The patient has been vaccinated and has no new respiratory symptoms (has chronic cough) and chest film without findings consistent with viral pneumonia though some finding noted in upper lung on CT neck..  He did complete a course of REMDESIVIR and DECADRON.  He was able to be weaned down to room air. "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Computerised tomogram neck, Fall, Mobility decreased, Muscular weakness
Clinical narrative: Fully vaccinated patient who admitted through ED after a fall.  Upon admission was noted to be COVID positive.  Provider d/c note:  "Patient with three days of generalized weakness leading to a Fall at home from which he could not get himself up and was found on the floor by his son.  He had reported that his right leg ""gave out"" and when evaluated in emergency department he was felt to be weak about right hip flexor so he was evaluated for a stroke. He has a history of ischemic multifocal multiple vascular territories stroke noted in 2016 and  In 2018 had 3 cm right frontal lobe hematoma.  Unclear if his right leg weakness is a residual from these events.  His CT head and computed tomography angiogram head/neck negative for acute findings.  An MRI brain was requested but patient declined.  He has been improving with physical therapy and the patient is going to have further subacute rehab at an extended care facility.    He was incidentally was found to have a COVID-19 virus infection (a caregiver had tested positive).  The patient has been vaccinated and has no new respiratory symptoms (has chronic cough) and chest film without findings consistent with viral pneumonia though some finding noted in upper lung on CT neck..  He did complete a course of REMDESIVIR and DECADRON.  He was able to be weaned down to room air. "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient who admitted through ED after a fall.  Upon admission was noted to be COVID positive.  Provider d/c note:  "Patient with three days of generalized weakness leading to a Fall at home from which he could not get himself up and was found on the floor by his son.  He had reported that his right leg ""gave out"" and when evaluated in emergency department he was felt to be weak about right hip flexor so he was evaluated for a stroke. He has a history of ischemic multifocal multiple vascular territories stroke noted in 2016 and  In 2018 had 3 cm right frontal lobe hematoma.  Unclear if his right leg weakness is a residual from these events.  His CT head and computed tomography angiogram head/neck negative for acute findings.  An MRI brain was requested but patient declined.  He has been improving with physical therapy and the patient is going to have further subacute rehab at an extended care facility.    He was incidentally was found to have a COVID-19 virus infection (a caregiver had tested positive).  The patient has been vaccinated and has no new respiratory symptoms (has chronic cough) and chest film without findings consistent with viral pneumonia though some finding noted in upper lung on CT neck..  He did complete a course of REMDESIVIR and DECADRON.  He was able to be weaned down to room air. "
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9, MNQ
Symptoms: Loss of consciousness
Clinical narrative: Clinic nurse was giving routine vaccines. She gave HPV and flu in the right arm and was going to give Menactra in the left arm, when she gave it the patient passed out. She states that she missed lunch and hasnt ate anything since breakfast. The patient was given some cracker and a drink and regained full response back.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Muscle spasms
Clinical narrative: Severe muscle spasms in various muscle groups including, calf, paraspinal, neck, back etc. Each group taking 4 weeks to resolve
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dysstasia, Pain, X-ray limb
Clinical narrative: After receiving my third dose, I had a significant amount of pain and soreness. I am still feeling this pain every morning as I wake up. I did receive my flu vaccine several weeks after receiving my third dose. On 10/21, I went to an orthopedist to make sure I didn't tear anything. He didn't see any rips, tears, arthritis or bursitis. I was given a 12 day dose pack of prednisone. It starts with a high dosage which really helped until I finished the pack. After returning from a trip, where I use a backpack, I noticed the pain came back. I was given another round of prednisone, by my PCP, 15mg and I am currently down to 10 mg of prednisone in the morning. I have trouble getting up because of the pain, but it usually subsides after I take the prednisone. I have an appointment to see a rheumatologist on 12/15/2021.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Started as fullness and ringing in the ears and now has become severe to debilitating.   Apparently, to date, there are no cures for Tinnitus only cognitive therapy and masking devices.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Sleep disorder
Clinical narrative: For two weeks following application of booster, inabiity to complete full night sleep due sensitive reaction to left shoulder when sleeping on left side.  Doctor prescribed Tizantine HCL 4 Mg to be taken at bedtime.  recieved slight relief.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Headache, Hypoaesthesia oral, Nausea
Clinical narrative: Patient reported symptoms 15 minutes after COVID-19 Moderna vaccination administration. Patient complaints of moderate dizziness, nausea, heavy lips and mouth, dry mouth, and headache 5/10.  Vital signs within normal limits, respirations even and nonlabored, no acute distress noted. Diphenhydramine Hcl 25mg administered by RN.  Patient self-administered OTC Tylenol 500 mg.  Patient reported return of normal feeling to his lips and mouth 45 minutes after Diphenhydramine was administered and relief of headache after an hour.  Patient stated he would like to follow sick call protocol and go home due to dizziness and nausea. Patient declined transfer to higher level of care.  Educated and instructed patient to follow up with his PCP for medical advice and recommendations if his condition worsens or does not improve.  Patient verbalized understanding.  Patient was picked up by a family member and left at 3:25PM in stable condition, ambulated with a steady gait, no acute distress noted.  Followed up with patient the following day after symptoms started, patient reported he took a nap when he got home and woke up around 8PM with relief from dizziness and nausea.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: 28 hours after injection, sudden, significant pain in armpit on same side as injection followed swiftly by swelling and edema. Swelling has continued to grow for the last 48 hours. Pain shoots down into arm and into chest.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Menstrual disorder, Menstruation irregular
Clinical narrative: Affected my Menstruation CYCLE and I lost it for 3 months and was irregular for 6 months. And I have had really bad head aches.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in the ears
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Dose 1 given 2/16/2021 Pfizer Lot # EM9809  Patient was hospitalized with Covid 19 and discharged
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Discomfort, Erythema, Feeling hot, Papule, Peripheral swelling
Clinical narrative: dose 2 - mild rash with small red papules that developed 6 days after the injection. Was very itchy and uncomfortable. treated with benadryl PRN and slowly it went away within a week and a half.  dose 3 - 11 days after the dose, I noticed I was very itchy particularly on my underarms and back. I took a long acting antihistamine to try to go back to bed (the itching woke me up at midnight even though I initially noticed it around 10pm). The next day, my neck, legs, and arms were itchy, but i had a 6 hour drive and took another long acting antihistamine to get through my day. On the night of the 21st, my right foot was incredibly swollen and my legs were very itchy. I documented the rash with pictures on my phone, but the rash was on my arms, lets, lower back, and the tops of my feet. I took a benadryl and went to sleep. On the 22nd, I woke up at 2pm (I am typically up by 9am) and my face was so swollen that i was not able to put contacts in. The rash was all over my face, neck, chest, arms, palms of my hands, back, legs, and the tops and bottoms of my feet. I had another 6 hour drive ahead of my and was only able to take another long acting antihistamine. Anywhere i touched on my body instantly god red, swollen, hot, and itchy. Today is december 7th and still, anywhere i touch, within 60 seconds is swollen, red, hot, and itchy.   after the 6 hour drive on the 22nd, I started on prednisone after learning that that is the course of action taken by the infectious disease doctor at the hospital i work at. The steroid did not help. Neither did the long acting antihistamine. I have not been taking anything else (except my prescribed omeprazole).
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pruritus, Rash, Sleep disorder, Swelling face
Clinical narrative: dose 2 - mild rash with small red papules that developed 6 days after the injection. Was very itchy and uncomfortable. treated with benadryl PRN and slowly it went away within a week and a half.  dose 3 - 11 days after the dose, I noticed I was very itchy particularly on my underarms and back. I took a long acting antihistamine to try to go back to bed (the itching woke me up at midnight even though I initially noticed it around 10pm). The next day, my neck, legs, and arms were itchy, but i had a 6 hour drive and took another long acting antihistamine to get through my day. On the night of the 21st, my right foot was incredibly swollen and my legs were very itchy. I documented the rash with pictures on my phone, but the rash was on my arms, lets, lower back, and the tops of my feet. I took a benadryl and went to sleep. On the 22nd, I woke up at 2pm (I am typically up by 9am) and my face was so swollen that i was not able to put contacts in. The rash was all over my face, neck, chest, arms, palms of my hands, back, legs, and the tops and bottoms of my feet. I had another 6 hour drive ahead of my and was only able to take another long acting antihistamine. Anywhere i touched on my body instantly god red, swollen, hot, and itchy. Today is december 7th and still, anywhere i touch, within 60 seconds is swollen, red, hot, and itchy.   after the 6 hour drive on the 22nd, I started on prednisone after learning that that is the course of action taken by the infectious disease doctor at the hospital i work at. The steroid did not help. Neither did the long acting antihistamine. I have not been taking anything else (except my prescribed omeprazole).
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Wrong product administered
Clinical narrative: No adverse event. Wrong Covid 19 vaccine was given for second dose.  Pfizer was initially given on 3/26/21 at a different location.  The second dose was given on 4/15/21 with Moderna.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Full blood count, Metabolic function test, Pain, Pain in extremity
Clinical narrative: Patient reported severe stabbing pain and body aches beginning the evening after the vaccine. Had low-grade temp 99-100 since the day after the vaccine. Her arm is also sore.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient reported severe stabbing pain and body aches beginning the evening after the vaccine. Had low-grade temp 99-100 since the day after the vaccine. Her arm is also sore.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine administered at half dose.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal X-ray, Anal abscess, Balance disorder, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 11/26/2021-still currently hospitalized; COVID-19 positive 11/26/2021; fully vaccinated plus booster  ASSESSMENT Principal Problem:   AKI (acute kidney injury) (HCC) Active Problems:   Uncontrolled type 2 diabetes mellitus with hyperglycemia (HCC)   Chronic atrial fibrillation      PLAN   Covid-19 Pneumonia Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB Continue to monitor, check CRP, D-dimer, daily labs 12/4/2021 notes: Nausea/Vomiting/Diarrhea.  Due to colonic ileus, distal SBO CT abdomen and pelvis on admit: showed colonic ileus but no bowel obstruction AXR report reviewed from 11/27  findings consistent with ileus.  Possible partial obstruction. Repeat CT abd/pelvis on 11/30 with distal SBO.  Gastric Grafton completed on 12/02/2021 without evidence of obstruction.  Patient advance diet to solids and had return of nausea and emesis.  His appetite returned today Covid-19 Pneumonia.  Improving from a respiratory standpoint as symptoms started 2.5 weeks prior to admit Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties Finished COVID isolation CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB, Decadron or remdesivir due to timing of symptoms and lack of hypoxia Dispo: Patient unable to tolerate full diet, will limit to liquids today. Appreciate GI and DGMS inputs 12/7/2021 note:  ASSESSMENT / PLAN: Nausea vomiting resolved Partial small-bowel obstruction, colonic ileus resolved Patient currently tolerating soft diet Patient is stooling, no nausea or vomiting. Plan - Continue slow advancement of diet as tolerated COVID-19 pneumonia Fully vaccinated Asymptomatic, did not require treatment Off of severe respiratory isolation   PT/OT recommends SAR   Plan for Home patient considering sore hopeful complete resolution of SBO likely in 1-2 days Can likely DC on oral antibiotics to complete 7 days of treatment for anal abscess
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Cough, Diarrhoea, Fatigue
Clinical narrative: Hospitalized 11/26/2021-still currently hospitalized; COVID-19 positive 11/26/2021; fully vaccinated plus booster  ASSESSMENT Principal Problem:   AKI (acute kidney injury) (HCC) Active Problems:   Uncontrolled type 2 diabetes mellitus with hyperglycemia (HCC)   Chronic atrial fibrillation      PLAN   Covid-19 Pneumonia Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB Continue to monitor, check CRP, D-dimer, daily labs 12/4/2021 notes: Nausea/Vomiting/Diarrhea.  Due to colonic ileus, distal SBO CT abdomen and pelvis on admit: showed colonic ileus but no bowel obstruction AXR report reviewed from 11/27  findings consistent with ileus.  Possible partial obstruction. Repeat CT abd/pelvis on 11/30 with distal SBO.  Gastric Grafton completed on 12/02/2021 without evidence of obstruction.  Patient advance diet to solids and had return of nausea and emesis.  His appetite returned today Covid-19 Pneumonia.  Improving from a respiratory standpoint as symptoms started 2.5 weeks prior to admit Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties Finished COVID isolation CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB, Decadron or remdesivir due to timing of symptoms and lack of hypoxia Dispo: Patient unable to tolerate full diet, will limit to liquids today. Appreciate GI and DGMS inputs 12/7/2021 note:  ASSESSMENT / PLAN: Nausea vomiting resolved Partial small-bowel obstruction, colonic ileus resolved Patient currently tolerating soft diet Patient is stooling, no nausea or vomiting. Plan - Continue slow advancement of diet as tolerated COVID-19 pneumonia Fully vaccinated Asymptomatic, did not require treatment Off of severe respiratory isolation   PT/OT recommends SAR   Plan for Home patient considering sore hopeful complete resolution of SBO likely in 1-2 days Can likely DC on oral antibiotics to complete 7 days of treatment for anal abscess
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ileus, Lung opacity, Nausea, Pain, Pyrexia
Clinical narrative: Hospitalized 11/26/2021-still currently hospitalized; COVID-19 positive 11/26/2021; fully vaccinated plus booster  ASSESSMENT Principal Problem:   AKI (acute kidney injury) (HCC) Active Problems:   Uncontrolled type 2 diabetes mellitus with hyperglycemia (HCC)   Chronic atrial fibrillation      PLAN   Covid-19 Pneumonia Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB Continue to monitor, check CRP, D-dimer, daily labs 12/4/2021 notes: Nausea/Vomiting/Diarrhea.  Due to colonic ileus, distal SBO CT abdomen and pelvis on admit: showed colonic ileus but no bowel obstruction AXR report reviewed from 11/27  findings consistent with ileus.  Possible partial obstruction. Repeat CT abd/pelvis on 11/30 with distal SBO.  Gastric Grafton completed on 12/02/2021 without evidence of obstruction.  Patient advance diet to solids and had return of nausea and emesis.  His appetite returned today Covid-19 Pneumonia.  Improving from a respiratory standpoint as symptoms started 2.5 weeks prior to admit Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties Finished COVID isolation CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB, Decadron or remdesivir due to timing of symptoms and lack of hypoxia Dispo: Patient unable to tolerate full diet, will limit to liquids today. Appreciate GI and DGMS inputs 12/7/2021 note:  ASSESSMENT / PLAN: Nausea vomiting resolved Partial small-bowel obstruction, colonic ileus resolved Patient currently tolerating soft diet Patient is stooling, no nausea or vomiting. Plan - Continue slow advancement of diet as tolerated COVID-19 pneumonia Fully vaccinated Asymptomatic, did not require treatment Off of severe respiratory isolation   PT/OT recommends SAR   Plan for Home patient considering sore hopeful complete resolution of SBO likely in 1-2 days Can likely DC on oral antibiotics to complete 7 days of treatment for anal abscess
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Small intestinal obstruction, Vomiting
Clinical narrative: Hospitalized 11/26/2021-still currently hospitalized; COVID-19 positive 11/26/2021; fully vaccinated plus booster  ASSESSMENT Principal Problem:   AKI (acute kidney injury) (HCC) Active Problems:   Uncontrolled type 2 diabetes mellitus with hyperglycemia (HCC)   Chronic atrial fibrillation      PLAN   Covid-19 Pneumonia Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB Continue to monitor, check CRP, D-dimer, daily labs 12/4/2021 notes: Nausea/Vomiting/Diarrhea.  Due to colonic ileus, distal SBO CT abdomen and pelvis on admit: showed colonic ileus but no bowel obstruction AXR report reviewed from 11/27  findings consistent with ileus.  Possible partial obstruction. Repeat CT abd/pelvis on 11/30 with distal SBO.  Gastric Grafton completed on 12/02/2021 without evidence of obstruction.  Patient advance diet to solids and had return of nausea and emesis.  His appetite returned today Covid-19 Pneumonia.  Improving from a respiratory standpoint as symptoms started 2.5 weeks prior to admit Vaccinated, received booster (11/9) Symptom onset about 2.5 weeks ago with body aches, fatigue, fever, cough, balance difficulties Finished COVID isolation CXR with multifocal opacities non specific but compatible with Covid pneumonia Oxygen saturation normal on room air Not candidate for MAB, Decadron or remdesivir due to timing of symptoms and lack of hypoxia Dispo: Patient unable to tolerate full diet, will limit to liquids today. Appreciate GI and DGMS inputs 12/7/2021 note:  ASSESSMENT / PLAN: Nausea vomiting resolved Partial small-bowel obstruction, colonic ileus resolved Patient currently tolerating soft diet Patient is stooling, no nausea or vomiting. Plan - Continue slow advancement of diet as tolerated COVID-19 pneumonia Fully vaccinated Asymptomatic, did not require treatment Off of severe respiratory isolation   PT/OT recommends SAR   Plan for Home patient considering sore hopeful complete resolution of SBO likely in 1-2 days Can likely DC on oral antibiotics to complete 7 days of treatment for anal abscess
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Pain, Pyrexia, Vomiting
Clinical narrative: Body aches, cold and hot chills, high fever of 101, fatigue, vomiting
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site pain, Joint range of motion decreased, Mobility decreased
Clinical narrative: Client stated had immediate pain upon injection, then suffered from being unable to move that arm for a day or so.  1 week after injection she is still unable to use full range of motion in left shoulder and unable to raise her left arm higher than shoulder height.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Dyspnoea, Electrocardiogram normal, Hypoaesthesia, Impaired work ability
Clinical narrative: pt stated that about 15 minutes after getting his first dose of the covid vax that the left side of his face went numb, then his body went numb, he had short of breath and heart palpitations.   He felt like he was in a panic and he like he was dying.  He was vaccinated on Friday and his face started going numb and by Saturday the numbness was moving to his extremities.  By Tuesday he went to the local Hospital ER.  He had blood work and EKG. Test Results were normal.  He was told to FU w/ PCP and is scheduled for Heart Stress Test.  He currently can only do 20 or 30 %  of what he used to be able to do. Since he is active for his work this has changed his daily activities.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Malaise, Palpitations, Panic reaction
Clinical narrative: pt stated that about 15 minutes after getting his first dose of the covid vax that the left side of his face went numb, then his body went numb, he had short of breath and heart palpitations.   He felt like he was in a panic and he like he was dying.  He was vaccinated on Friday and his face started going numb and by Saturday the numbness was moving to his extremities.  By Tuesday he went to the local Hospital ER.  He had blood work and EKG. Test Results were normal.  He was told to FU w/ PCP and is scheduled for Heart Stress Test.  He currently can only do 20 or 30 %  of what he used to be able to do. Since he is active for his work this has changed his daily activities.