chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Blood phosphorus, Blood thyroid stimulating hormone, Chest X-ray, Chills, Computerised tomogram head
Clinical narrative: 45-year-old male comes into the emergency department via EMS. The patient started to feel bad approximately 2 days ago where he had chills and generalized fatigue. He got a flu vaccine yesterday and his symptoms got progressively worse. He is complaining of fatigue, weakness, difficulty sleeping, chills, congestion, abdominal bloating. He slept overnight and woke up this morning. The patient went to work and when he came back home he laid down on the couch and tried to relax. His daughter looked over at him and told his wife that the patient was no longer breathing. The wife at that point time looked at her husband and saw that he was having a seizure and called EMS. She does not know exactly how long the seizure la
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Electrocardiogram, Electroencephalogram, Fatigue, Feeling abnormal, Full blood count
Clinical narrative: 45-year-old male comes into the emergency department via EMS. The patient started to feel bad approximately 2 days ago where he had chills and generalized fatigue. He got a flu vaccine yesterday and his symptoms got progressively worse. He is complaining of fatigue, weakness, difficulty sleeping, chills, congestion, abdominal bloating. He slept overnight and woke up this morning. The patient went to work and when he came back home he laid down on the couch and tried to relax. His daughter looked over at him and told his wife that the patient was no longer breathing. The wife at that point time looked at her husband and saw that he was having a seizure and called EMS. She does not know exactly how long the seizure la
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Hepatitis viral test, Insomnia, Lipase, Magnetic resonance imaging head, Metabolic function test
Clinical narrative: 45-year-old male comes into the emergency department via EMS. The patient started to feel bad approximately 2 days ago where he had chills and generalized fatigue. He got a flu vaccine yesterday and his symptoms got progressively worse. He is complaining of fatigue, weakness, difficulty sleeping, chills, congestion, abdominal bloating. He slept overnight and woke up this morning. The patient went to work and when he came back home he laid down on the couch and tried to relax. His daughter looked over at him and told his wife that the patient was no longer breathing. The wife at that point time looked at her husband and saw that he was having a seizure and called EMS. She does not know exactly how long the seizure la
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Respiratory arrest, Respiratory tract congestion, SARS-CoV-2 test, Seizure, Troponin
Clinical narrative: 45-year-old male comes into the emergency department via EMS. The patient started to feel bad approximately 2 days ago where he had chills and generalized fatigue. He got a flu vaccine yesterday and his symptoms got progressively worse. He is complaining of fatigue, weakness, difficulty sleeping, chills, congestion, abdominal bloating. He slept overnight and woke up this morning. The patient went to work and when he came back home he laid down on the couch and tried to relax. His daughter looked over at him and told his wife that the patient was no longer breathing. The wife at that point time looked at her husband and saw that he was having a seizure and called EMS. She does not know exactly how long the seizure la
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Ultrasound Doppler, Urine analysis
Clinical narrative: 45-year-old male comes into the emergency department via EMS. The patient started to feel bad approximately 2 days ago where he had chills and generalized fatigue. He got a flu vaccine yesterday and his symptoms got progressively worse. He is complaining of fatigue, weakness, difficulty sleeping, chills, congestion, abdominal bloating. He slept overnight and woke up this morning. The patient went to work and when he came back home he laid down on the couch and tried to relax. His daughter looked over at him and told his wife that the patient was no longer breathing. The wife at that point time looked at her husband and saw that he was having a seizure and called EMS. She does not know exactly how long the seizure la
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Laboratory test
Clinical narrative: Stroke
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT IS BEING REVACCINATED.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Malaise, SARS-CoV-2 test positive, Walking distance test abnormal
Clinical narrative: Presents with worsening covid symptoms, tested positive 1 week ago.  Admitted for Covid PNA. Treated with O2, abx, zinc.  The patient was admitted to the hospital, treated with IV dexamethasone, IV antibiotics,iv Remdesivir,the patient's breathing progressively, underwent 6 minutes walk study, was needing supplemental oxygen which was prescribed to have and the patient discharged home.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: This 11 years old client received Covid-19 Pfizer Vaccine for +12 years. Did not presented any symptoms during the 15 minutes observation after the vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID infection
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored out of range - in freezer for greater than 14 days
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT IS BEING REVACCINATED.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiac arrest, Cough, Death, Dyspnoea
Clinical narrative: Presented with swelling, cough and SOB.  Diagnosed with Covid PNA and resp failure.  Requied intubation and vasopressors for shock.  Discharge Diagnosis: Cardiac Arrest, pt expired
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Respiratory failure, Shock, Swelling
Clinical narrative: Presented with swelling, cough and SOB.  Diagnosed with Covid PNA and resp failure.  Requied intubation and vasopressors for shock.  Discharge Diagnosis: Cardiac Arrest, pt expired
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT IS BEING REVACCINATED.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest pain, Dyspnoea
Clinical narrative: Presented with SOB and CP for months, History of Covid PNA on 8/8. Admitted with Covid PNA. Treated with antibiotics, steroids, O2. Discharge home
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: 3 inch circle rash that is both sore and itchy.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Nausea, Neck pain
Clinical narrative: Terrible neck and back pain.  Exhausted.  Nauseous.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: BOOSTER ADMINISTERED BEFORE APPROVED DATE. LAST DOSE WAS RECEIVED ON 10/18/2021 AND THE BOOSTER WAS RECEIVED ON 01/13/2022.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypotonia, Insomnia, Joint stiffness, Muscle twitching
Clinical narrative: Tingling in hands, itching skin, joint stiffness, tight chest, twitching muscles, insomnia, limp left arm, (paralysis) possibly related to nerve, feeling came back.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paralysis, Pruritus
Clinical narrative: Tingling in hands, itching skin, joint stiffness, tight chest, twitching muscles, insomnia, limp left arm, (paralysis) possibly related to nerve, feeling came back.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19 pneumonia, Colitis, Pain
Clinical narrative: Presented with fever and body aches X 4 days. Tested positive 1 day PTA. DX with acute respiratory failure and Covid-19 PNA. His oxygen saturation was 79% on room air. He was treated with dexamethasone IV, N/C, singular, Lovenox along with bronchodilators with colitis and associated antibiotics P.R.N.. With his current treatment his symptoms improved and he was able to be weaned of oxygen. Patient's other Medical issues remained stable during hospitalization and required minimal or no interventions.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with fever and body aches X 4 days. Tested positive 1 day PTA. DX with acute respiratory failure and Covid-19 PNA. His oxygen saturation was 79% on room air. He was treated with dexamethasone IV, N/C, singular, Lovenox along with bronchodilators with colitis and associated antibiotics P.R.N.. With his current treatment his symptoms improved and he was able to be weaned of oxygen. Patient's other Medical issues remained stable during hospitalization and required minimal or no interventions.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia, Costochondritis
Clinical narrative: 1. Costochondritis.  2. Hair loss
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash papular, Urticaria
Clinical narrative: I received the COVID Moderna Booster on 12/10/21 and on 12/21/21 I woke up with my scalp, face, and neck covered in urticaria and very itchy. That day I took Loratadine 10mg and Pepcid 20mg, which helped to reduce the itching. The next day I woke up and my entire body was covered in excruciatingly itchy urticaria. I took Loratadine 10mg and Pepcid 20mg, as well as 25mg Benadryl which helped to reduce the itching but the urticaria remained intermittently present throughout the day. I was seen at facility on 12/23/21 for treatment. I was given a 12 day taper of Prednisone (starting at 40mg), as well as instructed to take Pepcid 20mg (BID), Zyrtec daily, and Benadryl 25mg prn. Throughout the course of prednisone, I continued to have urticaria that would develop randomly throughout the day. The medications helped to reduce itching, but the sites were still very erythematous and raised. After the course of Prednisone was completed, I still continue to have the urticaria daily. I have noticed that the sites can appear as welts, or look like long scratch marks (even when I have not touched or scratched the area at all). I have been able to somewhat control the itching by taking Zyrtec daily, but there is no sign of improvement even after having these symptoms for 1.5 months.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT IS BEING REVACCINATED.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Depressed level of consciousness, Hypotension, Hypoxia
Clinical narrative: Presented with URI symptoms X 8 days.  Dx with Covid PNA.  Required O2 and abx.  Patientwas treated with IV steroids, remdesivir, Baricitiniband antibiotics.  Infectious Diseaseand pulmonology consulted..  Patientremained very hypoxicrequiring high levels of oxygen via high-flow nasal cannula and non-rebreather and intermittentlyrequired bipap. Advanced directiveswere forDNI.  Per his request. He was asked again when not improving and insisted to be DNR. Subsequently hypotensive and decreased alertness over last 48 hours before passing away. He was hypotensive - 50 systolic for a few hours and then passed away
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Respiratory symptom
Clinical narrative: Presented with URI symptoms X 8 days.  Dx with Covid PNA.  Required O2 and abx.  Patientwas treated with IV steroids, remdesivir, Baricitiniband antibiotics.  Infectious Diseaseand pulmonology consulted..  Patientremained very hypoxicrequiring high levels of oxygen via high-flow nasal cannula and non-rebreather and intermittentlyrequired bipap. Advanced directiveswere forDNI.  Per his request. He was asked again when not improving and insisted to be DNR. Subsequently hypotensive and decreased alertness over last 48 hours before passing away. He was hypotensive - 50 systolic for a few hours and then passed away
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Patient is fully vaccinated. 61-year-old male presents to the ED following a positive covid test 5 days ago. Patient complains of increasing shortness of breath, weakness, coughing, general malaise and fatigue. Patient states that he presented to a urgent care with pneumonia was prescribed azithromycin and steroids. Patient states that his fatigue and shortness of breath had progressively gotten worse over last week. Patient currently denies any fevers, chills, nausea, vomiting and chest pain. Complains of mild shortness of breath. Treatment:  referred to clinic for monoclonal antibChest x-ray was ordered and reviewed. Bilateral patchy opacities doing the lower lobes. On examination patient had in no distress.  Pt discharged. Returned to the  hospital 6 days later. He reports worsening shortness of breath, dry cough.On arrival to the emergency department patient's oxygen saturation 88% on room air. Patient was placed on 4 L nasal cannula and oxygen saturation improved to 100%. Treatment:  oxygen therapy,  bronchodilator treatment, decadron, remdesivir, baricitinib, IV heparin for acute pulmonary empolism and switched to Lovenox. Patient discharged.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Lung opacity, Malaise, Pneumonia
Clinical narrative: Patient is fully vaccinated. 61-year-old male presents to the ED following a positive covid test 5 days ago. Patient complains of increasing shortness of breath, weakness, coughing, general malaise and fatigue. Patient states that he presented to a urgent care with pneumonia was prescribed azithromycin and steroids. Patient states that his fatigue and shortness of breath had progressively gotten worse over last week. Patient currently denies any fevers, chills, nausea, vomiting and chest pain. Complains of mild shortness of breath. Treatment:  referred to clinic for monoclonal antibChest x-ray was ordered and reviewed. Bilateral patchy opacities doing the lower lobes. On examination patient had in no distress.  Pt discharged. Returned to the  hospital 6 days later. He reports worsening shortness of breath, dry cough.On arrival to the emergency department patient's oxygen saturation 88% on room air. Patient was placed on 4 L nasal cannula and oxygen saturation improved to 100%. Treatment:  oxygen therapy,  bronchodilator treatment, decadron, remdesivir, baricitinib, IV heparin for acute pulmonary empolism and switched to Lovenox. Patient discharged.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. 61-year-old male presents to the ED following a positive covid test 5 days ago. Patient complains of increasing shortness of breath, weakness, coughing, general malaise and fatigue. Patient states that he presented to a urgent care with pneumonia was prescribed azithromycin and steroids. Patient states that his fatigue and shortness of breath had progressively gotten worse over last week. Patient currently denies any fevers, chills, nausea, vomiting and chest pain. Complains of mild shortness of breath. Treatment:  referred to clinic for monoclonal antibChest x-ray was ordered and reviewed. Bilateral patchy opacities doing the lower lobes. On examination patient had in no distress.  Pt discharged. Returned to the  hospital 6 days later. He reports worsening shortness of breath, dry cough.On arrival to the emergency department patient's oxygen saturation 88% on room air. Patient was placed on 4 L nasal cannula and oxygen saturation improved to 100%. Treatment:  oxygen therapy,  bronchodilator treatment, decadron, remdesivir, baricitinib, IV heparin for acute pulmonary empolism and switched to Lovenox. Patient discharged.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT IS BEING REVACCINATED.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored out of range - in freezer for greater than 14 days
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Myocarditis
Clinical narrative: Myocarditis
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID pneumonia
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness, Headache, Illness, Oropharyngeal pain
Clinical narrative: Continuously sick since second vaccine. Continuous body aches, headache, sore throat, dizziness, weakness. Ongoing since second vaccine on 06/30/2021
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Continuously sick since second vaccine. Continuous body aches, headache, sore throat, dizziness, weakness. Ongoing since second vaccine on 06/30/2021
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Patient presented with generalized weakness.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Peripheral swelling
Clinical narrative: arm swelling, painful, numb,
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood glucose normal, Blood phosphorus, Blood potassium decreased, Blood thyroid stimulating hormone normal
Clinical narrative: I was hospitalized on January 14th, 2022. I received my 4th Pfizer COVID booster on January 13th, 2022. Because I am immune-compromised, I had the booster on a Thursday January 13th, 2022. On the next day January 14th, 2022, I was experiencing heart palpitations at home, 24 hours after having my shot, I had called an ambulance. I felt as if I was having a stroke or heart attack. And then I believe it was between Thursday and Friday I was hospitalized for a while about 3 to 4 hours. I had a Tardive Dystonia Dysplasia type of response, a conversion type of response. Where my body was twisting me in all sorts of directions and so the gave me Aadvin and sent me home with a bunch of electrolytes. I'm taking a lot of electrolytes and Aadvin to try to keep my muscles from getting sort of stuck. Definitely experiencing brain fog that it really extreme. I will be doing something, and my thoughts disappears. Things come back after a while.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dyskinesia, Dysplasia, Dystonia, Feeling abnormal
Clinical narrative: I was hospitalized on January 14th, 2022. I received my 4th Pfizer COVID booster on January 13th, 2022. Because I am immune-compromised, I had the booster on a Thursday January 13th, 2022. On the next day January 14th, 2022, I was experiencing heart palpitations at home, 24 hours after having my shot, I had called an ambulance. I felt as if I was having a stroke or heart attack. And then I believe it was between Thursday and Friday I was hospitalized for a while about 3 to 4 hours. I had a Tardive Dystonia Dysplasia type of response, a conversion type of response. Where my body was twisting me in all sorts of directions and so the gave me Aadvin and sent me home with a bunch of electrolytes. I'm taking a lot of electrolytes and Aadvin to try to keep my muscles from getting sort of stuck. Definitely experiencing brain fog that it really extreme. I will be doing something, and my thoughts disappears. Things come back after a while.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Haematocrit decreased, Haemoglobin decreased, Immunodeficiency, Mean cell haemoglobin increased
Clinical narrative: I was hospitalized on January 14th, 2022. I received my 4th Pfizer COVID booster on January 13th, 2022. Because I am immune-compromised, I had the booster on a Thursday January 13th, 2022. On the next day January 14th, 2022, I was experiencing heart palpitations at home, 24 hours after having my shot, I had called an ambulance. I felt as if I was having a stroke or heart attack. And then I believe it was between Thursday and Friday I was hospitalized for a while about 3 to 4 hours. I had a Tardive Dystonia Dysplasia type of response, a conversion type of response. Where my body was twisting me in all sorts of directions and so the gave me Aadvin and sent me home with a bunch of electrolytes. I'm taking a lot of electrolytes and Aadvin to try to keep my muscles from getting sort of stuck. Definitely experiencing brain fog that it really extreme. I will be doing something, and my thoughts disappears. Things come back after a while.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume increased, Muscle contractions involuntary, Palpitations, Red blood cell count decreased, Specific gravity urine normal
Clinical narrative: I was hospitalized on January 14th, 2022. I received my 4th Pfizer COVID booster on January 13th, 2022. Because I am immune-compromised, I had the booster on a Thursday January 13th, 2022. On the next day January 14th, 2022, I was experiencing heart palpitations at home, 24 hours after having my shot, I had called an ambulance. I felt as if I was having a stroke or heart attack. And then I believe it was between Thursday and Friday I was hospitalized for a while about 3 to 4 hours. I had a Tardive Dystonia Dysplasia type of response, a conversion type of response. Where my body was twisting me in all sorts of directions and so the gave me Aadvin and sent me home with a bunch of electrolytes. I'm taking a lot of electrolytes and Aadvin to try to keep my muscles from getting sort of stuck. Definitely experiencing brain fog that it really extreme. I will be doing something, and my thoughts disappears. Things come back after a while.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Urine ketone body present, Urine leukocyte esterase positive
Clinical narrative: I was hospitalized on January 14th, 2022. I received my 4th Pfizer COVID booster on January 13th, 2022. Because I am immune-compromised, I had the booster on a Thursday January 13th, 2022. On the next day January 14th, 2022, I was experiencing heart palpitations at home, 24 hours after having my shot, I had called an ambulance. I felt as if I was having a stroke or heart attack. And then I believe it was between Thursday and Friday I was hospitalized for a while about 3 to 4 hours. I had a Tardive Dystonia Dysplasia type of response, a conversion type of response. Where my body was twisting me in all sorts of directions and so the gave me Aadvin and sent me home with a bunch of electrolytes. I'm taking a lot of electrolytes and Aadvin to try to keep my muscles from getting sort of stuck. Definitely experiencing brain fog that it really extreme. I will be doing something, and my thoughts disappears. Things come back after a while.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropathy, Blood test, Chest discomfort, Dyspnoea, Gout
Clinical narrative: On 03/10/2021, about 15 minutes of receiving the vaccine, I started having tightness in my chest, and marginal difficulty breathing, I alerted the national guard and they monitored me and I took albuterol. That event resolved itself and I left 45 minutes after taking the shot. Sometime in May I started having problems with my joints, mostly in my feet. In late August, early September, I went to see both my PCP and podiatrist because I had extreme pain in my foot and I was diagnosed with gout. I was treated allopurinol 100 mg once a day and that was changed in early December to 100mg twice a day. With new medication and diet it seemed to get better, but it did flare up in December because of another medication that was added in December, colchicine .6 mg. It is better, but it has not resolved. It is still being treated.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: On 03/10/2021, about 15 minutes of receiving the vaccine, I started having tightness in my chest, and marginal difficulty breathing, I alerted the national guard and they monitored me and I took albuterol. That event resolved itself and I left 45 minutes after taking the shot. Sometime in May I started having problems with my joints, mostly in my feet. In late August, early September, I went to see both my PCP and podiatrist because I had extreme pain in my foot and I was diagnosed with gout. I was treated allopurinol 100 mg once a day and that was changed in early December to 100mg twice a day. With new medication and diet it seemed to get better, but it did flare up in December because of another medication that was added in December, colchicine .6 mg. It is better, but it has not resolved. It is still being treated.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Cardiac disorder
Clinical narrative: Presented with dizziness, tested positive on 8/1. Dx with Covid PNA. Work up initially showed elevated trop. Given his COVID status, obtained D dimer, CT chest. Also included CT head, abdomen given his constituitional symptoms . His CTA chest showed B/L PE with right heart strain, DVT study also came positive . He was initially placed on heparin drip. CT imaging did not show any evidence of lesions given possible concern for occult malignancy. Pulmonary consult was obtained, advised to start oral anticoagulation when able to, no further work up needed. Discharged to HCF for rehab
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram normal, Deep vein thrombosis, Dizziness
Clinical narrative: Presented with dizziness, tested positive on 8/1. Dx with Covid PNA. Work up initially showed elevated trop. Given his COVID status, obtained D dimer, CT chest. Also included CT head, abdomen given his constituitional symptoms . His CTA chest showed B/L PE with right heart strain, DVT study also came positive . He was initially placed on heparin drip. CT imaging did not show any evidence of lesions given possible concern for occult malignancy. Pulmonary consult was obtained, advised to start oral anticoagulation when able to, no further work up needed. Discharged to HCF for rehab
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Pulmonary embolism, SARS-CoV-2 test positive, Troponin increased, Ultrasound Doppler abnormal
Clinical narrative: Presented with dizziness, tested positive on 8/1. Dx with Covid PNA. Work up initially showed elevated trop. Given his COVID status, obtained D dimer, CT chest. Also included CT head, abdomen given his constituitional symptoms . His CTA chest showed B/L PE with right heart strain, DVT study also came positive . He was initially placed on heparin drip. CT imaging did not show any evidence of lesions given possible concern for occult malignancy. Pulmonary consult was obtained, advised to start oral anticoagulation when able to, no further work up needed. Discharged to HCF for rehab
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Death, Dyskinesia, General physical health deterioration
Clinical narrative: brought to ED via EMS from SNF; pt is lethargic, no responding to questions; jerking all over (chills or rigors); O2 sats 85%; positive for COVID in ED; pt receiving O2 via NC; pt's condition deteriorated quickly and per death certificate, pt passed away in the ED
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: brought to ED via EMS from SNF; pt is lethargic, no responding to questions; jerking all over (chills or rigors); O2 sats 85%; positive for COVID in ED; pt receiving O2 via NC; pt's condition deteriorated quickly and per death certificate, pt passed away in the ED
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Mental status changes, Pyrexia
Clinical narrative: Presented with AMS, fever and SOB.  Dx with Covid PNA.  Treated with O2, abx, steroids, zinc and vit c. PMH of of CAD-chronic on medical management, HTN, HLD, chronic back pain presented to ED via EMS for fever, short of breath. Found to have COVID pneumonia. treated overnight with Vit C, Vit D, Zinc, ASA. O2 weaned off. Patient ambulated and O2 sats remained 97%. Patient's other Medical issues remained stable during hospitalization and required minimal or no interventions. discharged to home
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Chest X-ray abnormal, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Presented to acute care with shortness of breath. He was recently diagnosed with COVID on 8/7/21 but was asymptomatic at the time. He was brought in by EMS from his assisted living facility after he was found to be more short of breath with room air hypoxemia with spo2 70%. His hypoxemia improved with oxygen supplementation but when he arrived to the ED he was found to be more hypoxemic and altered with minimal gag. Emergent intubation was performed. CXR demonstrated bilateral opacities.  He did not improve with ICU care and family chose comfort care. Discharge Condition:Expired
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Lung opacity, Retching
Clinical narrative: Presented to acute care with shortness of breath. He was recently diagnosed with COVID on 8/7/21 but was asymptomatic at the time. He was brought in by EMS from his assisted living facility after he was found to be more short of breath with room air hypoxemia with spo2 70%. His hypoxemia improved with oxygen supplementation but when he arrived to the ED he was found to be more hypoxemic and altered with minimal gag. Emergent intubation was performed. CXR demonstrated bilateral opacities.  He did not improve with ICU care and family chose comfort care. Discharge Condition:Expired
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Intensive care, Mental status changes, Renal impairment
Clinical narrative: Presented with AMS and hypoxia. Tested positive PTA. Diagnosed with COVID-19 infection, resp failure and septic shock. He was placed on rate limiting medication and his rapid ventricular rate resolved. He was eventually weaned off oxygen and transferred out of the ICU. He completed antibiotics. His kidney function returned to normal. He is tolerating a diet. Palliative care consulted and his family decided to transition him to long-term care. The remainder of his medical problems were chronic and stable. He will be transferred. He is medically optimized for discharge. Discharged to long-term care.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Presented with AMS and hypoxia. Tested positive PTA. Diagnosed with COVID-19 infection, resp failure and septic shock. He was placed on rate limiting medication and his rapid ventricular rate resolved. He was eventually weaned off oxygen and transferred out of the ICU. He completed antibiotics. His kidney function returned to normal. He is tolerating a diet. Palliative care consulted and his family decided to transition him to long-term care. The remainder of his medical problems were chronic and stable. He will be transferred. He is medically optimized for discharge. Discharged to long-term care.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Computerised tomogram neck, Computerised tomogram thorax abnormal, Dizziness, Dyspnoea
Clinical narrative: swelling of lymph nodes under arm and in shoulder/neck area, headaches, numbing in neck, shoulder/head, arm numbness off and on, dizziness, blurred vision, body aches, leg pain sometimes, swelling in arms off and on, face numbness and swelling, ear numb off and on, feels restricted when swallowing, wake up gasping for air at night, tiredness, feel off in my head like vertigo
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Ear, nose and throat examination abnormal, Fatigue, Feeling abnormal, Headache
Clinical narrative: swelling of lymph nodes under arm and in shoulder/neck area, headaches, numbing in neck, shoulder/head, arm numbness off and on, dizziness, blurred vision, body aches, leg pain sometimes, swelling in arms off and on, face numbness and swelling, ear numb off and on, feels restricted when swallowing, wake up gasping for air at night, tiredness, feel off in my head like vertigo
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: swelling of lymph nodes under arm and in shoulder/neck area, headaches, numbing in neck, shoulder/head, arm numbness off and on, dizziness, blurred vision, body aches, leg pain sometimes, swelling in arms off and on, face numbness and swelling, ear numb off and on, feels restricted when swallowing, wake up gasping for air at night, tiredness, feel off in my head like vertigo
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Scan with contrast, Sinusitis, Swelling, Swelling face
Clinical narrative: swelling of lymph nodes under arm and in shoulder/neck area, headaches, numbing in neck, shoulder/head, arm numbness off and on, dizziness, blurred vision, body aches, leg pain sometimes, swelling in arms off and on, face numbness and swelling, ear numb off and on, feels restricted when swallowing, wake up gasping for air at night, tiredness, feel off in my head like vertigo
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vision blurred
Clinical narrative: swelling of lymph nodes under arm and in shoulder/neck area, headaches, numbing in neck, shoulder/head, arm numbness off and on, dizziness, blurred vision, body aches, leg pain sometimes, swelling in arms off and on, face numbness and swelling, ear numb off and on, feels restricted when swallowing, wake up gasping for air at night, tiredness, feel off in my head like vertigo
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Endotracheal intubation
Clinical narrative: Presented with fever, sore throat, and SOB.  Recent positive covid test. Dx with Covid PNA, resp failure requiring intubation and septic shock.  Patient did not have any significant symptoms of COVID.  He was having mild cough but no hypoxia.  Initially thought that the fevers was from the recent surgery.  Patient was placed on broad spectrum antibiotics.  Infectious Disease consultation was taken.  Also seen by the orthopedic who did not feel that the patient's symptoms of fever is from the surgical site.  Infectious Disease recommended to continue the Rocephin the patient has been taking.  Patient did not have any further fevers and did not have any hypoxia.  He will be discharged home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory failure, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Presented with fever, sore throat, and SOB.  Recent positive covid test. Dx with Covid PNA, resp failure requiring intubation and septic shock.  Patient did not have any significant symptoms of COVID.  He was having mild cough but no hypoxia.  Initially thought that the fevers was from the recent surgery.  Patient was placed on broad spectrum antibiotics.  Infectious Disease consultation was taken.  Also seen by the orthopedic who did not feel that the patient's symptoms of fever is from the surgical site.  Infectious Disease recommended to continue the Rocephin the patient has been taking.  Patient did not have any further fevers and did not have any hypoxia.  He will be discharged home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Surgery
Clinical narrative: Presented with fever, sore throat, and SOB.  Recent positive covid test. Dx with Covid PNA, resp failure requiring intubation and septic shock.  Patient did not have any significant symptoms of COVID.  He was having mild cough but no hypoxia.  Initially thought that the fevers was from the recent surgery.  Patient was placed on broad spectrum antibiotics.  Infectious Disease consultation was taken.  Also seen by the orthopedic who did not feel that the patient's symptoms of fever is from the surgical site.  Infectious Disease recommended to continue the Rocephin the patient has been taking.  Patient did not have any further fevers and did not have any hypoxia.  He will be discharged home.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not booster.  Asymptomatic COVID breakthrough infection with inpatient hospital stay.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Decreased appetite, Oxygen saturation decreased
Clinical narrative: Presented with low O2 sats at home.  Reports pos covid test 1 week pta.  Admitted with Coivd 19 infection and thrombocytopenia.  presented with generalized weakness and decreased appetite. She was found to be COVID-19 positive with evidence of pneumonia on CXR. Patient was started on empiric antibiotics and steroids. Patient was not hypoxic - saturating well on room air even with exertion. SNF and home health were offered however patient refused. Her main concern was cooking for herself and her husband. Therefore, information regarding meals and caregivers was given. Spoke with patient's granddaughter who will help care for patient at home. As patient is stable and fully independent.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Presented with low O2 sats at home.  Reports pos covid test 1 week pta.  Admitted with Coivd 19 infection and thrombocytopenia.  presented with generalized weakness and decreased appetite. She was found to be COVID-19 positive with evidence of pneumonia on CXR. Patient was started on empiric antibiotics and steroids. Patient was not hypoxic - saturating well on room air even with exertion. SNF and home health were offered however patient refused. Her main concern was cooking for herself and her husband. Therefore, information regarding meals and caregivers was given. Spoke with patient's granddaughter who will help care for patient at home. As patient is stable and fully independent.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest pain, Eye swelling, Pruritus, Sensation of foreign body
Clinical narrative: On January 14th, I began to have hives on my upper neck, back and face followed by an itchy bruning/hot sensation. Scalp was very itchy. The next day, I woke up and my eyes were swollen and had hives all around my eyes, ears and neck. I was prescribed prednisone. Monday, January 18th, I started to have hives throughout my entire body as well as debilitating chest pain with a lump on my throat type of feeling. Chest pain still occurs and is still debilitating. Itchiness is severe and hives cone and go throughout entire body.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: On January 14th, I began to have hives on my upper neck, back and face followed by an itchy bruning/hot sensation. Scalp was very itchy. The next day, I woke up and my eyes were swollen and had hives all around my eyes, ears and neck. I was prescribed prednisone. Monday, January 18th, I started to have hives throughout my entire body as well as debilitating chest pain with a lump on my throat type of feeling. Chest pain still occurs and is still debilitating. Itchiness is severe and hives cone and go throughout entire body.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Exposure to SARS-CoV-2, Malaise
Clinical narrative: Presented  with feeling sick X 1 week, wife is also positive.  Dx with Covid PNA, no hypoxia.  Treated with abx and steroids.  Discharge home
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient is fully vaccinated.  Presented to the ED and tested + for COVID.  Patient presents with chest pain and cough. Patient presents with 1-2 days of dry cough, congestion, occasional shortness of breath and chest soreness. Positive for chills, sore throat, cough and chest pain.  Vital signs reviewed and interpreted by myself. Afebrile. No hypoxia or tachypnea. Slightly tachycardic. Patient discharged and instructed to return to ED if symptoms worsen.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: She got her vaccine, she had soreness for a few days. Then it started aching and has been aching off and on ever since.  During the day and night it aches. She went to her doctor today and he told her that there would not be any scarring and she wouldn't tell her what she thought it would be from or something else. She said that we told her that if it was from the vaccine that it would be scarring, and her doctor told her that that was not necessarily the case.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose abnormal, COVID-19 pneumonia
Clinical narrative: Admit for COVID. Fully vaccinated 3/2021. Steroids, O2, remdesivir, merrem, zithromax, rocephin, singulair, Vit-D. Discharged home on baseline O2.  Patient was admitted to the medical floor and ID consult requested from Dr. He was continued on IV decadran and IV remdesivir. His symptoms rapidly improved and oxygen requirements also improved to 2 L nasal canula. Blood sugars uncontrolled, patient requested discharge .He was discharged with po decadron.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Ear inflammation, Tinnitus
Clinical narrative: Inflamation in right ear. Inflamation went away after several days. Have ringing in the ear now.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient reports Shortness of Breath starting the morning after taking the shot. He states SOB is worse on exertion.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema, Pruritus, Skin exfoliation
Clinical narrative: Developed extreme case of eczema covering entire body.  Itching, scaling, not resolved.  Never had eczema before this time.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial asymmetry, Facial discomfort
Clinical narrative: The day after his booster vaccine, he began to complain of his face not feeling right. His parents noted his face appeared asymmetric. He was seen in our office this morning and diagnosed with left-sided Bell's palsy.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Brain oedema, Hypoaesthesia, Leukocytosis
Clinical narrative: severe bilateral arm and left leg pain, numbness, weakness back pain leukocytosis fever brain edema in region of corpus callosum
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Pain in extremity, Pyrexia
Clinical narrative: severe bilateral arm and left leg pain, numbness, weakness back pain leukocytosis fever brain edema in region of corpus callosum
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Painful and swollen lymph nodes in injection arm. Starting in underarm nodes and spreading up the left side of neck.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chills, Death
Clinical narrative: pt was tested for COVID at clinic and tested positive; was sent to ED for increasing SOB; c/o fever, chills, generalized weakness, rhinorrhea; diagnosed with COVID pneumonia; treated with antibiotics; condition worsened; made comfort measures; dc'd hemodialysis and pt passed away in the hospital
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, General physical health deterioration, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: pt was tested for COVID at clinic and tested positive; was sent to ED for increasing SOB; c/o fever, chills, generalized weakness, rhinorrhea; diagnosed with COVID pneumonia; treated with antibiotics; condition worsened; made comfort measures; dc'd hemodialysis and pt passed away in the hospital
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Endotracheal intubation, Fatigue
Clinical narrative: 12/26/21: patient started having COVID symptoms 12/29/21: present to the ED with nausea, vomiting, body aches, fatigue, cough and test positive for symptomatic COVID-19  Her hospitalization has been complicated by management of chronic hypoxic respiratory failure and hepatic encephalopathy. Significant events during hospitalization include a rapid response called at 2:10 AM on 1/2/2022 for acute changes in mental status. A second rapid response was called on 1/4/2022 for altered mental status and large hematoma along the left flank. Unfortunately, the patient continued to decline until requiring vasopressor support for septic shock. Therefore, she was admitted to the ICU for critical care management on 1/4/2022, as well. A few hours later, a third rapid response was called for unresponsiveness. Due to concern for airway protection the patient was intubated at that time. Discussion between staff and family continued throughout the day regarding Goals of Care and the patient's poor prognosis. After significant thought, the patient's family decided to withdraw care. The patient was pronounced on 1/4/2022 @ 1412 hours with the family at the bedside.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Haematoma, Hepatic encephalopathy, Intensive care, Malaise
Clinical narrative: 12/26/21: patient started having COVID symptoms 12/29/21: present to the ED with nausea, vomiting, body aches, fatigue, cough and test positive for symptomatic COVID-19  Her hospitalization has been complicated by management of chronic hypoxic respiratory failure and hepatic encephalopathy. Significant events during hospitalization include a rapid response called at 2:10 AM on 1/2/2022 for acute changes in mental status. A second rapid response was called on 1/4/2022 for altered mental status and large hematoma along the left flank. Unfortunately, the patient continued to decline until requiring vasopressor support for septic shock. Therefore, she was admitted to the ICU for critical care management on 1/4/2022, as well. A few hours later, a third rapid response was called for unresponsiveness. Due to concern for airway protection the patient was intubated at that time. Discussion between staff and family continued throughout the day regarding Goals of Care and the patient's poor prognosis. After significant thought, the patient's family decided to withdraw care. The patient was pronounced on 1/4/2022 @ 1412 hours with the family at the bedside.