chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Pyrexia
Clinical narrative: Redness, swelling, fever, baseball sized firm area of erythema at injection site with stiffness of right arm.  Patient's mother took her to urgent care 5 days after injection.  Patient was given Rx for Cephalexin 500mg QID and hydrocortisone cream.  Both prescriptions were started 9/29/21 after released from urgent care.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 5/1/21 and 5/22/21, so was fully vaccinated when testing positive for COVID-19 on 9/26/21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Eye haemorrhage, Hypertension
Clinical narrative: High blood pressure has persisted for these 6 months following the last vaccine injection. My normal bp was between 120-135 on a consistent basis. Now, I cannot get a measure below 140 and it's usually now around 150 or higher. I am normal weight and I exercise regularly and follow a healthy diet. I also have a hemorrhage in my eye for the first time.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 31.0
Sex: F
Vaccine: FLUC4
Symptoms: Chest discomfort, Injection site reaction, Nausea, Pyrexia
Clinical narrative: chest tightness,  fever, nausea, site reaction
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Above average soreness in shoulder around the injection site but no other side effects
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest X-ray, Dyspnoea exertional, Electrocardiogram, Fatigue
Clinical narrative: Weakness, fatigue, SOB with exertion
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Laboratory test, Metabolic function test, SARS-CoV-2 test
Clinical narrative: Weakness, fatigue, SOB with exertion
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Respiratory tract congestion
Clinical narrative: chest congestion/tightness, nonproductive cough, shortness of breath
Age: 41.0
Sex: F
Vaccine: FLUR4
Symptoms: Hypersensitivity, Rash, Urticaria
Clinical narrative: I asked if there was any swelling or redness at the injection site and she said no.  Patient states that she had an overall body rash 24 hours after the vaccine that looked more live hives. She said she took benadryl and that helped significantly. Patient states hives have diminished with the passing of each day.  I suggested she take a second antihistamine such as Zyrtec or Claritin during the day and she said she would.  Will follow up with patient to see how she is doing in 24 hours.  She was not sure if it was the vaccine or if it was something she came across that caused her to have an allergic reaction.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: After receiving the vaccine, my period was so heavy that I bled through super + tampons within 20 minutes. This continued for a day or two during each of my period cycles. This happened in the months of March, April, May, June, August of 2020. July I did not have a heavy cycle.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: stuffy nose, coughing, positive covid test
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: PT EXPIRED; BREAKTHROUGH CASE OF COVID-19
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bartonella test negative, Full blood count normal, Lymphadenopathy, Pharyngitis, Upper respiratory tract infection
Clinical narrative: 3 months after receiving 2nd dose of covid vaccine I experienced 3 upper respiratory infections just a few weeks apart, a throat infection after that, and lymphadenopathy shortly after that.  Bartonella Disease  (Cat scratch fever)  was ruled out as causing the cat scratch fever via lab test. Prior to receiving covid vaccines I was never sick.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Bronchospasm, Cardiac stress test normal, Cardiac telemetry abnormal, Condition aggravated
Clinical narrative: Received COVID 19(Pfizer-BioNtech) vaccine LOT number: EL0142 on 01/04/2021 at Medical Center as the 2nd dose in the vaccine series.  On 02/11/2021, I developed unusual heart palpitations and shortness of breath a few hours after eating a meal.  Shortness of breath was typical of asthma exacerbations but was resistant to albuterol nebulizer treatment.   I had never experience the heart palpitations before and decided to seek medical treatment.  Just prior to arrival to the emergency room the shortness of breath had resolved and the heart palpitations had also resolve.  ER work up done, nothing was found by EKG, labs, and with a recent history of GERD (later diagnosis of Hiatal Hernia), discharged with a diagnosis of GERD induced bronchospasm.    On 02/20/2021, I awoke with shortness of breath, severe palpitations, and noticed that I had missing heart beats in conjunction with the palpitations. I went to Medical Center where Premature Ventricular contractions and hypertension was diagnosed.  A stress test was conducted and unremarkable.  Discharged on cardizem.  PVCs resolved after about 4 months.  On  09/27/2021, received booster vaccine .  On 9/29/2021, severe PVCs resumed.  Diltiazem restarted, seeking further cardiology workup.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Extrasystoles, Gastrooesophageal reflux disease, Hypertension
Clinical narrative: Received COVID 19(Pfizer-BioNtech) vaccine LOT number: EL0142 on 01/04/2021 at Medical Center as the 2nd dose in the vaccine series.  On 02/11/2021, I developed unusual heart palpitations and shortness of breath a few hours after eating a meal.  Shortness of breath was typical of asthma exacerbations but was resistant to albuterol nebulizer treatment.   I had never experience the heart palpitations before and decided to seek medical treatment.  Just prior to arrival to the emergency room the shortness of breath had resolved and the heart palpitations had also resolve.  ER work up done, nothing was found by EKG, labs, and with a recent history of GERD (later diagnosis of Hiatal Hernia), discharged with a diagnosis of GERD induced bronchospasm.    On 02/20/2021, I awoke with shortness of breath, severe palpitations, and noticed that I had missing heart beats in conjunction with the palpitations. I went to Medical Center where Premature Ventricular contractions and hypertension was diagnosed.  A stress test was conducted and unremarkable.  Discharged on cardizem.  PVCs resolved after about 4 months.  On  09/27/2021, received booster vaccine .  On 9/29/2021, severe PVCs resumed.  Diltiazem restarted, seeking further cardiology workup.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Palpitations, Ventricular extrasystoles
Clinical narrative: Received COVID 19(Pfizer-BioNtech) vaccine LOT number: EL0142 on 01/04/2021 at Medical Center as the 2nd dose in the vaccine series.  On 02/11/2021, I developed unusual heart palpitations and shortness of breath a few hours after eating a meal.  Shortness of breath was typical of asthma exacerbations but was resistant to albuterol nebulizer treatment.   I had never experience the heart palpitations before and decided to seek medical treatment.  Just prior to arrival to the emergency room the shortness of breath had resolved and the heart palpitations had also resolve.  ER work up done, nothing was found by EKG, labs, and with a recent history of GERD (later diagnosis of Hiatal Hernia), discharged with a diagnosis of GERD induced bronchospasm.    On 02/20/2021, I awoke with shortness of breath, severe palpitations, and noticed that I had missing heart beats in conjunction with the palpitations. I went to Medical Center where Premature Ventricular contractions and hypertension was diagnosed.  A stress test was conducted and unremarkable.  Discharged on cardizem.  PVCs resolved after about 4 months.  On  09/27/2021, received booster vaccine .  On 9/29/2021, severe PVCs resumed.  Diltiazem restarted, seeking further cardiology workup.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 1/22/21 and 2/12/21, so was fully vaccinated when testing positive for COVID-19 on 9/26/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Injection site warmth, Paraesthesia oral
Clinical narrative: Immediate reaction of swelling, redness and heat at injection site.  Subsided within 45 minutes and patient went home.   The next day, she began to have tingling in her mouth and her tongue and throat began to swell.  She was rushed by ambulance to the ER   for treatment.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swollen tongue
Clinical narrative: Immediate reaction of swelling, redness and heat at injection site.  Subsided within 45 minutes and patient went home.   The next day, she began to have tingling in her mouth and her tongue and throat began to swell.  She was rushed by ambulance to the ER   for treatment.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Pathology test
Clinical narrative: acute abdominal pain onset in the evening of 1/31/2021,  seen in ER on 2/1, diagnosed with acute appendicitis on CT , had appendectomy on 2/1 with resolution of abdominal pain.  Pathology report consistent with acute appendicitis.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was seen 9/29/2021 for her 4 year well child exam. Past immunizations were reviewed and patient was administered scheduled 4 year shots of Proquad and Kinrix. Upon documentation it was then noted that patient received Proquad on 9/2/2020 at age 3.  1st dose of  MMR and Varicella were given at age 1, on 09/24/2018. Provider updated, family aware, no noted side effect at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral, Swelling face, Swollen tongue
Clinical narrative: She got her vaccine, 20 minutes after receiving the vaccine her mouth and tongue went numb and was tingling.  The numbing sensation was like a feeling of novacaine wearing off and went up into her face.  It's still there every day since the vaccine.  There was a NP there and had someone give her an injection of an Epi-Pen which raised her BP to the 200 range.  Her face, tongue swells sometimes, but still has numbness of her tongue.  They offered to take her to the ER but she refused.  She has FU with her doctor and he said that he told her not to get the 2nd shot.  She did so due to peer pressure.  He did not give her any treatment for this.    More than 10-12 years ago she had dental work and they were doing a gum  implant, and gave her some sort of shot to help the gum graft take and her husband thinks it may something to do with that cosmetic implant.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Chills, Dizziness, Muscular weakness, Nausea
Clinical narrative: "Chest pain, throat swelling, fever, chills, nausea, muscle weakness, dizziness..etc".  Pt is health care provider and self treated with "Benadryl, Ibuprofen, Tylenol, and Zofran."  Lasted >24 hours.  Resolved without further incident.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Pharyngeal swelling, Pyrexia
Clinical narrative: "Chest pain, throat swelling, fever, chills, nausea, muscle weakness, dizziness..etc".  Pt is health care provider and self treated with "Benadryl, Ibuprofen, Tylenol, and Zofran."  Lasted >24 hours.  Resolved without further incident.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia, Rash
Clinical narrative: Severe arm pain and bodyaches, headache, fever, ***inflammatory rash on left breast-this was most concerning. Looked like hives.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Severe arm pain and bodyaches, headache, fever, ***inflammatory rash on left breast-this was most concerning. Looked like hives.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Diagnostic procedure, Dyspnoea, Intensive care, Ultrasound scan
Clinical narrative: I was hospitalized for difficulty breathing.  Stayed 5 dayd in ICU and 2 in regular.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I was hospitalized for difficulty breathing.  Stayed 5 dayd in ICU and 2 in regular.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid positive contact unknown
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Vision blurred
Clinical narrative: A few minutes after the vaccine administration (0815) patient reported he was having blurred vision, was also feeling light-headed.  BP was 79/41, HR in 40's.  Supportive care provided to patient, oral fluids given.  Patient became less unresponsive, but maintained airway and respirations.  Patient was also assisted to lay down.  At 09:24, patient became more alert.   EMS was called and patient was also evaluated by our MD.  He returned to baseline and did not require transportation to the hospital.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Sleep disorder
Clinical narrative: Excruciating shoulders pain.  Had my first shot on February 10,  2021,  right arm, had second shot March 9, 2021, left arm.   It?s been almost 7 months now and it keeps getting worse.  Cannot find a confortable position to sleep because of the pains, mostly on my left shoulder where I had the second shot.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Chest pain, Echocardiogram normal, Electrocardiogram T wave abnormal, Pain
Clinical narrative: Patient developed chest pain the same day of the vaccine.  This pain was substernal and radiated to arm.  He observed this for a week and then contacted clinic after one week.  He was directed to the ER and was admitted for t wave changes on his EKG.  He had a normal cardiac cath and echo was diagnosed with likely pericarditis secondary to COVID vaccine.  Symptoms have resolved on clinic visit follow up today.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pericarditis
Clinical narrative: Patient developed chest pain the same day of the vaccine.  This pain was substernal and radiated to arm.  He observed this for a week and then contacted clinic after one week.  He was directed to the ER and was admitted for t wave changes on his EKG.  He had a normal cardiac cath and echo was diagnosed with likely pericarditis secondary to COVID vaccine.  Symptoms have resolved on clinic visit follow up today.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Pruritus, Rash
Clinical narrative: EE States they he started to have itching episode on 9/29/2021, the itching was on his back, leg and chest area small rash and blisters with clear fluids when it itches it, no other side effects or symptoms at this time. Has taken OTC anti itch cream to help with itching, has helped a little.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid positive contact unknown
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Hypoaesthesia, Influenza like illness
Clinical narrative: That evening around 9pm,  I started to feel achy, muscle aches, chills, shivering, fatigue and  low grade fever,  I woke up the next morning with the same flu like symptoms.  These symptoms resolved after 2 days but still feeling fatigue.  On 9/14/2021,  the injection site was red, hot and purple hue and growing larger.  My left arm all the way down to my fingers was swollen.  My left hand- pinky, ring and middle finger lost sensations and they felt numb and tingling and this lasted over 2 days and slowly the symptoms did  improved.   On 9/15/2021 I also had tingling in my left foot, tingling toes and my ankles were swollen.   I also had a swollen lymph node on the left side of my arm pit.  It was large enough that it was protruding into my chest.  It was bigger than my fist.   I did consult with my doctor and they recommended to take Benadryl and ibuprofen.  Currently, I am still having brain fog,  stiffness and soreness around my neck/shoulder,  and decreased mobility of my left arm,
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site discolouration, Injection site erythema, Injection site warmth, Joint swelling
Clinical narrative: That evening around 9pm,  I started to feel achy, muscle aches, chills, shivering, fatigue and  low grade fever,  I woke up the next morning with the same flu like symptoms.  These symptoms resolved after 2 days but still feeling fatigue.  On 9/14/2021,  the injection site was red, hot and purple hue and growing larger.  My left arm all the way down to my fingers was swollen.  My left hand- pinky, ring and middle finger lost sensations and they felt numb and tingling and this lasted over 2 days and slowly the symptoms did  improved.   On 9/15/2021 I also had tingling in my left foot, tingling toes and my ankles were swollen.   I also had a swollen lymph node on the left side of my arm pit.  It was large enough that it was protruding into my chest.  It was bigger than my fist.   I did consult with my doctor and they recommended to take Benadryl and ibuprofen.  Currently, I am still having brain fog,  stiffness and soreness around my neck/shoulder,  and decreased mobility of my left arm,
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Myalgia, Pain, Paraesthesia
Clinical narrative: That evening around 9pm,  I started to feel achy, muscle aches, chills, shivering, fatigue and  low grade fever,  I woke up the next morning with the same flu like symptoms.  These symptoms resolved after 2 days but still feeling fatigue.  On 9/14/2021,  the injection site was red, hot and purple hue and growing larger.  My left arm all the way down to my fingers was swollen.  My left hand- pinky, ring and middle finger lost sensations and they felt numb and tingling and this lasted over 2 days and slowly the symptoms did  improved.   On 9/15/2021 I also had tingling in my left foot, tingling toes and my ankles were swollen.   I also had a swollen lymph node on the left side of my arm pit.  It was large enough that it was protruding into my chest.  It was bigger than my fist.   I did consult with my doctor and they recommended to take Benadryl and ibuprofen.  Currently, I am still having brain fog,  stiffness and soreness around my neck/shoulder,  and decreased mobility of my left arm,
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: That evening around 9pm,  I started to feel achy, muscle aches, chills, shivering, fatigue and  low grade fever,  I woke up the next morning with the same flu like symptoms.  These symptoms resolved after 2 days but still feeling fatigue.  On 9/14/2021,  the injection site was red, hot and purple hue and growing larger.  My left arm all the way down to my fingers was swollen.  My left hand- pinky, ring and middle finger lost sensations and they felt numb and tingling and this lasted over 2 days and slowly the symptoms did  improved.   On 9/15/2021 I also had tingling in my left foot, tingling toes and my ankles were swollen.   I also had a swollen lymph node on the left side of my arm pit.  It was large enough that it was protruding into my chest.  It was bigger than my fist.   I did consult with my doctor and they recommended to take Benadryl and ibuprofen.  Currently, I am still having brain fog,  stiffness and soreness around my neck/shoulder,  and decreased mobility of my left arm,
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Severe nausea and vomiting along with chills , fever, body aches and headache.  Could not keep anything down including Tylenol.  This took place from 11pm  until 10 am this morning.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Severe nausea and vomiting along with chills , fever, body aches and headache.  Could not keep anything down including Tylenol.  This took place from 11pm  until 10 am this morning.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Diarrhoea, Erythema
Clinical narrative: Arm pain, injection site pain, tiredness, headache, muscle pain, chills, joint pain, fever (100.6), swelling, redness, feeling unwell, decreased appetite, diarrhea  TREATMENT: 2 Ibuprofin OUTCOME Feeling better, decreased fever
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Malaise, Myalgia
Clinical narrative: Arm pain, injection site pain, tiredness, headache, muscle pain, chills, joint pain, fever (100.6), swelling, redness, feeling unwell, decreased appetite, diarrhea  TREATMENT: 2 Ibuprofin OUTCOME Feeling better, decreased fever
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Swelling
Clinical narrative: Arm pain, injection site pain, tiredness, headache, muscle pain, chills, joint pain, fever (100.6), swelling, redness, feeling unwell, decreased appetite, diarrhea  TREATMENT: 2 Ibuprofin OUTCOME Feeling better, decreased fever
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave to underage person
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID test on September 29, 2021
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen left lymph node in armpit. Node portruding from arm, tender, slightly painful.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Muscular weakness, Paraesthesia
Clinical narrative: 1 day after the vaccine, I had tingling in my left leg.  Over the next 3 weeks, I had tingling in both hands and my left leg and foot, and weakness/fatigue in both legs.  These symptoms lasted for just over 3 weeks before they resolved.  I made an appointment with a Neurologist, but there was no treatement.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Chest X-ray, Constipation, Dyspnoea, Laboratory test
Clinical narrative: Patient is a 61 Y male with PMH of HTN, HLD, Smoker who presented to the ED with shortness of breath.  He states he has been having a productive cough with yellow sputum along with congestion and shortness of breath for a few weeks and actually presented to the ER on 23 September for similar symptoms.  Due to nonimprovement of his symptoms he returned to the ER.   Patient states he been having significant pain shortness of breath or he finds it difficult to take a deep breath in.  He denies any chest pain.  He has been also having increase in his cough with production of a slightly yellow sputum, no hemoptysis noted.  He does not use any home oxygen.  Denies any orthopnea or PND. Patient admits to smoking daily. Smoking: 1 PPD. Discussed cessation. Offered nicotine patches while in-patient, however declines.    He uses his inhaler as needed, does not use them regularly.  Has recently completed his 2nd COVID vaccine. Denies any fever or chills. No abd pain.  No diarrhea, however mentions that he may have constipation. Last BM yesterday.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Productive cough, Respiratory tract congestion, Sputum discoloured, Tobacco user
Clinical narrative: Patient is a 61 Y male with PMH of HTN, HLD, Smoker who presented to the ED with shortness of breath.  He states he has been having a productive cough with yellow sputum along with congestion and shortness of breath for a few weeks and actually presented to the ER on 23 September for similar symptoms.  Due to nonimprovement of his symptoms he returned to the ER.   Patient states he been having significant pain shortness of breath or he finds it difficult to take a deep breath in.  He denies any chest pain.  He has been also having increase in his cough with production of a slightly yellow sputum, no hemoptysis noted.  He does not use any home oxygen.  Denies any orthopnea or PND. Patient admits to smoking daily. Smoking: 1 PPD. Discussed cessation. Offered nicotine patches while in-patient, however declines.    He uses his inhaler as needed, does not use them regularly.  Has recently completed his 2nd COVID vaccine. Denies any fever or chills. No abd pain.  No diarrhea, however mentions that he may have constipation. Last BM yesterday.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal detachment, Surgery
Clinical narrative: Pt had left detached retina resulting in surgery
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 1/22/21 and 2/12/21, so was fully vaccinated when testing positive for COVID-19 on 9/23/21.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Headache, Injection site pain, Myalgia
Clinical narrative: Fever, Chills, extreme muscle pain all over body, pain in the arm of infection, headache, blocked ear (right)  All started around 10 hours after injection and are continuing 48 hours later.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, Chills, extreme muscle pain all over body, pain in the arm of infection, headache, blocked ear (right)  All started around 10 hours after injection and are continuing 48 hours later.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Feeling hot
Clinical narrative: 9/22/2021 9:20 am - rush of warmth, tightness in chest, lasting a minute or so 1:30 pm - same as above but less intense 7:00 pm - same as above but even milder no symptoms after 7 pm 9/22/2021
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient came to receive a booster COVID vaccine. The appointment scheduler and nurse verbally verified with patient and patient spouse that he received Pfizer for dose number one and two. Both patient and spouse verbally agreed that patient received Pfizer. The nurse verbally verified with the patient and the patient spouse that it had been 6 months or greater since the second COVID vaccine dose. Both patient and spouse agreed that it had been 6 months + since the second dose. Pfizer vaccine given to the patient at the patient's scheduled appointment time, 1544. The nurse went to chart at 1630 into the Database that patient had received his booster of Pfizer, she had seen that Moderna had been given for the patient's first and second COVID vaccine doses. Called wife to verify what COVID vaccine patient had received for his first and second dose. The wife stated Pfizer, when the nurse tells her that the Database list that he received Moderna 5/4/2021 and 6/4/2021 from Pharmacy. The wife stated she will look at his records and get in touch with Nurse. Wife calls to notify the nurse that on their records the patient received Moderna on those dates at that pharmacy.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Dyspnoea, Haematemesis
Clinical narrative: Pt fully vaccinated with both doses of the COVID-19 Pfizer vaccine (1/30/2021, 2/19/2021).  Pt subsequently tested positive for COVID on 9/17/2021.  Pt became ill enough to be hospitalized on 9/28 for bloody vomit, COVID pneumonia, SOB, and weakness.  Still currently inpatient.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: Pt fully vaccinated with both doses of the COVID-19 Pfizer vaccine (1/30/2021, 2/19/2021).  Pt subsequently tested positive for COVID on 9/17/2021.  Pt became ill enough to be hospitalized on 9/28 for bloody vomit, COVID pneumonia, SOB, and weakness.  Still currently inpatient.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood glucose normal, Blood potassium increased, Blood sodium decreased, Blood urine present
Clinical narrative: Arrival to ED:  9/23/21 @ 1:45pm  Patient arrived to ED via EMS with chief complaint of altered mental status and emesis.  His nephew was at his side. Patient's nephew and EMS stated patient received COVID-19 vaccine the day before and became progressively more weak and lethargic.  Patient's baseline is AA0x4 and he takes care of himself. Pt is non verbal and vomited x1 prior to arrival. Upon presentation in the ED, the patient was obtunded and unresponsive. Patient was seen immediately on arrival. The patient's history was provided by the EMS personnel and a relative (nephew).  Medical staff were unable to obtain history from patient due to his condition.   Physical Exam findings: Constitutional: Obtunded Eyes: Pinpoint pupils bilaterally, minimally reactive Neck: JVD Pulmonary: Breath sounds with rhonchi present bilaterally (R>L); spontaneous respirations Musculoskeletal: Edema to Right Lower Leg and Left Lower Leg; bilateral edema pitting to mid tibia Neurological: Unresponsive to painful stimuli; No posturing noted  Vitals on presentation to ED:  BP 145/86; HR 88; Resp 21; SpO2 83%  Patient seen by critical are provider at 2:15pm Patient placed on nonrebreather oxygen mask with improvement to oxygen saturation (to low 90s). Discussed plan of care with nephew (living will states patient wanted to be DNR/DNI) Stat Imaging ordered and results interpreted Infectious workup initiated & IV antibiotics ordered Discussed case with inpatient admitted MD ED diagnosis: Pneumonia of both lungs due to infectious organism   Medication Administration Zosyn 4.5gram IV @ 3:05pm Vancomycin 1,000 mg IV @ 3:05pm  Patient expired while in the ED. Time of death, 7:13pm.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Death, Depressed level of consciousness, Full blood count
Clinical narrative: Arrival to ED:  9/23/21 @ 1:45pm  Patient arrived to ED via EMS with chief complaint of altered mental status and emesis.  His nephew was at his side. Patient's nephew and EMS stated patient received COVID-19 vaccine the day before and became progressively more weak and lethargic.  Patient's baseline is AA0x4 and he takes care of himself. Pt is non verbal and vomited x1 prior to arrival. Upon presentation in the ED, the patient was obtunded and unresponsive. Patient was seen immediately on arrival. The patient's history was provided by the EMS personnel and a relative (nephew).  Medical staff were unable to obtain history from patient due to his condition.   Physical Exam findings: Constitutional: Obtunded Eyes: Pinpoint pupils bilaterally, minimally reactive Neck: JVD Pulmonary: Breath sounds with rhonchi present bilaterally (R>L); spontaneous respirations Musculoskeletal: Edema to Right Lower Leg and Left Lower Leg; bilateral edema pitting to mid tibia Neurological: Unresponsive to painful stimuli; No posturing noted  Vitals on presentation to ED:  BP 145/86; HR 88; Resp 21; SpO2 83%  Patient seen by critical are provider at 2:15pm Patient placed on nonrebreather oxygen mask with improvement to oxygen saturation (to low 90s). Discussed plan of care with nephew (living will states patient wanted to be DNR/DNI) Stat Imaging ordered and results interpreted Infectious workup initiated & IV antibiotics ordered Discussed case with inpatient admitted MD ED diagnosis: Pneumonia of both lungs due to infectious organism   Medication Administration Zosyn 4.5gram IV @ 3:05pm Vancomycin 1,000 mg IV @ 3:05pm  Patient expired while in the ED. Time of death, 7:13pm.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Jugular vein distension, Lethargy, Lung infiltration, Mental status changes, Metabolic function test
Clinical narrative: Arrival to ED:  9/23/21 @ 1:45pm  Patient arrived to ED via EMS with chief complaint of altered mental status and emesis.  His nephew was at his side. Patient's nephew and EMS stated patient received COVID-19 vaccine the day before and became progressively more weak and lethargic.  Patient's baseline is AA0x4 and he takes care of himself. Pt is non verbal and vomited x1 prior to arrival. Upon presentation in the ED, the patient was obtunded and unresponsive. Patient was seen immediately on arrival. The patient's history was provided by the EMS personnel and a relative (nephew).  Medical staff were unable to obtain history from patient due to his condition.   Physical Exam findings: Constitutional: Obtunded Eyes: Pinpoint pupils bilaterally, minimally reactive Neck: JVD Pulmonary: Breath sounds with rhonchi present bilaterally (R>L); spontaneous respirations Musculoskeletal: Edema to Right Lower Leg and Left Lower Leg; bilateral edema pitting to mid tibia Neurological: Unresponsive to painful stimuli; No posturing noted  Vitals on presentation to ED:  BP 145/86; HR 88; Resp 21; SpO2 83%  Patient seen by critical are provider at 2:15pm Patient placed on nonrebreather oxygen mask with improvement to oxygen saturation (to low 90s). Discussed plan of care with nephew (living will states patient wanted to be DNR/DNI) Stat Imaging ordered and results interpreted Infectious workup initiated & IV antibiotics ordered Discussed case with inpatient admitted MD ED diagnosis: Pneumonia of both lungs due to infectious organism   Medication Administration Zosyn 4.5gram IV @ 3:05pm Vancomycin 1,000 mg IV @ 3:05pm  Patient expired while in the ED. Time of death, 7:13pm.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Miosis, Oedema, Oedema peripheral, Platelet count decreased, Pneumonia
Clinical narrative: Arrival to ED:  9/23/21 @ 1:45pm  Patient arrived to ED via EMS with chief complaint of altered mental status and emesis.  His nephew was at his side. Patient's nephew and EMS stated patient received COVID-19 vaccine the day before and became progressively more weak and lethargic.  Patient's baseline is AA0x4 and he takes care of himself. Pt is non verbal and vomited x1 prior to arrival. Upon presentation in the ED, the patient was obtunded and unresponsive. Patient was seen immediately on arrival. The patient's history was provided by the EMS personnel and a relative (nephew).  Medical staff were unable to obtain history from patient due to his condition.   Physical Exam findings: Constitutional: Obtunded Eyes: Pinpoint pupils bilaterally, minimally reactive Neck: JVD Pulmonary: Breath sounds with rhonchi present bilaterally (R>L); spontaneous respirations Musculoskeletal: Edema to Right Lower Leg and Left Lower Leg; bilateral edema pitting to mid tibia Neurological: Unresponsive to painful stimuli; No posturing noted  Vitals on presentation to ED:  BP 145/86; HR 88; Resp 21; SpO2 83%  Patient seen by critical are provider at 2:15pm Patient placed on nonrebreather oxygen mask with improvement to oxygen saturation (to low 90s). Discussed plan of care with nephew (living will states patient wanted to be DNR/DNI) Stat Imaging ordered and results interpreted Infectious workup initiated & IV antibiotics ordered Discussed case with inpatient admitted MD ED diagnosis: Pneumonia of both lungs due to infectious organism   Medication Administration Zosyn 4.5gram IV @ 3:05pm Vancomycin 1,000 mg IV @ 3:05pm  Patient expired while in the ED. Time of death, 7:13pm.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein urine present, Red blood cells urine positive, Staphylococcus test positive, Unresponsive to stimuli, Urine analysis abnormal
Clinical narrative: Arrival to ED:  9/23/21 @ 1:45pm  Patient arrived to ED via EMS with chief complaint of altered mental status and emesis.  His nephew was at his side. Patient's nephew and EMS stated patient received COVID-19 vaccine the day before and became progressively more weak and lethargic.  Patient's baseline is AA0x4 and he takes care of himself. Pt is non verbal and vomited x1 prior to arrival. Upon presentation in the ED, the patient was obtunded and unresponsive. Patient was seen immediately on arrival. The patient's history was provided by the EMS personnel and a relative (nephew).  Medical staff were unable to obtain history from patient due to his condition.   Physical Exam findings: Constitutional: Obtunded Eyes: Pinpoint pupils bilaterally, minimally reactive Neck: JVD Pulmonary: Breath sounds with rhonchi present bilaterally (R>L); spontaneous respirations Musculoskeletal: Edema to Right Lower Leg and Left Lower Leg; bilateral edema pitting to mid tibia Neurological: Unresponsive to painful stimuli; No posturing noted  Vitals on presentation to ED:  BP 145/86; HR 88; Resp 21; SpO2 83%  Patient seen by critical are provider at 2:15pm Patient placed on nonrebreather oxygen mask with improvement to oxygen saturation (to low 90s). Discussed plan of care with nephew (living will states patient wanted to be DNR/DNI) Stat Imaging ordered and results interpreted Infectious workup initiated & IV antibiotics ordered Discussed case with inpatient admitted MD ED diagnosis: Pneumonia of both lungs due to infectious organism   Medication Administration Zosyn 4.5gram IV @ 3:05pm Vancomycin 1,000 mg IV @ 3:05pm  Patient expired while in the ED. Time of death, 7:13pm.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine leukocyte esterase positive, Vomiting, White blood cell count increased
Clinical narrative: Arrival to ED:  9/23/21 @ 1:45pm  Patient arrived to ED via EMS with chief complaint of altered mental status and emesis.  His nephew was at his side. Patient's nephew and EMS stated patient received COVID-19 vaccine the day before and became progressively more weak and lethargic.  Patient's baseline is AA0x4 and he takes care of himself. Pt is non verbal and vomited x1 prior to arrival. Upon presentation in the ED, the patient was obtunded and unresponsive. Patient was seen immediately on arrival. The patient's history was provided by the EMS personnel and a relative (nephew).  Medical staff were unable to obtain history from patient due to his condition.   Physical Exam findings: Constitutional: Obtunded Eyes: Pinpoint pupils bilaterally, minimally reactive Neck: JVD Pulmonary: Breath sounds with rhonchi present bilaterally (R>L); spontaneous respirations Musculoskeletal: Edema to Right Lower Leg and Left Lower Leg; bilateral edema pitting to mid tibia Neurological: Unresponsive to painful stimuli; No posturing noted  Vitals on presentation to ED:  BP 145/86; HR 88; Resp 21; SpO2 83%  Patient seen by critical are provider at 2:15pm Patient placed on nonrebreather oxygen mask with improvement to oxygen saturation (to low 90s). Discussed plan of care with nephew (living will states patient wanted to be DNR/DNI) Stat Imaging ordered and results interpreted Infectious workup initiated & IV antibiotics ordered Discussed case with inpatient admitted MD ED diagnosis: Pneumonia of both lungs due to infectious organism   Medication Administration Zosyn 4.5gram IV @ 3:05pm Vancomycin 1,000 mg IV @ 3:05pm  Patient expired while in the ED. Time of death, 7:13pm.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Burning sensation, Full blood count normal, Gait disturbance, Hypoaesthesia
Clinical narrative: On 9/22 around 10pm neuropathic pain began in my right foot with intense burning that progressed over the next few hours to my leg and arms.  I then began to spasm in all of these limbs.  I was able to obtain gabapentin to try and calm the symptoms - these lasted throughout the night.  These symptoms have progressed and worsened since this night moving to both of my feet/legs , both hands and arms.  Gabapentin was no longer helping and i began to have difficulty walking and performing my ADLS without pain.  I saw my primary care provider  on 9/29/21 who referred me to neurology.  I had to go to the ED per neurology on 9/29 as they could not see me in the office until after holiday.  At the ED, they wanted to admit me for a full workup for Guilian Barre syndrome but I didn't think this was necessary as I could still walk but was in pain.  We agreed to try a steroid injection first and to start Lyrica for the nerve pain.  As of this morning 9/30, my symptoms have improved but I do not know how the next few weeks will unfold.  I will continue taking the Lyrica and follow back up with neurology and my primary care provider or report to the ED  if weakness and numbness worsen.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Muscle spasms, Neuralgia, Pain
Clinical narrative: On 9/22 around 10pm neuropathic pain began in my right foot with intense burning that progressed over the next few hours to my leg and arms.  I then began to spasm in all of these limbs.  I was able to obtain gabapentin to try and calm the symptoms - these lasted throughout the night.  These symptoms have progressed and worsened since this night moving to both of my feet/legs , both hands and arms.  Gabapentin was no longer helping and i began to have difficulty walking and performing my ADLS without pain.  I saw my primary care provider  on 9/29/21 who referred me to neurology.  I had to go to the ED per neurology on 9/29 as they could not see me in the office until after holiday.  At the ED, they wanted to admit me for a full workup for Guilian Barre syndrome but I didn't think this was necessary as I could still walk but was in pain.  We agreed to try a steroid injection first and to start Lyrica for the nerve pain.  As of this morning 9/30, my symptoms have improved but I do not know how the next few weeks will unfold.  I will continue taking the Lyrica and follow back up with neurology and my primary care provider or report to the ED  if weakness and numbness worsen.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Pt developed shingles
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Chest pain, Echocardiogram abnormal, Electrocardiogram abnormal, Fibrin D dimer increased
Clinical narrative: 12 yoF with recent covid infection who presented for symptoms as stated below that began 1 day following 2nd Pfizer vaccination.  Myocarditis, pericarditis with chest pain few days after vaccination. Received IVIG and methylprednisolone. Started on aspirin. Chest pain improved prior to discharge with troponin downtrending.   Headache and lymphadenopathy starting 1 day after vaccination. Headache persisted for two weeks before improvement. Received numerous pain analgesics.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immunoglobulin therapy, Inflammatory marker increased, Lumbar puncture normal, Lymphadenopathy
Clinical narrative: 12 yoF with recent covid infection who presented for symptoms as stated below that began 1 day following 2nd Pfizer vaccination.  Myocarditis, pericarditis with chest pain few days after vaccination. Received IVIG and methylprednisolone. Started on aspirin. Chest pain improved prior to discharge with troponin downtrending.   Headache and lymphadenopathy starting 1 day after vaccination. Headache persisted for two weeks before improvement. Received numerous pain analgesics.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Multisystem inflammatory syndrome in children, Myocarditis, Pericarditis, Troponin increased
Clinical narrative: 12 yoF with recent covid infection who presented for symptoms as stated below that began 1 day following 2nd Pfizer vaccination.  Myocarditis, pericarditis with chest pain few days after vaccination. Received IVIG and methylprednisolone. Started on aspirin. Chest pain improved prior to discharge with troponin downtrending.   Headache and lymphadenopathy starting 1 day after vaccination. Headache persisted for two weeks before improvement. Received numerous pain analgesics.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity
Clinical narrative: Headache, body ache, pain, sore arm all over
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray abnormal, Computerised tomogram abnormal, Cough, Dyspnoea
Clinical narrative: After more than a month of taking the 2nd shot of Covid Pfizer vaccine I started having some lingering cough then in 3 weeks developed rashes on body. Family doctor thought allergies. Also found BP shot up to 144/95 and heart palpitations with high resting heart beats (144) existed (never had high BP or such resting high heart beats before!). Started BP medication and also took allergy medication for a week. No help. Then started getting out of breathe when taking walks for 30 minutes (used to be fine before!). Again went to family doctor. She did breathing test and that came quite low. Doctor suggested chest X-ray. It revealed double pneumonia even though I didn't have any fever. Took two courses of anti biotics but didn't help. Then went to a lung specialist (Pulmonologist). They found my blood oxygen saturation levels were falling to dangerous levels (mid to high 80s).  He suggested another chest X-ray and also CT scan and blood tests. No improvement was seen between the two X-rays. CT revealed lung infection. Dr. suggested to see a Rheumatologist for further diagnosis. Rheumatologist suggested additional panel of blood tests and mentioned by those there may be lung disease that is causing getting out of breathe! Diagnosis is currently in progress. Saw advanced Pulmonologist at hospital who have suggested immediate lung biopsy to figure out the state of lungs and to determine the right course of medication. That is currently being scheduled! I am currently on high dosage of Steroids, BP medication, antibiotic (to avoid pneumonia), inhaler, acidity medication. I am prescribed oxygen concentrator currently and can't do any normal household chores (cooking, taking bath, climbing steps, etc.) without oxygen tube as my blood oxygen goes down again!  Lastly I wanted to say that I have been very healthy all my life with no prescription medication whatsoever, doing regular exercise during pandemic lockdown and took all precautions to not contract Covid but I strongly believe that taking the two Covid vaccine shots got me to this state!!!!