chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Atrial fibrillation, Azotaemia
Clinical narrative: 76-year-old male with past medical history of morbid obesity, atrial fibrillation on Eliquis, anxiety, depression, insomnia, GERD, asthma/COPD, diabetes mellitus, hypertension, stage 3 chronic kidney disease with baseline creatinine of 1.2, and history of DVT in the left lower extremity presented to the emergency department complaints of worsening shortness of breath and cough.  Patient reports that he was usual state of health until approximately 1 week ago when he started noticing increased cough which was nonproductive.  Also continues to have worsening shortness of breath along with recurrent fevers.  Patient reports that he has not been able to eat much over this time frame.  Pati Tested positive on 12/09/2021  Patient reports that he may have been vaccinated in the past however, does not definitively know when and whether he received any blisters.  Regardless, patient reports that his symptoms have progressively worsened therefore, he eventually decided to come to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis with COVID-19 pneumonia.  Blood work also consistent with non ST elevation MI with elevated troponin at 155 along with elevated BNP of 9000.  Patient also noted to have lactic acidosis 5.3.  Lab work otherwise consistent with hyperglycemia, uremia, and acute renal failure. EKG independently reviewed and consistent with atrial fibrillation without any clear ST elevations or depressions.  Chest x-ray consistent with bilateral fluffy infiltrates.  Mild pleural effusion also noted.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 76-year-old male with past medical history of morbid obesity, atrial fibrillation on Eliquis, anxiety, depression, insomnia, GERD, asthma/COPD, diabetes mellitus, hypertension, stage 3 chronic kidney disease with baseline creatinine of 1.2, and history of DVT in the left lower extremity presented to the emergency department complaints of worsening shortness of breath and cough.  Patient reports that he was usual state of health until approximately 1 week ago when he started noticing increased cough which was nonproductive.  Also continues to have worsening shortness of breath along with recurrent fevers.  Patient reports that he has not been able to eat much over this time frame.  Pati Tested positive on 12/09/2021  Patient reports that he may have been vaccinated in the past however, does not definitively know when and whether he received any blisters.  Regardless, patient reports that his symptoms have progressively worsened therefore, he eventually decided to come to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis with COVID-19 pneumonia.  Blood work also consistent with non ST elevation MI with elevated troponin at 155 along with elevated BNP of 9000.  Patient also noted to have lactic acidosis 5.3.  Lab work otherwise consistent with hyperglycemia, uremia, and acute renal failure. EKG independently reviewed and consistent with atrial fibrillation without any clear ST elevations or depressions.  Chest x-ray consistent with bilateral fluffy infiltrates.  Mild pleural effusion also noted.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Decreased appetite, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: 76-year-old male with past medical history of morbid obesity, atrial fibrillation on Eliquis, anxiety, depression, insomnia, GERD, asthma/COPD, diabetes mellitus, hypertension, stage 3 chronic kidney disease with baseline creatinine of 1.2, and history of DVT in the left lower extremity presented to the emergency department complaints of worsening shortness of breath and cough.  Patient reports that he was usual state of health until approximately 1 week ago when he started noticing increased cough which was nonproductive.  Also continues to have worsening shortness of breath along with recurrent fevers.  Patient reports that he has not been able to eat much over this time frame.  Pati Tested positive on 12/09/2021  Patient reports that he may have been vaccinated in the past however, does not definitively know when and whether he received any blisters.  Regardless, patient reports that his symptoms have progressively worsened therefore, he eventually decided to come to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis with COVID-19 pneumonia.  Blood work also consistent with non ST elevation MI with elevated troponin at 155 along with elevated BNP of 9000.  Patient also noted to have lactic acidosis 5.3.  Lab work otherwise consistent with hyperglycemia, uremia, and acute renal failure. EKG independently reviewed and consistent with atrial fibrillation without any clear ST elevations or depressions.  Chest x-ray consistent with bilateral fluffy infiltrates.  Mild pleural effusion also noted.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperglycaemia, Laboratory test abnormal, Lactic acidosis, Lung infiltration, Pleural effusion
Clinical narrative: 76-year-old male with past medical history of morbid obesity, atrial fibrillation on Eliquis, anxiety, depression, insomnia, GERD, asthma/COPD, diabetes mellitus, hypertension, stage 3 chronic kidney disease with baseline creatinine of 1.2, and history of DVT in the left lower extremity presented to the emergency department complaints of worsening shortness of breath and cough.  Patient reports that he was usual state of health until approximately 1 week ago when he started noticing increased cough which was nonproductive.  Also continues to have worsening shortness of breath along with recurrent fevers.  Patient reports that he has not been able to eat much over this time frame.  Pati Tested positive on 12/09/2021  Patient reports that he may have been vaccinated in the past however, does not definitively know when and whether he received any blisters.  Regardless, patient reports that his symptoms have progressively worsened therefore, he eventually decided to come to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis with COVID-19 pneumonia.  Blood work also consistent with non ST elevation MI with elevated troponin at 155 along with elevated BNP of 9000.  Patient also noted to have lactic acidosis 5.3.  Lab work otherwise consistent with hyperglycemia, uremia, and acute renal failure. EKG independently reviewed and consistent with atrial fibrillation without any clear ST elevations or depressions.  Chest x-ray consistent with bilateral fluffy infiltrates.  Mild pleural effusion also noted.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Troponin increased
Clinical narrative: 76-year-old male with past medical history of morbid obesity, atrial fibrillation on Eliquis, anxiety, depression, insomnia, GERD, asthma/COPD, diabetes mellitus, hypertension, stage 3 chronic kidney disease with baseline creatinine of 1.2, and history of DVT in the left lower extremity presented to the emergency department complaints of worsening shortness of breath and cough.  Patient reports that he was usual state of health until approximately 1 week ago when he started noticing increased cough which was nonproductive.  Also continues to have worsening shortness of breath along with recurrent fevers.  Patient reports that he has not been able to eat much over this time frame.  Pati Tested positive on 12/09/2021  Patient reports that he may have been vaccinated in the past however, does not definitively know when and whether he received any blisters.  Regardless, patient reports that his symptoms have progressively worsened therefore, he eventually decided to come to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis with COVID-19 pneumonia.  Blood work also consistent with non ST elevation MI with elevated troponin at 155 along with elevated BNP of 9000.  Patient also noted to have lactic acidosis 5.3.  Lab work otherwise consistent with hyperglycemia, uremia, and acute renal failure. EKG independently reviewed and consistent with atrial fibrillation without any clear ST elevations or depressions.  Chest x-ray consistent with bilateral fluffy infiltrates.  Mild pleural effusion also noted.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Fall at home
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Decreased appetite, Dementia, Disturbance in social behaviour
Clinical narrative: This is a 74-year-old female With past medical history of Alzheimer's dementia, severe protein energy malnutrition, hypothyroidism, hyperlipidemia, hypertension, depression. She came to the hospital with a chief complaint of progressive worsening altered mental status.  Unable to obtain any history from the patient due to metabolic encephalopathy or worsening dementia with behavioral disturbance.  Most of the history was obtained from the patient's daughter at the bedside.  Patient's daughter reported that over the last 1 week her mental status is progressively getting worse.  On and off she had some episodes of hallucinations.  She is not having good episodes of conversation like be Tested positive on 12/22/202This is a 74-year-old female With past medical history of Alzheimer's dementia, severe protein energy malnutrition, hypothyroidism, hyperlipidemia, hypertension, depression. She came to the hospital with a chief complaint of progressive worsening altered mental status.  Unable to obtain any history from the patient due to metabolic encephalopathy or worsening dementia with behavioral disturbance.  Most of the history was obtained from the patient's daughter at the bedside.  Patient's daughter reported that over the last 1 week her mental status is progressively getting worse.  On and off she had some episodes of hallucinations.  She is not having good episodes of conversation like before.  Also her functional status and appetite has been declining.  No other symptoms like fever, chills, cough, chest pain, shortness of breath, palpitations, abdominal pain, nausea, vomiting, burning or painful urination, diarrhea reported by the patient's daughter at the bedside.1.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hallucination, Loss of personal independence in daily activities, Mental status changes, Metabolic encephalopathy, SARS-CoV-2 test positive
Clinical narrative: This is a 74-year-old female With past medical history of Alzheimer's dementia, severe protein energy malnutrition, hypothyroidism, hyperlipidemia, hypertension, depression. She came to the hospital with a chief complaint of progressive worsening altered mental status.  Unable to obtain any history from the patient due to metabolic encephalopathy or worsening dementia with behavioral disturbance.  Most of the history was obtained from the patient's daughter at the bedside.  Patient's daughter reported that over the last 1 week her mental status is progressively getting worse.  On and off she had some episodes of hallucinations.  She is not having good episodes of conversation like be Tested positive on 12/22/202This is a 74-year-old female With past medical history of Alzheimer's dementia, severe protein energy malnutrition, hypothyroidism, hyperlipidemia, hypertension, depression. She came to the hospital with a chief complaint of progressive worsening altered mental status.  Unable to obtain any history from the patient due to metabolic encephalopathy or worsening dementia with behavioral disturbance.  Most of the history was obtained from the patient's daughter at the bedside.  Patient's daughter reported that over the last 1 week her mental status is progressively getting worse.  On and off she had some episodes of hallucinations.  She is not having good episodes of conversation like before.  Also her functional status and appetite has been declining.  No other symptoms like fever, chills, cough, chest pain, shortness of breath, palpitations, abdominal pain, nausea, vomiting, burning or painful urination, diarrhea reported by the patient's daughter at the bedside.1.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Atelectasis, Atrial fibrillation, Atrial flutter, Atrioventricular block
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatine normal, Blood glucose normal, Blood magnesium normal
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood urea decreased, Blood urea nitrogen/creatinine ratio
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Carbon dioxide normal, Chest pain, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram QRS complex, Electrocardiogram QT interval, Electrocardiogram abnormal, Fatigue
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Malaise, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Metabolic function test, Pain, Painful respiration, Pericarditis
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count decreased, Red blood cell nucleated morphology, Red blood cell sedimentation rate increased, Red cell distribution width increased
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Reticulocyte count decreased, Reticulocyte percentage normal, SARS-CoV-2 test negative, Scan with contrast, Troponin I normal
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: 12/30/2021, I felt the normal malaise after the vaccine. 12/31/2021, I was feeling better during the day & normal activity, but around 7PM I started to get a headache. 1/1/2022, trouble sleeping due to chest pain, chest pain got worse throughout the day. Worse when I took a deep breath and when laying on my back. Advil helped take the edge off during the day 1/1/2022, but by evening advil was not really helping. I went to the hospital at about 10PM 1/1/2022 because of concerns about the chest pain. While in hospital, I was diagnosed with Pericarditis and a-fib. I  have had paroxysmal a-fib for 2 years, but it had become persistent. 1/2/2022 I was more comfortable - the chest pain was manageable. 1/3/2022 and on, I have no chest pain. I was fatigued but feeling less fatigued as of 1/12/2022. Shortness of breath is better as well. I am now taking 1.2 mg colchicine per day, 1800mg ibuprofen per day, and metoprolol 100mg per day with follow ups with cardiology scheduled. My insurance deductible is $7000, and I have met it for 2022 due to this incident.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Biopsy, Extrasystoles, Hot flush, Mammogram
Clinical narrative: Noticed night sweats next night which continued for 2-3 weeks, which then subsided. Hot flashes mostly at night with abdominal pain, like a phantom uterus. (I had a Hysterectomy). Felt like a severe hormonal imbalance. Next noticed my heart would pound and skip beats routinely from climbing steps or minor exercise off and on for about 9 months. I took anti-inflammatory med which eliminated symptom gradually. Now a mammogram has led to biopsies and cancer checks.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Palpitations, Sensory disturbance
Clinical narrative: Noticed night sweats next night which continued for 2-3 weeks, which then subsided. Hot flashes mostly at night with abdominal pain, like a phantom uterus. (I had a Hysterectomy). Felt like a severe hormonal imbalance. Next noticed my heart would pound and skip beats routinely from climbing steps or minor exercise off and on for about 9 months. I took anti-inflammatory med which eliminated symptom gradually. Now a mammogram has led to biopsies and cancer checks.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Back pain, COVID-19, Condition aggravated, Fall
Clinical narrative: This is a 79-year-old male with a history of hypertension, hyperlipidemia, BPH, depression, kidney transplant recipient and chronic back pain who presents to the emergency room after a trip and fall at home and being unable to get himself up.  He states since that time his back pain has gotten increasingly worse and is now 6/10, sharp and worse with any type of movement.  He says he usually just takes Tylenol and tramadol for the pain.  According to the emergency room physician patient's wife was initially a bedside and stated that "I can not take care of him anymore" And therefore he is being admitted for weakness and assistance with OT/PT/CM.  Patient was also found to be COVID posit Tested positive on 01/05/2022 This is a 79-year-old male with a history of hypertension, hyperlipidemia, BPH, depression, kidney transplant recipient and chronic back pain who presents to the emergency room after a trip and fall at home and being unable to get himself up.  He states since that time his back pain has gotten increasingly worse and is now 6/10, sharp and worse with any type of movement.  He says he usually just takes Tylenol and tramadol for the pain.  According to the emergency room physician patient's wife was initially a bedside and stated that "I can not take care of him anymore" And therefore he is being admitted for weakness and assistance with OT/PT/CM.  Patient was also found to be COVID positive but he has no rhinorrhea, sore throat, shortness of breath, palpitations, chest pain, fever or chills.  He has been vaccinated x3   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gait disturbance, Mobility decreased, Pain, SARS-CoV-2 test positive
Clinical narrative: This is a 79-year-old male with a history of hypertension, hyperlipidemia, BPH, depression, kidney transplant recipient and chronic back pain who presents to the emergency room after a trip and fall at home and being unable to get himself up.  He states since that time his back pain has gotten increasingly worse and is now 6/10, sharp and worse with any type of movement.  He says he usually just takes Tylenol and tramadol for the pain.  According to the emergency room physician patient's wife was initially a bedside and stated that "I can not take care of him anymore" And therefore he is being admitted for weakness and assistance with OT/PT/CM.  Patient was also found to be COVID posit Tested positive on 01/05/2022 This is a 79-year-old male with a history of hypertension, hyperlipidemia, BPH, depression, kidney transplant recipient and chronic back pain who presents to the emergency room after a trip and fall at home and being unable to get himself up.  He states since that time his back pain has gotten increasingly worse and is now 6/10, sharp and worse with any type of movement.  He says he usually just takes Tylenol and tramadol for the pain.  According to the emergency room physician patient's wife was initially a bedside and stated that "I can not take care of him anymore" And therefore he is being admitted for weakness and assistance with OT/PT/CM.  Patient was also found to be COVID positive but he has no rhinorrhea, sore throat, shortness of breath, palpitations, chest pain, fever or chills.  He has been vaccinated x3   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, Chest X-ray abnormal, Chest pain, Cough
Clinical narrative: 01/01/2022:  Event occurred after 2nd vaccine. 82-year-old female past medical history hypertension, hyperlipidemia, anxiety left bundle branch block and remote history of throat cancer presenting for chest pain or shortness of breath.  Patient states for the past 3 days or so she has had shortness of breath. She states that she has felt feverish and unwell and she has had a nonproductive.  cough.+fever, +generalized weakness.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lung disorder, Malaise, Pyrexia
Clinical narrative: 01/01/2022:  Event occurred after 2nd vaccine. 82-year-old female past medical history hypertension, hyperlipidemia, anxiety left bundle branch block and remote history of throat cancer presenting for chest pain or shortness of breath.  Patient states for the past 3 days or so she has had shortness of breath. She states that she has felt feverish and unwell and she has had a nonproductive.  cough.+fever, +generalized weakness.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Condition aggravated, Cough, Generalised tonic-clonic seizure
Clinical narrative: this is a 59-year-old female with past medical history of epilepsy, intraparenchymal hemorrhage in December 2020, residual right-sided weakness, hypertension, hyperlipidemia, and deficiency anemia, chronic GERD, depression, history of status epilepticus, morbid obesity.   She came to the hospital with a chief complaint of an episode of seizure.  Witnessed by her husband.  Patient was reporting that she was told that she was having generalized tonic clonic movements.  She did not require intubation.  She was given Ativan by the EMS.  Seizure resolved in the emergency room.  Patient is awake and oriented currently.  She denies any chest pain, shortness of breath, palpitations, abdomin Tested positive on 01/01/2022 Additional information for Item 18:  this is a 59-year-old female with past medical history of epilepsy, intraparenchymal hemorrhage in December 2020, residual right-sided weakness, hypertension, hyperlipidemia, and deficiency anemia, chronic GERD, depression, history of status epilepticus, morbid obesity.      She came to the hospital with a chief complaint of an episode of seizure.  Witnessed by her husband.  Patient was reporting that she was told that she was having generalized tonic clonic movements.  She did not require intubation.  She was given Ativan by the EMS.  Seizure resolved in the emergency room.  Patient is awake and oriented currently.  She denies any chest pain, shortness of breath, palpitations, abdominal pain, nausea, vomiting, burning or painful urination, diarrhea.  She did report some subjective fevers, chills and cough and multiple family members having upper respiratory tract infections him.  So I decided to test her for COVID-19.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Seizure
Clinical narrative: this is a 59-year-old female with past medical history of epilepsy, intraparenchymal hemorrhage in December 2020, residual right-sided weakness, hypertension, hyperlipidemia, and deficiency anemia, chronic GERD, depression, history of status epilepticus, morbid obesity.   She came to the hospital with a chief complaint of an episode of seizure.  Witnessed by her husband.  Patient was reporting that she was told that she was having generalized tonic clonic movements.  She did not require intubation.  She was given Ativan by the EMS.  Seizure resolved in the emergency room.  Patient is awake and oriented currently.  She denies any chest pain, shortness of breath, palpitations, abdomin Tested positive on 01/01/2022 Additional information for Item 18:  this is a 59-year-old female with past medical history of epilepsy, intraparenchymal hemorrhage in December 2020, residual right-sided weakness, hypertension, hyperlipidemia, and deficiency anemia, chronic GERD, depression, history of status epilepticus, morbid obesity.      She came to the hospital with a chief complaint of an episode of seizure.  Witnessed by her husband.  Patient was reporting that she was told that she was having generalized tonic clonic movements.  She did not require intubation.  She was given Ativan by the EMS.  Seizure resolved in the emergency room.  Patient is awake and oriented currently.  She denies any chest pain, shortness of breath, palpitations, abdominal pain, nausea, vomiting, burning or painful urination, diarrhea.  She did report some subjective fevers, chills and cough and multiple family members having upper respiratory tract infections him.  So I decided to test her for COVID-19.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had a positive rapid covid test done at work 4 days ago but needs a PCR to confirm per workplace protocols, sore throat, dry cough, chills, headache, shortness of breath with exertion, body aches, loss of smell, sinus congestion, nasal congestion, chest congestion, chest tightness, chest pain, patient was seen at urgent care 6 days ago for ear infection and was given antibotics for the infection.  symptoms starting on 1/2/2022
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Chills, Cough, SARS-CoV-2 test positive
Clinical narrative: He came to the hospital with a chief complaint of chest pain.  Diffuse all over the chest, 5 to 7/10, nonradiating to the left arm or to the back or to the jaw.  Patient reports some significant cough associated with the chest pain.  He denies any significant shortness of breath.  Denies any fevers but did have some chills.  Denies any abdominal pain, nausea, vomiting, burning or painful urination, diarrhea.  Chest pain has been going on for the last 2 days.  Tested positive on 01/03/2022
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, COVID-19, Cough, Mental status changes, Productive cough
Clinical narrative: -he came to the hospital with a chief complaint of worsening cough and altered mental status has reported by than memory care unit staff.  History not obtained from the patient due to advanced dementia.  Daughter present at the bedside provided the history.  She reported that apart from altered mental status agitation and worsening cough with yellow color expectoration the patient does not have any other symptoms like fevers, chills, abdominal pain, nausea, vomiting, chest pain, shortness of breath, palpitations, burning or painful urination, diarrhea.     01/03/2022 tested positive
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: -he came to the hospital with a chief complaint of worsening cough and altered mental status has reported by than memory care unit staff.  History not obtained from the patient due to advanced dementia.  Daughter present at the bedside provided the history.  She reported that apart from altered mental status agitation and worsening cough with yellow color expectoration the patient does not have any other symptoms like fevers, chills, abdominal pain, nausea, vomiting, chest pain, shortness of breath, palpitations, burning or painful urination, diarrhea.     01/03/2022 tested positive
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal, Chills
Clinical narrative: Presented to the ED due to shortness of breath and new onset fevers and chills.  Denies any chest pain, palpitations, coughing.  No exacerbating or alleviating factors.  ED workup significant HR max 130, RR max 28, positive COVID-19.  Elevated troponin 35 (this is at patient's baseline), with elevated BNP 4741.    Tested positive on 01/04/2022 Presented to the ED due to shortness of breath and new onset fevers and chills.  Denies any chest pain, palpitations, coughing.  No exacerbating or alleviating factors.  ED workup significant HR max 130, RR max 28, positive COVID-19.  Elevated troponin 35 (this is at patient's baseline), with elevated BNP 4741.   - EKG reveals atrial fibrillation with rapid ventricular response  - Chest x-ray reveals findings below  (01/04/2022 01:34 EST XR Chest 1V) 1.  Probable moderate to large bilateral pleural effusions.  2.  Bilateral perceived increased interstitial markings may suggest interstitial edema or atypical infectious/inflammatory process. [1]
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Electrocardiogram abnormal, Pleural effusion, Pulmonary oedema
Clinical narrative: Presented to the ED due to shortness of breath and new onset fevers and chills.  Denies any chest pain, palpitations, coughing.  No exacerbating or alleviating factors.  ED workup significant HR max 130, RR max 28, positive COVID-19.  Elevated troponin 35 (this is at patient's baseline), with elevated BNP 4741.    Tested positive on 01/04/2022 Presented to the ED due to shortness of breath and new onset fevers and chills.  Denies any chest pain, palpitations, coughing.  No exacerbating or alleviating factors.  ED workup significant HR max 130, RR max 28, positive COVID-19.  Elevated troponin 35 (this is at patient's baseline), with elevated BNP 4741.   - EKG reveals atrial fibrillation with rapid ventricular response  - Chest x-ray reveals findings below  (01/04/2022 01:34 EST XR Chest 1V) 1.  Probable moderate to large bilateral pleural effusions.  2.  Bilateral perceived increased interstitial markings may suggest interstitial edema or atypical infectious/inflammatory process. [1]
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Presented to the ED due to shortness of breath and new onset fevers and chills.  Denies any chest pain, palpitations, coughing.  No exacerbating or alleviating factors.  ED workup significant HR max 130, RR max 28, positive COVID-19.  Elevated troponin 35 (this is at patient's baseline), with elevated BNP 4741.    Tested positive on 01/04/2022 Presented to the ED due to shortness of breath and new onset fevers and chills.  Denies any chest pain, palpitations, coughing.  No exacerbating or alleviating factors.  ED workup significant HR max 130, RR max 28, positive COVID-19.  Elevated troponin 35 (this is at patient's baseline), with elevated BNP 4741.   - EKG reveals atrial fibrillation with rapid ventricular response  - Chest x-ray reveals findings below  (01/04/2022 01:34 EST XR Chest 1V) 1.  Probable moderate to large bilateral pleural effusions.  2.  Bilateral perceived increased interstitial markings may suggest interstitial edema or atypical infectious/inflammatory process. [1]
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray normal
Clinical narrative: Patient fully vaccinated. Patient is COVID + on 11/19/2021. 81y.o. female who came to the ER with nausea/emesis with fatigue and weakness. CXR was negative for acute processes. She has been on room air. D dimer 609.  Admission Dx:  palpitations, AKI, pneumonia due to COVID.  She improved with conservative management with steroids, lovenox. No need for any Decadron or remdesivir at present. Started the patient on Lovenox 40 mg once a day for DVT prophylaxis. She was discharged home once cleared by all services.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Nausea, Palpitations, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated. Patient is COVID + on 11/19/2021. 81y.o. female who came to the ER with nausea/emesis with fatigue and weakness. CXR was negative for acute processes. She has been on room air. D dimer 609.  Admission Dx:  palpitations, AKI, pneumonia due to COVID.  She improved with conservative management with steroids, lovenox. No need for any Decadron or remdesivir at present. Started the patient on Lovenox 40 mg once a day for DVT prophylaxis. She was discharged home once cleared by all services.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient fully vaccinated. Patient is COVID + on 11/19/2021. 81y.o. female who came to the ER with nausea/emesis with fatigue and weakness. CXR was negative for acute processes. She has been on room air. D dimer 609.  Admission Dx:  palpitations, AKI, pneumonia due to COVID.  She improved with conservative management with steroids, lovenox. No need for any Decadron or remdesivir at present. Started the patient on Lovenox 40 mg once a day for DVT prophylaxis. She was discharged home once cleared by all services.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood test, Pruritus, Urticaria
Clinical narrative: Hives, welting, itchiness all over body for the past 3 weeks
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Dialysis, Dysphagia, Malnutrition
Clinical narrative: 83-year-old male with extensive past medical history including aortic regurgitation, aortic stenosis, atrial fibrillation on anticoagulation, CAD, diabetes, hyperlipidemia, hypertension, Parkinson's, end-stage renal disease, pulmonary hypertension presents to the emergency department from hospice services for fever and positive COVID-19 diagnosis.  Patient was receiving hospice services multifactorial including worsening protein calorie malnutrition and dysphagia, along with worsening kidney function and need for dialysis. He has been on hospice services for several months. Hospice service was contacted by emergency department and it was stated that they were unable to adequately isolate and take care of the patient while he is COVID-19 positive and not risk infecting other residents.  I spoke with the son on the phone regarding goals of care. He plans on having goals of care remain the same including comfort care only measures. Patient is a do not resuscitate. He does not want to aggressively treat the patient's failing kidneys or protein calorie malnutrition. Does not wants to aggressively treat cardiac pathology. Tested positive on 01/06/2022.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: 83-year-old male with extensive past medical history including aortic regurgitation, aortic stenosis, atrial fibrillation on anticoagulation, CAD, diabetes, hyperlipidemia, hypertension, Parkinson's, end-stage renal disease, pulmonary hypertension presents to the emergency department from hospice services for fever and positive COVID-19 diagnosis.  Patient was receiving hospice services multifactorial including worsening protein calorie malnutrition and dysphagia, along with worsening kidney function and need for dialysis. He has been on hospice services for several months. Hospice service was contacted by emergency department and it was stated that they were unable to adequately isolate and take care of the patient while he is COVID-19 positive and not risk infecting other residents.  I spoke with the son on the phone regarding goals of care. He plans on having goals of care remain the same including comfort care only measures. Patient is a do not resuscitate. He does not want to aggressively treat the patient's failing kidneys or protein calorie malnutrition. Does not wants to aggressively treat cardiac pathology. Tested positive on 01/06/2022.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Influenza A virus test, Influenza B virus test, SARS-CoV-2 test
Clinical narrative: SOB
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Received Janssen vaccine on 8/6/21 COVID-19 positive by PCR on 1/7/22 admitted to hospital on 1/7/22 d/t COVID pneumonia
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Myalgia, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Hives/urticaria. Daily itching and outbreaks. Muscle and arm aches.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as inpatient on 1/5/22 due to pneumonia due to COVID-19 virus. Patient was tested for COVID-19 and was positive on 1/5/22.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse event to my booster dose. I developed a + Covid test on 12/27/21 after being exposed to my son who had received his booster dose 12/19/21, then developed a +Covid test 4 days later.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash vesicular
Clinical narrative: I received my first two vaccinations through Pfizer and my booster was Moderna.  Only Moderna caused my body blister rash