chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Axillary pain, Fatigue, Feeling hot, Injection site pain
Clinical narrative: Had Pfizer shot #1 at 4:50 PM on 5/13. Arm soreness at the injection site began later that evening around 11:00 PM.   I am still having soreness today. 5/14 began feeling tired around 4:30 PM. Took a nap from 5:30 - 7:30 PM. Went to bed 10:30 PM. Woke up Sat...felt tired throughout the day.  Ran a couple errands in the am. Came home and took a nap form 12:00 PM - 2:00 PM. My face also felt a little warm Saturday but I did not take my temp. Saturday morning I also noticed that my left armpit was sore and still is this morning. It is now 9:45 AM , Monday, 5/17.  I have been taking advil and motrin on and off since Thursday.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Symptomatic positive COVID result from 5/15/2021.  Headache, Congestion, Runny Nose,  Symptoms started 5.14.2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Rash appeared at injection site 7 days after receiving vaccine. The next morning the rash turned into a large, pink spot surrounding the injection site.  Mildly warm to the touch and mildly itchy.  Took oral Benadryl before bed on day 2 of rash.  Day 3 the rash was a bit larger in size, but faded in color; still a little itchy.  Took oral Benadryl before bed on day 3 of rash.  Day 4 and 5 rash continued to fade.  Day 6 rash is almost gone, but now there is a new pink ring around the former rash.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness
Clinical narrative: Pt alleges she lost her sight and her legs. Unable to get more information on time course.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Loss of consciousness, Syncope
Clinical narrative: Patient fainted after receiving  Janssen Covid 19 vaccination  while sitted for the mandatory 15 minutes observation time.  Patient slumped on the chair. Patient was helped to the floor, wet paper towel placed on his head and he became conscious. We immediately  dialed 911 for emergency help. Ambulance arrived shortly after and he was transported to the hospital .
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swelling, rash, hot to the touch.  Body aches, sore muscles, head ache body chills
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Myalgia, Pain
Clinical narrative: Injection site swelling, rash, hot to the touch.  Body aches, sore muscles, head ache body chills
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Severe migraine attack lasting  over 48 hours despite utilizing migraine remedies and prescription migraine medicine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Breakout in rash several times a day and itching all over
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Burning sensation, Chills, Erythema, Fatigue
Clinical narrative: FIRST 24-48 HOURS; FEVER, CHILLS, CONVULSIONS, NAUSEA, HEADACHE, BURNING SENSATION IN NECK & SPINAL COLUMN, FATIGUE. FROM 4/9/2021-PRESENT; SPORADIC BODYWIDE SKIN HIVES THAT ARE RED, BUMPY AND ITCHY- SPORADIC BLISTER LIKE SKIN LESIONS ON ANKLES, LEGS AND ARMS.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Pruritus, Pyrexia, Seizure
Clinical narrative: FIRST 24-48 HOURS; FEVER, CHILLS, CONVULSIONS, NAUSEA, HEADACHE, BURNING SENSATION IN NECK & SPINAL COLUMN, FATIGUE. FROM 4/9/2021-PRESENT; SPORADIC BODYWIDE SKIN HIVES THAT ARE RED, BUMPY AND ITCHY- SPORADIC BLISTER LIKE SKIN LESIONS ON ANKLES, LEGS AND ARMS.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin lesion, Swelling, Urticaria
Clinical narrative: FIRST 24-48 HOURS; FEVER, CHILLS, CONVULSIONS, NAUSEA, HEADACHE, BURNING SENSATION IN NECK & SPINAL COLUMN, FATIGUE. FROM 4/9/2021-PRESENT; SPORADIC BODYWIDE SKIN HIVES THAT ARE RED, BUMPY AND ITCHY- SPORADIC BLISTER LIKE SKIN LESIONS ON ANKLES, LEGS AND ARMS.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Burning sensation, Headache, Hyperhidrosis, Nausea
Clinical narrative: FIRST 24-48 HOURS; FEVER, CHILLS, CONVULSIONS, NAUSEA, HEADACHE, BURNING SENSATION IN NECK & SPINAL COLUMN, FATIGUE. FROM 4/9/2021-PRESENT; SPORADIC BODYWIDE SKIN HIVES THAT ARE RED, BUMPY AND ITCHY- SPORADIC BLISTER LIKE SKIN LESIONS ON ANKLES, LEGS AND ARMS.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Seizure, Urticaria
Clinical narrative: FIRST 24-48 HOURS; FEVER, CHILLS, CONVULSIONS, NAUSEA, HEADACHE, BURNING SENSATION IN NECK & SPINAL COLUMN, FATIGUE. FROM 4/9/2021-PRESENT; SPORADIC BODYWIDE SKIN HIVES THAT ARE RED, BUMPY AND ITCHY- SPORADIC BLISTER LIKE SKIN LESIONS ON ANKLES, LEGS AND ARMS.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Loss of consciousness, Vomiting
Clinical narrative: patient felt dizzy and pass out for few seconds ,  2  minute   after receiving  the vaccination . Patient felt hot and  then vomited .Patient said she felt better after vomited and drank water . No treatment  was given .Patient  stayed at pharmacy for 30  minute and deiced to  go home.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Electric shock sensation, Injection site pain, Insomnia, Mobility decreased, Pain in extremity
Clinical narrative: SEVERE PAIN/SHOCK FROM SITE TO END OF FINGERS, DURING INJECTION.  THEN FROZEN SHOULDER WITH SEVERE PAIN 3 HOURS LATER.  PAIN SINCE, CAUSING EXTREME INSOMNIA.  ORAL STEROIDS, PHYSICAL THERAPY, STEROID INJECTION.  LINGERING PAIN WITH MOBILITY ISSUES.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Periarthritis, X-ray normal
Clinical narrative: SEVERE PAIN/SHOCK FROM SITE TO END OF FINGERS, DURING INJECTION.  THEN FROZEN SHOULDER WITH SEVERE PAIN 3 HOURS LATER.  PAIN SINCE, CAUSING EXTREME INSOMNIA.  ORAL STEROIDS, PHYSICAL THERAPY, STEROID INJECTION.  LINGERING PAIN WITH MOBILITY ISSUES.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute psychosis
Clinical narrative: Acute psychosis after 2nd dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Dizziness, Muscular weakness, Vomiting
Clinical narrative: Vomiting, diarrhea, muscle weakness, severe joint pain, dizziness.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin, Rash
Clinical narrative: A week after my 2nd vaccine, I broke out with a rash on my legs and arms. I waited a week to see if it went away, it did not, it got worse all over body.  Made appt to see my primary, and subsequent 2 other appts followed.  On the 3rd appt, the PA I saw, set up an urgent Dermatologist appt for 5/6/2021 medical office.  I saw Dr. there.  She examined me, took pictures and did 2 punch biopsies.  One in the left thigh and the other in the right thigh sent it off to pathology.   I am still awaiting the results from those.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, No adverse event, SARS-CoV-2 test positive
Clinical narrative: Patient had no adverse reaction to the vaccine however, she tested positive to Covid 19 on 5/14/2021.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Infection
Clinical narrative: Client had a breakthrough infection, client was symptomatic on 5/11/21. Client has received both doses of Pfizer.  3/4/21 Lot number EW6199 3/26/21 Lot number ER8732 both were Intramuscular in the right deltoid
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Oropharyngeal pain, Spinal pain, Swelling
Clinical narrative: Client reports on the morning after receiving her vaccine she experienced  left sided sore throat pain that progressed to spine pain and swelling at injection site up her neck and to L eye area. Symptoms lasted approximately 3-4 days.  "It was concerning enough that I don't want to get the second vaccine".
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspepsia, Electrocardiogram normal, Full blood count normal, Metabolic function test
Clinical narrative: Pt began to have chest tightness about 5 minutes after receiving COVID-19 vaccine. Denies shortness of breath or difficulty breathing. States she recently found out her daughter has cancer and has a lot of stress in her life so chest tightness may be related to this. Reports she also feels like she may be having heart burn. EKG reviewed by Dr. Pt taken to APRN for exam. APRN findings noted below: Panic attack as reaction to stress (F41.0). Note: EKG and labs unremarkable. Pt. feeling better now. Has a lot of stress at home with her chronically ill daughter. Discussed coping mechanisms and good nutrition today.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Panic attack, Stress
Clinical narrative: Pt began to have chest tightness about 5 minutes after receiving COVID-19 vaccine. Denies shortness of breath or difficulty breathing. States she recently found out her daughter has cancer and has a lot of stress in her life so chest tightness may be related to this. Reports she also feels like she may be having heart burn. EKG reviewed by Dr. Pt taken to APRN for exam. APRN findings noted below: Panic attack as reaction to stress (F41.0). Note: EKG and labs unremarkable. Pt. feeling better now. Has a lot of stress at home with her chronically ill daughter. Discussed coping mechanisms and good nutrition today.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 5/15 developed hives on abdomen, spread over the next 2 days to chest, arms, and face. No cough, wheeze, vomiting, nausea, or fever. No other symptoms
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Infective myositis
Clinical narrative: Patient admitted to hospital several times within 6 weeks of receiving COVID vaccination for infective myositis of left lower leg.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Burning sensation, Chills, Cough, Dyspnoea
Clinical narrative: Patient had anaphylaxis reaction to Pfizer ( LOT#: EW0176, EXP date: AUG2021)first dose. Vaccine administered around 0855, approximately at 0904 patient reported difficulty breathing and reported it to (observer). Observer brought the patient to a patient care room and reported it to the team lead. Patient appeared flushed, Provider noted that the patient was holding her throat. EpiPen 0.3mL (Lot #0FM355 Exp: NOV2021) was administered at 0910 and held in patients left thigh for 10 seconds. Patient reported a burning sensation when Epipen was given. EMS was called at 0913 arrived at 0922. Patient reported lip tingling and chills after EPiPen was administered. Patient developed a horse like cough but was reporting that her ability to breath was getting better. Vital signs taken at 0908 BP: 124/84 HR:82 O2: 98%. Second Vital signs taken at 0920 BP: 124/84 HR:100 O2: 98%. Third set of vitals taken at 0930 BP: 130/88 HR: 102 SPO2: 98%. Patient transported to Hospital at 0932.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia oral
Clinical narrative: Patient had anaphylaxis reaction to Pfizer ( LOT#: EW0176, EXP date: AUG2021)first dose. Vaccine administered around 0855, approximately at 0904 patient reported difficulty breathing and reported it to (observer). Observer brought the patient to a patient care room and reported it to the team lead. Patient appeared flushed, Provider noted that the patient was holding her throat. EpiPen 0.3mL (Lot #0FM355 Exp: NOV2021) was administered at 0910 and held in patients left thigh for 10 seconds. Patient reported a burning sensation when Epipen was given. EMS was called at 0913 arrived at 0922. Patient reported lip tingling and chills after EPiPen was administered. Patient developed a horse like cough but was reporting that her ability to breath was getting better. Vital signs taken at 0908 BP: 124/84 HR:82 O2: 98%. Second Vital signs taken at 0920 BP: 124/84 HR:100 O2: 98%. Third set of vitals taken at 0930 BP: 130/88 HR: 102 SPO2: 98%. Patient transported to Hospital at 0932.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine inadvertently given to 17 year old patient.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, Vomiting
Clinical narrative: Vomiting, muscle weakness, severe joint pain.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mechanical urticaria, Pruritus, Skin swelling, Skin test positive
Clinical narrative: I developed dermatographia with no clear allergic trigger.  Symptoms include itchy hives and red patches of skin from anything scratching my skin.  Symptoms improve but are not resolved with antihistamines and steroids.  I?ve never had anything like this before and it was sudden onset.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I developed dermatographia with no clear allergic trigger.  Symptoms include itchy hives and red patches of skin from anything scratching my skin.  Symptoms improve but are not resolved with antihistamines and steroids.  I?ve never had anything like this before and it was sudden onset.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Intermenstrual bleeding
Clinical narrative: Noticed spotting today (5/17) . Not sure if it will be a full fledged period.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Muscles pain, headache, chilling, fever
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: ERRATIC HYPOTENSIVE EPISODES IN A PATIENT WITH HYPERTENSION WHILE NOT ON ANTIHYPERTENSIVE MEDICATIONS.
Age: 59.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Back pain, Ear pain, Herpes zoster, Hyperaesthesia
Clinical narrative: SHINGLES. Starting on or about 5.2.21, shooting pain in knees, followed by odd sensations to touch. RICE'd & used roll on pain relievers. Waking up every two hours in pain. Pain moved to back a couple of days later. 5.8.21 quit using roll on because rash developed on left leg. Monday 5.10.21 rash is worse and went to Resurgens for knees and overall pain. Dr. thought shingles so went directly to Primary Care. Got positive diagnosis of Shingles, antivirals and pain meds. On or about Wednesday 5.12 ear pain and odd hearing sensations started. Went back to PCP - ear infection. Got antibiotics.
Age: 59.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Hypoacusis, Rash
Clinical narrative: SHINGLES. Starting on or about 5.2.21, shooting pain in knees, followed by odd sensations to touch. RICE'd & used roll on pain relievers. Waking up every two hours in pain. Pain moved to back a couple of days later. 5.8.21 quit using roll on because rash developed on left leg. Monday 5.10.21 rash is worse and went to Resurgens for knees and overall pain. Dr. thought shingles so went directly to Primary Care. Got positive diagnosis of Shingles, antivirals and pain meds. On or about Wednesday 5.12 ear pain and odd hearing sensations started. Went back to PCP - ear infection. Got antibiotics.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Constipation, Dizziness, Fatigue, Injection site pain
Clinical narrative: Initially a sore arm at injection site about 2 hours after vaccine. At 15 hours after  2nd dose, nausea and vomiting started at about 20-30 minute intervals. When stomach contents were empty, vomiting bile and any water I sipped. I would have gone to the ER, butI have a supply of anti-nausea/anti-emetics from radiation therapy, I used them from 5/4 to 5/8 in order to retain any fluids. Accompanied by whole body weakness/ fatigue and lightheaded/dizzy spells. Took last anti-nausea med on Sat 5/8 evening.  Began to try solid food (BRAT diet-like) in Sun 5/9.  Body weakness and fatigue noticeable through 5/13. Also very constipated after resuming normal diet.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Nausea, Vomiting
Clinical narrative: Initially a sore arm at injection site about 2 hours after vaccine. At 15 hours after  2nd dose, nausea and vomiting started at about 20-30 minute intervals. When stomach contents were empty, vomiting bile and any water I sipped. I would have gone to the ER, butI have a supply of anti-nausea/anti-emetics from radiation therapy, I used them from 5/4 to 5/8 in order to retain any fluids. Accompanied by whole body weakness/ fatigue and lightheaded/dizzy spells. Took last anti-nausea med on Sat 5/8 evening.  Began to try solid food (BRAT diet-like) in Sun 5/9.  Body weakness and fatigue noticeable through 5/13. Also very constipated after resuming normal diet.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Dizziness, Headache, Influenza like illness, Laboratory test
Clinical narrative: She got her vaccine, she was sitting in the chair and 4-5 minutes after the shot she started telling her grandfather that she felt nauseated.  She then started feeling dizzy and looked like she was going to pass out and he caught her and he laid on her on the floor on a pillow.   There was a off-duty paramedic to assist her and they suggested to call 9-1-1 and they showed up 5-6 minutes later.  She was then taken to Hospital.  They ran a lot of laboratory tests, urinalysis and everything was negative.   Her white blood cell count was high and her URC's and UBC's were high.  Her albumin was also high.   She was then released from the ER and was told to FU with PCP within 2 days.  She is still having the symptoms of headache, sore throat, and achy bones, the typical flu-like side effects.   She is taking Tylenol for the symptoms, as well as cough drops for her throat.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain
Clinical narrative: She got her vaccine, she was sitting in the chair and 4-5 minutes after the shot she started telling her grandfather that she felt nauseated.  She then started feeling dizzy and looked like she was going to pass out and he caught her and he laid on her on the floor on a pillow.   There was a off-duty paramedic to assist her and they suggested to call 9-1-1 and they showed up 5-6 minutes later.  She was then taken to Hospital.  They ran a lot of laboratory tests, urinalysis and everything was negative.   Her white blood cell count was high and her URC's and UBC's were high.  Her albumin was also high.   She was then released from the ER and was told to FU with PCP within 2 days.  She is still having the symptoms of headache, sore throat, and achy bones, the typical flu-like side effects.   She is taking Tylenol for the symptoms, as well as cough drops for her throat.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Ear discomfort
Clinical narrative: Extreme left shoulder pain and ears stopped up.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Laboratory test, Mobility decreased, Pain in extremity
Clinical narrative: pt states his left arm was tender and next day he began to develop soreness in all joints.  He started taking over the counter aleve and tylenol.  The joint pain continued to progress.  He has constant pain.  He contacted Labs to have blood work.  The blood work showed the protein levels at 48% which is why he was having so much inflammation in his joints.  The RA test was normal.  Pt will be going to an Urgent Care since he is still in so much pain and the symptoms are not getting any better.  He was very active and now has trouble moving around.  Mobility is down 25 to 30%  compared to 100%.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total, Rheumatoid arthritis
Clinical narrative: pt states his left arm was tender and next day he began to develop soreness in all joints.  He started taking over the counter aleve and tylenol.  The joint pain continued to progress.  He has constant pain.  He contacted Labs to have blood work.  The blood work showed the protein levels at 48% which is why he was having so much inflammation in his joints.  The RA test was normal.  Pt will be going to an Urgent Care since he is still in so much pain and the symptoms are not getting any better.  He was very active and now has trouble moving around.  Mobility is down 25 to 30%  compared to 100%.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Death, Hyperkalaemia, Intensive care
Clinical narrative: Patient was admitted to the hospital on 4/5/2021 for severe AKI with hyperkalemia. Patient had a prolonged hospital course due to kidney failure and AIDS. The patient developed acute respiratory failure on 5/1/21 and was transferred to the ICU, where he was found to be in septic shock. Patient passed away on 5/4/21 at 9:59am
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Septic shock
Clinical narrative: Patient was admitted to the hospital on 4/5/2021 for severe AKI with hyperkalemia. Patient had a prolonged hospital course due to kidney failure and AIDS. The patient developed acute respiratory failure on 5/1/21 and was transferred to the ICU, where he was found to be in septic shock. Patient passed away on 5/4/21 at 9:59am
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Bundle branch block, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Pfizer Dose 1 2/19/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6207) COVID Positive 4/29/21  5/3/21: A is a 6-year-old male past medical history significant for COPD with chronic bronchitis, AAA, pulmonary embolism chronic heart failure, OSA and previous smoker was referred from infusion center for hypoxia on room air of 88%.  Patient endorses that since field note Will with some shortness of breath; contacted PMD and COVID test was done and was found to be positive.  Patient was then referred to infusion center and was found to be hypoxic on room air 88% and referred to the emergency room. Patient endorses that progressively has been feeling short of breath with generalized malaise otherwise denies any fever chills or rigors. Patient had 2nd COVID-19 vaccine X2 doses in March. Patient was found to be hypoxic in the emergency room requiring 2 liter/minute to bring saturation to acceptable level. Chest x-ray shows mildly cardiomegaly with pulmonary vascular congestion and grossly scatter bilateral pleural plaques. CT angio of chest to rule out PE was done and was unremarkable for pulmonary embolism; however shows right lower lobe airspace disease that might represent pneumonia; intervals catheter bilateral calcified pleural plaques stable as prior.  5/11/21: Patient is an 86-year-old male was admitted with COVID-19 pneumonia with superimposed bacterial pneumonia. Patient had been vaccinated in March 2000 in 21 for COVID-19.  Patient was started on remdesivir received Actemra as well.  Patient was covered with IV Zosyn for possibility of superimposed bacterial pneumonia.  Blood cultures x2 were negative for the patient.  Pulmonology team was following the patient and we were able to successfully wean the patient down to room air. Pulmonology cleared the patient for discharge.  Patient was discharged to skilled nursing facility with a prednisone taper as recommended by pulmonology.  On 05/10/2021 patient had a sinus tachycardia and EKG revealed right bundle branch block which was discussed with Cardiology.  Patient was asymptomatic and Cardiology did not recommend any further workup for right bundle branch block.  Patient's electrolytes were in the normal range.  Patient was in sinus rhythm upon discharge from the hospital on 05/10/2021.  Patient was discharged to skilled nursing facility in a stable medical condition on 05/10/2021
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Hypoxia, Malaise, Pleural fibrosis
Clinical narrative: Pfizer Dose 1 2/19/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6207) COVID Positive 4/29/21  5/3/21: A is a 6-year-old male past medical history significant for COPD with chronic bronchitis, AAA, pulmonary embolism chronic heart failure, OSA and previous smoker was referred from infusion center for hypoxia on room air of 88%.  Patient endorses that since field note Will with some shortness of breath; contacted PMD and COVID test was done and was found to be positive.  Patient was then referred to infusion center and was found to be hypoxic on room air 88% and referred to the emergency room. Patient endorses that progressively has been feeling short of breath with generalized malaise otherwise denies any fever chills or rigors. Patient had 2nd COVID-19 vaccine X2 doses in March. Patient was found to be hypoxic in the emergency room requiring 2 liter/minute to bring saturation to acceptable level. Chest x-ray shows mildly cardiomegaly with pulmonary vascular congestion and grossly scatter bilateral pleural plaques. CT angio of chest to rule out PE was done and was unremarkable for pulmonary embolism; however shows right lower lobe airspace disease that might represent pneumonia; intervals catheter bilateral calcified pleural plaques stable as prior.  5/11/21: Patient is an 86-year-old male was admitted with COVID-19 pneumonia with superimposed bacterial pneumonia. Patient had been vaccinated in March 2000 in 21 for COVID-19.  Patient was started on remdesivir received Actemra as well.  Patient was covered with IV Zosyn for possibility of superimposed bacterial pneumonia.  Blood cultures x2 were negative for the patient.  Pulmonology team was following the patient and we were able to successfully wean the patient down to room air. Pulmonology cleared the patient for discharge.  Patient was discharged to skilled nursing facility with a prednisone taper as recommended by pulmonology.  On 05/10/2021 patient had a sinus tachycardia and EKG revealed right bundle branch block which was discussed with Cardiology.  Patient was asymptomatic and Cardiology did not recommend any further workup for right bundle branch block.  Patient's electrolytes were in the normal range.  Patient was in sinus rhythm upon discharge from the hospital on 05/10/2021.  Patient was discharged to skilled nursing facility in a stable medical condition on 05/10/2021
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Pulmonary congestion, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: Pfizer Dose 1 2/19/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6207) COVID Positive 4/29/21  5/3/21: A is a 6-year-old male past medical history significant for COPD with chronic bronchitis, AAA, pulmonary embolism chronic heart failure, OSA and previous smoker was referred from infusion center for hypoxia on room air of 88%.  Patient endorses that since field note Will with some shortness of breath; contacted PMD and COVID test was done and was found to be positive.  Patient was then referred to infusion center and was found to be hypoxic on room air 88% and referred to the emergency room. Patient endorses that progressively has been feeling short of breath with generalized malaise otherwise denies any fever chills or rigors. Patient had 2nd COVID-19 vaccine X2 doses in March. Patient was found to be hypoxic in the emergency room requiring 2 liter/minute to bring saturation to acceptable level. Chest x-ray shows mildly cardiomegaly with pulmonary vascular congestion and grossly scatter bilateral pleural plaques. CT angio of chest to rule out PE was done and was unremarkable for pulmonary embolism; however shows right lower lobe airspace disease that might represent pneumonia; intervals catheter bilateral calcified pleural plaques stable as prior.  5/11/21: Patient is an 86-year-old male was admitted with COVID-19 pneumonia with superimposed bacterial pneumonia. Patient had been vaccinated in March 2000 in 21 for COVID-19.  Patient was started on remdesivir received Actemra as well.  Patient was covered with IV Zosyn for possibility of superimposed bacterial pneumonia.  Blood cultures x2 were negative for the patient.  Pulmonology team was following the patient and we were able to successfully wean the patient down to room air. Pulmonology cleared the patient for discharge.  Patient was discharged to skilled nursing facility with a prednisone taper as recommended by pulmonology.  On 05/10/2021 patient had a sinus tachycardia and EKG revealed right bundle branch block which was discussed with Cardiology.  Patient was asymptomatic and Cardiology did not recommend any further workup for right bundle branch block.  Patient's electrolytes were in the normal range.  Patient was in sinus rhythm upon discharge from the hospital on 05/10/2021.  Patient was discharged to skilled nursing facility in a stable medical condition on 05/10/2021
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: Redness and swelling at vaccine site.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Joint range of motion decreased, Myalgia, Pain in extremity
Clinical narrative: Sore arm to the point I could not raise it above my shoulder for 24 hours Fever for roughly 3 hours on May 16th Chills for roughly 3 hours on May 16th Muscle aches for 12 hours on May 16th Headache for 12 hours on May 16th
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sore arm to the point I could not raise it above my shoulder for 24 hours Fever for roughly 3 hours on May 16th Chills for roughly 3 hours on May 16th Muscle aches for 12 hours on May 16th Headache for 12 hours on May 16th
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pyrexia
Clinical narrative: dizzy, fever
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematochezia
Clinical narrative: Within 1 week post vaccine began having bright red blood mixed in with stool worsening. Dr unsure if related to vaccine and prescribed mild laxative. Problem continued and worsened after receiving booster vaccine 5/14/21. Sometimes small amount mixed in with stool other times enough blood to make water and toilet paper bright red.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash papular
Clinical narrative: Pt received the vaccine on the 7th of May. 1 week later she noticed a red, mildly raised rash at the injection site. Pt denied any pain itching or burning at the site. Pt denies any prior similar reactions to vaccines. She has not had the rash for 4 days with mild improvement. No other associated symptoms to include difficulty of breathing, SOB or diffuse rash other than injection site were noted by the Pt.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Syncope
Clinical narrative: The patient fainted a few minutes after given the vaccine. The patient was pale and needed to stay in a flat position. The EMT was called and the patient was not  taken to the hospital. The patient was feeling better after 30 minutes. The patient stated that she sometimes faints when giving blood.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Exercise electrocardiogram abnormal, Presyncope, Sinus arrhythmia
Clinical narrative: Patient experienced vasovagal reaction post-Pfizer #1. Per parent, patient was "fine" for the first 10 minutes, then started c/o symptoms. EMS assessment at 1259: initial BP 71/33, HR 45, RR 20, SPO2 97%, BSG 109. EKG indicated bardycardia, then sinus arrythmia. Final assessment before transport to hospital: BP 100/61, HR 85, RR 15, PSO2 98%.   Parent was counseled by a health department RN to discuss the reaction with pediatrician prior to receiving the second vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired gastric emptying, Nausea, Pruritus
Clinical narrative: Client reports nausea, retching, extreme fatigue started 5 days after receiving the vaccine - symptoms continue - has been diagnosed with gastroparesis and is scheduled for treatment this week.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Insomnia
Clinical narrative: After the COVID Vaccination around 3am in the morning this writer had a very bad case of Acid Reflux/Heartburn and Insomnia. This writer continues with the adverse reactions as of 5/17/2021. This writer was able to take over the counter acid reflux medications and  Melatonin  6mg . Medications have helped a little.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Headache, Pain
Clinical narrative: Headache, body aches, chest tightness, very tired
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Culture stool, Diarrhoea
Clinical narrative: patient developed persistent diarrhea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood creatinine normal, Blood potassium decreased, Blood sodium decreased, Blood urea decreased
Clinical narrative: J&J Dose 4/10/21 (1808980) COVID Positive 4/27/21  4/29/21: Presented to ED and admitted.  4/30/21: Pt. is a 49-year-old female with history of persistent asthma who was diagnosed with COVID-19- 5 days ago. The patient tested positive for COVID-19 infection on 04/25/2021.  Since then she had dry cough, on and off wheezing, worsening shortness of breath.  Since yesterday she became extremely short of breath for which she decided to come to the emergency room.  Earlier yesterday she was evaluated by an ED  physician and she was advised to be admitted because of hypoxemia and pulse oximetry of 87%. Patient declined admission and went home.  She came back with worsening shortness of breath.  On exam patient was comfortably breathing on 2 L with oxygen saturation 95% ; chest examination was significant for bilateral extensive rhonchi with good air entry and no wheezing.  Blood work shows sodium 133, potassium 2.4, BUN 5, creatinine 0.5, albumin 3.4, D-dimer was elevated at and follow-up with CT of the chest with contrast was done.  It showed bilateral extensive multilobar pneumonia .  There was no pulmonary thromboembolic disease.  5/4/21: Patient is a 49-year-old female who was diagnosed COVID positive on 4/25/2021.  She presented to the emergency department on 4/30/2021 with worsening shortness of breath and was noted to be hypoxic.  She was admitted to the medical floor with acute hypoxic respiratory failure, secondary to bilateral COVID-19 pneumonia.  She received 1 unit of convalescent plasma.  She was started on Rocephin, Zithromax, dexamethasone, and Remdesivir therapies.  She had a persistent dry cough for which codeine/guaifenesin was effective.  Her potassium was also noted to be low, and it was supplemented.  She was started on oral therapy and this has maintained it.  She is no longer requiring supplemental oxygen. She reports she is feeling much better. She has completed her Remdesivir therapy today and is requesting to go home.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: J&J Dose 4/10/21 (1808980) COVID Positive 4/27/21  4/29/21: Presented to ED and admitted.  4/30/21: Pt. is a 49-year-old female with history of persistent asthma who was diagnosed with COVID-19- 5 days ago. The patient tested positive for COVID-19 infection on 04/25/2021.  Since then she had dry cough, on and off wheezing, worsening shortness of breath.  Since yesterday she became extremely short of breath for which she decided to come to the emergency room.  Earlier yesterday she was evaluated by an ED  physician and she was advised to be admitted because of hypoxemia and pulse oximetry of 87%. Patient declined admission and went home.  She came back with worsening shortness of breath.  On exam patient was comfortably breathing on 2 L with oxygen saturation 95% ; chest examination was significant for bilateral extensive rhonchi with good air entry and no wheezing.  Blood work shows sodium 133, potassium 2.4, BUN 5, creatinine 0.5, albumin 3.4, D-dimer was elevated at and follow-up with CT of the chest with contrast was done.  It showed bilateral extensive multilobar pneumonia .  There was no pulmonary thromboembolic disease.  5/4/21: Patient is a 49-year-old female who was diagnosed COVID positive on 4/25/2021.  She presented to the emergency department on 4/30/2021 with worsening shortness of breath and was noted to be hypoxic.  She was admitted to the medical floor with acute hypoxic respiratory failure, secondary to bilateral COVID-19 pneumonia.  She received 1 unit of convalescent plasma.  She was started on Rocephin, Zithromax, dexamethasone, and Remdesivir therapies.  She had a persistent dry cough for which codeine/guaifenesin was effective.  Her potassium was also noted to be low, and it was supplemented.  She was started on oral therapy and this has maintained it.  She is no longer requiring supplemental oxygen. She reports she is feeling much better. She has completed her Remdesivir therapy today and is requesting to go home.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypoxia, Oxygen saturation decreased, Pneumonia, Respiratory failure
Clinical narrative: J&J Dose 4/10/21 (1808980) COVID Positive 4/27/21  4/29/21: Presented to ED and admitted.  4/30/21: Pt. is a 49-year-old female with history of persistent asthma who was diagnosed with COVID-19- 5 days ago. The patient tested positive for COVID-19 infection on 04/25/2021.  Since then she had dry cough, on and off wheezing, worsening shortness of breath.  Since yesterday she became extremely short of breath for which she decided to come to the emergency room.  Earlier yesterday she was evaluated by an ED  physician and she was advised to be admitted because of hypoxemia and pulse oximetry of 87%. Patient declined admission and went home.  She came back with worsening shortness of breath.  On exam patient was comfortably breathing on 2 L with oxygen saturation 95% ; chest examination was significant for bilateral extensive rhonchi with good air entry and no wheezing.  Blood work shows sodium 133, potassium 2.4, BUN 5, creatinine 0.5, albumin 3.4, D-dimer was elevated at and follow-up with CT of the chest with contrast was done.  It showed bilateral extensive multilobar pneumonia .  There was no pulmonary thromboembolic disease.  5/4/21: Patient is a 49-year-old female who was diagnosed COVID positive on 4/25/2021.  She presented to the emergency department on 4/30/2021 with worsening shortness of breath and was noted to be hypoxic.  She was admitted to the medical floor with acute hypoxic respiratory failure, secondary to bilateral COVID-19 pneumonia.  She received 1 unit of convalescent plasma.  She was started on Rocephin, Zithromax, dexamethasone, and Remdesivir therapies.  She had a persistent dry cough for which codeine/guaifenesin was effective.  Her potassium was also noted to be low, and it was supplemented.  She was started on oral therapy and this has maintained it.  She is no longer requiring supplemental oxygen. She reports she is feeling much better. She has completed her Remdesivir therapy today and is requesting to go home.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rhonchi, SARS-CoV-2 test positive, Scan with contrast abnormal, Wheezing
Clinical narrative: J&J Dose 4/10/21 (1808980) COVID Positive 4/27/21  4/29/21: Presented to ED and admitted.  4/30/21: Pt. is a 49-year-old female with history of persistent asthma who was diagnosed with COVID-19- 5 days ago. The patient tested positive for COVID-19 infection on 04/25/2021.  Since then she had dry cough, on and off wheezing, worsening shortness of breath.  Since yesterday she became extremely short of breath for which she decided to come to the emergency room.  Earlier yesterday she was evaluated by an ED  physician and she was advised to be admitted because of hypoxemia and pulse oximetry of 87%. Patient declined admission and went home.  She came back with worsening shortness of breath.  On exam patient was comfortably breathing on 2 L with oxygen saturation 95% ; chest examination was significant for bilateral extensive rhonchi with good air entry and no wheezing.  Blood work shows sodium 133, potassium 2.4, BUN 5, creatinine 0.5, albumin 3.4, D-dimer was elevated at and follow-up with CT of the chest with contrast was done.  It showed bilateral extensive multilobar pneumonia .  There was no pulmonary thromboembolic disease.  5/4/21: Patient is a 49-year-old female who was diagnosed COVID positive on 4/25/2021.  She presented to the emergency department on 4/30/2021 with worsening shortness of breath and was noted to be hypoxic.  She was admitted to the medical floor with acute hypoxic respiratory failure, secondary to bilateral COVID-19 pneumonia.  She received 1 unit of convalescent plasma.  She was started on Rocephin, Zithromax, dexamethasone, and Remdesivir therapies.  She had a persistent dry cough for which codeine/guaifenesin was effective.  Her potassium was also noted to be low, and it was supplemented.  She was started on oral therapy and this has maintained it.  She is no longer requiring supplemental oxygen. She reports she is feeling much better. She has completed her Remdesivir therapy today and is requesting to go home.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Body aches, nausea, headache, fatigue within 15 hours of shot
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Dyspnoea, Eosinophilic bronchitis, Neonatal respiratory distress syndrome, Pulmonary oedema
Clinical narrative: Worsening shortness of breath since the vaccination; collapsed in bathroom on day 10 post-vaccination
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Worsening shortness of breath since the vaccination; collapsed in bathroom on day 10 post-vaccination
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Cold sweat, Fatigue
Clinical narrative: Sharp nerve type pain in left arm that has moved up to left shoulder blade and into the spinal area in between my shoulder blades. The pain causes a cold ice pick feeling. It?s hard to turn my head to the left. I had arm soreness since injection with headache that lasted until yesterday late, nausea, fatigue, chills all over and achy body. These pains in my shoulder, neck and back started this morning when I woke up. I did wake up around 4am with cold sweats that actually caused me to sweat through my clothes and hair. This new pain is severe.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Musculoskeletal stiffness, Nausea, Neck pain
Clinical narrative: Sharp nerve type pain in left arm that has moved up to left shoulder blade and into the spinal area in between my shoulder blades. The pain causes a cold ice pick feeling. It?s hard to turn my head to the left. I had arm soreness since injection with headache that lasted until yesterday late, nausea, fatigue, chills all over and achy body. These pains in my shoulder, neck and back started this morning when I woke up. I did wake up around 4am with cold sweats that actually caused me to sweat through my clothes and hair. This new pain is severe.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Pain in extremity
Clinical narrative: Sharp nerve type pain in left arm that has moved up to left shoulder blade and into the spinal area in between my shoulder blades. The pain causes a cold ice pick feeling. It?s hard to turn my head to the left. I had arm soreness since injection with headache that lasted until yesterday late, nausea, fatigue, chills all over and achy body. These pains in my shoulder, neck and back started this morning when I woke up. I did wake up around 4am with cold sweats that actually caused me to sweat through my clothes and hair. This new pain is severe.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Pain in extremity, Paraesthesia oral
Clinical narrative: Almost right away my tongue got all tingly and I became very dizzy. It eased up after a few hours. Tired and weak feeling for 2 days. Severe arm pain for 3 days. 1 week later the itchy red rash they call "covid arm" appeared and lasted for around one week. I also got a very itchy hive like rash down the back of my left leg at the same time that lasted the same amount of time.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: Almost right away my tongue got all tingly and I became very dizzy. It eased up after a few hours. Tired and weak feeling for 2 days. Severe arm pain for 3 days. 1 week later the itchy red rash they call "covid arm" appeared and lasted for around one week. I also got a very itchy hive like rash down the back of my left leg at the same time that lasted the same amount of time.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, body aches, nausea,  very tired
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Erythema, Rash, Skin discolouration
Clinical narrative: Rash with small white bumps from the knee to the upper thigh, with some discoloration of the skin toward the inner thigh. Redness noted all over the thigh area
Age: 14.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PT WITH AUTISTIC, WAS STUCK WITH NEEDLE FOR  VACCINE, BUT MOVED SUDDENLY AND THE VACCINATOR REMOVED THE NEEDLE FOR SAFETY CONCERNS AND DID NOT RECD VACCINE. MOM WAS REFERRED TO PEDS FOR THE VACCINE.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acinetobacter test positive, Alanine aminotransferase normal, Albumin globulin ratio, Aspartate aminotransferase normal, Asthenia
Clinical narrative: 84 y.o. male who presents with chills, weakness and low back pain that had onset approximately an hour and a half ago.  Upon presentation, the patient's temperature was noted to be 102°.  Patient's states that he had a similar set of symptoms several years ago was found to have sepsis of unknown origin.  He denies anorexia malaise generalized body aches headache cough dyspnea chest pain nausea vomiting abdominal pain diarrhea or urinary tract symptoms.  The patient has been covered vaccinated and reports no known exposures.  Of note, the patient has been on cephalexin for the past week due to a postoperative infection related to his recent carpal tunnel release.  Transferred to a different hospital for Severe Septic shock, on dopamine drip; remains inpatient as of 5/17/21
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Bacterial test, Basophil count decreased, Basophil percentage decreased, Bilirubin urine
Clinical narrative: 84 y.o. male who presents with chills, weakness and low back pain that had onset approximately an hour and a half ago.  Upon presentation, the patient's temperature was noted to be 102°.  Patient's states that he had a similar set of symptoms several years ago was found to have sepsis of unknown origin.  He denies anorexia malaise generalized body aches headache cough dyspnea chest pain nausea vomiting abdominal pain diarrhea or urinary tract symptoms.  The patient has been covered vaccinated and reports no known exposures.  Of note, the patient has been on cephalexin for the past week due to a postoperative infection related to his recent carpal tunnel release.  Transferred to a different hospital for Severe Septic shock, on dopamine drip; remains inpatient as of 5/17/21
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: 84 y.o. male who presents with chills, weakness and low back pain that had onset approximately an hour and a half ago.  Upon presentation, the patient's temperature was noted to be 102°.  Patient's states that he had a similar set of symptoms several years ago was found to have sepsis of unknown origin.  He denies anorexia malaise generalized body aches headache cough dyspnea chest pain nausea vomiting abdominal pain diarrhea or urinary tract symptoms.  The patient has been covered vaccinated and reports no known exposures.  Of note, the patient has been on cephalexin for the past week due to a postoperative infection related to his recent carpal tunnel release.  Transferred to a different hospital for Severe Septic shock, on dopamine drip; remains inpatient as of 5/17/21