chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Headache, Hypersomnia, Lethargy, Nausea
Clinical narrative: 1st vaccine- 1/14/2021?.. 2nd dose 2/11/2021?. Booster dose.  10/25/2021 I had a breakthrough case from December 31,  2021 thru January 6, 2022 Symptoms: severe headache first night, severe stabbing pain in right ear for four days, lethargic and weak for first three days which I slept day and night.  Chills, shaking uncontrollably fir one hour- no fever.  Unable to eat due to sleeping and nausea, contacted my PA on day 3 1/2 and was ordered to take, ampicillin 850mgm BID for ten days and a round of steroids for 6 days. I lost 9 pounds in the first four days.  My PA sent me to a tent testing site on day 5 and came back negative- I then took a take at home rapid test which also came back negative.   When I was able to eat on day 5 my taste was ?weird? ?blueberries tasted like perfume, carrot soup tasted like liquid mashed potatoes but the spice ( ginger) burned my throat and I could not taste the ginger.  I had no sore throat during the whole time.  It took seven days for my food to taste normal.  I went to see my PA on day 12 and because of my symptoms and two negative tests she had me get an IGG titer  bloodwork for COVID antibodies?? she called is less than 24 hours to tell me I had had COVID.  I had my two initial vaccines and my booster and I am very strict with masks and sanitizers
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test negative, Taste disorder, Tremor, Vaccine breakthrough infection
Clinical narrative: 1st vaccine- 1/14/2021?.. 2nd dose 2/11/2021?. Booster dose.  10/25/2021 I had a breakthrough case from December 31,  2021 thru January 6, 2022 Symptoms: severe headache first night, severe stabbing pain in right ear for four days, lethargic and weak for first three days which I slept day and night.  Chills, shaking uncontrollably fir one hour- no fever.  Unable to eat due to sleeping and nausea, contacted my PA on day 3 1/2 and was ordered to take, ampicillin 850mgm BID for ten days and a round of steroids for 6 days. I lost 9 pounds in the first four days.  My PA sent me to a tent testing site on day 5 and came back negative- I then took a take at home rapid test which also came back negative.   When I was able to eat on day 5 my taste was ?weird? ?blueberries tasted like perfume, carrot soup tasted like liquid mashed potatoes but the spice ( ginger) burned my throat and I could not taste the ginger.  I had no sore throat during the whole time.  It took seven days for my food to taste normal.  I went to see my PA on day 12 and because of my symptoms and two negative tests she had me get an IGG titer  bloodwork for COVID antibodies?? she called is less than 24 hours to tell me I had had COVID.  I had my two initial vaccines and my booster and I am very strict with masks and sanitizers
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Palpitations
Clinical narrative: Heart was racing, blood pressure spiked, lasted about 3 or more hours. Fatigue
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Epistaxis, Heart rate increased
Clinical narrative: Heart arrhythmia, rapid heart beats( lasting 6 weeks) nose bleeds, (lasting longer in duration and more frequently)
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Urticaria (hives) with itchiness over the whole body.  Went to urgent care and was prescribed prednisone  and cetirizine hydrochloride. Prednisone was taken for 2 weeks and cetirizine hydrochloride (10mg) has been taken daily for 9 + weeks.  Urticaria has persisted for 9+ weeks. The severity of symptoms have dimensioned somewhat since the onset but still persist.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash on both palms and both feet. Severe itching.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic
Clinical narrative: Rash on both palms and both feet. Severe itching.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash
Clinical narrative: ON 1/18/22 PATIENT CAME TO PHARMACY TO REPORT ITCHY RASH ON BOTH PALMS OF HANDS AND SOLES OF BOTH FEET THAT STARTED ON 1/16/22. SHE REPORTS SHE WAS SEEN BY A PHYSICIAN AND EVALUATED ON 1/18/22. NO TREATMENT WAS PRESCRIBED AND PER PATIENT SHE WAS ADVISED BY THE PHYSICIAN TO GO AHEAD WITH HER SECOND DOSE OF THE COVID VACCINE. PATIENT CAME IN TO PHARMACY TO REPORT THE EVENT PER INSTRUCTIONS  IN ORDER FOR THE PHARMACY TO DOCUMENT AND REPORT THE ADVERSE EVENT. PATIENT WAS GIVEN AND INSTRUCTED BY THIS PHARMACIST INFORMATION ON SELF- REPORTING TO V-SAFE AND TO MODERNA THE EVENT WHICH OCCURED TO HER.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic
Clinical narrative: ON 1/18/22 PATIENT CAME TO PHARMACY TO REPORT ITCHY RASH ON BOTH PALMS OF HANDS AND SOLES OF BOTH FEET THAT STARTED ON 1/16/22. SHE REPORTS SHE WAS SEEN BY A PHYSICIAN AND EVALUATED ON 1/18/22. NO TREATMENT WAS PRESCRIBED AND PER PATIENT SHE WAS ADVISED BY THE PHYSICIAN TO GO AHEAD WITH HER SECOND DOSE OF THE COVID VACCINE. PATIENT CAME IN TO PHARMACY TO REPORT THE EVENT PER INSTRUCTIONS  IN ORDER FOR THE PHARMACY TO DOCUMENT AND REPORT THE ADVERSE EVENT. PATIENT WAS GIVEN AND INSTRUCTED BY THIS PHARMACIST INFORMATION ON SELF- REPORTING TO V-SAFE AND TO MODERNA THE EVENT WHICH OCCURED TO HER.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Cognitive disorder, Dizziness, Feeling abnormal, Loss of consciousness
Clinical narrative: Passed out, complete loss of brain comprehension of basic things for approximately 4 hours, on-going dizziness and balance issues, brain fog and affected loss of ability to retrieve data and information
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pharyngeal swelling, SARS-CoV-2 test, Swelling, Swelling face
Clinical narrative: Pt received covid vaccine series and has been hospitalized.   Per H&P   Patient:   Age: 51 Years     Sex: Female       Chief Complaint   pt reports swelling to face and neck states hist of hereditary angioedema/ took 80mg prednisone PTA  History of Present Illness        51 F with h/o hereditary angioedema since age 7 presented with neck and throat swelling, R arm swelling and feeling of tightness in her throat starting 1 day back. she is in a recovery program from cocaine and alcohol use - sober for 16 days. she took 80 mg prednisone prior to arrival.  denies other health concerns recently.  reports mother and sister have same condition.  reports had emergency tracheostomy due to angioedema at age 21. has been intubated several times in her life for this and reports has a lot of airway scar tissue.  Unknown vaccine manufacturer, dates, facility received.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Pt received covid vaccine series and has been hospitalized.   Per H&P   Patient:   Age: 51 Years     Sex: Female       Chief Complaint   pt reports swelling to face and neck states hist of hereditary angioedema/ took 80mg prednisone PTA  History of Present Illness        51 F with h/o hereditary angioedema since age 7 presented with neck and throat swelling, R arm swelling and feeling of tightness in her throat starting 1 day back. she is in a recovery program from cocaine and alcohol use - sober for 16 days. she took 80 mg prednisone prior to arrival.  denies other health concerns recently.  reports mother and sister have same condition.  reports had emergency tracheostomy due to angioedema at age 21. has been intubated several times in her life for this and reports has a lot of airway scar tissue.  Unknown vaccine manufacturer, dates, facility received.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Headache, fever, diarreah, nausea, and muscle aches. Took Tylenol.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given the adult dose despite being only 10 years old. No adverse effects have been reported.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Severe muscle pain, join pain, headache, injection site pain, chills, tiredness, sore throat and overall unwell feeling. Worst pain I have ever felt. Similar to growing pains when one was younger but 100 times worse, pulsating continuously, and all over the body.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Oropharyngeal pain, Pain
Clinical narrative: Severe muscle pain, join pain, headache, injection site pain, chills, tiredness, sore throat and overall unwell feeling. Worst pain I have ever felt. Similar to growing pains when one was younger but 100 times worse, pulsating continuously, and all over the body.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Diarrhoea, Exposure to SARS-CoV-2
Clinical narrative: Diarrhea     "shes been really weak, diarrhea, she lives with someone who tested positive or covid"        HPI:   This is a 78y.o. female with significant past medical history of HTN, CVA, and hyperlipidemia that presented to the hospital with chief complaint of generalized weakness. She reports a known exposure to COVID-19. She admits to worsening fatigue, weakness, and diarrhea for the past couple of days. She presented to the ED for further evaluation.    In the ED, patient febrile, normotensive, stable SPO2 on room air. COVID detected on swab. CXR with multifocal airspace disease. She has been admitted for further evaluation and management with ID consultation.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza A virus test negative, Influenza B virus test, Lung disorder, SARS-CoV-2 test positive
Clinical narrative: Diarrhea     "shes been really weak, diarrhea, she lives with someone who tested positive or covid"        HPI:   This is a 78y.o. female with significant past medical history of HTN, CVA, and hyperlipidemia that presented to the hospital with chief complaint of generalized weakness. She reports a known exposure to COVID-19. She admits to worsening fatigue, weakness, and diarrhea for the past couple of days. She presented to the ED for further evaluation.    In the ED, patient febrile, normotensive, stable SPO2 on room air. COVID detected on swab. CXR with multifocal airspace disease. She has been admitted for further evaluation and management with ID consultation.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pain
Clinical narrative: loose stools/diarrheas, headache, tired, nausea, arm soreness, body aches,
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: loose stools/diarrheas, headache, tired, nausea, arm soreness, body aches,
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: About 2 or 3 days after the 2nd vaccine shot, I noticed that I was hearing a ringing in my hears when everything was quiet around me. I didn?t realize it was there all the time until a day later when I?m noticing that my ears are still ringing. I started paying attention and noticed it was there all the time. It wasn?t super loud ringing, so I wasn?t noticing constantly, but there was days where it was so loud. It?s like a high-pitched whine 4/5 on a scale. And it never went away. Since then, I?ve never had any moments where I?ve not heard this sound. There are times where it?s relatively quiet and sometimes loud. This is not something I?ve ever had before but I do recall where I might think I am hearing ringing, but I can always tell why it was why happening or something else. But I?ve never had it happening for no reason and continuing. During the first 3 months, there was times where it was almost overwhelming. It was so loud, at times I had to leave work because it was so loud. It is on average, a lot quieter, so I think it?s improving but it?s not going away. My wife said she had the same symptoms but hers mostly went away 3-4 months ago while I?m still listening to this thing. That was the first thing that made me switch my booster because I was worried that it would extend the ringing in my ear because I hope that it goes away. Just a low-level ring. Haven?t gone to doctor to discuss with him yet.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Histoplasmosis
Clinical narrative: Hospitalized 01/09/2022-still currently admitted; COVID-19 positive 01/09/2022; fully vaccinated  Acute hypoxic respiratory insufficiency secondary to  COVID-19 PNA and possible superimposed bacterial pneumonia Productive cough Hx of histoplasmosis - recently completed 6 week course of itraconazole Hx of NTM on sputum cx x 1 - second sputum culture 11/21    -Covid-19 symptoms since around Jan 01. -CXR w/ b/l lower lobe infiltrates -ED discussed with pulmonology: no need to start antifungals, start CAP coverage -Continue decadron 6 mg daily -Continue empiric CAP coverage -Will consult pulmonology to review case given recent hx of histoplasmosis, and NTM growth on one sputum cx  1/18/2022 notes:  ASSESSMENT / PLAN: Acute hypoxemic respiratory insufficiency, resolved COVID-19 PNA and possible superimposed bacterial pneumonia History of histoplasmosis - recently completed 6 week course of itraconazole History of NTM on sputum culture  x1 - second sputum culture 11/21   Symptoms since around 1/1. Per infection control, due to patient's immunocompromised state her isolation should go to 01/22/2022 Currently on room air CXR with bilateral lower lobe infiltrates Completed course of decadron 6 mg daily x10 days Completed empiric CAP coverage x5 days Pulmonology consulted, appreciate recs        Recommends avoiding azithromycin to prevent resistance   Care Management notes 1/18/2022: Family not willing to accept admission to the only Covid SAR available. Patient remains in isolation until 1/22 d/t immunosuppression. SARs unable to review patient until closer to end isolation date. Several do not par with patients insurance. Son requesting PT/OT evaluate for acute rehab, planning to see patient today for updated recs.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Lung infiltration, Malaise, Mycobacterium test positive, Productive cough
Clinical narrative: Hospitalized 01/09/2022-still currently admitted; COVID-19 positive 01/09/2022; fully vaccinated  Acute hypoxic respiratory insufficiency secondary to  COVID-19 PNA and possible superimposed bacterial pneumonia Productive cough Hx of histoplasmosis - recently completed 6 week course of itraconazole Hx of NTM on sputum cx x 1 - second sputum culture 11/21    -Covid-19 symptoms since around Jan 01. -CXR w/ b/l lower lobe infiltrates -ED discussed with pulmonology: no need to start antifungals, start CAP coverage -Continue decadron 6 mg daily -Continue empiric CAP coverage -Will consult pulmonology to review case given recent hx of histoplasmosis, and NTM growth on one sputum cx  1/18/2022 notes:  ASSESSMENT / PLAN: Acute hypoxemic respiratory insufficiency, resolved COVID-19 PNA and possible superimposed bacterial pneumonia History of histoplasmosis - recently completed 6 week course of itraconazole History of NTM on sputum culture  x1 - second sputum culture 11/21   Symptoms since around 1/1. Per infection control, due to patient's immunocompromised state her isolation should go to 01/22/2022 Currently on room air CXR with bilateral lower lobe infiltrates Completed course of decadron 6 mg daily x10 days Completed empiric CAP coverage x5 days Pulmonology consulted, appreciate recs        Recommends avoiding azithromycin to prevent resistance   Care Management notes 1/18/2022: Family not willing to accept admission to the only Covid SAR available. Patient remains in isolation until 1/22 d/t immunosuppression. SARs unable to review patient until closer to end isolation date. Several do not par with patients insurance. Son requesting PT/OT evaluate for acute rehab, planning to see patient today for updated recs.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/09/2022-still currently admitted; COVID-19 positive 01/09/2022; fully vaccinated  Acute hypoxic respiratory insufficiency secondary to  COVID-19 PNA and possible superimposed bacterial pneumonia Productive cough Hx of histoplasmosis - recently completed 6 week course of itraconazole Hx of NTM on sputum cx x 1 - second sputum culture 11/21    -Covid-19 symptoms since around Jan 01. -CXR w/ b/l lower lobe infiltrates -ED discussed with pulmonology: no need to start antifungals, start CAP coverage -Continue decadron 6 mg daily -Continue empiric CAP coverage -Will consult pulmonology to review case given recent hx of histoplasmosis, and NTM growth on one sputum cx  1/18/2022 notes:  ASSESSMENT / PLAN: Acute hypoxemic respiratory insufficiency, resolved COVID-19 PNA and possible superimposed bacterial pneumonia History of histoplasmosis - recently completed 6 week course of itraconazole History of NTM on sputum culture  x1 - second sputum culture 11/21   Symptoms since around 1/1. Per infection control, due to patient's immunocompromised state her isolation should go to 01/22/2022 Currently on room air CXR with bilateral lower lobe infiltrates Completed course of decadron 6 mg daily x10 days Completed empiric CAP coverage x5 days Pulmonology consulted, appreciate recs        Recommends avoiding azithromycin to prevent resistance   Care Management notes 1/18/2022: Family not willing to accept admission to the only Covid SAR available. Patient remains in isolation until 1/22 d/t immunosuppression. SARs unable to review patient until closer to end isolation date. Several do not par with patients insurance. Son requesting PT/OT evaluate for acute rehab, planning to see patient today for updated recs.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Intensive care, Mechanical ventilation, Positive end-expiratory pressure, Respiratory distress
Clinical narrative: 49-year-old male who presented to the emergency department from Hospital for "respiratory distress." Patient tested positive for COVID-19 on January 13, 2022. When EMS arrived at Hospital the patient was satting at 97% and tachypneic. Patient has arrived to the intensive care unit at where he is on ventilator support via tracheostomy, 40% FiO2 and 5 of PEEP without respiratory distress.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tachypnoea, Tracheostomy
Clinical narrative: 49-year-old male who presented to the emergency department from Hospital for "respiratory distress." Patient tested positive for COVID-19 on January 13, 2022. When EMS arrived at Hospital the patient was satting at 97% and tachypneic. Patient has arrived to the intensive care unit at where he is on ventilator support via tracheostomy, 40% FiO2 and 5 of PEEP without respiratory distress.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion, Laboratory test, Muscular weakness, Myocardial infarction
Clinical narrative: I got up and saw a bruise on my arm, I had not hit myself to get a bruise. It began spreading to other parts of the body, on foot, stomach, back of my hand, etc. I started to develop weakness in the muscles, especially in the legs, and pain also followed. I went to see my doctor, who pulled some blood for labwork. She referred me to a hematologist and a neurologist to see what was going on, but I never got to the appointments because I had a heart attack due to clotting. They had to put in 3 stets in because it was so bad.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Stent placement, Thrombosis
Clinical narrative: I got up and saw a bruise on my arm, I had not hit myself to get a bruise. It began spreading to other parts of the body, on foot, stomach, back of my hand, etc. I started to develop weakness in the muscles, especially in the legs, and pain also followed. I went to see my doctor, who pulled some blood for labwork. She referred me to a hematologist and a neurologist to see what was going on, but I never got to the appointments because I had a heart attack due to clotting. They had to put in 3 stets in because it was so bad.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Nausea, Neck pain, Pain, Sleep disorder
Clinical narrative: First my concussion (Oct 8) had given me issues concentrating, issues with visual processing (specifically my peripherals or when I'm moving my neck left-right), neck pain, sleep issues, tinnitus, and issues with emotional regulation. Most of my symptoms had cleared up to a large extent by Dec 1. However about 12 hrs. after this booster, I felt far worse than I had during Covid (Mar 2020) or during my previous 2 Covid vaccines. It was among the worst pains of my life, mainly a large dull pain. I had nausea in the morning (which I hadn't had for prior vaccines) and body aches for about 48hrs (which I had had for prior vaccines). Certain neck positions made me feel particularly nauseous. Advil cleared up some of it. I wasn't able to concentrate on my work well for 2 weeks, and my neck pain and sleep issues were worse than ever in my concussion recovery. It set back most of my concussion symptoms about a month. My neck pain and tinnitus have been at their worst since the vaccine booster. Since then many of my symptoms have cleared up; I can concentrate well again, but my neck pain and sleep issues are still worse than before the booster. The lasting regression in my symptoms was worrying. It may have exacerbated some inflammation in my brain and in my neck from my concussion. If this is a pattern for other people with concussions (especially those that are cervical in nature) then caution should be urged.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Hiatus hernia, Oropharyngeal discomfort
Clinical narrative: Patient started coughing, pulse ox read 93 at that time. Pulse ox immediately went up to 97 when she stopped coughing. Patient complained of tightness in chest stating  "Feels like hiatal hernia" and "nausea in throat" that was not present before vaccination.  Patient vitals as follows: BP 138/72, HR 86, 02 93 Patient evaluated by APN provider in house and patient refused ER evaluation and refused EKG by provider, APN.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt received moderna vaccine 11 days too soon. 1st dose on 7/31/2021, 2nd dose 8/29/21, and third dose giving 1/18/2022 at 12:36PM There is no adverse reactions, or complains from pt.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Induration, Swelling
Clinical narrative: hardening and swelling of areas where she had hyalurinoc acid fillers. It lasted for 1 day until she took Benadryl.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye swelling, Swelling face
Clinical narrative: hardening and swelling of areas where she had hyalurinoc acid fillers. It lasted for 1 day until she took Benadryl.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Induration, Swelling
Clinical narrative: Swelling of facial hylauronic acid filler , and swelling of eyes.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye swelling, Swelling face
Clinical narrative: Swelling of facial hylauronic acid filler , and swelling of eyes.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Delirium, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: ADMITTED TO HOSPITAL DUE TO INTERMITTENT FEVERS AND DELIRIUM FROM ACUTE REHAB. FEVER 1/15/22 100.9 F
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Aspiration pleural cavity, Atrial fibrillation, COVID-19, General physical health deterioration
Clinical narrative: Sent to hospital on 1/11 from nursing home with O2 saturations found in the 70's on 3 L O2 with 94% saturation. Covid + on 1/1 and had been in isolation. Admitted with pneumonia, A fib with RVR and sepsis. Gvien antibioics and cardizem drip. Started Iv giursis. 1/13 thoracentesis removing 1.8 Liters. 1/14 trasnferred to critical care due to hypotension and reaccumulated right pleural effusion. Place on vapotherm due to hypoxic respiratory failure.  Vaso pressors and steroids started. Remained COVID +. No DVT and started on heparin. Worensing renal failure and hyperkalemia.  Met with family on 1/16 about continuing deterioration. 1/17 family requested comfort care.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Hypotension, Intensive care, Pleural effusion, Pneumonia
Clinical narrative: Sent to hospital on 1/11 from nursing home with O2 saturations found in the 70's on 3 L O2 with 94% saturation. Covid + on 1/1 and had been in isolation. Admitted with pneumonia, A fib with RVR and sepsis. Gvien antibioics and cardizem drip. Started Iv giursis. 1/13 thoracentesis removing 1.8 Liters. 1/14 trasnferred to critical care due to hypotension and reaccumulated right pleural effusion. Place on vapotherm due to hypoxic respiratory failure.  Vaso pressors and steroids started. Remained COVID +. No DVT and started on heparin. Worensing renal failure and hyperkalemia.  Met with family on 1/16 about continuing deterioration. 1/17 family requested comfort care.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Renal failure, Respiratory failure, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Sent to hospital on 1/11 from nursing home with O2 saturations found in the 70's on 3 L O2 with 94% saturation. Covid + on 1/1 and had been in isolation. Admitted with pneumonia, A fib with RVR and sepsis. Gvien antibioics and cardizem drip. Started Iv giursis. 1/13 thoracentesis removing 1.8 Liters. 1/14 trasnferred to critical care due to hypotension and reaccumulated right pleural effusion. Place on vapotherm due to hypoxic respiratory failure.  Vaso pressors and steroids started. Remained COVID +. No DVT and started on heparin. Worensing renal failure and hyperkalemia.  Met with family on 1/16 about continuing deterioration. 1/17 family requested comfort care.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in my ears (tinnitus) has gotten much worse within days of the COVID19 booster shot (3rd shot).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Inappropriate schedule of product administration, Myalgia
Clinical narrative: Booster was given approximately a month early. Patient experience known side effects of the vaccine like fatigue and muscle aches.
Age: 16.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Hyperhidrosis, Hypotension, Lethargy, Syncope, Vomiting
Clinical narrative: Pt received pfizer vaccine first, followed by flucelvax. Pt fainted after flucelvax (10sec post flucelvax, <2min post pfizer covid vaccine). Pt was diaphoretic, hypotensive to 67/49 at nadir, several bouts of emesis, and was lethargic. Pt denied SOB, potential swelling of lower lip, but unable to determine change from baseline. EMS contacted, no medical intervention made.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes for a week.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: numbness on left side of face around the eye and cheek, and the left side of the neck. This started about 20 minutes after getting the vaccine. The numbness was constant for about 6-12 hours. It would be a stronger numbness then a weaker numbness, for the next few days the numbness came and went. I would feel the numbness for about an hour, it'd go away, then be back a few hours later.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: I had the Afluria Quadrivalent flu vaccine (October 2016) caused me to have major reactions neurologically. Wanted to state this before I stated adverse events from Dose 3 of Pfizer. The moment after Dose 3 vaccine I started having numbness in right arm, and tingling. As time went on it continued to get more numb. I contacted my doctor and was advised to take B12. When I woke up on Saturday still felt a shooting pain down my right arm and experienced chills. On Sunday I didn't have minor shooting pain in right arm took Motrin. I woke up on Monday, had little problems and on Tuesday the shooting pain has started again.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: pt to ED with c/o SOB, cough; positive for COVID; pt's condition declined during hospital stay; O2 requirement increased resulting in intubation; pt continued to decline and he died in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: pt to ED with c/o SOB, cough; positive for COVID; pt's condition declined during hospital stay; O2 requirement increased resulting in intubation; pt continued to decline and he died in the hospital
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: About 10 days after receiving my Moderna booster I experienced full body hives. They started at the base of my neck then spread down my back, head, stomach, and legs. Benadryl and other antihistamines were not helping them go down so I eventually had to see my PCP. The Nurse practitioner felt that since I had not made any changes to my routine other than the booster, it was likely caused by that. I was given steroids and they did help calm the hives, however I?m still experiencing hives daily (though less) about 2 months out. I received the moderna Covid vaccine 2 times prior and had no issues with a skin rash other than at the injection site for a day or so.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Dyspnoea, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 72-year-old female with past medical history of non-insulin-dependent diabetes, hypertension, hyperlipidemia arrived to ED complaining of shortness of breath.  She tested positive for COVID-19 and had increasing oxygenation requirements in the emergency department requiring BiPAP 40%.  She was transferred to our facility for further care.  ---------- Hospital course:   1/18: Patient appeared comfortable on BIPAP this AM. Transitioned to HHF but unable to tolerate due to tachypnea. Likely a COPD component more than oxygenation.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachypnoea
Clinical narrative: 72-year-old female with past medical history of non-insulin-dependent diabetes, hypertension, hyperlipidemia arrived to ED complaining of shortness of breath.  She tested positive for COVID-19 and had increasing oxygenation requirements in the emergency department requiring BiPAP 40%.  She was transferred to our facility for further care.  ---------- Hospital course:   1/18: Patient appeared comfortable on BIPAP this AM. Transitioned to HHF but unable to tolerate due to tachypnea. Likely a COPD component more than oxygenation.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Atrial fibrillation, COVID-19, Cough, Diarrhoea
Clinical narrative: patient admitted to in patient psych unit. tested + while staying there. Patient doesn't feel good. She was running temperature yesterday 100.3 and c/o diarrhea. She has been coughing. She had diarrhea. She slept well last night. Staff reports anxiety. She is received Ativan yesterday evening.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, SARS-CoV-2 test positive
Clinical narrative: patient admitted to in patient psych unit. tested + while staying there. Patient doesn't feel good. She was running temperature yesterday 100.3 and c/o diarrhea. She has been coughing. She had diarrhea. She slept well last night. Staff reports anxiety. She is received Ativan yesterday evening.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swollen tongue
Clinical narrative: Swollen tongue and rash on stomach within 45 minutes of vaccine
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain in extremity, Ultrasound scan
Clinical narrative: Patient presents to Urgent Care site on 1-13-22 for arm pain reporting this has been ongoing since receiving vaccine on 11-8-21
Age: 67.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Computerised tomogram abdomen, Diverticulitis, Laboratory test
Clinical narrative: I developed diverticulitis on January 30, 2021.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Interchange of vaccine products
Clinical narrative: headache, booster moderna 11/10/21, first two doses pfizer
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Condition aggravated, Diabetic foot, End stage renal disease, External fixation of fracture, Fatigue
Clinical narrative: Pt was fully covid vaccinated and was hospitalized.   H&P           Age: 71 Years     Sex: Male    Chief Complaint   low HBG 6.5 from facility this AM. Did complete dialysis this AM. HX Left foot external fix. No complaints per pt.  Reason for Consultation  Diabetic Ulcer with External Fixation in place, Left  History of Present Illness     Pt. is a 71-year-old male with PMH DMII, hypertension, hyperlipidemia, diastolic CHF, CAD, hypothyroidism, BPH, COPD maintained on 2 L nasal cannula continuous, anemia atrial fibrillation who was discharged on 12/13/2021 after hospitalization for osteomyelitis of the left foot status post partial calcanectomy of the left foot 11/18/2021 with external fixator placement, presents to the emergency room on 01/07/2022 from rehab center due to hemoglobin 6.5.  Patient has ESRD and is maintained on HD Monday Wednesday Friday.  Patient completed dialysis on 01/07/2022 and then was brought to the emergency room due to hemoglobin 6.5 on outpatient studies.  He reports generalized fatigue but denies any chest pain, palpitations, shortness of breath, cough, syncope. He denies any hematochezia, melena, hematuria or other blood loss.Podiatry was consulted on hospital day on hospital day 5 for wound care management.  Pt. is well known to the Podiatry service and was recently seen by us at center last week.   Unknown manufacturer, date, location vaccine received.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Haemodialysis, Haemoglobin decreased, SARS-CoV-2 test, Wound
Clinical narrative: Pt was fully covid vaccinated and was hospitalized.   H&P           Age: 71 Years     Sex: Male    Chief Complaint   low HBG 6.5 from facility this AM. Did complete dialysis this AM. HX Left foot external fix. No complaints per pt.  Reason for Consultation  Diabetic Ulcer with External Fixation in place, Left  History of Present Illness     Pt. is a 71-year-old male with PMH DMII, hypertension, hyperlipidemia, diastolic CHF, CAD, hypothyroidism, BPH, COPD maintained on 2 L nasal cannula continuous, anemia atrial fibrillation who was discharged on 12/13/2021 after hospitalization for osteomyelitis of the left foot status post partial calcanectomy of the left foot 11/18/2021 with external fixator placement, presents to the emergency room on 01/07/2022 from rehab center due to hemoglobin 6.5.  Patient has ESRD and is maintained on HD Monday Wednesday Friday.  Patient completed dialysis on 01/07/2022 and then was brought to the emergency room due to hemoglobin 6.5 on outpatient studies.  He reports generalized fatigue but denies any chest pain, palpitations, shortness of breath, cough, syncope. He denies any hematochezia, melena, hematuria or other blood loss.Podiatry was consulted on hospital day on hospital day 5 for wound care management.  Pt. is well known to the Podiatry service and was recently seen by us at center last week.   Unknown manufacturer, date, location vaccine received.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Hypophagia, Intensive care, Mechanical ventilation, Nausea
Clinical narrative: Patient is a 62-year-old female with PMHx significant for BOLT 2013 2/2 bronchiectasis and COPD, GERD, HPLD, DM, RA, who was found to be COVID-19 positive 01/06/2022 who originally presented to Hospital on 01/13/2022 with the chief complaint of intractable nausea and vomiting and inability to tolerate p.o. intake. She tested positive for COVID-19 on 01/06/2022 and again on 01/14/2022. She is vaccinated x 2 with Pfizer + booster. She was transferred to hospital given hx of lung transplant following along with Dr. She arrives to the ICU on NiPPV 50% and appears comfortable. Her course at hospital was uncomplicated and she is currently being treated with Remdesivir, Decadron, and Baricitinib.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is a 62-year-old female with PMHx significant for BOLT 2013 2/2 bronchiectasis and COPD, GERD, HPLD, DM, RA, who was found to be COVID-19 positive 01/06/2022 who originally presented to Hospital on 01/13/2022 with the chief complaint of intractable nausea and vomiting and inability to tolerate p.o. intake. She tested positive for COVID-19 on 01/06/2022 and again on 01/14/2022. She is vaccinated x 2 with Pfizer + booster. She was transferred to hospital given hx of lung transplant following along with Dr. She arrives to the ICU on NiPPV 50% and appears comfortable. Her course at hospital was uncomplicated and she is currently being treated with Remdesivir, Decadron, and Baricitinib.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Cold sweat, Diarrhoea, Dyspnoea
Clinical narrative: -acute and chronic nasal congestion  (from onset July 22, 2021 until today--non stop) -headaches (intermittent, strongest September-November 2021) -easily short of breath (October 2021 until today) -diarrhea (July-November 2021) -muscle/joint stiffness or ache (August-October 2021) -Neck stiffness/immobility (October 2021 until today) -Clammy/sweaty/chills feeling (intermittent August 2021 until today) -1 episode of acute SOB October 2021 (remedied with antibiotics)
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Joint stiffness, Musculoskeletal stiffness, Nasal congestion
Clinical narrative: -acute and chronic nasal congestion  (from onset July 22, 2021 until today--non stop) -headaches (intermittent, strongest September-November 2021) -easily short of breath (October 2021 until today) -diarrhea (July-November 2021) -muscle/joint stiffness or ache (August-October 2021) -Neck stiffness/immobility (October 2021 until today) -Clammy/sweaty/chills feeling (intermittent August 2021 until today) -1 episode of acute SOB October 2021 (remedied with antibiotics)
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: -acute and chronic nasal congestion  (from onset July 22, 2021 until today--non stop) -headaches (intermittent, strongest September-November 2021) -easily short of breath (October 2021 until today) -diarrhea (July-November 2021) -muscle/joint stiffness or ache (August-October 2021) -Neck stiffness/immobility (October 2021 until today) -Clammy/sweaty/chills feeling (intermittent August 2021 until today) -1 episode of acute SOB October 2021 (remedied with antibiotics)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Anxiety, Chest X-ray, Chest pain, Dizziness
Clinical narrative: patient reports that 5 min after vaccine, felt hot, heart racing, she reports HR went to 150 and she felt like she was going to pass out. Since then patient has felt chest pain, numbness toe to head on the left side, right elbow numbness, warmth abdomen and chest seen in the ER 12/30/2021 01/01/22 01/04/2022 and 01/08/22
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Feeling hot, Heart rate increased, Hypoaesthesia, Laboratory test
Clinical narrative: patient reports that 5 min after vaccine, felt hot, heart racing, she reports HR went to 150 and she felt like she was going to pass out. Since then patient has felt chest pain, numbness toe to head on the left side, right elbow numbness, warmth abdomen and chest seen in the ER 12/30/2021 01/01/22 01/04/2022 and 01/08/22
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: patient reports that 5 min after vaccine, felt hot, heart racing, she reports HR went to 150 and she felt like she was going to pass out. Since then patient has felt chest pain, numbness toe to head on the left side, right elbow numbness, warmth abdomen and chest seen in the ER 12/30/2021 01/01/22 01/04/2022 and 01/08/22
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 1/13/2022-No symptoms listed, only phone call to patient about her results.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Influenza A virus test negative, Influenza B virus test, Nucleic acid test
Clinical narrative: This is a 71y.o. male with significant past medical history of HTN, T2DM, CAD, IHD, chronic systolic HF, and S/P AICD that presented to the hospital from clinic with chief complaint of shortness of breath. He was noted by clinic staff to be in mild respiratory distress with complaints of dyspnea. He was found to be 91% on room air and transferred to the ED for further evaluation.    In the ED, patient normotensive, afebrile, stable SPO2 on 2 L nasal cannula  COVID positive. Elevated acute phase level reactants. He has been admitted for further evaluation and management with ID consultation.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 71y.o. male with significant past medical history of HTN, T2DM, CAD, IHD, chronic systolic HF, and S/P AICD that presented to the hospital from clinic with chief complaint of shortness of breath. He was noted by clinic staff to be in mild respiratory distress with complaints of dyspnea. He was found to be 91% on room air and transferred to the ED for further evaluation.    In the ED, patient normotensive, afebrile, stable SPO2 on 2 L nasal cannula  COVID positive. Elevated acute phase level reactants. He has been admitted for further evaluation and management with ID consultation.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Tinnitus
Clinical narrative: Frying sound in both ears began shortly after receiving Pfizer Booster.  Have been having ear pain also.  OTC medications for tinnitus have not helped.  Frying or buzzing sound is constant.  I have reached out to my primary care physician but do not have an appointment yet due to inclement weather.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: diagnosed with covid 1/14/2022, vaccinated 02/03/2021 and 03/03/2021. nasal congestion, fever chills as symptoms
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Myalgia
Clinical narrative: Fatigue?muscle pain throughout body
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Chest X-ray abnormal, Death, Dyspnoea
Clinical narrative: pt brought to ED with c/o SOB, fatigue, poor po intake x 5 days; positive for COVID in ED; chest x-ray showed left lower lobe pneumonia; treated with antibiotics, remdesivir, dexamethasone; intubated in the ED and transferred to ICU; condition improved and pt was able to be extubated; BiPAP AVAPS; condition continued to improved and she received O2 supplementation via NC; transferred to medical floor where she was making improvements; pt abruptly went into cardiac arrest; CPR performed but pt died in the hospital
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Fatigue, Hypophagia, Intensive care, Pneumonia
Clinical narrative: pt brought to ED with c/o SOB, fatigue, poor po intake x 5 days; positive for COVID in ED; chest x-ray showed left lower lobe pneumonia; treated with antibiotics, remdesivir, dexamethasone; intubated in the ED and transferred to ICU; condition improved and pt was able to be extubated; BiPAP AVAPS; condition continued to improved and she received O2 supplementation via NC; transferred to medical floor where she was making improvements; pt abruptly went into cardiac arrest; CPR performed but pt died in the hospital
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: pt brought to ED with c/o SOB, fatigue, poor po intake x 5 days; positive for COVID in ED; chest x-ray showed left lower lobe pneumonia; treated with antibiotics, remdesivir, dexamethasone; intubated in the ED and transferred to ICU; condition improved and pt was able to be extubated; BiPAP AVAPS; condition continued to improved and she received O2 supplementation via NC; transferred to medical floor where she was making improvements; pt abruptly went into cardiac arrest; CPR performed but pt died in the hospital
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Diarrhoea, Nausea, Urticaria
Clinical narrative: Nausea and diarrhea. Got hives from head to toe and had to go to the ER.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Mobility decreased, Nausea
Clinical narrative: When patient arrived for her second dose (today) she stated that the morning after her 1st dose (12/22/21), she could not get out of bed without passing out or feeling like she was going to vomit. She also stated that she had chest-tightening feeling for a week and a half after the vaccine. She recieved the first dose on 12/21/21.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Delirium, Hyperhidrosis, Loss of consciousness, Pallor, Unresponsive to stimuli
Clinical narrative: He became delirious/unresponsive to name for about 15 seconds. He came back to and started sweating profusely and became pale.  After about 5 minutes, he wanted to lie down and then passed out. He came back to about 30 seconds later and felt better after drinking some water. He vomited at 2:02 p.m. At about 2:20, he felt well enough to go home.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: He became delirious/unresponsive to name for about 15 seconds. He came back to and started sweating profusely and became pale.  After about 5 minutes, he wanted to lie down and then passed out. He came back to about 30 seconds later and felt better after drinking some water. He vomited at 2:02 p.m. At about 2:20, he felt well enough to go home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: My body broke out in hives for 4 straight days beginning Friday, 1/14/22 in the evening and continued to get worse until saturday morning, when i finally treated with Benadryl.  As soon as the benadryl wore off (approximately 6 hours) the hives would immediately come back, in new areas, all over my body. this persisted until i had a call with my dr. Monday morning, 1/17 and she recommened trying an antihistamine with longer effective time as well as prescribed a steroid for a course of 5 days.