chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 5/18/21 (EW0168) Pfizer Dose 2 8/18/21 (lot NA) Pfizer Dose 3 9/16/21 (lot NA) COVID Positive 2/6/22  2/5/22: The patient is a 73-year-old female who came to the emergency room with worsening shortness of breath.  The patient tested positive for COVID-19 infection 10 days ago after she had fatigue, generalized body aches and weakness. She has received all 3 doses of COVID-19 vaccination.  She is not normally on oxygen.  She is experiencing shortness of breath, headache, fatigue, nausea in the last 3 days for which she decided to come to the emergency room.  She has been isolating herself and taking precautions in the last 2 years not get any infection because of her immunosuppressive status because of methotrexate.  She has chronic psoriatic arthritis and multiple shoulder surgeries for dislocations.  She denies any cough, chest pain or weight gain.  She had remote history congestive heart failure but does not remember being on diuretics.  She never been a tobacco smoker and denies any history of COPD, denies any history of thromboembolism, seizure disorder malignancy.  In the ED blood work showed hyperglycemia, elevated anion gap, metabolic acidosis.  CT of the chest is unremarkable for any acute abnormality.  No PE  2/10/22: Patient is 73-year-old female came into the ED with worsening shortness of breath tested positive for COVID-19 10 days prior to admission reportedly had weakness shortness of breath as noted.  Was started on COVID-19 treatment protocol Rocephin/azithromycin, dexamethasone, Lasix inhaler/DuoNebs.  Was placed on supplemental oxygen wean down to between 2-3 L remains steady.  Has been able to ambulate some without acute symptoms.  Has some congestion mild coarse sounds noted, will finish empiric course of antibiotics on dispo doxycycline for 7 days, vitamin-C, vitamin-D, zinc, Mucinex, Tessalon.  Will need to mobilize.  Holding antihypertensives were held will continue metoprolol lisinopril, will need to be re-evaluated later this week on reinitiate Ng blood pressure medications.  Is getting Lasix initially IV will continue additional 3 days p.o. and potentially patient can switch over to hold hydrochlorothiazide subsequently.  Is maintained on Lantus and sliding scale during admission home regimen on dispo will need close monitoring.  Will be discharged on oxygen likely will need time to wean completely.  Isolation, COVID-19 precautions provided.  And will need to see PCP within 7 days for re-evaluation of blood pressure and to discuss re-initiation of medications, BMP to be done within 3 days to check on hypokalemia and ensure it is improving.
Age: 62.0
Sex: F
Vaccine: COVID19, FLUX, VARZOS
Symptoms: COVID-19, Chest discomfort, Cough, Discharge, Dyspnoea
Clinical narrative: It started out like a cold in my chest first. It moved up to my head and it was vey hard to breath. On 06/21/2022 I took a COVID-19 test and it was positive. About the end of the week on a Friday, 06/24/2022, I called my doctor and they prescribed an albuterol inhaler. I had a severe cough and a lot of clear fluid drainage that went into my chest. My chest felt very tight. The inhaler has helped but I am still sick. I still have drainage and my head is still stuffy, it feels like a bad cold.
Age: 62.0
Sex: F
Vaccine: COVID19, FLUX, VARZOS
Symptoms: Lower respiratory tract infection, Malaise, Nasopharyngitis, SARS-CoV-2 test positive, Upper respiratory tract congestion
Clinical narrative: It started out like a cold in my chest first. It moved up to my head and it was vey hard to breath. On 06/21/2022 I took a COVID-19 test and it was positive. About the end of the week on a Friday, 06/24/2022, I called my doctor and they prescribed an albuterol inhaler. I had a severe cough and a lot of clear fluid drainage that went into my chest. My chest felt very tight. The inhaler has helped but I am still sick. I still have drainage and my head is still stuffy, it feels like a bad cold.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood gases, Blood pH decreased, COVID-19, Chest X-ray normal
Clinical narrative: Pfizer Dose 1 12/22/21 (FE3594) COVID Positive 1/18/22  1/18/22: 60-year-old female with COPD not on home oxygen, obstructive sleep apnea noncompliant with CPAP, hypertension, anxiety/depression, tobacco abuse, cocaine use presented with shortness of breath.  Reportedly called EMS for shortness of breath noted to be wheezing placed on 2 L oxygen for hypoxia.  Patient reports she was having fever , chills and has decreased appetite.  Denies any muscle aches or joint pain, reportedly had exposure to COVID positive contact.  Patient denies any illicit drug use at this time.  Patient is a febrile and hemodynamically stable.  VBG showed pH 7.32 with pCO2 70, influenza A and B negative, COVID-19 PCR is pending unremarkable WBC count. Chest x-ray is unremarkable for acute abnormalities.  Mild elevation of D-dimer, CT chest PE protocol is pending.  1/21/22:  60-year-old woman who presented with complaints of fever, chills, shortness of breath of few days duration.  She was found to be hypoxic on presentation requiring initiation of supplemental oxygen.    CT pulmonary angiogram was negative for pulmonary embolism but demonstrated bilateral airspace disease compatible with pneumonia.  COVID-19 PCR was subsequently positive, she was started on IV steroids and remdesivir as she met criteria for treatment in the presence of hypoxia.  Clinical response was favorable with gradual improvement in cough, shortness of breath and wheezing.  Oxygen walk for home determination was done prior to discharge, she did not meet criteria for home oxygen.  She has been discharged in stable medical condition to continue outpatient follow-up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram thorax, Decreased appetite, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Pfizer Dose 1 12/22/21 (FE3594) COVID Positive 1/18/22  1/18/22: 60-year-old female with COPD not on home oxygen, obstructive sleep apnea noncompliant with CPAP, hypertension, anxiety/depression, tobacco abuse, cocaine use presented with shortness of breath.  Reportedly called EMS for shortness of breath noted to be wheezing placed on 2 L oxygen for hypoxia.  Patient reports she was having fever , chills and has decreased appetite.  Denies any muscle aches or joint pain, reportedly had exposure to COVID positive contact.  Patient denies any illicit drug use at this time.  Patient is a febrile and hemodynamically stable.  VBG showed pH 7.32 with pCO2 70, influenza A and B negative, COVID-19 PCR is pending unremarkable WBC count. Chest x-ray is unremarkable for acute abnormalities.  Mild elevation of D-dimer, CT chest PE protocol is pending.  1/21/22:  60-year-old woman who presented with complaints of fever, chills, shortness of breath of few days duration.  She was found to be hypoxic on presentation requiring initiation of supplemental oxygen.    CT pulmonary angiogram was negative for pulmonary embolism but demonstrated bilateral airspace disease compatible with pneumonia.  COVID-19 PCR was subsequently positive, she was started on IV steroids and remdesivir as she met criteria for treatment in the presence of hypoxia.  Clinical response was favorable with gradual improvement in cough, shortness of breath and wheezing.  Oxygen walk for home determination was done prior to discharge, she did not meet criteria for home oxygen.  She has been discharged in stable medical condition to continue outpatient follow-up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypoxia, Inappropriate schedule of product administration, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Pfizer Dose 1 12/22/21 (FE3594) COVID Positive 1/18/22  1/18/22: 60-year-old female with COPD not on home oxygen, obstructive sleep apnea noncompliant with CPAP, hypertension, anxiety/depression, tobacco abuse, cocaine use presented with shortness of breath.  Reportedly called EMS for shortness of breath noted to be wheezing placed on 2 L oxygen for hypoxia.  Patient reports she was having fever , chills and has decreased appetite.  Denies any muscle aches or joint pain, reportedly had exposure to COVID positive contact.  Patient denies any illicit drug use at this time.  Patient is a febrile and hemodynamically stable.  VBG showed pH 7.32 with pCO2 70, influenza A and B negative, COVID-19 PCR is pending unremarkable WBC count. Chest x-ray is unremarkable for acute abnormalities.  Mild elevation of D-dimer, CT chest PE protocol is pending.  1/21/22:  60-year-old woman who presented with complaints of fever, chills, shortness of breath of few days duration.  She was found to be hypoxic on presentation requiring initiation of supplemental oxygen.    CT pulmonary angiogram was negative for pulmonary embolism but demonstrated bilateral airspace disease compatible with pneumonia.  COVID-19 PCR was subsequently positive, she was started on IV steroids and remdesivir as she met criteria for treatment in the presence of hypoxia.  Clinical response was favorable with gradual improvement in cough, shortness of breath and wheezing.  Oxygen walk for home determination was done prior to discharge, she did not meet criteria for home oxygen.  She has been discharged in stable medical condition to continue outpatient follow-up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, PCO2 increased, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 12/22/21 (FE3594) COVID Positive 1/18/22  1/18/22: 60-year-old female with COPD not on home oxygen, obstructive sleep apnea noncompliant with CPAP, hypertension, anxiety/depression, tobacco abuse, cocaine use presented with shortness of breath.  Reportedly called EMS for shortness of breath noted to be wheezing placed on 2 L oxygen for hypoxia.  Patient reports she was having fever , chills and has decreased appetite.  Denies any muscle aches or joint pain, reportedly had exposure to COVID positive contact.  Patient denies any illicit drug use at this time.  Patient is a febrile and hemodynamically stable.  VBG showed pH 7.32 with pCO2 70, influenza A and B negative, COVID-19 PCR is pending unremarkable WBC count. Chest x-ray is unremarkable for acute abnormalities.  Mild elevation of D-dimer, CT chest PE protocol is pending.  1/21/22:  60-year-old woman who presented with complaints of fever, chills, shortness of breath of few days duration.  She was found to be hypoxic on presentation requiring initiation of supplemental oxygen.    CT pulmonary angiogram was negative for pulmonary embolism but demonstrated bilateral airspace disease compatible with pneumonia.  COVID-19 PCR was subsequently positive, she was started on IV steroids and remdesivir as she met criteria for treatment in the presence of hypoxia.  Clinical response was favorable with gradual improvement in cough, shortness of breath and wheezing.  Oxygen walk for home determination was done prior to discharge, she did not meet criteria for home oxygen.  She has been discharged in stable medical condition to continue outpatient follow-up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Walking distance test normal, Wheezing, White blood cell count normal
Clinical narrative: Pfizer Dose 1 12/22/21 (FE3594) COVID Positive 1/18/22  1/18/22: 60-year-old female with COPD not on home oxygen, obstructive sleep apnea noncompliant with CPAP, hypertension, anxiety/depression, tobacco abuse, cocaine use presented with shortness of breath.  Reportedly called EMS for shortness of breath noted to be wheezing placed on 2 L oxygen for hypoxia.  Patient reports she was having fever , chills and has decreased appetite.  Denies any muscle aches or joint pain, reportedly had exposure to COVID positive contact.  Patient denies any illicit drug use at this time.  Patient is a febrile and hemodynamically stable.  VBG showed pH 7.32 with pCO2 70, influenza A and B negative, COVID-19 PCR is pending unremarkable WBC count. Chest x-ray is unremarkable for acute abnormalities.  Mild elevation of D-dimer, CT chest PE protocol is pending.  1/21/22:  60-year-old woman who presented with complaints of fever, chills, shortness of breath of few days duration.  She was found to be hypoxic on presentation requiring initiation of supplemental oxygen.    CT pulmonary angiogram was negative for pulmonary embolism but demonstrated bilateral airspace disease compatible with pneumonia.  COVID-19 PCR was subsequently positive, she was started on IV steroids and remdesivir as she met criteria for treatment in the presence of hypoxia.  Clinical response was favorable with gradual improvement in cough, shortness of breath and wheezing.  Oxygen walk for home determination was done prior to discharge, she did not meet criteria for home oxygen.  She has been discharged in stable medical condition to continue outpatient follow-up.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Exploratory operation, Injection site pain, Pain in extremity
Clinical narrative: I received the Modera half dose for my booster vaccine. In the afternoon and several hours later, I  had pain down my right arm, down my shoulder and fingers. I did not have any fever. It was really painful for 2-3 days. Then I went back from my regular pain from 2AM to about 6AM, and it is still a continuation from my second vaccine. My doctor advised me to get this dose because if I got COVID I would die. On 01-26-2022 I saw an orthopedic doctor and had an office appointment and that I could think about getting an injection that possibly might help. On 03-16-2022, my doctor gave me a cortisone injection and at that time my doctor he still felt it was a possible serum reaction.  He also stated that he could possibly do surgery and look around and that the surgery would be long recuperation. I did not have the surgery just for them to look around. The doctor recommended for me not to get the second booster. I continued on with same right shoulder pain from 2am to 6am up until I got a good amount of coffee in me to get relief.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Headache
Clinical narrative: I started getting symptoms of sore throat that I thought was allergies. That evening, I started getting a cough that was deep and painful. I had a headache and was tired and achy. I went to bed early and got up that morning feeling worse. I took an at home COVID-19 test that was positive. I went to a clinic due to my symptoms getting worse. I was taking ADVIL and TYLENOL combined. I felt feverish with a low grade fever. I was prescribed ritonavir and nirmatrelvir. My symptoms went until 6/28/2022. Then the next day, I still felt fatigued. I almost feel normal now except for low energy.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of sore throat that I thought was allergies. That evening, I started getting a cough that was deep and painful. I had a headache and was tired and achy. I went to bed early and got up that morning feeling worse. I took an at home COVID-19 test that was positive. I went to a clinic due to my symptoms getting worse. I was taking ADVIL and TYLENOL combined. I felt feverish with a low grade fever. I was prescribed ritonavir and nirmatrelvir. My symptoms went until 6/28/2022. Then the next day, I still felt fatigued. I almost feel normal now except for low energy.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood pressure increased, Cardiac monitoring normal, Chest X-ray normal, Computerised tomogram normal
Clinical narrative: I received my second booster on May 25th at 03:00 in the afternoon. On May 26th around noon, I started getting nauseas, bloated, and lightheaded. On May 30th, around 04:00PM, I went to urgent care as my blood pressure went up to 183/81. I do  not have blood pressure problems. I was diagnosed with fatigue. On June 15th, I went to the doctor as an annual visit, but I still had all the symptoms. Right before I went to that appointment, after 8 days of being nauseous 24 hours a day, I called my primary doctor. He prescribed Ondansetron HCL 4mg to be taken every 6 hours. Nausea went away. My doctor examined me and said there was nothing he could do for me because of it being vaccine related. He called it vaccine syndrome. He did prescribe Vitamin B12. Saturday, June 25th, I had a very dizzy spell. I had to call an ambulance. I spent the night admitted to the hospital where many tests were done. I was discharged with vertigo likely secondary to COVID-19 Booster. I went home with a prescription Meclizine 12.5mg. On June 29th, I went to see primary doctor. He examined me. He is sending me to therapy for crystal adjustments and referral to an ENT doctor.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Extra dose administered, Fatigue, Immunisation reaction, Magnetic resonance imaging normal
Clinical narrative: I received my second booster on May 25th at 03:00 in the afternoon. On May 26th around noon, I started getting nauseas, bloated, and lightheaded. On May 30th, around 04:00PM, I went to urgent care as my blood pressure went up to 183/81. I do  not have blood pressure problems. I was diagnosed with fatigue. On June 15th, I went to the doctor as an annual visit, but I still had all the symptoms. Right before I went to that appointment, after 8 days of being nauseous 24 hours a day, I called my primary doctor. He prescribed Ondansetron HCL 4mg to be taken every 6 hours. Nausea went away. My doctor examined me and said there was nothing he could do for me because of it being vaccine related. He called it vaccine syndrome. He did prescribe Vitamin B12. Saturday, June 25th, I had a very dizzy spell. I had to call an ambulance. I spent the night admitted to the hospital where many tests were done. I was discharged with vertigo likely secondary to COVID-19 Booster. I went home with a prescription Meclizine 12.5mg. On June 29th, I went to see primary doctor. He examined me. He is sending me to therapy for crystal adjustments and referral to an ENT doctor.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: I received my second booster on May 25th at 03:00 in the afternoon. On May 26th around noon, I started getting nauseas, bloated, and lightheaded. On May 30th, around 04:00PM, I went to urgent care as my blood pressure went up to 183/81. I do  not have blood pressure problems. I was diagnosed with fatigue. On June 15th, I went to the doctor as an annual visit, but I still had all the symptoms. Right before I went to that appointment, after 8 days of being nauseous 24 hours a day, I called my primary doctor. He prescribed Ondansetron HCL 4mg to be taken every 6 hours. Nausea went away. My doctor examined me and said there was nothing he could do for me because of it being vaccine related. He called it vaccine syndrome. He did prescribe Vitamin B12. Saturday, June 25th, I had a very dizzy spell. I had to call an ambulance. I spent the night admitted to the hospital where many tests were done. I was discharged with vertigo likely secondary to COVID-19 Booster. I went home with a prescription Meclizine 12.5mg. On June 29th, I went to see primary doctor. He examined me. He is sending me to therapy for crystal adjustments and referral to an ENT doctor.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I tested positive for COVID-19 on 5/16/22. I had fatigue, runny nose, and sneezing. I was prescribed Paxlovid the next day and the symptoms cleared up within 2 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Influenza like illness, Nasopharyngitis
Clinical narrative: I started feeling like i had a bad cold a little bit like the flu. It felt like i had a fever but i didn't. I took a COVID-19 test and was positive. I felt the same way for 48 hours. I now feel better but i still have a cough and sore throat but i have more  energy to be up and moving around.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started feeling like i had a bad cold a little bit like the flu. It felt like i had a fever but i didn't. I took a COVID-19 test and was positive. I felt the same way for 48 hours. I now feel better but i still have a cough and sore throat but i have more  energy to be up and moving around.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Body temperature increased, COVID-19, Dyspnoea, Dyspnoea exertional
Clinical narrative: Pfizer Dose 1 3/17/21 (EN6205); Pfizer Dose 2 4/14/21 (EW0153); COVID Positive 3/8/22; 3/8/22: 82-year-old lady presented to the emergency room with complaint of generalized fatigue and shortness of breath with activity that started yesterday evening.  The patient reports having difficulty ambulating because of increasing shortness of breath.  She denies fever.  She denies cough.  The patient was treated for COVID 10 days ago and stated that after treatment she was feeling just all right with no issues. She denies diarrhea.  In the emergency room, she was noted to have a hemoglobin of 6.  She denies abdominal discomfort.  She stated that she was on dexamethasone, and she continued taking her Plavix as usual. 3/13/22: Patient is an 82-year-old female with a history of coronary artery disease with the hospital with a chief complaint of generalized fatigue and shortness of breath. On initial lab evaluation the patient's hemoglobin was found to be 6.8.  Patient was transfused with 2 units of blood. Gastroenterology team was consulted and patient had an upper endoscopy performed which revealed 2 ulcerations which were about 0.5 cm x 2 cm arm and the other one was 1.5 cm 1 cm long.  Both of these ulcers were found to be not moving and both were cauterized.  H pylori samples were taken.  H pylori is negative.  Patient's hemoglobin remained stable during her hospitalization.  Patient is to be discharged with Protonix 40 mg p.o. b.i.d. Patient was instructed not to take Plavix and dexamethasone.  It is okay to take aspirin should follow-up with primary care physician in 1 week.  Also the low-grade temp of 100.8° F recorded in the patient's chart but according to the nurses report the patient was wearing a few layers of blanket. Patient was discharged from the hospital in a hemodynamically stable state.  Patient will follow-up with PCP in 1 week.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocauterisation, Endoscopy upper gastrointestinal tract abnormal, Fatigue, Gait disturbance, Gastrointestinal ulcer
Clinical narrative: Pfizer Dose 1 3/17/21 (EN6205); Pfizer Dose 2 4/14/21 (EW0153); COVID Positive 3/8/22; 3/8/22: 82-year-old lady presented to the emergency room with complaint of generalized fatigue and shortness of breath with activity that started yesterday evening.  The patient reports having difficulty ambulating because of increasing shortness of breath.  She denies fever.  She denies cough.  The patient was treated for COVID 10 days ago and stated that after treatment she was feeling just all right with no issues. She denies diarrhea.  In the emergency room, she was noted to have a hemoglobin of 6.  She denies abdominal discomfort.  She stated that she was on dexamethasone, and she continued taking her Plavix as usual. 3/13/22: Patient is an 82-year-old female with a history of coronary artery disease with the hospital with a chief complaint of generalized fatigue and shortness of breath. On initial lab evaluation the patient's hemoglobin was found to be 6.8.  Patient was transfused with 2 units of blood. Gastroenterology team was consulted and patient had an upper endoscopy performed which revealed 2 ulcerations which were about 0.5 cm x 2 cm arm and the other one was 1.5 cm 1 cm long.  Both of these ulcers were found to be not moving and both were cauterized.  H pylori samples were taken.  H pylori is negative.  Patient's hemoglobin remained stable during her hospitalization.  Patient is to be discharged with Protonix 40 mg p.o. b.i.d. Patient was instructed not to take Plavix and dexamethasone.  It is okay to take aspirin should follow-up with primary care physician in 1 week.  Also the low-grade temp of 100.8° F recorded in the patient's chart but according to the nurses report the patient was wearing a few layers of blanket. Patient was discharged from the hospital in a hemodynamically stable state.  Patient will follow-up with PCP in 1 week.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Helicobacter test negative, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Transfusion
Clinical narrative: Pfizer Dose 1 3/17/21 (EN6205); Pfizer Dose 2 4/14/21 (EW0153); COVID Positive 3/8/22; 3/8/22: 82-year-old lady presented to the emergency room with complaint of generalized fatigue and shortness of breath with activity that started yesterday evening.  The patient reports having difficulty ambulating because of increasing shortness of breath.  She denies fever.  She denies cough.  The patient was treated for COVID 10 days ago and stated that after treatment she was feeling just all right with no issues. She denies diarrhea.  In the emergency room, she was noted to have a hemoglobin of 6.  She denies abdominal discomfort.  She stated that she was on dexamethasone, and she continued taking her Plavix as usual. 3/13/22: Patient is an 82-year-old female with a history of coronary artery disease with the hospital with a chief complaint of generalized fatigue and shortness of breath. On initial lab evaluation the patient's hemoglobin was found to be 6.8.  Patient was transfused with 2 units of blood. Gastroenterology team was consulted and patient had an upper endoscopy performed which revealed 2 ulcerations which were about 0.5 cm x 2 cm arm and the other one was 1.5 cm 1 cm long.  Both of these ulcers were found to be not moving and both were cauterized.  H pylori samples were taken.  H pylori is negative.  Patient's hemoglobin remained stable during her hospitalization.  Patient is to be discharged with Protonix 40 mg p.o. b.i.d. Patient was instructed not to take Plavix and dexamethasone.  It is okay to take aspirin should follow-up with primary care physician in 1 week.  Also the low-grade temp of 100.8° F recorded in the patient's chart but according to the nurses report the patient was wearing a few layers of blanket. Patient was discharged from the hospital in a hemodynamically stable state.  Patient will follow-up with PCP in 1 week.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: none at time of shot
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Body temperature increased, COVID-19, Choking
Clinical narrative: 06/27/2022  I woke up feeling good. Around lunch time I started having a dry cough, then I developed a headache. I did a home COVID test which was negative.  I woke up at 03:30 in the morning and felt horrible. I had the worse headache, weak, coughing, my back was hurting, and my blood pressure was high which is normally well controlled.  I took one and a half dose of Blood Pressure medicine to get my blood pressure down. I also took Ibuprofen. Also, my allergies had worsened.  I called Urgent Care to see if I could get an appointment to get an anti-viral. 0n 6/28/2022 I took a home COVID test and it was positive.  I saw a nurse practitioner. I had a temperature of 100.7. Everyone was out of Paxlovid, so she prescribed Lagevrio.  I slept off and on, felt terrible and my back really hurt. I had no appetite, and nothing tasted good to me. I mostly sipped on ginger ale and had dry cereal.  Yesterday, I woke up with a headache, but it was 95% better.  My blood pressure was still high, so I took a double dose of my normal Blood Pressure medicine.  I started feeling a lot better by yesterday afternoon. I was still coughing, but I was so much better than the day before. Yesterday evening I would get choked while coughing and had a dry scratchy throat. My lungs, however, are clear. Today, I just took my 5th dose of anti-viral. My headache is gone, but my blood pressure is still up, just not as much.  I have the weird pain in my back again and need a heating pad. My throat is extremely dry and scratchy.  I am tasting things okay now.  I am just not real hungry and still feel weak. I just want to sit and not do anything.  I do not feel like I have a fever today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Decreased appetite, Dry throat, Feeling abnormal
Clinical narrative: 06/27/2022  I woke up feeling good. Around lunch time I started having a dry cough, then I developed a headache. I did a home COVID test which was negative.  I woke up at 03:30 in the morning and felt horrible. I had the worse headache, weak, coughing, my back was hurting, and my blood pressure was high which is normally well controlled.  I took one and a half dose of Blood Pressure medicine to get my blood pressure down. I also took Ibuprofen. Also, my allergies had worsened.  I called Urgent Care to see if I could get an appointment to get an anti-viral. 0n 6/28/2022 I took a home COVID test and it was positive.  I saw a nurse practitioner. I had a temperature of 100.7. Everyone was out of Paxlovid, so she prescribed Lagevrio.  I slept off and on, felt terrible and my back really hurt. I had no appetite, and nothing tasted good to me. I mostly sipped on ginger ale and had dry cereal.  Yesterday, I woke up with a headache, but it was 95% better.  My blood pressure was still high, so I took a double dose of my normal Blood Pressure medicine.  I started feeling a lot better by yesterday afternoon. I was still coughing, but I was so much better than the day before. Yesterday evening I would get choked while coughing and had a dry scratchy throat. My lungs, however, are clear. Today, I just took my 5th dose of anti-viral. My headache is gone, but my blood pressure is still up, just not as much.  I have the weird pain in my back again and need a heating pad. My throat is extremely dry and scratchy.  I am tasting things okay now.  I am just not real hungry and still feel weak. I just want to sit and not do anything.  I do not feel like I have a fever today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersensitivity, Hypertension, SARS-CoV-2 test positive, Taste disorder
Clinical narrative: 06/27/2022  I woke up feeling good. Around lunch time I started having a dry cough, then I developed a headache. I did a home COVID test which was negative.  I woke up at 03:30 in the morning and felt horrible. I had the worse headache, weak, coughing, my back was hurting, and my blood pressure was high which is normally well controlled.  I took one and a half dose of Blood Pressure medicine to get my blood pressure down. I also took Ibuprofen. Also, my allergies had worsened.  I called Urgent Care to see if I could get an appointment to get an anti-viral. 0n 6/28/2022 I took a home COVID test and it was positive.  I saw a nurse practitioner. I had a temperature of 100.7. Everyone was out of Paxlovid, so she prescribed Lagevrio.  I slept off and on, felt terrible and my back really hurt. I had no appetite, and nothing tasted good to me. I mostly sipped on ginger ale and had dry cereal.  Yesterday, I woke up with a headache, but it was 95% better.  My blood pressure was still high, so I took a double dose of my normal Blood Pressure medicine.  I started feeling a lot better by yesterday afternoon. I was still coughing, but I was so much better than the day before. Yesterday evening I would get choked while coughing and had a dry scratchy throat. My lungs, however, are clear. Today, I just took my 5th dose of anti-viral. My headache is gone, but my blood pressure is still up, just not as much.  I have the weird pain in my back again and need a heating pad. My throat is extremely dry and scratchy.  I am tasting things okay now.  I am just not real hungry and still feel weak. I just want to sit and not do anything.  I do not feel like I have a fever today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 06/27/2022  I woke up feeling good. Around lunch time I started having a dry cough, then I developed a headache. I did a home COVID test which was negative.  I woke up at 03:30 in the morning and felt horrible. I had the worse headache, weak, coughing, my back was hurting, and my blood pressure was high which is normally well controlled.  I took one and a half dose of Blood Pressure medicine to get my blood pressure down. I also took Ibuprofen. Also, my allergies had worsened.  I called Urgent Care to see if I could get an appointment to get an anti-viral. 0n 6/28/2022 I took a home COVID test and it was positive.  I saw a nurse practitioner. I had a temperature of 100.7. Everyone was out of Paxlovid, so she prescribed Lagevrio.  I slept off and on, felt terrible and my back really hurt. I had no appetite, and nothing tasted good to me. I mostly sipped on ginger ale and had dry cereal.  Yesterday, I woke up with a headache, but it was 95% better.  My blood pressure was still high, so I took a double dose of my normal Blood Pressure medicine.  I started feeling a lot better by yesterday afternoon. I was still coughing, but I was so much better than the day before. Yesterday evening I would get choked while coughing and had a dry scratchy throat. My lungs, however, are clear. Today, I just took my 5th dose of anti-viral. My headache is gone, but my blood pressure is still up, just not as much.  I have the weird pain in my back again and need a heating pad. My throat is extremely dry and scratchy.  I am tasting things okay now.  I am just not real hungry and still feel weak. I just want to sit and not do anything.  I do not feel like I have a fever today.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dyspnoea, Inappropriate schedule of product administration
Clinical narrative: Moderna Dose 1 9/13/21 (lot NA) Moderna Dose 2 10/13/21 (lot NA) COVID Positive 1/28/22  1/28/22: Patient is a 57-year-old female with a past medical history significant for arthritis of lumbar spine obesity room tired arthritis sleep apnea and extensive smoking history.  Patient comes in with a chief complaint of shortness of breath that has been going on for the past 2 weeks.  Patient states that the over past 2 weeks her shortness of breath has gotten progressively worse.  She states that she does have a history of COPD and asthma but does not wear home oxygen at home.  Patient was COVID-19 positive on today's rapid test.  She states she lives at home with her husband and has not traveled anywhere recently.  2/2/22: Patient is a 57-year-old female admitted to hospital for acute hypoxic respiratory failure due to COVID 19 pneumonia, patient was treated with supplemental oxygen medical therapy including antibiotics Decadron and initially remdesivir, unfortunately remdesivir was discontinued due to abnormal liver function test.  As time progressed patient clinically improved.  Per patient's request she will be discharged home with VNA, recommended follow-up with PCP within 1 week.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test abnormal, SARS-CoV-2 test positive
Clinical narrative: Moderna Dose 1 9/13/21 (lot NA) Moderna Dose 2 10/13/21 (lot NA) COVID Positive 1/28/22  1/28/22: Patient is a 57-year-old female with a past medical history significant for arthritis of lumbar spine obesity room tired arthritis sleep apnea and extensive smoking history.  Patient comes in with a chief complaint of shortness of breath that has been going on for the past 2 weeks.  Patient states that the over past 2 weeks her shortness of breath has gotten progressively worse.  She states that she does have a history of COPD and asthma but does not wear home oxygen at home.  Patient was COVID-19 positive on today's rapid test.  She states she lives at home with her husband and has not traveled anywhere recently.  2/2/22: Patient is a 57-year-old female admitted to hospital for acute hypoxic respiratory failure due to COVID 19 pneumonia, patient was treated with supplemental oxygen medical therapy including antibiotics Decadron and initially remdesivir, unfortunately remdesivir was discontinued due to abnormal liver function test.  As time progressed patient clinically improved.  Per patient's request she will be discharged home with VNA, recommended follow-up with PCP within 1 week.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acne, Dizziness, Erythema, Headache, Injection site pain
Clinical narrative: He got his vaccines, had no reaction other than some soreness.  Lately in the past few months he has gradually been having problems with his arms hurting, around the area of the vaccine, slight headaches.  He had vaccines in both arms.   He has been having some lesions which he uses alcohol to dry them up.  He is starting to have in the last 3 weeks or so he has noticed if he gets up and has vertigo.  He went to the store to the pharmacy and even at the store he was feeling woozy.  He also has an APT with the skin doctor to see if he has lesions on his back.  He has some on his chest and on his arms, wasn't sure if they were heat rash or not.  The other day he was working in the yard and does his own yard work, was having issues with starting his trimmer, hit his elbow and it swelled and hurt, his arm got red and itchy, which he felt was a strange reaction to hitting his arm.  This is in the area of where he had one of his vaccines.  He put some cream (Eucerin), and it seems okay now.  He does have pimples on his arm, which are coming out and wonders if this is related to the vaccine.   He was working in the arm, got stuck by a thorn and now has a scar that will not go away, which he has never had scars prior to the vaccine.    He did not have any problems with skin reactions prior to the vaccines.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, Pain, Pain in extremity, Pruritus, Scar
Clinical narrative: He got his vaccines, had no reaction other than some soreness.  Lately in the past few months he has gradually been having problems with his arms hurting, around the area of the vaccine, slight headaches.  He had vaccines in both arms.   He has been having some lesions which he uses alcohol to dry them up.  He is starting to have in the last 3 weeks or so he has noticed if he gets up and has vertigo.  He went to the store to the pharmacy and even at the store he was feeling woozy.  He also has an APT with the skin doctor to see if he has lesions on his back.  He has some on his chest and on his arms, wasn't sure if they were heat rash or not.  The other day he was working in the yard and does his own yard work, was having issues with starting his trimmer, hit his elbow and it swelled and hurt, his arm got red and itchy, which he felt was a strange reaction to hitting his arm.  This is in the area of where he had one of his vaccines.  He put some cream (Eucerin), and it seems okay now.  He does have pimples on his arm, which are coming out and wonders if this is related to the vaccine.   He was working in the arm, got stuck by a thorn and now has a scar that will not go away, which he has never had scars prior to the vaccine.    He did not have any problems with skin reactions prior to the vaccines.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Skin lesion, Swelling, Vertigo
Clinical narrative: He got his vaccines, had no reaction other than some soreness.  Lately in the past few months he has gradually been having problems with his arms hurting, around the area of the vaccine, slight headaches.  He had vaccines in both arms.   He has been having some lesions which he uses alcohol to dry them up.  He is starting to have in the last 3 weeks or so he has noticed if he gets up and has vertigo.  He went to the store to the pharmacy and even at the store he was feeling woozy.  He also has an APT with the skin doctor to see if he has lesions on his back.  He has some on his chest and on his arms, wasn't sure if they were heat rash or not.  The other day he was working in the yard and does his own yard work, was having issues with starting his trimmer, hit his elbow and it swelled and hurt, his arm got red and itchy, which he felt was a strange reaction to hitting his arm.  This is in the area of where he had one of his vaccines.  He put some cream (Eucerin), and it seems okay now.  He does have pimples on his arm, which are coming out and wonders if this is related to the vaccine.   He was working in the arm, got stuck by a thorn and now has a scar that will not go away, which he has never had scars prior to the vaccine.    He did not have any problems with skin reactions prior to the vaccines.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pt was given a dose from vial that had been at room temperature for 23 hours.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Lip swelling, Loss of personal independence in daily activities, Malaise
Clinical narrative: I received the Modera half dose.  I started feeling sick around 3pm. I had fever, chills, pain so severe n my left arm shooting down to my finger tips. I felt like my left arm was paralyzed just like my right arm in April 2021. I also with this vaccine, my lips swelled for several days. Two to three days after that I now have pain in both arm, from my shoulders across my clavicles to my shoulder blades. I can not sleep from 2am to 6am because of this pain and the only helps me is coffee. I also take OTC Advil the generic form for pain. My doctor put me on Prednisone medication. I am living in pain, in my shoulders since April 06, 2021 and present. The shots have changed my life forever. I just hope they can find an answer for me as what I need to do.  I also do not know if this is permanent, my quality of life has changed since receiving the vaccines.  I am scared to have permanent damage and this pain does not go away.  I can no do my activities as I used to and also have weakness in my arms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Monoplegia, Muscular weakness, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: I received the Modera half dose.  I started feeling sick around 3pm. I had fever, chills, pain so severe n my left arm shooting down to my finger tips. I felt like my left arm was paralyzed just like my right arm in April 2021. I also with this vaccine, my lips swelled for several days. Two to three days after that I now have pain in both arm, from my shoulders across my clavicles to my shoulder blades. I can not sleep from 2am to 6am because of this pain and the only helps me is coffee. I also take OTC Advil the generic form for pain. My doctor put me on Prednisone medication. I am living in pain, in my shoulders since April 06, 2021 and present. The shots have changed my life forever. I just hope they can find an answer for me as what I need to do.  I also do not know if this is permanent, my quality of life has changed since receiving the vaccines.  I am scared to have permanent damage and this pain does not go away.  I can no do my activities as I used to and also have weakness in my arms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Quality of life decreased
Clinical narrative: I received the Modera half dose.  I started feeling sick around 3pm. I had fever, chills, pain so severe n my left arm shooting down to my finger tips. I felt like my left arm was paralyzed just like my right arm in April 2021. I also with this vaccine, my lips swelled for several days. Two to three days after that I now have pain in both arm, from my shoulders across my clavicles to my shoulder blades. I can not sleep from 2am to 6am because of this pain and the only helps me is coffee. I also take OTC Advil the generic form for pain. My doctor put me on Prednisone medication. I am living in pain, in my shoulders since April 06, 2021 and present. The shots have changed my life forever. I just hope they can find an answer for me as what I need to do.  I also do not know if this is permanent, my quality of life has changed since receiving the vaccines.  I am scared to have permanent damage and this pain does not go away.  I can no do my activities as I used to and also have weakness in my arms.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aura, Dizziness, Photophobia, Vertigo
Clinical narrative: Auras and light sensitivity. Dizziness. Sense of veritgo
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose, Wrong product administered
Clinical narrative: 15 year old female received Pfizer 5-11y/o dose for her booster.  Patient / family aware.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19; one month after the vaccine. I'm experiencing coughing, sneezing, and nasal congestion.  Sometimes I have a fever. I
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I contracted COVID-19; one month after the vaccine. I'm experiencing coughing, sneezing, and nasal congestion.  Sometimes I have a fever. I
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient is not immune compromised and received a 5th covid-19 vaccine of Moderna. Patient had no adverse reaction onsite and was monitored for 15 minutes after the vaccine was administered.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: I started getting symptoms of sore throat and a cough. That progressed to a worse cough, fever, and, tiredness. The next day, I took an at home COVID-19 test that was negative. On 6/25/2022, I went to a drive thru and received a positive COVID-19 test. I contacted my doctor and received a prescription for a cough medicine and PAXLOVID. I feel like the PAXLOVID is helping. I still have a cough but it is not as bad as it was.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of sore throat and a cough. That progressed to a worse cough, fever, and, tiredness. The next day, I took an at home COVID-19 test that was negative. On 6/25/2022, I went to a drive thru and received a positive COVID-19 test. I contacted my doctor and received a prescription for a cough medicine and PAXLOVID. I feel like the PAXLOVID is helping. I still have a cough but it is not as bad as it was.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Liver function test abnormal, Panic attack
Clinical narrative: I started having panic attacks in late March of 2022. I've gone to the doctor several times for it. My blood pressure gets really high during these attacks. There's nothing that I can think of that brings them on. They just happen out of nowhere. I was prescribed XANAX, alprazolam, fluvoxamine maleate, and fluoxetine HCL. The attacks don't happen everyday. They happen once or twice a week, and I can't control them.