chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate normal, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased, Hiatus hernia
Clinical narrative: 1/25/22  91 yr/o male who presents to the Emergency Department complaining of worsening covid symptoms. Patient is vaccinated and boostered. States 4 days ago he develop a cough, body aches, shortness of breath, chest pain.  States he was seen at an ICC and diagnosed with Covid.  States he gave him some medications and told him to come the emergency department if he gets worse.  States he feels though his cough and shortness of breath is getting worse.  He describes the pain in his chest as a sharp pain that is worse with coughing but always has some pressure in his chest.  Denies any nausea, vomiting, diarrhea, abdominal pain.  No known fevers at home.  Denies any history of COPD, asthma, CAD, diabetes. Has a remote smoking history.  States he feels generally weak and unwell. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for congestion, sore throat and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for dysuria and hematuria.  Skin: Negative for color change and rash.  Neurological: Negative for light-headedness and headaches.  Hematological: Negative for adenopathy.  1/25/22-Admission: HISTORY OF PRESENT ILLNESS  91-year-old male was diagnosed with Covid 4 days ago.  He has been ill with respiratory symptoms for 9 days now.  He was treated with bronchodilators and steroids as an outpatient without much relief.  He denies loss of taste or smell.  He denies diarrhea.  He has been vaccinated and boosted for Covid.  Denies chest pain.  Sats were 90% on room air     REVIEW OF SYSTEMS  Eyes-no conjunctivitis, no visual loss ENMT-no oral lesions Cardiovascular-no chest pain Respiratory-no hemoptysis GI-no abdominal pain, no diarrhea GU-no dysuria Musculoskeletal-no bone or muscle aches Skin-no rashes Neurological-no paresthesias, no unilateral weaknesses Psychiatric-no confusion/hallucination/delusion SUMMARY OF HOSPITALIZATION 91-year-old male presents with cough, shortness of breath, and required supplemental oxygen.  He has COVID-19 pneumonia and he was treated with supplemental oxygen, dexamethasone, remdesivir.  He was also given full dose Lovenox as recommended by NIH.  Patient clinically improved.  He would likely still need several oxygen at discharge.  He will be treated with another 10 days of dexamethasone.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hilar lymphadenopathy, Immature granulocyte count, Interstitial lung disease, Lung consolidation, Lymphadenopathy mediastinal
Clinical narrative: 1/25/22  91 yr/o male who presents to the Emergency Department complaining of worsening covid symptoms. Patient is vaccinated and boostered. States 4 days ago he develop a cough, body aches, shortness of breath, chest pain.  States he was seen at an ICC and diagnosed with Covid.  States he gave him some medications and told him to come the emergency department if he gets worse.  States he feels though his cough and shortness of breath is getting worse.  He describes the pain in his chest as a sharp pain that is worse with coughing but always has some pressure in his chest.  Denies any nausea, vomiting, diarrhea, abdominal pain.  No known fevers at home.  Denies any history of COPD, asthma, CAD, diabetes. Has a remote smoking history.  States he feels generally weak and unwell. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for congestion, sore throat and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for dysuria and hematuria.  Skin: Negative for color change and rash.  Neurological: Negative for light-headedness and headaches.  Hematological: Negative for adenopathy.  1/25/22-Admission: HISTORY OF PRESENT ILLNESS  91-year-old male was diagnosed with Covid 4 days ago.  He has been ill with respiratory symptoms for 9 days now.  He was treated with bronchodilators and steroids as an outpatient without much relief.  He denies loss of taste or smell.  He denies diarrhea.  He has been vaccinated and boosted for Covid.  Denies chest pain.  Sats were 90% on room air     REVIEW OF SYSTEMS  Eyes-no conjunctivitis, no visual loss ENMT-no oral lesions Cardiovascular-no chest pain Respiratory-no hemoptysis GI-no abdominal pain, no diarrhea GU-no dysuria Musculoskeletal-no bone or muscle aches Skin-no rashes Neurological-no paresthesias, no unilateral weaknesses Psychiatric-no confusion/hallucination/delusion SUMMARY OF HOSPITALIZATION 91-year-old male presents with cough, shortness of breath, and required supplemental oxygen.  He has COVID-19 pneumonia and he was treated with supplemental oxygen, dexamethasone, remdesivir.  He was also given full dose Lovenox as recommended by NIH.  Patient clinically improved.  He would likely still need several oxygen at discharge.  He will be treated with another 10 days of dexamethasone.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Malaise, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: 1/25/22  91 yr/o male who presents to the Emergency Department complaining of worsening covid symptoms. Patient is vaccinated and boostered. States 4 days ago he develop a cough, body aches, shortness of breath, chest pain.  States he was seen at an ICC and diagnosed with Covid.  States he gave him some medications and told him to come the emergency department if he gets worse.  States he feels though his cough and shortness of breath is getting worse.  He describes the pain in his chest as a sharp pain that is worse with coughing but always has some pressure in his chest.  Denies any nausea, vomiting, diarrhea, abdominal pain.  No known fevers at home.  Denies any history of COPD, asthma, CAD, diabetes. Has a remote smoking history.  States he feels generally weak and unwell. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for congestion, sore throat and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for dysuria and hematuria.  Skin: Negative for color change and rash.  Neurological: Negative for light-headedness and headaches.  Hematological: Negative for adenopathy.  1/25/22-Admission: HISTORY OF PRESENT ILLNESS  91-year-old male was diagnosed with Covid 4 days ago.  He has been ill with respiratory symptoms for 9 days now.  He was treated with bronchodilators and steroids as an outpatient without much relief.  He denies loss of taste or smell.  He denies diarrhea.  He has been vaccinated and boosted for Covid.  Denies chest pain.  Sats were 90% on room air     REVIEW OF SYSTEMS  Eyes-no conjunctivitis, no visual loss ENMT-no oral lesions Cardiovascular-no chest pain Respiratory-no hemoptysis GI-no abdominal pain, no diarrhea GU-no dysuria Musculoskeletal-no bone or muscle aches Skin-no rashes Neurological-no paresthesias, no unilateral weaknesses Psychiatric-no confusion/hallucination/delusion SUMMARY OF HOSPITALIZATION 91-year-old male presents with cough, shortness of breath, and required supplemental oxygen.  He has COVID-19 pneumonia and he was treated with supplemental oxygen, dexamethasone, remdesivir.  He was also given full dose Lovenox as recommended by NIH.  Patient clinically improved.  He would likely still need several oxygen at discharge.  He will be treated with another 10 days of dexamethasone.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Metabolic function test, Monocyte count increased, Monocyte percentage increased
Clinical narrative: 1/25/22  91 yr/o male who presents to the Emergency Department complaining of worsening covid symptoms. Patient is vaccinated and boostered. States 4 days ago he develop a cough, body aches, shortness of breath, chest pain.  States he was seen at an ICC and diagnosed with Covid.  States he gave him some medications and told him to come the emergency department if he gets worse.  States he feels though his cough and shortness of breath is getting worse.  He describes the pain in his chest as a sharp pain that is worse with coughing but always has some pressure in his chest.  Denies any nausea, vomiting, diarrhea, abdominal pain.  No known fevers at home.  Denies any history of COPD, asthma, CAD, diabetes. Has a remote smoking history.  States he feels generally weak and unwell. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for congestion, sore throat and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for dysuria and hematuria.  Skin: Negative for color change and rash.  Neurological: Negative for light-headedness and headaches.  Hematological: Negative for adenopathy.  1/25/22-Admission: HISTORY OF PRESENT ILLNESS  91-year-old male was diagnosed with Covid 4 days ago.  He has been ill with respiratory symptoms for 9 days now.  He was treated with bronchodilators and steroids as an outpatient without much relief.  He denies loss of taste or smell.  He denies diarrhea.  He has been vaccinated and boosted for Covid.  Denies chest pain.  Sats were 90% on room air     REVIEW OF SYSTEMS  Eyes-no conjunctivitis, no visual loss ENMT-no oral lesions Cardiovascular-no chest pain Respiratory-no hemoptysis GI-no abdominal pain, no diarrhea GU-no dysuria Musculoskeletal-no bone or muscle aches Skin-no rashes Neurological-no paresthesias, no unilateral weaknesses Psychiatric-no confusion/hallucination/delusion SUMMARY OF HOSPITALIZATION 91-year-old male presents with cough, shortness of breath, and required supplemental oxygen.  He has COVID-19 pneumonia and he was treated with supplemental oxygen, dexamethasone, remdesivir.  He was also given full dose Lovenox as recommended by NIH.  Patient clinically improved.  He would likely still need several oxygen at discharge.  He will be treated with another 10 days of dexamethasone.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Nucleated red cells, Pain, Platelet count normal
Clinical narrative: 1/25/22  91 yr/o male who presents to the Emergency Department complaining of worsening covid symptoms. Patient is vaccinated and boostered. States 4 days ago he develop a cough, body aches, shortness of breath, chest pain.  States he was seen at an ICC and diagnosed with Covid.  States he gave him some medications and told him to come the emergency department if he gets worse.  States he feels though his cough and shortness of breath is getting worse.  He describes the pain in his chest as a sharp pain that is worse with coughing but always has some pressure in his chest.  Denies any nausea, vomiting, diarrhea, abdominal pain.  No known fevers at home.  Denies any history of COPD, asthma, CAD, diabetes. Has a remote smoking history.  States he feels generally weak and unwell. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for congestion, sore throat and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for dysuria and hematuria.  Skin: Negative for color change and rash.  Neurological: Negative for light-headedness and headaches.  Hematological: Negative for adenopathy.  1/25/22-Admission: HISTORY OF PRESENT ILLNESS  91-year-old male was diagnosed with Covid 4 days ago.  He has been ill with respiratory symptoms for 9 days now.  He was treated with bronchodilators and steroids as an outpatient without much relief.  He denies loss of taste or smell.  He denies diarrhea.  He has been vaccinated and boosted for Covid.  Denies chest pain.  Sats were 90% on room air     REVIEW OF SYSTEMS  Eyes-no conjunctivitis, no visual loss ENMT-no oral lesions Cardiovascular-no chest pain Respiratory-no hemoptysis GI-no abdominal pain, no diarrhea GU-no dysuria Musculoskeletal-no bone or muscle aches Skin-no rashes Neurological-no paresthesias, no unilateral weaknesses Psychiatric-no confusion/hallucination/delusion SUMMARY OF HOSPITALIZATION 91-year-old male presents with cough, shortness of breath, and required supplemental oxygen.  He has COVID-19 pneumonia and he was treated with supplemental oxygen, dexamethasone, remdesivir.  He was also given full dose Lovenox as recommended by NIH.  Patient clinically improved.  He would likely still need several oxygen at discharge.  He will be treated with another 10 days of dexamethasone.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Protein total normal, Red blood cell count decreased, Red cell distribution width normal, Respiratory symptom
Clinical narrative: 1/25/22  91 yr/o male who presents to the Emergency Department complaining of worsening covid symptoms. Patient is vaccinated and boostered. States 4 days ago he develop a cough, body aches, shortness of breath, chest pain.  States he was seen at an ICC and diagnosed with Covid.  States he gave him some medications and told him to come the emergency department if he gets worse.  States he feels though his cough and shortness of breath is getting worse.  He describes the pain in his chest as a sharp pain that is worse with coughing but always has some pressure in his chest.  Denies any nausea, vomiting, diarrhea, abdominal pain.  No known fevers at home.  Denies any history of COPD, asthma, CAD, diabetes. Has a remote smoking history.  States he feels generally weak and unwell. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for congestion, sore throat and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for dysuria and hematuria.  Skin: Negative for color change and rash.  Neurological: Negative for light-headedness and headaches.  Hematological: Negative for adenopathy.  1/25/22-Admission: HISTORY OF PRESENT ILLNESS  91-year-old male was diagnosed with Covid 4 days ago.  He has been ill with respiratory symptoms for 9 days now.  He was treated with bronchodilators and steroids as an outpatient without much relief.  He denies loss of taste or smell.  He denies diarrhea.  He has been vaccinated and boosted for Covid.  Denies chest pain.  Sats were 90% on room air     REVIEW OF SYSTEMS  Eyes-no conjunctivitis, no visual loss ENMT-no oral lesions Cardiovascular-no chest pain Respiratory-no hemoptysis GI-no abdominal pain, no diarrhea GU-no dysuria Musculoskeletal-no bone or muscle aches Skin-no rashes Neurological-no paresthesias, no unilateral weaknesses Psychiatric-no confusion/hallucination/delusion SUMMARY OF HOSPITALIZATION 91-year-old male presents with cough, shortness of breath, and required supplemental oxygen.  He has COVID-19 pneumonia and he was treated with supplemental oxygen, dexamethasone, remdesivir.  He was also given full dose Lovenox as recommended by NIH.  Patient clinically improved.  He would likely still need several oxygen at discharge.  He will be treated with another 10 days of dexamethasone.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin, White blood cell count increased
Clinical narrative: 1/25/22  91 yr/o male who presents to the Emergency Department complaining of worsening covid symptoms. Patient is vaccinated and boostered. States 4 days ago he develop a cough, body aches, shortness of breath, chest pain.  States he was seen at an ICC and diagnosed with Covid.  States he gave him some medications and told him to come the emergency department if he gets worse.  States he feels though his cough and shortness of breath is getting worse.  He describes the pain in his chest as a sharp pain that is worse with coughing but always has some pressure in his chest.  Denies any nausea, vomiting, diarrhea, abdominal pain.  No known fevers at home.  Denies any history of COPD, asthma, CAD, diabetes. Has a remote smoking history.  States he feels generally weak and unwell. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for congestion, sore throat and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for dysuria and hematuria.  Skin: Negative for color change and rash.  Neurological: Negative for light-headedness and headaches.  Hematological: Negative for adenopathy.  1/25/22-Admission: HISTORY OF PRESENT ILLNESS  91-year-old male was diagnosed with Covid 4 days ago.  He has been ill with respiratory symptoms for 9 days now.  He was treated with bronchodilators and steroids as an outpatient without much relief.  He denies loss of taste or smell.  He denies diarrhea.  He has been vaccinated and boosted for Covid.  Denies chest pain.  Sats were 90% on room air     REVIEW OF SYSTEMS  Eyes-no conjunctivitis, no visual loss ENMT-no oral lesions Cardiovascular-no chest pain Respiratory-no hemoptysis GI-no abdominal pain, no diarrhea GU-no dysuria Musculoskeletal-no bone or muscle aches Skin-no rashes Neurological-no paresthesias, no unilateral weaknesses Psychiatric-no confusion/hallucination/delusion SUMMARY OF HOSPITALIZATION 91-year-old male presents with cough, shortness of breath, and required supplemental oxygen.  He has COVID-19 pneumonia and he was treated with supplemental oxygen, dexamethasone, remdesivir.  He was also given full dose Lovenox as recommended by NIH.  Patient clinically improved.  He would likely still need several oxygen at discharge.  He will be treated with another 10 days of dexamethasone.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Oral mucosal exfoliation, Swollen tongue
Clinical narrative: Interior of my mouth swollen, tongue felt larger, currently skin in interior of my mouth peeling. This has been an ongoing problem since the vaccination.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chromosome analysis normal, Chronic villitis of unknown etiology, Culture positive, Cytomegalovirus test negative
Clinical narrative: 3w3d pregnant at the time of vaccination. EDD of 6/12/22. Found out on 1/6/22 that there was no heartbeat. Based on ultrasound, fetal demise occurred at 16w4d.  Multiple tests returned normal. Placenta showed villitis of unknown etiology. Several fetal organs measurements were off : heart 12 wks, kidneys 13 wks, Thymus 20 wks
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal heart rate abnormal, Listeria test, Parvovirus B19 test negative, Toxoplasma serology negative
Clinical narrative: 3w3d pregnant at the time of vaccination. EDD of 6/12/22. Found out on 1/6/22 that there was no heartbeat. Based on ultrasound, fetal demise occurred at 16w4d.  Multiple tests returned normal. Placenta showed villitis of unknown etiology. Several fetal organs measurements were off : heart 12 wks, kidneys 13 wks, Thymus 20 wks
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound foetal abnormal
Clinical narrative: 3w3d pregnant at the time of vaccination. EDD of 6/12/22. Found out on 1/6/22 that there was no heartbeat. Based on ultrasound, fetal demise occurred at 16w4d.  Multiple tests returned normal. Placenta showed villitis of unknown etiology. Several fetal organs measurements were off : heart 12 wks, kidneys 13 wks, Thymus 20 wks
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Vaccine not diluted prior to administration
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: vaccine vial not diluted prior to withdrawing & administering dose
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Facial paralysis, Magnetic resonance imaging
Clinical narrative: I woke and the right side of my face was paralyzed for 2 months. I was diagnosed with Bell's Palsy.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abnormal, Fatigue, Nephrolithiasis, Pain
Clinical narrative: Evening of 3rd dose had the expected sore arm; chills and tiredness On 1-22-2022 had to go to the Hospital ER in excruciating pain and vomitting. Diagnosed with Kidney Stones. No prior history of kidney stones or any urinary tract problems.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound scan abnormal, Vomiting, X-ray abnormal
Clinical narrative: Evening of 3rd dose had the expected sore arm; chills and tiredness On 1-22-2022 had to go to the Hospital ER in excruciating pain and vomitting. Diagnosed with Kidney Stones. No prior history of kidney stones or any urinary tract problems.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Orbital swelling, Pyrexia, Rash, Swelling face, Urticaria
Clinical narrative: Extremely high fever , temp max of 105.4 at approximately the 24 hour mark . Hive rash , facial and orbital swelling . I started taking Tylenol 650 q 4 , Benadryl 50mg  q 6 hrs , and started on steroids .  The fevers and facial swelling lasting  approx 1 week . The symptoms were most severe at my 24 hour mark .  I was recommended to go to the hospital , however I refused to decided to treat at home.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: vaccine vial not diluted prior to withdrawing & administering dose
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Wrong vaccines administered for age range. Should have received Pfizer for ages 12+ years. Received Pfizer for ages 5-11 years. Patient notified by Nurse Manager.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: vaccine vial not diluted prior to withdrawing & administering dose
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Blood urine present, Chromaturia, Culture urine positive, Escherichia infection
Clinical narrative: noticed unusual color and order of my urine that same day next day i started having mild urinary tract infections. went to urgent care and got test done for urinary tract infection   received a 10 day supply of antibiotics.  cleared up until about 2 month after when i noticed  last friday i  had blood in urine. ongoing investigation .
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Lipids normal, Metabolic function test normal, Serum ferritin normal, Urinary tract infection
Clinical narrative: noticed unusual color and order of my urine that same day next day i started having mild urinary tract infections. went to urgent care and got test done for urinary tract infection   received a 10 day supply of antibiotics.  cleared up until about 2 month after when i noticed  last friday i  had blood in urine. ongoing investigation .
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Urine analysis normal, Urine leukocyte esterase positive, Urine odour abnormal
Clinical narrative: noticed unusual color and order of my urine that same day next day i started having mild urinary tract infections. went to urgent care and got test done for urinary tract infection   received a 10 day supply of antibiotics.  cleared up until about 2 month after when i noticed  last friday i  had blood in urine. ongoing investigation .
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Seventeen-year-old patient was inadvertently given Moderna (dose #1) which is indicated for ages 18+.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray, Chest discomfort, Cough, Wheezing
Clinical narrative: On the evening of12/15/2021 I came down with a bad cough. I went in to urgent care and they did an x-ray.  I was wheezing and whistling in my chest. The doctor diagnosed me with bronchitis.  They gave me an inhaler if I had any trouble breathing, and an antibiotic; which I don't remember the name.  They gave me a ZPAK, which is the only one I have ever used. I guess I felt better in about a week to 10 days.  The cough lingered, but it wasn't bad.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Client presented to receive Moderna Dose 2. Client received first dose Moderna on 01/06/22. The client reported the next day he developed shaking that lasted 4 hours. The client stated he was unable to move due to the shaking. The client also reported chills, pain at the injection site, and body aches. The client took two Tylenol which helped relieve his symptoms. The client did not seek care or follow up with PCP. The client has no chronic conditions or medications. No known allergies. History of COVID with hospitalization and intubation in August 2021. Client received approval to receive Moderna Booster COVID vaccine by MD. Client received Moderna Dose 2 Lot#084J21A.  Client reported no symptoms while waiting in observation area for 30 mins. Client left vaccination area in steady gait.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound scan
Clinical narrative: I was having lot of leg pain went to the doctor on 02/11/2022 at 01:00PM & they said that both legs have blood clots which was causing extreme pain. I now have to stop doing my everyday run and now I am prescribed blood thinners and eventually will have to get surgery and remove the veins in follow up appointment in six weeks.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Medication error, No adverse event
Clinical narrative: A medication error was made. Pt was given 0.2ml dose of undiluted vaccine. Pt did not present with any adverse signs and symtoms during observation period following injection. Call placed to parent of pt, message was left checking on pt and with request for call back to clinic.  No known adverse symptoms at this time.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was one day past fridge use by date.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: I was feverish. I was achy and had bad chills. Symptoms lasted about a day and a half. I Think I may have taken Motrin. Symptoms completely subsided after a day and a half. Chills were just overnight. Fever, chills and tiredness went over into the next day.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Albumin globulin ratio normal, Angiogram cerebral normal, Anion gap
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aortic arteriosclerosis, Arteriogram carotid normal, Aspartate aminotransferase normal, Back pain, Bacterial test negative
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Basophil count normal, Basophil percentage decreased, Bilirubin urine, Bladder catheterisation, Blood albumin normal
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose normal, Blood lactic acid, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood urea normal, Brain natriuretic peptide increased, Breath sounds abnormal, COVID-19, Carbon dioxide normal
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiomegaly, Cerebral infarction, Chest X-ray abnormal, Chronic respiratory failure, Cough
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Diastolic dysfunction, Differential white blood cell count, Echocardiogram abnormal, Ejection fraction, Electrocardiogram ambulatory normal
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Emphysema, Encephalopathy, Eosinophil count decreased, Eosinophil percentage decreased, Erythema
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count, General physical condition abnormal, Globulin, Glomerular filtration rate normal, Glucose urine absent
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, International normalised ratio normal
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung hyperinflation, Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased, Magnetic resonance imaging head abnormal
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Microscopy, Moaning, Monocyte count increased, Monocyte percentage, Mucosal dryness
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Multiple drug therapy, Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent, Oedema peripheral
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Platelet count normal, Protein total normal, Protein urine, Prothrombin time normal, Rales
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Red blood cell count normal, Red blood cell nucleated morphology, Red blood cells urine positive, Red cell distribution width increased, SARS-CoV-2 test positive
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Skin warm, Specific gravity urine normal, Tenderness, Troponin normal, Urinary occult blood negative
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urine analysis, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count increased
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cells urine negative, pH urine normal
Clinical narrative: 1/19/22  Context: Pt is a 76 yr/o female who presents by EMS with complaints of back pain. Per EMS the patient complained of back pain which she is chronically had and is on pain medicine but is currently out. Upon questioning by myself why the patient is here the patient cannot give me a history about what is going on the patient continuously states that she has scoliosis and then states that "she feels" but cannot elaborate on what is going on. Patient is continuously moaning and will answer to her name but cannot give further history. Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed. She is ill-appearing (chronicallly).
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity, Pruritus, Pyrexia, Rash
Clinical narrative: Started Wellbutrin 1/29/22 2/2/22 gyn appointment, received tetanus booster  2/3/2022 felt arm soreness and left sore, body aches, subjective fever 2/4/2022 had TXA 2/5/2022 had nasal allergies 2/6/2022 rash developed on left arm 2/7/2022 Monday whole arm was sore 2/8/2022 Tuesday upper chest and into right arm with hives 2/9/2022 with hives spreading to upper thighs States hives very itchy.  No shortness of breath, no lip swelling, no throat closure
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Rhinitis allergic, Urticaria
Clinical narrative: Started Wellbutrin 1/29/22 2/2/22 gyn appointment, received tetanus booster  2/3/2022 felt arm soreness and left sore, body aches, subjective fever 2/4/2022 had TXA 2/5/2022 had nasal allergies 2/6/2022 rash developed on left arm 2/7/2022 Monday whole arm was sore 2/8/2022 Tuesday upper chest and into right arm with hives 2/9/2022 with hives spreading to upper thighs States hives very itchy.  No shortness of breath, no lip swelling, no throat closure
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-thyroid antibody positive, Basedow's disease, Blood thyroid stimulating hormone decreased, Thyroxine increased, Tremor
Clinical narrative: tremor 2 days after vaccine, dx of graves disease with undetectable TSH 12/27/21
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Amylase normal, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood creatinine normal
Clinical narrative: Acute Pancreatitis, liquid diet with close monitoring. Toradol IM for pain
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood urea normal, Lipase increased, Metabolic function test, Pain
Clinical narrative: Acute Pancreatitis, liquid diet with close monitoring. Toradol IM for pain
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatitis acute
Clinical narrative: Acute Pancreatitis, liquid diet with close monitoring. Toradol IM for pain
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Ageusia, Anosmia, Asthenia, Chills, Dizziness
Clinical narrative: Fever, chills, shaking, dizziness, heart palpitations, fast heart rate, extreme weakness, inability to taste or smell, allover muscular pain. Fell asleep in the late afternoon.  Woke up around 10 PM unable to move or function, wanted to call 911 but couldn't find phone, fever, shaking chills, dizziness, extreme weakness, could not sit up or get out of bed, severe headache.  Around 2 AM was able to call off work by email and answer a question by email.  Woke up Wednesday with muscle pain but fever, shaking chills and dizziness had subsided. Still feeling somewhat weak. Did not work Wednesday due to extreme tiredness and thursday due to come and go awful headaches.  May not work Friday.