chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Pain in extremity
Clinical narrative: Patient reported that everything went well with his shot until two weeks after he got it. Patient stated that he felt a regular shoulder pop  in his left shoulder. His shoulder then felt warm and was red and swollen.   Pt reported that he visited his doctor about the shoulder pain and had imaging done looking for fluid in the joint, of which none was found. Patient reported being informed that this was likely due to aging, however patient requested that the event be reported in case it might be related to the vaccination.   The patient returned today for his second dose of Moderna, 4 weeks after his initial dose. He reports that his arm is still sore, but that he is continuing to use it and wanted his second dose in the same arm, the left.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Mother of patient requested COVID-19 vaccination with Pfizer manufacturer. Pharmacy technician asked screening questions and thought mother requested flu vaccination. Flu vaccination was entered by technician and pharmacist verified data and administered flu vaccination. After administration, mother asked about second dose and error was recognized that requested vaccination was not administered. No immediate adverse effects seen in patient.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus
Clinical narrative: arm pain, arm redness, itchy arm, started 2 days after vaccine
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia
Clinical narrative: Pressure on chest, numbness
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood test, Chest X-ray, Dizziness, Ear infection
Clinical narrative: Sinus infection, bilateral ear infections, vertigo, dizziness, nausea, heart palpitations
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Sinusitis, Vertigo
Clinical narrative: Sinus infection, bilateral ear infections, vertigo, dizziness, nausea, heart palpitations
Age: 11.0
Sex: F
Vaccine: FLU4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Macule, Rash macular
Clinical narrative: After receiving Menactra in her left arm, she immediately started with swelling and erythema around the Menactra injection.  I was called into the room by the medical assistant and patient was upset and crying that her arm hurt.  She had an approx. 4 inch diameter area of erythema around the injection site and it was swollen.  We immediately applied an ice pack.  Then a few minutes later, mom noted three small red macules on her right forehead and a splotchy red rash on her chest.  Her chest was clear, there were no respiratory symptoms, no mouth or facial swelling.  Vitals were stable the entire time.  She was given 300mg ibuprofen for the pain and 37.5mg benadryl for the rash.  Even before giving the benadryl, the chest rash disappeared and the forehead rash started to improve. Patient was observed for approx. 45-50 minute after the vaccine and rash, swelling, and pain had completely resolved prior to leaving the office.  Lungs were clear the entire time.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Confusional state, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: anaphylaxis (confusion, dizziness, itchiness on face and neck, rash/flushing of face, neck, and chest, and difficulty breathing)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Pruritus, Rash
Clinical narrative: anaphylaxis (confusion, dizziness, itchiness on face and neck, rash/flushing of face, neck, and chest, and difficulty breathing)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Began with a piercing headache, all-over body aches, and joint pain that was near debilitating. These started at 7 hours and 15 min post-injection (felt completely normal up until symptoms began). Injection site EXTREMELY sore. These symptoms lasted for 48 hours from onset despite alternating Tylenol and Motrin every 3-4 hours. 48 hours after injection, I began running a fever (101) which only lasted about 8 hours.
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Balance disorder, Presyncope
Clinical narrative: Approximately 10 minutes after vaccination patient was uneasy on feet and almost fainted.  After laying down recovered within a couple of minutes.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Pulmonary embolism
Clinical narrative: Pulmonary Embolism needing hospitalization and treatment with anticoagulation
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Injection site pain, Neck pain, Pulmonary embolism
Clinical narrative: Pulmonary Embolism needing hospitalization and treatment with anticoagulation
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Musculoskeletal stiffness, Rash, Urticaria
Clinical narrative: Headache Stiff neck hives & breakout
Age: 65.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Immunodeficiency
Clinical narrative: Flu shot -hives started after 3 hours. by 1230am itchy and swollen;  hives on my left arm-vaccination site
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: The patient came to the pharmacy to receive a Covid vaccine for the pfizer but instead received a flu vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Euphoric mood, Injection site swelling, Pyrexia
Clinical narrative: Slight swelling at injection site, feeling of low-grade fever the next day. Slight feeling of euphoria.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site bruising, Injection site pruritus
Clinical narrative: PATIENT DEVELOPED VERY BIG BRUCE  AT THE INJECTIONS SITE AFTER PFIZER BOOSTER DOSE. EVEN AFTER 12 DAYS OF SHOT, IT'S STILL VERY ITCHY. PATIENT DID NOT HAD THIS KIND OF REACTION FROM FIRST TWO DOSES.  PATIENT IS AWAITNG FROM DOCTOR'S RESPONSE ON BRUSE.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Anxiety, Axillary pain, Discomfort, Dissociation
Clinical narrative: Reactions to the second shot started with my eyes feeling weird and sensitive to light. Pupils were dilated at different sizes.  Approx. a week later my right side felt weird, heavy and I had high anxiety, thought I was having a stroke. I than developed extreme dizziness, sweaty palms and was very nauseous. These symptoms passed (not my eyes, that is a constant) and I developed other symptoms over the next few months. Achy legs, left big toe numb, shaky hand, brain fog, dissociation along with suicidal thoughts and extreme pins and needles over my whole body. Tons of eye floaters, tinnitus, electrical shocks, pain under my arms (swollen  lymph nodes), internal shaking, terrible ear pressure, head feels like it's underwater and under pressure, pressure across my cheeks and nose, insomnia. My symptoms come and go and some days are better than others. Not all symptoms last (thanks god!) This is VERY scary. I am trying to get answers, but really need the medical community to step up and help those that have had AE!
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Electric shock sensation, Electroencephalogram, Facial discomfort
Clinical narrative: Reactions to the second shot started with my eyes feeling weird and sensitive to light. Pupils were dilated at different sizes.  Approx. a week later my right side felt weird, heavy and I had high anxiety, thought I was having a stroke. I than developed extreme dizziness, sweaty palms and was very nauseous. These symptoms passed (not my eyes, that is a constant) and I developed other symptoms over the next few months. Achy legs, left big toe numb, shaky hand, brain fog, dissociation along with suicidal thoughts and extreme pins and needles over my whole body. Tons of eye floaters, tinnitus, electrical shocks, pain under my arms (swollen  lymph nodes), internal shaking, terrible ear pressure, head feels like it's underwater and under pressure, pressure across my cheeks and nose, insomnia. My symptoms come and go and some days are better than others. Not all symptoms last (thanks god!) This is VERY scary. I am trying to get answers, but really need the medical community to step up and help those that have had AE!
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Feeling abnormal, Head discomfort, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Reactions to the second shot started with my eyes feeling weird and sensitive to light. Pupils were dilated at different sizes.  Approx. a week later my right side felt weird, heavy and I had high anxiety, thought I was having a stroke. I than developed extreme dizziness, sweaty palms and was very nauseous. These symptoms passed (not my eyes, that is a constant) and I developed other symptoms over the next few months. Achy legs, left big toe numb, shaky hand, brain fog, dissociation along with suicidal thoughts and extreme pins and needles over my whole body. Tons of eye floaters, tinnitus, electrical shocks, pain under my arms (swollen  lymph nodes), internal shaking, terrible ear pressure, head feels like it's underwater and under pressure, pressure across my cheeks and nose, insomnia. My symptoms come and go and some days are better than others. Not all symptoms last (thanks god!) This is VERY scary. I am trying to get answers, but really need the medical community to step up and help those that have had AE!
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Lymphadenopathy, Magnetic resonance imaging, Mydriasis, Nausea
Clinical narrative: Reactions to the second shot started with my eyes feeling weird and sensitive to light. Pupils were dilated at different sizes.  Approx. a week later my right side felt weird, heavy and I had high anxiety, thought I was having a stroke. I than developed extreme dizziness, sweaty palms and was very nauseous. These symptoms passed (not my eyes, that is a constant) and I developed other symptoms over the next few months. Achy legs, left big toe numb, shaky hand, brain fog, dissociation along with suicidal thoughts and extreme pins and needles over my whole body. Tons of eye floaters, tinnitus, electrical shocks, pain under my arms (swollen  lymph nodes), internal shaking, terrible ear pressure, head feels like it's underwater and under pressure, pressure across my cheeks and nose, insomnia. My symptoms come and go and some days are better than others. Not all symptoms last (thanks god!) This is VERY scary. I am trying to get answers, but really need the medical community to step up and help those that have had AE!
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Pain in extremity, Paraesthesia, Photophobia, Pupils unequal
Clinical narrative: Reactions to the second shot started with my eyes feeling weird and sensitive to light. Pupils were dilated at different sizes.  Approx. a week later my right side felt weird, heavy and I had high anxiety, thought I was having a stroke. I than developed extreme dizziness, sweaty palms and was very nauseous. These symptoms passed (not my eyes, that is a constant) and I developed other symptoms over the next few months. Achy legs, left big toe numb, shaky hand, brain fog, dissociation along with suicidal thoughts and extreme pins and needles over my whole body. Tons of eye floaters, tinnitus, electrical shocks, pain under my arms (swollen  lymph nodes), internal shaking, terrible ear pressure, head feels like it's underwater and under pressure, pressure across my cheeks and nose, insomnia. My symptoms come and go and some days are better than others. Not all symptoms last (thanks god!) This is VERY scary. I am trying to get answers, but really need the medical community to step up and help those that have had AE!
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance, Suicidal ideation, Tinnitus, Tremor, Vitreous floaters
Clinical narrative: Reactions to the second shot started with my eyes feeling weird and sensitive to light. Pupils were dilated at different sizes.  Approx. a week later my right side felt weird, heavy and I had high anxiety, thought I was having a stroke. I than developed extreme dizziness, sweaty palms and was very nauseous. These symptoms passed (not my eyes, that is a constant) and I developed other symptoms over the next few months. Achy legs, left big toe numb, shaky hand, brain fog, dissociation along with suicidal thoughts and extreme pins and needles over my whole body. Tons of eye floaters, tinnitus, electrical shocks, pain under my arms (swollen  lymph nodes), internal shaking, terrible ear pressure, head feels like it's underwater and under pressure, pressure across my cheeks and nose, insomnia. My symptoms come and go and some days are better than others. Not all symptoms last (thanks god!) This is VERY scary. I am trying to get answers, but really need the medical community to step up and help those that have had AE!
Age: 77.0
Sex: M
Vaccine: FLUA4
Symptoms: Haemorrhage, Peripheral swelling
Clinical narrative: Patient developed bleeding, but stopped after a few minutes.  He also reported swollen arm which got much better today.  He mentioned it never happened to him before
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Hypersensitivity, Pharyngeal swelling, Swelling face
Clinical narrative: allergic reaction, including swollen face/eyes/throat that required patient to seek medical attention
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Patient complains of getting swollen lymph nodes on chest by the same side of the vaccinated arm 2 days after receiving dose. The arm itself is fine and not sore but the main concern is the swollen lymph node.
Age: 50.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Condition aggravated, Cough, Headache, Musculoskeletal stiffness, Oropharyngeal pain
Clinical narrative: Benadryl before and continually but still broke out in severe hive all over face and neck, headache worse than ever  & didn?t think neck could get more stiff but did and hacking/coughing the next morning with sore throat
Age: 50.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Urticaria
Clinical narrative: Benadryl before and continually but still broke out in severe hive all over face and neck, headache worse than ever  & didn?t think neck could get more stiff but did and hacking/coughing the next morning with sore throat
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Fatigue, Headache, Myalgia
Clinical narrative: I have experienced muscle pain, headache and tiredness after the injection, but I though it's usual symptoms after vaccination and didn't report it. Then I start experiencing chest pain  with  increased blood pressure on Day 8 after injection. These symptoms were continuing about 10 days. I started treatment with Hydralazine 50 mg daily, Atenolol 50 mg daily, Hydrochlorothiazide 25 mg daily, Ibuprofen 600 mg twice a day, Lisinopril 20 mg daily and continued  this treatment for10 days until my blood pressure start normalizing, chest pain, headache and muscle pain disappeared.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The patient was given a Moderna vaccine that was left out of the fridge over night (longer than 12 hours). There were no adverse events encountered.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot, Pallor, Presyncope
Clinical narrative: Patient experienced a vasovagal response after receiving vaccination. Patient reported feeling like he was going to pass out, clammy, hot and appearance looked pale. Pharmacist assessed blood pressure and after about 30 minutes, patients appearance and symptoms improved.
Age: 54.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Atrial fibrillation, Blood thyroid stimulating hormone normal, Brain natriuretic peptide increased, Dizziness, Electrocardiogram abnormal
Clinical narrative: 10/14/21  0630:  palpitations, tachycardia noted in AM and intermittently throughout the day. 10/14/21  1830:  Increased tachycardia, lightheadedness, A fib noted on smartwatch 10/15/21:  1300:  Saw cardiologist, prelim Dx of A. Fib, placed on Biotel patch monitor x 2 weeks. 10/21/21:  Seen by second cardiologist/electrophysiologist:  NOT A. fib but a left ventricular outflow tract-ventricular arrhythmia.   (LVOT-VA).  Plan to place on flecanide, consider ablation if Sx persist after data from monitor download reviewed
Age: 54.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Full blood count normal, Metabolic function test, Palpitations, Tachycardia, Ventricular arrhythmia
Clinical narrative: 10/14/21  0630:  palpitations, tachycardia noted in AM and intermittently throughout the day. 10/14/21  1830:  Increased tachycardia, lightheadedness, A fib noted on smartwatch 10/15/21:  1300:  Saw cardiologist, prelim Dx of A. Fib, placed on Biotel patch monitor x 2 weeks. 10/21/21:  Seen by second cardiologist/electrophysiologist:  NOT A. fib but a left ventricular outflow tract-ventricular arrhythmia.   (LVOT-VA).  Plan to place on flecanide, consider ablation if Sx persist after data from monitor download reviewed
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Shingrix on 10/5/21 that expired on 10/1/21. I have not heard from the patient regarding any adverse reactions.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Constant Itching in armpits
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Shingrix on 10/14/21 that expired on 10/1/21. I have not heard from the patient regarding any adverse reactions.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient expressed she was very nervous about receiving COVID-19 vaccine. Patient vaccinated, minutes later started to c/o felling dizziness and lightheaded. Vitals were taken BP 78/55, HR 86, resp 14 O2 97% . Patient was then offered water and had her laid down. Patient started to feel better, vitals retaken every 5 minutes last vitals taken at 0935 BP136/85, hr 91, resp 14. Patient was was able to walk out feeling much better @0945
Age: 64.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Expired product administered
Clinical narrative: Patient received Shingrix on 10/18/21 that expired on 10/1/21. I have not heard from the patient regarding any adverse reactions.
Age: 54.0
Sex: F
Vaccine: COVID19, FLUR4, VARZOS
Symptoms: Blister, Chills, Fatigue, Myalgia, Nausea
Clinical narrative: Fever, 12 hr post injections 100.4, nausea, chills, muscles aches, fatigue, small itchy spots developed 48 hrs post injections and continue to develop 144 hrs. Post injections. Small red spots extremely itchy on thighs (mostly right thigh? They develop into small blisters.
Age: 54.0
Sex: F
Vaccine: COVID19, FLUR4, VARZOS
Symptoms: Pyrexia, Rash macular, Rash pruritic
Clinical narrative: Fever, 12 hr post injections 100.4, nausea, chills, muscles aches, fatigue, small itchy spots developed 48 hrs post injections and continue to develop 144 hrs. Post injections. Small red spots extremely itchy on thighs (mostly right thigh? They develop into small blisters.
Age: 82.0
Sex: M
Vaccine: FLUA4, VARZOS
Symptoms: Expired product administered
Clinical narrative: Patient received SHINGRIX on 10/20/21 that expired on 10/1/21. I have not heard from the patient regarding any adverse reactions.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Diaphragmatic paralysis, Dyspnoea, Electrocardiogram, Magnetic resonance imaging, Pulmonary function test
Clinical narrative: Effective 03/16/2022, could not breath laying flat on my back.  Determined to be paralyzed Diaphragm, right side of body.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Effective 03/16/2022, could not breath laying flat on my back.  Determined to be paralyzed Diaphragm, right side of body.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Facial paralysis, Headache, Hypoaesthesia oral
Clinical narrative: Severe headache in back of right side of head started two days after shot. Sensitivity of noise shortly after that and a few days later I woke up with a numb tongue. Throughout that same day I noticed the facial drooping and went to the ER to get checked for possible stroke. Stroke was ruled out by CT scan and I was diagnosed with Bells Palsy
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Oversensing
Clinical narrative: Severe headache in back of right side of head started two days after shot. Sensitivity of noise shortly after that and a few days later I woke up with a numb tongue. Throughout that same day I noticed the facial drooping and went to the ER to get checked for possible stroke. Stroke was ruled out by CT scan and I was diagnosed with Bells Palsy
Age: 75.0
Sex: F
Vaccine: FLUA4, VARZOS
Symptoms: Expired product administered
Clinical narrative: Patient received SHINGRIX on 10/20/21 that expired on 10/1/21. I have not heard from the patient regarding any adverse reactions.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: AT APPROXIMATELY 3:53 PM, PATIENT EXPERIENCED DIZZINESS AND FAINTING AND IT WAS NOTIFIED TO PHARMACY STAFF BY THE PATIENT'S SISTER.  PATIENT WAS ABLE TO SIT UP AND THEN PROCEED TO LAY DOWN ON A COT.  VITALS WERE TAKEN AT 3:54 PM AND REASSESSED AT 4:07 PM.  PATIENT'S DIZZINES SYMPTOM RESOLVED AND WAS ABLE TO LEAVE WITH HIS SISTER.  A PHONE CALL WAS MADE TO THE PATIENT AT 5:15 PM AND PATIENT STATED THAT HE IS NO LONGER FEELING ANY DIZZINESS.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient complained of nausea and dizziness after receiving vaccine. Noted to be hypotensive. Monitored for 1 hour. VSS, patient tolerating liquids, oriented x3. Discharged to home accompanied by wife.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test, Deafness unilateral, Ear discomfort, Headache, Illness
Clinical narrative: after 2nd dose of vax I was sick, low grade fever, headaches, pain in my throat lymphnoids both sides, pressure in ears and now I cannot hear in my right ear and my left ear has pressure and I have headaches that are ongoing
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Pyrexia
Clinical narrative: after 2nd dose of vax I was sick, low grade fever, headaches, pain in my throat lymphnoids both sides, pressure in ears and now I cannot hear in my right ear and my left ear has pressure and I have headaches that are ongoing
Age: 60.0
Sex: M
Vaccine: FLUR4
Symptoms: Arthralgia, Contusion, Incorrect route of product administration, Pain, Pain in extremity
Clinical narrative: vaccine was administered too low on the right arm. Bruising, pain was slighty radiating up to the shoulder and down towards the elbow. Patient took ibuprofen often and acetametaphen
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis
Clinical narrative: Caused bursitis in my right shoulder. Started the night of the vaccine, lasted 6 weeks. I ended up getting a steroid injection to the shoulder since it wasn?t getting better.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Chills
Clinical narrative: Hospitalized (10.13.21);  COVID-19 positive (10.13.21);  fully vaccinated   Admission Date: 10/13/2021 Discharge Date: Oct 15, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 68-year-old male without medical history of chronic obstructive pulmonary disease on chronic 2 L oxygen, paroxysmal atrial fibrillation, hypertension, mi BPH, GERD he presented to the hospital with acute on chronic hypoxic respiratory failure and at generalized complaints of fatigue.  He patient was admitted to the hospital for an acute exacerbation of chronic obstructive pulmonary disease.  He was also found to be COVID positive patient was vaccinated with Pfizer vaccine in February of 2021. Patient did have an x-ray performed in the hospital which did not reveal evidence of infiltrate.  Patient was admitted to the hospital treated with dexamethasone, remdesivir.  He did well with treatment.  His oxygen requirement decreased back to his baseline and he was no longer having any symptoms of fevers or chills.  He was feeling well enough to be discharged home.  Patient was treated for elevated hypertension in the hospital he was started on Norvasc which she is to continue outpatient and follow-up with his primary care physician Discharge diagnosis:   1. Acute on chronic hypoxic respiratory failure- secondary to his underlying COPD with now acute excerebration with superimposed covid 19 infection.  2. -COVID-19  3. Hypertension accelerated 4. Paroxysmal atrial fibrillation 5. GERD
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Fatigue, Gastrooesophageal reflux disease, Hypertension
Clinical narrative: Hospitalized (10.13.21);  COVID-19 positive (10.13.21);  fully vaccinated   Admission Date: 10/13/2021 Discharge Date: Oct 15, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 68-year-old male without medical history of chronic obstructive pulmonary disease on chronic 2 L oxygen, paroxysmal atrial fibrillation, hypertension, mi BPH, GERD he presented to the hospital with acute on chronic hypoxic respiratory failure and at generalized complaints of fatigue.  He patient was admitted to the hospital for an acute exacerbation of chronic obstructive pulmonary disease.  He was also found to be COVID positive patient was vaccinated with Pfizer vaccine in February of 2021. Patient did have an x-ray performed in the hospital which did not reveal evidence of infiltrate.  Patient was admitted to the hospital treated with dexamethasone, remdesivir.  He did well with treatment.  His oxygen requirement decreased back to his baseline and he was no longer having any symptoms of fevers or chills.  He was feeling well enough to be discharged home.  Patient was treated for elevated hypertension in the hospital he was started on Norvasc which she is to continue outpatient and follow-up with his primary care physician Discharge diagnosis:   1. Acute on chronic hypoxic respiratory failure- secondary to his underlying COPD with now acute excerebration with superimposed covid 19 infection.  2. -COVID-19  3. Hypertension accelerated 4. Paroxysmal atrial fibrillation 5. GERD
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Myalgia, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.13.21);  COVID-19 positive (10.13.21);  fully vaccinated   Admission Date: 10/13/2021 Discharge Date: Oct 15, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 68-year-old male without medical history of chronic obstructive pulmonary disease on chronic 2 L oxygen, paroxysmal atrial fibrillation, hypertension, mi BPH, GERD he presented to the hospital with acute on chronic hypoxic respiratory failure and at generalized complaints of fatigue.  He patient was admitted to the hospital for an acute exacerbation of chronic obstructive pulmonary disease.  He was also found to be COVID positive patient was vaccinated with Pfizer vaccine in February of 2021. Patient did have an x-ray performed in the hospital which did not reveal evidence of infiltrate.  Patient was admitted to the hospital treated with dexamethasone, remdesivir.  He did well with treatment.  His oxygen requirement decreased back to his baseline and he was no longer having any symptoms of fevers or chills.  He was feeling well enough to be discharged home.  Patient was treated for elevated hypertension in the hospital he was started on Norvasc which she is to continue outpatient and follow-up with his primary care physician Discharge diagnosis:   1. Acute on chronic hypoxic respiratory failure- secondary to his underlying COPD with now acute excerebration with superimposed covid 19 infection.  2. -COVID-19  3. Hypertension accelerated 4. Paroxysmal atrial fibrillation 5. GERD
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, X-ray normal
Clinical narrative: Hospitalized (10.13.21);  COVID-19 positive (10.13.21);  fully vaccinated   Admission Date: 10/13/2021 Discharge Date: Oct 15, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 68-year-old male without medical history of chronic obstructive pulmonary disease on chronic 2 L oxygen, paroxysmal atrial fibrillation, hypertension, mi BPH, GERD he presented to the hospital with acute on chronic hypoxic respiratory failure and at generalized complaints of fatigue.  He patient was admitted to the hospital for an acute exacerbation of chronic obstructive pulmonary disease.  He was also found to be COVID positive patient was vaccinated with Pfizer vaccine in February of 2021. Patient did have an x-ray performed in the hospital which did not reveal evidence of infiltrate.  Patient was admitted to the hospital treated with dexamethasone, remdesivir.  He did well with treatment.  His oxygen requirement decreased back to his baseline and he was no longer having any symptoms of fevers or chills.  He was feeling well enough to be discharged home.  Patient was treated for elevated hypertension in the hospital he was started on Norvasc which she is to continue outpatient and follow-up with his primary care physician Discharge diagnosis:   1. Acute on chronic hypoxic respiratory failure- secondary to his underlying COPD with now acute excerebration with superimposed covid 19 infection.  2. -COVID-19  3. Hypertension accelerated 4. Paroxysmal atrial fibrillation 5. GERD
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, Headache, Myalgia, Nasal congestion
Clinical narrative: Individual became symptomatic with headache, fatigue, nasal congestion, muscle body ache.  Tested positive for COVID 19 on 10/20/21.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Individual became symptomatic with headache, fatigue, nasal congestion, muscle body ache.  Tested positive for COVID 19 on 10/20/21.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure congestive, Cardiomyopathy, Cardioversion, Dyspnoea
Clinical narrative: When he was due for his second shot, he got covid itself.  So he couldn't get the second vaccine.. He faired ok after first shot except tired, short of breath quicker than normal,  irritable,  ... When he got Covid he slept for three days straight....Everything escalated from there.  Sitting back I can see now that he was retaining fluid for a good month or more.  I had to take him to the er, he couldn't breath...on Oct.10th 9:00 pm, EKG showed something weird right away... I will send all paper work from his labs...At the end of it a week in the hospital in congestive heart failure at 42... Catherization showed his arteries are completely clear.  Its Cardio Myopathy, myocarditis. he lost 15 lbs of fluid on lasics.  He had to come home with a  vest that has a defribrulator in it for three months.  And worse yet, he doesn't have health insurance.  He was signed up to go on in November during open enrollment.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Fluid retention, Irritability, Laboratory test
Clinical narrative: When he was due for his second shot, he got covid itself.  So he couldn't get the second vaccine.. He faired ok after first shot except tired, short of breath quicker than normal,  irritable,  ... When he got Covid he slept for three days straight....Everything escalated from there.  Sitting back I can see now that he was retaining fluid for a good month or more.  I had to take him to the er, he couldn't breath...on Oct.10th 9:00 pm, EKG showed something weird right away... I will send all paper work from his labs...At the end of it a week in the hospital in congestive heart failure at 42... Catherization showed his arteries are completely clear.  Its Cardio Myopathy, myocarditis. he lost 15 lbs of fluid on lasics.  He had to come home with a  vest that has a defribrulator in it for three months.  And worse yet, he doesn't have health insurance.  He was signed up to go on in November during open enrollment.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Weight decreased
Clinical narrative: When he was due for his second shot, he got covid itself.  So he couldn't get the second vaccine.. He faired ok after first shot except tired, short of breath quicker than normal,  irritable,  ... When he got Covid he slept for three days straight....Everything escalated from there.  Sitting back I can see now that he was retaining fluid for a good month or more.  I had to take him to the er, he couldn't breath...on Oct.10th 9:00 pm, EKG showed something weird right away... I will send all paper work from his labs...At the end of it a week in the hospital in congestive heart failure at 42... Catherization showed his arteries are completely clear.  Its Cardio Myopathy, myocarditis. he lost 15 lbs of fluid on lasics.  He had to come home with a  vest that has a defribrulator in it for three months.  And worse yet, he doesn't have health insurance.  He was signed up to go on in November during open enrollment.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received 0.3ml of COVID19 pfizer vaccine as Booster. Patient was watched in the clinic for 15 minutes after receiving dose and discharged without any noted adverse reaction or complaints. Pfizer vaccine vial was NOT diluted with 1.8ml of  0.9% Sodium Chloride prior to administration of dose. Error was discovered only after patient had left clinic. Supervisor notified. Remainder of vial was discarded. Patient was called, patient stated that she felt good and had no symptoms of fever, headache, arm pain, body aches, or shortness of breath. Advised patient to continue to watch for any adverse reaction of the vaccine, such as persistent fever, shortness of breath, severe headache, or chest pain, and to go immediately to the nearest emergency department if these symptoms present.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in both ears
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Pyrexia
Clinical narrative: Chills started at about 7 pm after shot. Fever followed and shot up to over 102 degrees.  Fever lowered over next 2 days, but temperature didn't return to normal for 2+ days.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria
Clinical narrative: Chronic Spontaneous Urticaria; no food, environment, or other triggers; flare ups every 4-6 hours at random locations on entire body.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Hypokalaemia
Clinical narrative: Hospitalized (10.13.21);  COVID-19 positive (10.13.21);  fully vaccinated   Admission Date: 10/13/2021 Discharge Date: Oct 21, 2021  Discharge Disposition:  home or self care  Active Issues Requiring Follow-up:  Acute hypoxic respiratory failure secondary to COVID-19 pneumonia Follow-up with primary care provider Patient was discharged on 2 L nasal cannula with activity, wean as able DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia [E87.6] Acute kidney injury [N17.9] Acute respiratory failure with hypoxia [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient was admitted to the hospital with COVID-19 pneumonia.  She had acute hypoxic respiratory failure needing up to 8 L nasal cannula.  Patient is given remdesivir which she finished 5 days of.  Patient was also on Decadron for which she finished her course as well.  Patient was weaned down to room air at rest and 2 L of oxygen with activity.  Patient was subsequently discharged home with supplemental oxygen to use only with activity.  Patient is instructed to follow-up with her primary care doctor in the next week and determine if she can completely wean off of oxygen at that time.  She also had an acute kidney injury during her stay so her lisinopril and hydrochlorothiazide were held temporarily.  These were restarted the day prior to her discharge.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired self-care, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.13.21);  COVID-19 positive (10.13.21);  fully vaccinated   Admission Date: 10/13/2021 Discharge Date: Oct 21, 2021  Discharge Disposition:  home or self care  Active Issues Requiring Follow-up:  Acute hypoxic respiratory failure secondary to COVID-19 pneumonia Follow-up with primary care provider Patient was discharged on 2 L nasal cannula with activity, wean as able DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia [E87.6] Acute kidney injury [N17.9] Acute respiratory failure with hypoxia [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient was admitted to the hospital with COVID-19 pneumonia.  She had acute hypoxic respiratory failure needing up to 8 L nasal cannula.  Patient is given remdesivir which she finished 5 days of.  Patient was also on Decadron for which she finished her course as well.  Patient was weaned down to room air at rest and 2 L of oxygen with activity.  Patient was subsequently discharged home with supplemental oxygen to use only with activity.  Patient is instructed to follow-up with her primary care doctor in the next week and determine if she can completely wean off of oxygen at that time.  She also had an acute kidney injury during her stay so her lisinopril and hydrochlorothiazide were held temporarily.  These were restarted the day prior to her discharge.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient experienced severe lightheadedness. Patient was given candy and it did not help. Patient started to tense up with their hands and could not relax them. Patient was able to feel touch but not able to unclench hands Patient said their hands went numb and had a tingling sensation in both hands. Patient could breathe and did not have any swelling from the neck up.  Paramedics were called and patient was evaluated. Patient was alert and able to walk after evaluation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Chest X-ray abnormal, Chest pain, Dyspnoea, Full blood count normal
Clinical narrative: Severe pleuritic chest pain., shortness of breath,
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pleuritic pain
Clinical narrative: Severe pleuritic chest pain., shortness of breath,
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone increased, Laboratory test abnormal, Thyroid disorder, Thyroid function test abnormal
Clinical narrative: Perfectly healthy male with blood work and physical every year.  After vaccination series, developed abnormal thyroid condition.  TSH levels are suddenly high after several labs.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Breath sounds absent, COVID-19, COVID-19 pneumonia
Clinical narrative: Deceased;  Hospitalized (10.15.21);  COVID-19 positive (10.15.21);  fully vaccinated  Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 10/15/2021 Date of Death: 10/19/21 Time of Death:  4:45 PM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19 (HCC) Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: The patient is an 81 year old female with HX of DM type 2, hypertension, diastolic heart failure, body dementia, and obesity who presented with complaint of worsening shortness of breath in the setting of known COVID.  The patient is vaccinated and symptoms started 10-9-21.  In the emergency department she was hypoxic and required oxygen via mask.  She was hypokalemic.  She was admitted to the hospitalist service and started on Decadron and remdesivir.  Her oxygen requirements worsened and she was placed on high-flow nasal cannula.  Steroids were transitioned to IV Solu-Medrol.   Overnight of 10/19 pt had worsening hypoxia w/ HFNC w/ 100% FiO2 and non-rebreather. Pt was evaluated by provider overnight, pt confirmed that she was DNR/DNI. After discussion with pt and daughter over the phone decision was made to transition to comfort care. Morning of 10/19, pt appeared comfortable noted interest in hospice and consult was placed. She was started on morphine and versed drip, she was terminally weaned from HFNC.  In the afternoon, was called to bedside by nursing staff. Patient resting supine in bed with eyes closed and is unresponsive to verbal and painful stimuli. No spontaneous respirations. No palpable pulses. Bilateral pupils fixed and dilated. No heart sounds auscultated over entire precordium. No breath sounds auscultated in either lung field. Patient pronounced dead at 16:45 on 10/19/2021. Next of kin, daughter, present at bedside, verbalize remaining family notified.  Family has not yet decided funeral arrangements, are pursuing cremaiton per pt wishes. Pt PCP Dr  notified via answering service. Dr  was also notified of pt passing.  TIME OF DEATH: 16:45  DATE OF DEATH:  10/19/2021
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Condition aggravated, Death, Dizziness postural, Dyspnoea
Clinical narrative: Deceased;  Hospitalized (10.15.21);  COVID-19 positive (10.15.21);  fully vaccinated  Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 10/15/2021 Date of Death: 10/19/21 Time of Death:  4:45 PM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19 (HCC) Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: The patient is an 81 year old female with HX of DM type 2, hypertension, diastolic heart failure, body dementia, and obesity who presented with complaint of worsening shortness of breath in the setting of known COVID.  The patient is vaccinated and symptoms started 10-9-21.  In the emergency department she was hypoxic and required oxygen via mask.  She was hypokalemic.  She was admitted to the hospitalist service and started on Decadron and remdesivir.  Her oxygen requirements worsened and she was placed on high-flow nasal cannula.  Steroids were transitioned to IV Solu-Medrol.   Overnight of 10/19 pt had worsening hypoxia w/ HFNC w/ 100% FiO2 and non-rebreather. Pt was evaluated by provider overnight, pt confirmed that she was DNR/DNI. After discussion with pt and daughter over the phone decision was made to transition to comfort care. Morning of 10/19, pt appeared comfortable noted interest in hospice and consult was placed. She was started on morphine and versed drip, she was terminally weaned from HFNC.  In the afternoon, was called to bedside by nursing staff. Patient resting supine in bed with eyes closed and is unresponsive to verbal and painful stimuli. No spontaneous respirations. No palpable pulses. Bilateral pupils fixed and dilated. No heart sounds auscultated over entire precordium. No breath sounds auscultated in either lung field. Patient pronounced dead at 16:45 on 10/19/2021. Next of kin, daughter, present at bedside, verbalize remaining family notified.  Family has not yet decided funeral arrangements, are pursuing cremaiton per pt wishes. Pt PCP Dr  notified via answering service. Dr  was also notified of pt passing.  TIME OF DEATH: 16:45  DATE OF DEATH:  10/19/2021
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Hypopnoea, Hypoxia, Presyncope, Pulmonary mass
Clinical narrative: Deceased;  Hospitalized (10.15.21);  COVID-19 positive (10.15.21);  fully vaccinated  Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 10/15/2021 Date of Death: 10/19/21 Time of Death:  4:45 PM Preliminary Cause of Death: Acute hypoxemic respiratory failure due to COVID-19 (HCC) Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: The patient is an 81 year old female with HX of DM type 2, hypertension, diastolic heart failure, body dementia, and obesity who presented with complaint of worsening shortness of breath in the setting of known COVID.  The patient is vaccinated and symptoms started 10-9-21.  In the emergency department she was hypoxic and required oxygen via mask.  She was hypokalemic.  She was admitted to the hospitalist service and started on Decadron and remdesivir.  Her oxygen requirements worsened and she was placed on high-flow nasal cannula.  Steroids were transitioned to IV Solu-Medrol.   Overnight of 10/19 pt had worsening hypoxia w/ HFNC w/ 100% FiO2 and non-rebreather. Pt was evaluated by provider overnight, pt confirmed that she was DNR/DNI. After discussion with pt and daughter over the phone decision was made to transition to comfort care. Morning of 10/19, pt appeared comfortable noted interest in hospice and consult was placed. She was started on morphine and versed drip, she was terminally weaned from HFNC.  In the afternoon, was called to bedside by nursing staff. Patient resting supine in bed with eyes closed and is unresponsive to verbal and painful stimuli. No spontaneous respirations. No palpable pulses. Bilateral pupils fixed and dilated. No heart sounds auscultated over entire precordium. No breath sounds auscultated in either lung field. Patient pronounced dead at 16:45 on 10/19/2021. Next of kin, daughter, present at bedside, verbalize remaining family notified.  Family has not yet decided funeral arrangements, are pursuing cremaiton per pt wishes. Pt PCP Dr  notified via answering service. Dr  was also notified of pt passing.  TIME OF DEATH: 16:45  DATE OF DEATH:  10/19/2021