chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging thoracic normal, Vomiting
Clinical narrative: Other than manageable high blood pressure, I have never had a medical event  in my life.  Never admitted to a hospital.  Until April 2021 and continuing through this date.  The few days following the 2nd Moderna received on 4/1/21  were uneventful.    But, 4/11 I started getting dizzy and the morning of 4/12  I could not walk and was throwing up from dizziness for 3 days.  It then subsided somewhat, but I have continued to be dizzy and have a dull throb in my head through this date. On 4/18 I broke out in shingle for the first time in my life.  On 4/30  I was admitted to Emergency for very low blood pressure and high heart rate. I have had Echocardiograms,  chest MRIs,  Head and Neck MRI's.  A Heart Monitor.   Nothing has shown anything more than an average 59 year old.   I have seen my Primary,   A Cardiologist and a Neurologist.  Nobody knows what the answer/diagnosis is.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: Fever (100.9), Nausea/Vomiting, Sever headache, Chills, Diarrhea.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever (100.9), Nausea/Vomiting, Sever headache, Chills, Diarrhea.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Child at 7 years of age was supposed to receive Tdap but was given Dtap instead.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Inflammation, Pain
Clinical narrative: 6 days after, under my right arm and breast was inflamed, The lymph nodes. Limited use very scary. Went to urgent care on 18th. Achy to painful.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Myalgia
Clinical narrative: 6 days after, under my right arm and breast was inflamed, The lymph nodes. Limited use very scary. Went to urgent care on 18th. Achy to painful.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: 6 days after, under my right arm and breast was inflamed, The lymph nodes. Limited use very scary. Went to urgent care on 18th. Achy to painful.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Needle issue
Clinical narrative: Nurse attempted to administer vaccine, needle touched but did not penetrate skin.  Dose was wasted and new dose was administered.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Beginning about 24 hours after injection, patient's arm was red, swollen, warm to the touch in 3 inch diameter around injection site. Still red, swollen and warm to the touch ~43 hours after injection.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache since 2 days post-vaccination
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Symptomatic for COVID 19 on 8/18/2021
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Back pain, Biopsy, Cardiomyopathy, Echocardiogram
Clinical narrative: Patient presented with back pain. Was found to be in A fib RVR, new onset, also found to have cardiomyopathy with EF 20%. Patient was having DOE for 1 month prior off and on. Further imaging showed Mediastinal mass. Patient presented to me to receive anesthesia. I asked patient if he had been vaccinated and he said he received moderna shot a few months ago and did not remember the exact date. These finding are new since receiving the vaccine. Unknown if related
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram, Mediastinal mass
Clinical narrative: Patient presented with back pain. Was found to be in A fib RVR, new onset, also found to have cardiomyopathy with EF 20%. Patient was having DOE for 1 month prior off and on. Further imaging showed Mediastinal mass. Patient presented to me to receive anesthesia. I asked patient if he had been vaccinated and he said he received moderna shot a few months ago and did not remember the exact date. These finding are new since receiving the vaccine. Unknown if related
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 8/25/21 after being fully vaccinated.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Carpal tunnel syndrome, Central nervous system inflammation, Hypoaesthesia, Median nerve injury
Clinical narrative: HPI: The patient is a 37year old right handed woman referred for evaluation of Left hand numbness. Symptoms first occurred four months ago. Symptom frequency is usually constant. On March 2, 2021 she received the first Pfizer COVID vaccine in the left arm. She had some soreness around the left shoulder associated with left neck and shoulder pain, stiffness. She was treated with myofascial release and her symptoms improved. She received a second Pfizer COVID vaccine in the left arm March 26. The following day her entire left arm felt numb associated with tingling sensation. Over the next few weeks the numbness would improve but she was left with residual numbness affecting the first through fourth digits of the left hand. The symptoms have been constant. Numbness in the left hand is worse at night, when gripping or using her hand. No loss of strength. She tried wrist splinting but this did not help her symptoms. She denies Lhermitte symptoms. No right upper extremity numbness. Past medical history includes VACTERL association for which she had right thumb surgery for duplicate thumb 1984. She has had multiple surgeries associated with that hand. She also has renal malformations, T-E fistula treated at birth, heart murmur at birth which resolved with time. She has mild scoliosis and had surgery to the left hip in 2012. She has a malrotation of the small bowel currently being followed. She remains quite active working in insurance for a bank. Recent labs were normal.  PROBLEM LIST: ? Brachial plexus disorders : Type: Condition. Recorded on 07/29/2021. Diagnosed on 07/29/2021. Updated on 07/29/2021. ? Carpal tunnel syndrome, left upper limb  Type: Condition. Recorded on 07/29/2021. Diagnosed on 07/29/2021. Updated on 07/29/2021.  Impression: 37-year-old woman with history of left upper extremity numbness following second Pfizer COVID vaccine in the left arm March 26 now with residual numbness secondary to carpal tunnel syndrome. Neurological examination demonstrates normal strength, normal reflexes and reduced sensation to light touch along the median nerve distribution of the left hand. Electrodiagnostic testing reveals findings compatible with moderately severe carpal tunnel syndrome. She had numbness of the entire arm after the second vaccine the following day. I suspect she had mild brachial plexus inflammation that would subsequently resolved. She now has residual carpal tunnel syndrome which is not improving with conservative measures. Plan: We reviewed the results of this evaluation. Given the severity of her symptoms and nerve conduction abnormalities, I recommended she proceed with carpal tunnel surgery consultation.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Nerve conduction studies abnormal, Nervous system disorder, Neurological examination abnormal, Paraesthesia
Clinical narrative: HPI: The patient is a 37year old right handed woman referred for evaluation of Left hand numbness. Symptoms first occurred four months ago. Symptom frequency is usually constant. On March 2, 2021 she received the first Pfizer COVID vaccine in the left arm. She had some soreness around the left shoulder associated with left neck and shoulder pain, stiffness. She was treated with myofascial release and her symptoms improved. She received a second Pfizer COVID vaccine in the left arm March 26. The following day her entire left arm felt numb associated with tingling sensation. Over the next few weeks the numbness would improve but she was left with residual numbness affecting the first through fourth digits of the left hand. The symptoms have been constant. Numbness in the left hand is worse at night, when gripping or using her hand. No loss of strength. She tried wrist splinting but this did not help her symptoms. She denies Lhermitte symptoms. No right upper extremity numbness. Past medical history includes VACTERL association for which she had right thumb surgery for duplicate thumb 1984. She has had multiple surgeries associated with that hand. She also has renal malformations, T-E fistula treated at birth, heart murmur at birth which resolved with time. She has mild scoliosis and had surgery to the left hip in 2012. She has a malrotation of the small bowel currently being followed. She remains quite active working in insurance for a bank. Recent labs were normal.  PROBLEM LIST: ? Brachial plexus disorders : Type: Condition. Recorded on 07/29/2021. Diagnosed on 07/29/2021. Updated on 07/29/2021. ? Carpal tunnel syndrome, left upper limb  Type: Condition. Recorded on 07/29/2021. Diagnosed on 07/29/2021. Updated on 07/29/2021.  Impression: 37-year-old woman with history of left upper extremity numbness following second Pfizer COVID vaccine in the left arm March 26 now with residual numbness secondary to carpal tunnel syndrome. Neurological examination demonstrates normal strength, normal reflexes and reduced sensation to light touch along the median nerve distribution of the left hand. Electrodiagnostic testing reveals findings compatible with moderately severe carpal tunnel syndrome. She had numbness of the entire arm after the second vaccine the following day. I suspect she had mild brachial plexus inflammation that would subsequently resolved. She now has residual carpal tunnel syndrome which is not improving with conservative measures. Plan: We reviewed the results of this evaluation. Given the severity of her symptoms and nerve conduction abnormalities, I recommended she proceed with carpal tunnel surgery consultation.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Contusion, Fatigue, Migraine, Rash
Clinical narrative: Patient complaint of rash on arm and torso, memory loss, fatigue, respiratory issues, bruised veins on left side, migraine, and tachycardia
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory disorder, Tachycardia
Clinical narrative: Patient complaint of rash on arm and torso, memory loss, fatigue, respiratory issues, bruised veins on left side, migraine, and tachycardia
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Hypotonia, Injection site pain, Loss of consciousness
Clinical narrative: My son had a mild fever of 100F on the afternoon the day after the second dose of the Pfizer COVID 19 vaccine, while we were in line for lunch he said he had a stomach ache, and he moved closer to me. I asked if he was going to vomit, at that point his eyes went blank and he fainted to the floor. He was unconscious for about a minute, I carried him over to a chair, and he remained slumped over for a few minutes while I thought maybe his blood sugar was low (this has never happened before). I got him a Coke to drink and he gradually improved, but complained of a sore stomach as well as sore arm at the site of the injection. He felt "woozie" the next day at school but did not pass out.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Syncope
Clinical narrative: My son had a mild fever of 100F on the afternoon the day after the second dose of the Pfizer COVID 19 vaccine, while we were in line for lunch he said he had a stomach ache, and he moved closer to me. I asked if he was going to vomit, at that point his eyes went blank and he fainted to the floor. He was unconscious for about a minute, I carried him over to a chair, and he remained slumped over for a few minutes while I thought maybe his blood sugar was low (this has never happened before). I got him a Coke to drink and he gradually improved, but complained of a sore stomach as well as sore arm at the site of the injection. He felt "woozie" the next day at school but did not pass out.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Gait inability, Inflammation, Pain in extremity, Peripheral swelling, X-ray limb normal
Clinical narrative: Had a sprained right foot about 10 years ago, haven't had any problems since.  About a week after I got the vaccine, the right foot became inflamed and swollen, could not walk.  Went the the doctors, they examined it and performed X ray, nothing was wrong.  Gave me couple of shots of steroids and pain killer, the pain went away after a week.  Then about two months after the vaccine, the inflammation and swelling came back.  I couldn't walk for couple of days, eventually the pain went away after a couple of weeks.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Chest discomfort, Induration, Peripheral swelling, Pyrexia
Clinical narrative: The Saturday after receiving the vaccine patient started that she was having a tightness in her chest. Through  out the day her arm started swelling. Patient received a fever of 104. Patient stated the swelling is tryin to come around to the inside of her arm. Under the  swelling is hard. Patient also stated that she received a blister.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Ear discomfort, Facial pain, Feeding disorder, Hyperaesthesia teeth
Clinical narrative: Teeth sensitivity that progressed into pressure and pain on right side of face.  Top lip and right side nostril have been numb since Sunday. Unable to bite into anything due to constant pressure felt on front teeth and ocasional right ear discomfort.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Teeth sensitivity that progressed into pressure and pain on right side of face.  Top lip and right side nostril have been numb since Sunday. Unable to bite into anything due to constant pressure felt on front teeth and ocasional right ear discomfort.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypopnoea, Nausea, Respiratory rate increased, Tremor
Clinical narrative: ? 9:37AM ? 2nd dose of Moderna vaccine administered IM into right arm ? Patient waited 15 minutes for observation  ? 9:52 AM - Patient checked out with technician at 9:52AM and reported nausea and trembling ? 9:53 AM ? BP was measured 176/90mmHg ? 10:01 AM ? BP reassessed 151/94mmHg; Patient reported that symptoms did not improve so 10mL of diphenhydramine 12.5mg/5mL (total 25mg) administered to patient and emergency number was called. Continued to observe patient.  ? 10:06AM ? Patient reported difficulty breathing and no improvement in symptoms. Observed rapid shallowing breathing, so 1 dose (0.3mg) of epinephrine auto-injector was administered IM into left outer thigh  ? ~10:08-10:15AM ? Ambulance arrived, reported incident to paramedics, and patient was taken to hospital
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Epistaxis, Myalgia, Neck pain
Clinical narrative: Shoulder soreness, lower back pain, painful knees, generalized muscle soreness, painful neck, sinus congestion with some blood. Symptoms were first noticed upon waking this morning and have no abated as of 2pm.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Shoulder soreness, lower back pain, painful knees, generalized muscle soreness, painful neck, sinus congestion with some blood. Symptoms were first noticed upon waking this morning and have no abated as of 2pm.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acidosis, Acute respiratory failure, Bilevel positive airway pressure, Blood pH decreased, Bronchostenosis
Clinical narrative: 74-year-old female presents emergency room complaining of shortness of breath.  EMS reported that initial sats were 50% she was placed on a non-rebreather mask.  She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask.  The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83.  Little is known about the patient's history otherwise I do not know if she has had any fever.  I have been told that the patient has been fully vaccinated for COVID.  She has had a COVID swab returned as positive tonight.  I am unaware of  exposures at this time.  She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift.  ProBNP is 11000.  Procalcitonin is elevated at 1.18.  The patient has a history of incarcerated diaphragmatic hernia in 2014.  On chest x-ray tonight it appears that she has stomach in her chest.  On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia.  Question of bowel obstruction is raised but no definitive answer is given on CT.  Patient also has a consolidation of the right upper lobe with possible mass.  CT also reveals bilateral findings consistent with COVID.  No PE.  The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction.    DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress.  Apparently, she had been sick for 2 weeks for shortness of breath.  She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure.  The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus.  I thought she probably had a postobstructive pneumonia.  Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia.  The patient did test positive for COVID-19.  The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses.  The patient was extubated and pronounced by Dr. at 05:39 p.m.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal
Clinical narrative: 74-year-old female presents emergency room complaining of shortness of breath.  EMS reported that initial sats were 50% she was placed on a non-rebreather mask.  She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask.  The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83.  Little is known about the patient's history otherwise I do not know if she has had any fever.  I have been told that the patient has been fully vaccinated for COVID.  She has had a COVID swab returned as positive tonight.  I am unaware of  exposures at this time.  She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift.  ProBNP is 11000.  Procalcitonin is elevated at 1.18.  The patient has a history of incarcerated diaphragmatic hernia in 2014.  On chest x-ray tonight it appears that she has stomach in her chest.  On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia.  Question of bowel obstruction is raised but no definitive answer is given on CT.  Patient also has a consolidation of the right upper lobe with possible mass.  CT also reveals bilateral findings consistent with COVID.  No PE.  The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction.    DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress.  Apparently, she had been sick for 2 weeks for shortness of breath.  She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure.  The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus.  I thought she probably had a postobstructive pneumonia.  Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia.  The patient did test positive for COVID-19.  The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses.  The patient was extubated and pronounced by Dr. at 05:39 p.m.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Diaphragmatic hernia, Dyspnoea, Endotracheal intubation
Clinical narrative: 74-year-old female presents emergency room complaining of shortness of breath.  EMS reported that initial sats were 50% she was placed on a non-rebreather mask.  She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask.  The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83.  Little is known about the patient's history otherwise I do not know if she has had any fever.  I have been told that the patient has been fully vaccinated for COVID.  She has had a COVID swab returned as positive tonight.  I am unaware of  exposures at this time.  She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift.  ProBNP is 11000.  Procalcitonin is elevated at 1.18.  The patient has a history of incarcerated diaphragmatic hernia in 2014.  On chest x-ray tonight it appears that she has stomach in her chest.  On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia.  Question of bowel obstruction is raised but no definitive answer is given on CT.  Patient also has a consolidation of the right upper lobe with possible mass.  CT also reveals bilateral findings consistent with COVID.  No PE.  The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction.    DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress.  Apparently, she had been sick for 2 weeks for shortness of breath.  She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure.  The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus.  I thought she probably had a postobstructive pneumonia.  Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia.  The patient did test positive for COVID-19.  The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses.  The patient was extubated and pronounced by Dr. at 05:39 p.m.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Hiatus hernia, Intensive care, Leukocytosis, Lung consolidation
Clinical narrative: 74-year-old female presents emergency room complaining of shortness of breath.  EMS reported that initial sats were 50% she was placed on a non-rebreather mask.  She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask.  The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83.  Little is known about the patient's history otherwise I do not know if she has had any fever.  I have been told that the patient has been fully vaccinated for COVID.  She has had a COVID swab returned as positive tonight.  I am unaware of  exposures at this time.  She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift.  ProBNP is 11000.  Procalcitonin is elevated at 1.18.  The patient has a history of incarcerated diaphragmatic hernia in 2014.  On chest x-ray tonight it appears that she has stomach in her chest.  On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia.  Question of bowel obstruction is raised but no definitive answer is given on CT.  Patient also has a consolidation of the right upper lobe with possible mass.  CT also reveals bilateral findings consistent with COVID.  No PE.  The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction.    DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress.  Apparently, she had been sick for 2 weeks for shortness of breath.  She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure.  The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus.  I thought she probably had a postobstructive pneumonia.  Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia.  The patient did test positive for COVID-19.  The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses.  The patient was extubated and pronounced by Dr. at 05:39 p.m.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Mechanical ventilation, N-terminal prohormone brain natriuretic peptide increased, Oxygen saturation decreased, PCO2 increased
Clinical narrative: 74-year-old female presents emergency room complaining of shortness of breath.  EMS reported that initial sats were 50% she was placed on a non-rebreather mask.  She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask.  The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83.  Little is known about the patient's history otherwise I do not know if she has had any fever.  I have been told that the patient has been fully vaccinated for COVID.  She has had a COVID swab returned as positive tonight.  I am unaware of  exposures at this time.  She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift.  ProBNP is 11000.  Procalcitonin is elevated at 1.18.  The patient has a history of incarcerated diaphragmatic hernia in 2014.  On chest x-ray tonight it appears that she has stomach in her chest.  On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia.  Question of bowel obstruction is raised but no definitive answer is given on CT.  Patient also has a consolidation of the right upper lobe with possible mass.  CT also reveals bilateral findings consistent with COVID.  No PE.  The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction.    DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress.  Apparently, she had been sick for 2 weeks for shortness of breath.  She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure.  The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus.  I thought she probably had a postobstructive pneumonia.  Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia.  The patient did test positive for COVID-19.  The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses.  The patient was extubated and pronounced by Dr. at 05:39 p.m.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Procalcitonin increased, Pulmonary artery stenosis, Pulmonary mass, Pulmonary valve stenosis
Clinical narrative: 74-year-old female presents emergency room complaining of shortness of breath.  EMS reported that initial sats were 50% she was placed on a non-rebreather mask.  She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask.  The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83.  Little is known about the patient's history otherwise I do not know if she has had any fever.  I have been told that the patient has been fully vaccinated for COVID.  She has had a COVID swab returned as positive tonight.  I am unaware of  exposures at this time.  She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift.  ProBNP is 11000.  Procalcitonin is elevated at 1.18.  The patient has a history of incarcerated diaphragmatic hernia in 2014.  On chest x-ray tonight it appears that she has stomach in her chest.  On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia.  Question of bowel obstruction is raised but no definitive answer is given on CT.  Patient also has a consolidation of the right upper lobe with possible mass.  CT also reveals bilateral findings consistent with COVID.  No PE.  The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction.    DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress.  Apparently, she had been sick for 2 weeks for shortness of breath.  She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure.  The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus.  I thought she probably had a postobstructive pneumonia.  Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia.  The patient did test positive for COVID-19.  The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses.  The patient was extubated and pronounced by Dr. at 05:39 p.m.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory distress, Respiratory failure, SARS-CoV-2 test positive, Shift to the left, White blood cell count increased
Clinical narrative: 74-year-old female presents emergency room complaining of shortness of breath.  EMS reported that initial sats were 50% she was placed on a non-rebreather mask.  She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask.  The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83.  Little is known about the patient's history otherwise I do not know if she has had any fever.  I have been told that the patient has been fully vaccinated for COVID.  She has had a COVID swab returned as positive tonight.  I am unaware of  exposures at this time.  She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift.  ProBNP is 11000.  Procalcitonin is elevated at 1.18.  The patient has a history of incarcerated diaphragmatic hernia in 2014.  On chest x-ray tonight it appears that she has stomach in her chest.  On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia.  Question of bowel obstruction is raised but no definitive answer is given on CT.  Patient also has a consolidation of the right upper lobe with possible mass.  CT also reveals bilateral findings consistent with COVID.  No PE.  The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction.    DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress.  Apparently, she had been sick for 2 weeks for shortness of breath.  She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure.  The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus.  I thought she probably had a postobstructive pneumonia.  Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia.  The patient did test positive for COVID-19.  The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses.  The patient was extubated and pronounced by Dr. at 05:39 p.m.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Blood test, Cellulitis, Chest X-ray, Computerised tomogram abdomen
Clinical narrative: Cellulitis Hives Fever Vomiting Anemia Diarrhea Severe headache Swelling around eye Abnormal white blood cell activity
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Diarrhoea, Headache, Influenza virus test, Lumbar puncture
Clinical narrative: Cellulitis Hives Fever Vomiting Anemia Diarrhea Severe headache Swelling around eye Abnormal white blood cell activity
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Periorbital swelling, Pyrexia, SARS-CoV-2 test, Urticaria, Vomiting
Clinical narrative: Cellulitis Hives Fever Vomiting Anemia Diarrhea Severe headache Swelling around eye Abnormal white blood cell activity
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell disorder
Clinical narrative: Cellulitis Hives Fever Vomiting Anemia Diarrhea Severe headache Swelling around eye Abnormal white blood cell activity
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Mobility decreased, Nausea
Clinical narrative: At 4:00 pm, nausea started. By 8:00 pm, I was extremely nauseated. At 9:00 pm, I was having trouble breathing. I couldn?t move my limbs. I took 4 Benadryl. By 9:45 pm, I could breathe much more easily. My limbs continued to be partially paralyzed  until 5:00 am.  I am very concerned about a booster.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: Developed chest pain/pressure, evaluated in ED, and admitted to hospital, for acute myopericarditis for 3 days from 8/20/2021 until 8/22/2021.  This form is broken and it won't let me enter anything in the "Hospitalization" boxes to the right of this box, so i had to leave it unchecked so it would save.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: Developed chest pain/pressure, evaluated in ED, and admitted to hospital, for acute myopericarditis for 3 days from 8/20/2021 until 8/22/2021.  This form is broken and it won't let me enter anything in the "Hospitalization" boxes to the right of this box, so i had to leave it unchecked so it would save.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Thrombosis
Clinical narrative: Sudden onset of heavy bleeding, including large clots, approximately 2 weeks before usual start of menstruation; continuous bleeding for approximately 4 days; then no menstrual period for the month
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19 positive
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had a positive COVID test
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: 1) extreme pain at injection site and in upper arm; redness at injection site traveling under the site and across arm to right before arm pit?red blotches that were very hot to the touch and very red?these lasted for 4 days; 2) severe headache for 4 days;  3) chills for 3 days; 4) fatigue and nausea going on 5 days since vaccine.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Rash macular, Skin warm
Clinical narrative: 1) extreme pain at injection site and in upper arm; redness at injection site traveling under the site and across arm to right before arm pit?red blotches that were very hot to the touch and very red?these lasted for 4 days; 2) severe headache for 4 days;  3) chills for 3 days; 4) fatigue and nausea going on 5 days since vaccine.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Ageusia, Anosmia, Chest pain, Cough
Clinical narrative: Fever, Chills, muscle aces, runny nose, sore throat, no smell or taste, headache, fatigue, cough, shortness of breath, chest pain, abdominal pain. Quarantine for the time recommended and isolate.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling cold, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Fever, Chills, muscle aces, runny nose, sore throat, no smell or taste, headache, fatigue, cough, shortness of breath, chest pain, abdominal pain. Quarantine for the time recommended and isolate.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: Fever, Chills, muscle aces, runny nose, sore throat, no smell or taste, headache, fatigue, cough, shortness of breath, chest pain, abdominal pain. Quarantine for the time recommended and isolate.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Clonus, Condition aggravated, Hemiparesis, Muscle spasms, Muscle spasticity
Clinical narrative: Spasms in left and right leg and right arm every 10-15 minutes on Friday 8/20/21. All Day. Decreased a little on 8/22. And a little more in 8/23.  Right arm very weak and tight- increased spasticity and clonus. On 8/24, left arm began having spasms as well. Spoke with my neurologist. Per Dr. begin muscle relaxer (tzinanadine) bid, if symptoms do not improve in 2 weeks, she will see me for an exam.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Condition aggravated, Haemorrhage, Herpes zoster, Pyrexia
Clinical narrative: Booster shot received at pharmacy on 8/15/21. By 8/20/21, I had a severe vasculitis episode with hemorrhages on right and left legs. By 8/25/21, I now have shingles rash that appeared suddenly and is speeding on rifht side of face and arms. Vomiting and fever.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vasculitis, Vomiting
Clinical narrative: Booster shot received at pharmacy on 8/15/21. By 8/20/21, I had a severe vasculitis episode with hemorrhages on right and left legs. By 8/25/21, I now have shingles rash that appeared suddenly and is speeding on rifht side of face and arms. Vomiting and fever.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Muscle rigidity, Syncope, Urinary incontinence
Clinical narrative: C/o blurred vision, lightheaded, diaphoretic. Became rigid and syncopal episode occurred x 10-15 seconds. Pt was incontinent of urine.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: C/o blurred vision, lightheaded, diaphoretic. Became rigid and syncopal episode occurred x 10-15 seconds. Pt was incontinent of urine.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Lethargy
Clinical narrative: PT complained of tiredness, dizziness, stomach ache approx 15 minutes after receiving 1st dose Moderna vaccine.  PT appears lethargic at times but alert enough to answer questions.  PT was able to identify daughter at his side, family members stated that PT had undiagnosed hypertension and thyroid disease.  Both stated that PT did not have breakfast this a.m.  Donut and water tolerated well sn/v, no c/o pair or H/A voiced.  No respiratory distress noted.  Initial BP 160/90, HR 85, RR 18, O2 SA 98% at 11:02am. Vitals repeated at 11:05  BP 140/80, HR 82, RR 16, Os SA 98%. PT talkative but appears lethargic at times, No c/o pain verbalized or respiratory distress noted.  Vitals taken again at 11:10am  BP 160/90, HR 87, Os SA 94%, RR 18.  EMS called at 11:11am and family notified.  Vitals taken again prior to EMS arrival BP 145/85, HR 82, RR 18, O2 SA 95%.  PT alert and talkative upon leaving with EMS. EMS evaluated PT in ambulance and later transported to local hospital.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Oropharyngeal pain, Pain
Clinical narrative: The next day after receiving the shot he woke up with chills a sore throat and very achy. He was like that for about a day then the next day his throat was very sore and could hardly talk. Now this morning he woke up with a huge red type sore on his left side same arm that he got the shot on.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Headache, Paraesthesia, Peripheral swelling
Clinical narrative: Swelling and readness of arm, pin and needles feeling in arm 3 days now.  Massive headache on right side behind ear, stabing and burning pains
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt. tested positive for COVID-19.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Benign breast neoplasm, Nephrolithiasis
Clinical narrative: In the middle of May I developed a lump in my breast that I got confirmed to be benign. In June I experienced two kidney stones. Both of these new events were abnormal for myself and my family history.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Patient states that arm has been in pain since the next day and that her hand is numb.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Coronavirus infection, Coronavirus test positive, Cough, Dyspnoea
Clinical narrative: Report of head pain/chest pain-+ cough- +dyspnea-onset sx 3 days ago-pt is poor historian-reports hx of psych issues but not able to tell me specifically  Patient is 65-year-old male with history of type 2 diabetes and hypertension he received a Johnson & Johnson COVID vaccine in July 2 presents 3-5 day history of headache, dry cough with pain with coughing, and came in tonight due to worsening shortness of breath.  Originally felt short of breath with act activity and with rest.  Denies diarrhea or loss of sense of taste or smell.  Pt is continuing as inpatient at this time.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Report of head pain/chest pain-+ cough- +dyspnea-onset sx 3 days ago-pt is poor historian-reports hx of psych issues but not able to tell me specifically  Patient is 65-year-old male with history of type 2 diabetes and hypertension he received a Johnson & Johnson COVID vaccine in July 2 presents 3-5 day history of headache, dry cough with pain with coughing, and came in tonight due to worsening shortness of breath.  Originally felt short of breath with act activity and with rest.  Denies diarrhea or loss of sense of taste or smell.  Pt is continuing as inpatient at this time.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Feeling abnormal
Clinical narrative: patient said he woke up in the middle of the night and it felt like he was bruised from head to toe, felt worse than the flu
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Headache, Immediate post-injection reaction, Influenza like illness
Clinical narrative: After taking the J&J vaccine, I have not been feeling well for about three weeks.  I have had a persistent headache, body aches and inflammation in both my hips.  Immediately after the vaccine was administrated, I had the typical reactions, flu like symptoms, sore arm and headache.  A few days after the vaccine, I could hardly put any weight on my right leg due to my hip pain.  This morphed into my other hip resulting in throwing my back out and being in bed for three days.  I have since gone to two different Chiropractors and my relief is only temporary.  One of the Chiropractors mentioned that he is seeing lots of patients coming in with joint inflammation after taking the vaccines.  I have since read on the FDA website that body's immune system damages nerve cells, causing muscle weakness and sometimes paralysis.   I am not at the point of not functioning, but I will seek medical advice if I don't improve by next week.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Muscle strain, Pain, Pain in extremity
Clinical narrative: After taking the J&J vaccine, I have not been feeling well for about three weeks.  I have had a persistent headache, body aches and inflammation in both my hips.  Immediately after the vaccine was administrated, I had the typical reactions, flu like symptoms, sore arm and headache.  A few days after the vaccine, I could hardly put any weight on my right leg due to my hip pain.  This morphed into my other hip resulting in throwing my back out and being in bed for three days.  I have since gone to two different Chiropractors and my relief is only temporary.  One of the Chiropractors mentioned that he is seeing lots of patients coming in with joint inflammation after taking the vaccines.  I have since read on the FDA website that body's immune system damages nerve cells, causing muscle weakness and sometimes paralysis.   I am not at the point of not functioning, but I will seek medical advice if I don't improve by next week.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Weight bearing difficulty
Clinical narrative: After taking the J&J vaccine, I have not been feeling well for about three weeks.  I have had a persistent headache, body aches and inflammation in both my hips.  Immediately after the vaccine was administrated, I had the typical reactions, flu like symptoms, sore arm and headache.  A few days after the vaccine, I could hardly put any weight on my right leg due to my hip pain.  This morphed into my other hip resulting in throwing my back out and being in bed for three days.  I have since gone to two different Chiropractors and my relief is only temporary.  One of the Chiropractors mentioned that he is seeing lots of patients coming in with joint inflammation after taking the vaccines.  I have since read on the FDA website that body's immune system damages nerve cells, causing muscle weakness and sometimes paralysis.   I am not at the point of not functioning, but I will seek medical advice if I don't improve by next week.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: RX WAS PROCESSED FOR FLUZONE HIGH DOSE BUT PATIENT WAS ADMINISTERED FLUZONE QUADRIVALENT.  NO ADVERSE REACTION EXPERIENCED.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cerebrovascular accident, Computerised tomogram abnormal, Lung neoplasm malignant
Clinical narrative: Patient presented to EC with Stroke/CVA and Afib; unknown if caused by vaccine; also newly diagnosed with lung CA
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Neuralgia, Neuropathy peripheral
Clinical narrative: Significant increase in neuropathy nerve pain in hands snd feet. My neuropathy had been improving and reducing and within 2 days of the Covid Pfizer shot, my nerve pain increased drastically and continued to increase that first week. I now have had to double my Gabapentin dosage to be comfortable from the nerve pain.