chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Nausea, Pallor, Vomiting
Clinical narrative: Patient given shot. ~5min later patient became pale and nauseated. Went to bathroom and vomited x1. Came back still light headed but better. BP 85/50. Had patient lie down with feet up. Gave a piece of candy and water. Checked about 10 minutes later. Color improved and patient no longer light headed and left office with mom without additional assistance
Age: 75.0
Sex: F
Vaccine: COVID19, DTAP
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: About 1 month after receiving vaccine, I tested positive for COVID-19. I had just disembarked a ship that I had been on for 10 days.
Age: 56.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Cardiac disorder, Chest X-ray, Cough, Dyspnoea
Clinical narrative: COVID breakthrough case. I received my 1 booster shot on 11/26/2021 and My COVID symptoms started on 02/07/2022  sore throat, body aches different than any other. Cough, blood oxygen level was down. 2 weeks it lasted. 03/25/2022 went to cardiologist because the breathing treatments were helping me. I tested positive for COVID on 02/08/2022. 03/04/2022 I went to see my PCP because I couldn't breathe. My doctor gave me antibiotics and inhaler told me if I had pneumonia to take it since I didn't have, I did not take it. I have problems with my heart since of the vaccine. I never had problem with my heart before now I will have to take medication for rest of my heart. 03/20/2022 I had to go to urgent care because I couldn't breath and the cough won't stop.
Age: 56.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Malaise, Oropharyngeal pain, Oxygen saturation decreased, Pain, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough case. I received my 1 booster shot on 11/26/2021 and My COVID symptoms started on 02/07/2022  sore throat, body aches different than any other. Cough, blood oxygen level was down. 2 weeks it lasted. 03/25/2022 went to cardiologist because the breathing treatments were helping me. I tested positive for COVID on 02/08/2022. 03/04/2022 I went to see my PCP because I couldn't breathe. My doctor gave me antibiotics and inhaler told me if I had pneumonia to take it since I didn't have, I did not take it. I have problems with my heart since of the vaccine. I never had problem with my heart before now I will have to take medication for rest of my heart. 03/20/2022 I had to go to urgent care because I couldn't breath and the cough won't stop.
Age: 56.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case. I received my 1 booster shot on 11/26/2021 and My COVID symptoms started on 02/07/2022  sore throat, body aches different than any other. Cough, blood oxygen level was down. 2 weeks it lasted. 03/25/2022 went to cardiologist because the breathing treatments were helping me. I tested positive for COVID on 02/08/2022. 03/04/2022 I went to see my PCP because I couldn't breathe. My doctor gave me antibiotics and inhaler told me if I had pneumonia to take it since I didn't have, I did not take it. I have problems with my heart since of the vaccine. I never had problem with my heart before now I will have to take medication for rest of my heart. 03/20/2022 I had to go to urgent care because I couldn't breath and the cough won't stop.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 6/3/2022
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Nasal congestion
Clinical narrative: COVID-19 Breakthrough. The first symptom would have been a stuffy nose and then a slight occasional cough about a day or so later. By Monday or Tuesday I developed a fever that went up to 102 degrees. Then it felt very much like when I had it before. I became very weak, achy, and fatigue. The cough became more persistent. The fever came back, weakness and tiredness lasted or about two days. The cough became progressively worse and the other symptoms have gone but the cough still remains. I called the doctor on Tuesday and he prescribed me Paxlovid and I finished that course as of yesterday. I also upped my zinc, vitamin D and vitamin C, Pepcid in combination with the Paxlovid. It seems that at least half the people that got off the cruise tested positive.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID-19 Breakthrough. The first symptom would have been a stuffy nose and then a slight occasional cough about a day or so later. By Monday or Tuesday I developed a fever that went up to 102 degrees. Then it felt very much like when I had it before. I became very weak, achy, and fatigue. The cough became more persistent. The fever came back, weakness and tiredness lasted or about two days. The cough became progressively worse and the other symptoms have gone but the cough still remains. I called the doctor on Tuesday and he prescribed me Paxlovid and I finished that course as of yesterday. I also upped my zinc, vitamin D and vitamin C, Pepcid in combination with the Paxlovid. It seems that at least half the people that got off the cruise tested positive.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Atrial fibrillation, Flushing, Hypersensitivity, Rash, Rash maculo-papular
Clinical narrative: Pneumovax 23 (pneumococcal polysaccharide vaccine - polyvalent, PPV23) was administered to the patient at 1714 on 5/31. Called at 1855 for Afib with RVR, SBPs in the 80s and HR 150s. Patient reported to have flushed skin on the BLE and maculopapular rash on chest. Metoprolol succinate 50 mg PO, metoprolol 5 mg IV x2, cetirizine 10 mg x 2,  methylprednisolone 125 mg, and famotidine 20 mg IV were administered. Patient's symptoms suspected to be triggered by allergic reaction to pneumococcal vaccine. This morning, 6/1, patient is reported to be stable.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypophagia, Mobility decreased, Nausea, Retching
Clinical narrative: On 5/31/2022, client presented to clinic for 2nd Moderna booster. Reported no issues or concerns. Had two-dose Moderna primary series and 1st Moderna booster previously. Administered Moderna booster 50mcg/0.25mL into left deltoid IM at 1330. No reaction within 15 minutes of administration. On 6/6/2022, client called in to report reaction to 2nd booster dose. Client admitted had a history of a feverish reaction of 100 degrees Fahrenheit after 2nd primary dose (reports average normal body temperature 97.5). Described no reactions after 1st primary dose or 1st booster dose. Received 2nd Moderna booster at 1330 5/31/2022 as per recommendation from Dr. due to history of double pneumonia that required surgical draining. At 0300 on 6/1/2022, client reported waking to 100 degree fever, severe nausea/dry heaves, and severe headache that "when I closed my eyes I saw white, not black." Unable to tolerate anything by mouth. Unable to take any medications due to unable to tolerate anything by mouth. Client stated was unable to get out of bed for two days due to headache; did not seek further medical attention. Fever broke after three days. Dry heaves subsided after four days. Discussed Covid-19 side effects and typical durations. Encouraged client to speak with Dr. about reaction and to seek advice in event a future Covid-19 booster would be recommended.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Alopecia areata, Hypoaesthesia, Stress
Clinical narrative: Patient noticed a triangle patch hair loss  on her left temple. Primary care doctor referred her to a board certified dermatologist. Dermatologist diagnosed her with Alopecia areata and said it was a genetically linked autoimmune disease. He said that stress can exacerbate this condition. Patient admitted she has had several stressors. She also developed numbness in her great big toe. All of this occurred between the 2nd vaccine and 1st booster dose.   Patient was speaking to coworkers who were nurses who told her this autoimmune disease was caused from the vaccine and advised her to not get the 2nd booster. Patient was NOT directed by specialist or primary care doctor that these disease states were likely linked to vaccine. Patient just going by what friends said.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Bursitis, Cellulitis
Clinical narrative: RIGHT SIDED OLECRANON BURSITIS WITH FOREARM CELLULITIS
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Balance test, Computerised tomogram head normal, Dizziness, Nausea, Scan with contrast normal
Clinical narrative: Severe Vertigo - spinning dizziness, nausea on 4/24/2022 that lasted only 10 minutes but on 4/26/2022 symptoms started again and lasted for 3 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Severe Vertigo - spinning dizziness, nausea on 4/24/2022 that lasted only 10 minutes but on 4/26/2022 symptoms started again and lasted for 3 days.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Electromyogram, Magnetic resonance imaging, Monoplegia, Muscular weakness, Pain
Clinical narrative: severe pain with no ability to contract muscles in mu arm/shoulder.  Arm was basically paralyzed
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt received second booster shot even though pt not eligible (i.e. not immunocompromised). Pfizer contacted and had no advice other than pt should not have been vaccinated. Family contacted and counselled on error. Advised to monitor pt for any abnormal sx. Family agreeable with plan. Unanticipated event report generated within facility and forwarded to management.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Condition aggravated, Endoscopy, Sinusitis
Clinical narrative: I had a sinus infection that turned into bronchitis.
Age: 11.0
Sex: M
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: No adverse event, Product preparation error
Clinical narrative: Pt given 0.2ml of undiluted COVID-19 vaccine (orange cap) in right deltoid. Monitored patient in office. No adverse affects noted.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: I contracted Covid-19 SARs 2 and became ill on June 1, 2022
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Medical Assistant accidentally administered a Ped Pfizer COVID vaccine to the patient who is currently 4 years old and 8 months
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had COVID-19
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I started having ringing in my ears since the 3rd dose and it has not stopped. It is constant and it is driving me crazy.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Nasopharyngitis, Pyrexia
Clinical narrative: 12/03/2021 vaccination. 05/16/2022 Started to experience cold-like symptoms, HA & fever, fatigue. 05/17/2022 COVID positive (@home test). 05/27/2022 COVID.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/03/2021 vaccination. 05/16/2022 Started to experience cold-like symptoms, HA & fever, fatigue. 05/17/2022 COVID positive (@home test). 05/27/2022 COVID.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Eye pain, Neck pain
Clinical narrative: He has had double vision that started three weeks ago. He is under the care of an Ophthalmologist. He is also having mild eye and neck pain.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt. lied about his vaccination history. Claimed he never had Covid vaccine before. Nurse found out after his vaccination that he already received 2 doses.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, Rhinorrhoea
Clinical narrative: I got COVID on 05/31/2022. So, I was doing some yard work and I thought it was allergies and than the next day I was having hay fever symptoms. I had fever, running nose, cough and my symptoms was mild. I than called my PCP and they called me in the Paxlovid for 5 days. I took the last one today. The last week in May 2022 I took a trip and that's where I believe where I got COVID. I have been quarantine for 7 days today. I took a test and it was negative.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angiogram pulmonary abnormal, Aspiration, Atelectasis, COVID-19
Clinical narrative: Patient received moderna vaccine on 2/13/21, 3/13/21 and 10/30/21. COVID positive on 5/4/22. Presented to ER on 4/30/22. Patient presented to ED with R sided flank pain going on for more than a week. Upon evaluation patient found to have pulse oxygen of 64% on room air.  Patient was started on nasal cannula oxygen and subsequently on BiPAP.  Throughout the course in the ED patient remained alert and orientation, patient was also found to have hypertension and received 1 L of normal saline in the ED, x-ray chest and CTA chest did suggest ground glass opacities on the right side of lung which were suspicious for infectious process/chronic pulmonary disease.  CT abdomen pelvis was also performed.When he arrived to the IMC on 4/30/22 requiring 10 L of high-flow oxygen. Admitted due to resp failure and STEMI.  It was noted that he was on ventilator initially, extubated and then reintubated.  Pt last extubated on 5/15/22.  Pt's breathing has progressively improved.  Pt completed antibiotics for pneumonia. treated with steroid and remdesivir and meropenem. Discharged on 6/3/22
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Endotracheal intubation, Flank pain, Hypertension, Lung disorder
Clinical narrative: Patient received moderna vaccine on 2/13/21, 3/13/21 and 10/30/21. COVID positive on 5/4/22. Presented to ER on 4/30/22. Patient presented to ED with R sided flank pain going on for more than a week. Upon evaluation patient found to have pulse oxygen of 64% on room air.  Patient was started on nasal cannula oxygen and subsequently on BiPAP.  Throughout the course in the ED patient remained alert and orientation, patient was also found to have hypertension and received 1 L of normal saline in the ED, x-ray chest and CTA chest did suggest ground glass opacities on the right side of lung which were suspicious for infectious process/chronic pulmonary disease.  CT abdomen pelvis was also performed.When he arrived to the IMC on 4/30/22 requiring 10 L of high-flow oxygen. Admitted due to resp failure and STEMI.  It was noted that he was on ventilator initially, extubated and then reintubated.  Pt last extubated on 5/15/22.  Pt's breathing has progressively improved.  Pt completed antibiotics for pneumonia. treated with steroid and remdesivir and meropenem. Discharged on 6/3/22
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Mechanical ventilation, Pneumonia, Positive airway pressure therapy
Clinical narrative: Patient received moderna vaccine on 2/13/21, 3/13/21 and 10/30/21. COVID positive on 5/4/22. Presented to ER on 4/30/22. Patient presented to ED with R sided flank pain going on for more than a week. Upon evaluation patient found to have pulse oxygen of 64% on room air.  Patient was started on nasal cannula oxygen and subsequently on BiPAP.  Throughout the course in the ED patient remained alert and orientation, patient was also found to have hypertension and received 1 L of normal saline in the ED, x-ray chest and CTA chest did suggest ground glass opacities on the right side of lung which were suspicious for infectious process/chronic pulmonary disease.  CT abdomen pelvis was also performed.When he arrived to the IMC on 4/30/22 requiring 10 L of high-flow oxygen. Admitted due to resp failure and STEMI.  It was noted that he was on ventilator initially, extubated and then reintubated.  Pt last extubated on 5/15/22.  Pt's breathing has progressively improved.  Pt completed antibiotics for pneumonia. treated with steroid and remdesivir and meropenem. Discharged on 6/3/22
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient received moderna vaccine on 2/13/21, 3/13/21 and 10/30/21. COVID positive on 5/4/22. Presented to ER on 4/30/22. Patient presented to ED with R sided flank pain going on for more than a week. Upon evaluation patient found to have pulse oxygen of 64% on room air.  Patient was started on nasal cannula oxygen and subsequently on BiPAP.  Throughout the course in the ED patient remained alert and orientation, patient was also found to have hypertension and received 1 L of normal saline in the ED, x-ray chest and CTA chest did suggest ground glass opacities on the right side of lung which were suspicious for infectious process/chronic pulmonary disease.  CT abdomen pelvis was also performed.When he arrived to the IMC on 4/30/22 requiring 10 L of high-flow oxygen. Admitted due to resp failure and STEMI.  It was noted that he was on ventilator initially, extubated and then reintubated.  Pt last extubated on 5/15/22.  Pt's breathing has progressively improved.  Pt completed antibiotics for pneumonia. treated with steroid and remdesivir and meropenem. Discharged on 6/3/22
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: 7 months after 3rd dose vaccination, I was around my daughter who tested positive for Covid. I started having extreme fatigue on 5-25-2022 then I developed a runny nose on 5-26-2022. I took a rapid BINEX antigen test on 5-26 at the school that I work at and it was a positive result. Later that day, I started having chills, cough and a headache. On the same day, I called my PCP office and they prescribed PAXLOVID. I started taking it that night. I feel like I am still a little foggy today but I am better. I am reporting a breakthrough case of Covid.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: 7 months after 3rd dose vaccination, I was around my daughter who tested positive for Covid. I started having extreme fatigue on 5-25-2022 then I developed a runny nose on 5-26-2022. I took a rapid BINEX antigen test on 5-26 at the school that I work at and it was a positive result. Later that day, I started having chills, cough and a headache. On the same day, I called my PCP office and they prescribed PAXLOVID. I started taking it that night. I feel like I am still a little foggy today but I am better. I am reporting a breakthrough case of Covid.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Extra dose administered, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted twice.   COVID infection breakthrough
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Malaise, Oropharyngeal pain
Clinical narrative: On the morning of 6/2/2022, I began to have symptoms that I now know are those of COVID. It started with a sore throat. I then had the sniffles. On 6/4/2022, I then also lost my sense of taste and smell. I took a home test for COVID on the morning of 6/2/2022, and the result was positive. I went to the hospital testing site at 1 PM the same day and took a PCR test, and the result was again positive. I called my doctor's office and requested PAXLOVID, but I was told I didn't qualify for a prescription, because there were concerns that it would interact negatively with one of the medications I already take. I wasn't prescribed anything and was just advised to take TYLENOL and stay hydrated. If my symptoms worsened or I had trouble breathing, I was to go to the emergency room. Fortunately, it has not come to that. At the time of this writing, I still have some head congestion and can't taste or smell. Otherwise, I feel fine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On the morning of 6/2/2022, I began to have symptoms that I now know are those of COVID. It started with a sore throat. I then had the sniffles. On 6/4/2022, I then also lost my sense of taste and smell. I took a home test for COVID on the morning of 6/2/2022, and the result was positive. I went to the hospital testing site at 1 PM the same day and took a PCR test, and the result was again positive. I called my doctor's office and requested PAXLOVID, but I was told I didn't qualify for a prescription, because there were concerns that it would interact negatively with one of the medications I already take. I wasn't prescribed anything and was just advised to take TYLENOL and stay hydrated. If my symptoms worsened or I had trouble breathing, I was to go to the emergency room. Fortunately, it has not come to that. At the time of this writing, I still have some head congestion and can't taste or smell. Otherwise, I feel fine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Condition aggravated, Cough, Depression
Clinical narrative: Starting 05/05/2022, I tested positive for COVID. I had a sore throat that started that evening and congestion that lasted for 3 days. I did not have a fever but was lethargic for about a week. On 05/08/2022, I developed a cough which lasted for about a week or so. From 05/06 - 05/07 I had a bad headache and 05/07 - 05/08 I had some bad anxiety and trouble sleeping. Within the past week or so, my depression which is normally in control, has been slight worse.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lethargy, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Starting 05/05/2022, I tested positive for COVID. I had a sore throat that started that evening and congestion that lasted for 3 days. I did not have a fever but was lethargic for about a week. On 05/08/2022, I developed a cough which lasted for about a week or so. From 05/06 - 05/07 I had a bad headache and 05/07 - 05/08 I had some bad anxiety and trouble sleeping. Within the past week or so, my depression which is normally in control, has been slight worse.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Starting 05/05/2022, I tested positive for COVID. I had a sore throat that started that evening and congestion that lasted for 3 days. I did not have a fever but was lethargic for about a week. On 05/08/2022, I developed a cough which lasted for about a week or so. From 05/06 - 05/07 I had a bad headache and 05/07 - 05/08 I had some bad anxiety and trouble sleeping. Within the past week or so, my depression which is normally in control, has been slight worse.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cheilitis, Herpes simplex, Lip blister, Oral candidiasis, Oral herpes
Clinical narrative: About 2 weeks after the vaccine I started experiencing what I thought was oral thrush. Appears as a rash on my tongue and upper inner lip. I went to the Dr on 5/17 and she thought it was oral thrush as well and provided RX Nystatin. Used it for 3 weeks w/no improvement. Was referred to an ENT who stated there was no sign of oral thrust and he noticed a fever blister on my upper lip. He referred to it as herpes simplex. He RX Valacyclovir, which I've been taking for 1 week. Condition has improved drastically but still persist.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Tongue eruption
Clinical narrative: About 2 weeks after the vaccine I started experiencing what I thought was oral thrush. Appears as a rash on my tongue and upper inner lip. I went to the Dr on 5/17 and she thought it was oral thrush as well and provided RX Nystatin. Used it for 3 weeks w/no improvement. Was referred to an ENT who stated there was no sign of oral thrust and he noticed a fever blister on my upper lip. He referred to it as herpes simplex. He RX Valacyclovir, which I've been taking for 1 week. Condition has improved drastically but still persist.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with one booster.  COVID infection breakthrough
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspiration pleural cavity, Blood creatinine increased, Blood pH decreased, Brain natriuretic peptide increased
Clinical narrative: Patient received pfizer vaccine on 7/1/21 and 7/22/21. Presented to ER on 5/21/22 and found to be COVID19 positive.  presented to an outside hospital complaining of  difficulty getting around.  He lives with family.  He is retired.   Upon arrival to the emergency room there, oxygenation was in the 70s.  He did  receive a vaccination for COVID.  He did not get his booster.  He had a workup  at the outside hospital after being found to be hypoxic.  Found to have acute  hypercapnic respiratory failure with a pH 7.2, pCO2 was 66.  Patient was kept  on BiPAP.  He was found to have a BNP of 720.  Found to have bilateral  effusions, worse on the right.  He was given Lasix.  Also had a CT concerning  for possible right middle lobe pneumonia.  He did receive Lasix.  He was  unable to tolerate BiPAP, transferred on a nasal cannula.  Seen and examined  in the medical ICU where he is in no obvious distress on nasal cannula.  Will  have a stat ABG.  No previous history of any pleural effusions.  No history of  CHF.  Admits to compliance to medications.  No recent weight loss.  Does have  lower extremity swelling.  Also received Zosyn.  At the other hospital was  found to be hypothermic, was placed on a Bair Hugger.  Upon arrival here, his  temperature was found to be 97.  Blood pressure and heart rate are adequate at  this time.admitted on May 21st with acute hypoxic and hypercapnic respiratory failure.  Patient was diagnosed with COVID and also had superimposed bacterial pneumonia.  Patient was placed on BiPAP started IV steroids IV antibiotics.  Patient also had evidence fluid overload chest x-ray and started IV Lasix possible CHF.Patient underwent bilateral thoracocentesis on 05/23/2022 with removal of 1.2 L on the right sent 600 cc on the left.  Pleural fluid studies consistent with transudate. Patient had elevated D-dimer, unable to do CTA due to poor renal venous Doppler is negative and echo shows 45-50% EF.Pulmonary and Cardiology was consulted.  Patient had an echocardiogram which showed EF of 45-50%.  Cardiology started patient on beta blocker.  Losartan was put on hold.  Patient kidney function was also elevated which is now stable around creatinine of 1.8.   For code infectious Disease was consulted and patient is from his room to severe and dexamethasone course. Sputum culture grew extended spectrum cephalosporin resistant E coli.  Patient was treated with IV meropenem. Discharged on 6/3/22
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Echocardiogram, Ejection fraction
Clinical narrative: Patient received pfizer vaccine on 7/1/21 and 7/22/21. Presented to ER on 5/21/22 and found to be COVID19 positive.  presented to an outside hospital complaining of  difficulty getting around.  He lives with family.  He is retired.   Upon arrival to the emergency room there, oxygenation was in the 70s.  He did  receive a vaccination for COVID.  He did not get his booster.  He had a workup  at the outside hospital after being found to be hypoxic.  Found to have acute  hypercapnic respiratory failure with a pH 7.2, pCO2 was 66.  Patient was kept  on BiPAP.  He was found to have a BNP of 720.  Found to have bilateral  effusions, worse on the right.  He was given Lasix.  Also had a CT concerning  for possible right middle lobe pneumonia.  He did receive Lasix.  He was  unable to tolerate BiPAP, transferred on a nasal cannula.  Seen and examined  in the medical ICU where he is in no obvious distress on nasal cannula.  Will  have a stat ABG.  No previous history of any pleural effusions.  No history of  CHF.  Admits to compliance to medications.  No recent weight loss.  Does have  lower extremity swelling.  Also received Zosyn.  At the other hospital was  found to be hypothermic, was placed on a Bair Hugger.  Upon arrival here, his  temperature was found to be 97.  Blood pressure and heart rate are adequate at  this time.admitted on May 21st with acute hypoxic and hypercapnic respiratory failure.  Patient was diagnosed with COVID and also had superimposed bacterial pneumonia.  Patient was placed on BiPAP started IV steroids IV antibiotics.  Patient also had evidence fluid overload chest x-ray and started IV Lasix possible CHF.Patient underwent bilateral thoracocentesis on 05/23/2022 with removal of 1.2 L on the right sent 600 cc on the left.  Pleural fluid studies consistent with transudate. Patient had elevated D-dimer, unable to do CTA due to poor renal venous Doppler is negative and echo shows 45-50% EF.Pulmonary and Cardiology was consulted.  Patient had an echocardiogram which showed EF of 45-50%.  Cardiology started patient on beta blocker.  Losartan was put on hold.  Patient kidney function was also elevated which is now stable around creatinine of 1.8.   For code infectious Disease was consulted and patient is from his room to severe and dexamethasone course. Sputum culture grew extended spectrum cephalosporin resistant E coli.  Patient was treated with IV meropenem. Discharged on 6/3/22
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Escherichia test positive, Fibrin D dimer increased, Hypervolaemia, Hypothermia, Hypoxia
Clinical narrative: Patient received pfizer vaccine on 7/1/21 and 7/22/21. Presented to ER on 5/21/22 and found to be COVID19 positive.  presented to an outside hospital complaining of  difficulty getting around.  He lives with family.  He is retired.   Upon arrival to the emergency room there, oxygenation was in the 70s.  He did  receive a vaccination for COVID.  He did not get his booster.  He had a workup  at the outside hospital after being found to be hypoxic.  Found to have acute  hypercapnic respiratory failure with a pH 7.2, pCO2 was 66.  Patient was kept  on BiPAP.  He was found to have a BNP of 720.  Found to have bilateral  effusions, worse on the right.  He was given Lasix.  Also had a CT concerning  for possible right middle lobe pneumonia.  He did receive Lasix.  He was  unable to tolerate BiPAP, transferred on a nasal cannula.  Seen and examined  in the medical ICU where he is in no obvious distress on nasal cannula.  Will  have a stat ABG.  No previous history of any pleural effusions.  No history of  CHF.  Admits to compliance to medications.  No recent weight loss.  Does have  lower extremity swelling.  Also received Zosyn.  At the other hospital was  found to be hypothermic, was placed on a Bair Hugger.  Upon arrival here, his  temperature was found to be 97.  Blood pressure and heart rate are adequate at  this time.admitted on May 21st with acute hypoxic and hypercapnic respiratory failure.  Patient was diagnosed with COVID and also had superimposed bacterial pneumonia.  Patient was placed on BiPAP started IV steroids IV antibiotics.  Patient also had evidence fluid overload chest x-ray and started IV Lasix possible CHF.Patient underwent bilateral thoracocentesis on 05/23/2022 with removal of 1.2 L on the right sent 600 cc on the left.  Pleural fluid studies consistent with transudate. Patient had elevated D-dimer, unable to do CTA due to poor renal venous Doppler is negative and echo shows 45-50% EF.Pulmonary and Cardiology was consulted.  Patient had an echocardiogram which showed EF of 45-50%.  Cardiology started patient on beta blocker.  Losartan was put on hold.  Patient kidney function was also elevated which is now stable around creatinine of 1.8.   For code infectious Disease was consulted and patient is from his room to severe and dexamethasone course. Sputum culture grew extended spectrum cephalosporin resistant E coli.  Patient was treated with IV meropenem. Discharged on 6/3/22
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lung disorder, Mobility decreased, PCO2 increased, Peripheral swelling
Clinical narrative: Patient received pfizer vaccine on 7/1/21 and 7/22/21. Presented to ER on 5/21/22 and found to be COVID19 positive.  presented to an outside hospital complaining of  difficulty getting around.  He lives with family.  He is retired.   Upon arrival to the emergency room there, oxygenation was in the 70s.  He did  receive a vaccination for COVID.  He did not get his booster.  He had a workup  at the outside hospital after being found to be hypoxic.  Found to have acute  hypercapnic respiratory failure with a pH 7.2, pCO2 was 66.  Patient was kept  on BiPAP.  He was found to have a BNP of 720.  Found to have bilateral  effusions, worse on the right.  He was given Lasix.  Also had a CT concerning  for possible right middle lobe pneumonia.  He did receive Lasix.  He was  unable to tolerate BiPAP, transferred on a nasal cannula.  Seen and examined  in the medical ICU where he is in no obvious distress on nasal cannula.  Will  have a stat ABG.  No previous history of any pleural effusions.  No history of  CHF.  Admits to compliance to medications.  No recent weight loss.  Does have  lower extremity swelling.  Also received Zosyn.  At the other hospital was  found to be hypothermic, was placed on a Bair Hugger.  Upon arrival here, his  temperature was found to be 97.  Blood pressure and heart rate are adequate at  this time.admitted on May 21st with acute hypoxic and hypercapnic respiratory failure.  Patient was diagnosed with COVID and also had superimposed bacterial pneumonia.  Patient was placed on BiPAP started IV steroids IV antibiotics.  Patient also had evidence fluid overload chest x-ray and started IV Lasix possible CHF.Patient underwent bilateral thoracocentesis on 05/23/2022 with removal of 1.2 L on the right sent 600 cc on the left.  Pleural fluid studies consistent with transudate. Patient had elevated D-dimer, unable to do CTA due to poor renal venous Doppler is negative and echo shows 45-50% EF.Pulmonary and Cardiology was consulted.  Patient had an echocardiogram which showed EF of 45-50%.  Cardiology started patient on beta blocker.  Losartan was put on hold.  Patient kidney function was also elevated which is now stable around creatinine of 1.8.   For code infectious Disease was consulted and patient is from his room to severe and dexamethasone course. Sputum culture grew extended spectrum cephalosporin resistant E coli.  Patient was treated with IV meropenem. Discharged on 6/3/22
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia bacterial, Positive airway pressure therapy, Renal impairment, Respiratory failure
Clinical narrative: Patient received pfizer vaccine on 7/1/21 and 7/22/21. Presented to ER on 5/21/22 and found to be COVID19 positive.  presented to an outside hospital complaining of  difficulty getting around.  He lives with family.  He is retired.   Upon arrival to the emergency room there, oxygenation was in the 70s.  He did  receive a vaccination for COVID.  He did not get his booster.  He had a workup  at the outside hospital after being found to be hypoxic.  Found to have acute  hypercapnic respiratory failure with a pH 7.2, pCO2 was 66.  Patient was kept  on BiPAP.  He was found to have a BNP of 720.  Found to have bilateral  effusions, worse on the right.  He was given Lasix.  Also had a CT concerning  for possible right middle lobe pneumonia.  He did receive Lasix.  He was  unable to tolerate BiPAP, transferred on a nasal cannula.  Seen and examined  in the medical ICU where he is in no obvious distress on nasal cannula.  Will  have a stat ABG.  No previous history of any pleural effusions.  No history of  CHF.  Admits to compliance to medications.  No recent weight loss.  Does have  lower extremity swelling.  Also received Zosyn.  At the other hospital was  found to be hypothermic, was placed on a Bair Hugger.  Upon arrival here, his  temperature was found to be 97.  Blood pressure and heart rate are adequate at  this time.admitted on May 21st with acute hypoxic and hypercapnic respiratory failure.  Patient was diagnosed with COVID and also had superimposed bacterial pneumonia.  Patient was placed on BiPAP started IV steroids IV antibiotics.  Patient also had evidence fluid overload chest x-ray and started IV Lasix possible CHF.Patient underwent bilateral thoracocentesis on 05/23/2022 with removal of 1.2 L on the right sent 600 cc on the left.  Pleural fluid studies consistent with transudate. Patient had elevated D-dimer, unable to do CTA due to poor renal venous Doppler is negative and echo shows 45-50% EF.Pulmonary and Cardiology was consulted.  Patient had an echocardiogram which showed EF of 45-50%.  Cardiology started patient on beta blocker.  Losartan was put on hold.  Patient kidney function was also elevated which is now stable around creatinine of 1.8.   For code infectious Disease was consulted and patient is from his room to severe and dexamethasone course. Sputum culture grew extended spectrum cephalosporin resistant E coli.  Patient was treated with IV meropenem. Discharged on 6/3/22
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Retirement, SARS-CoV-2 test positive, Sputum culture positive, Superinfection, Ultrasound Doppler normal
Clinical narrative: Patient received pfizer vaccine on 7/1/21 and 7/22/21. Presented to ER on 5/21/22 and found to be COVID19 positive.  presented to an outside hospital complaining of  difficulty getting around.  He lives with family.  He is retired.   Upon arrival to the emergency room there, oxygenation was in the 70s.  He did  receive a vaccination for COVID.  He did not get his booster.  He had a workup  at the outside hospital after being found to be hypoxic.  Found to have acute  hypercapnic respiratory failure with a pH 7.2, pCO2 was 66.  Patient was kept  on BiPAP.  He was found to have a BNP of 720.  Found to have bilateral  effusions, worse on the right.  He was given Lasix.  Also had a CT concerning  for possible right middle lobe pneumonia.  He did receive Lasix.  He was  unable to tolerate BiPAP, transferred on a nasal cannula.  Seen and examined  in the medical ICU where he is in no obvious distress on nasal cannula.  Will  have a stat ABG.  No previous history of any pleural effusions.  No history of  CHF.  Admits to compliance to medications.  No recent weight loss.  Does have  lower extremity swelling.  Also received Zosyn.  At the other hospital was  found to be hypothermic, was placed on a Bair Hugger.  Upon arrival here, his  temperature was found to be 97.  Blood pressure and heart rate are adequate at  this time.admitted on May 21st with acute hypoxic and hypercapnic respiratory failure.  Patient was diagnosed with COVID and also had superimposed bacterial pneumonia.  Patient was placed on BiPAP started IV steroids IV antibiotics.  Patient also had evidence fluid overload chest x-ray and started IV Lasix possible CHF.Patient underwent bilateral thoracocentesis on 05/23/2022 with removal of 1.2 L on the right sent 600 cc on the left.  Pleural fluid studies consistent with transudate. Patient had elevated D-dimer, unable to do CTA due to poor renal venous Doppler is negative and echo shows 45-50% EF.Pulmonary and Cardiology was consulted.  Patient had an echocardiogram which showed EF of 45-50%.  Cardiology started patient on beta blocker.  Losartan was put on hold.  Patient kidney function was also elevated which is now stable around creatinine of 1.8.   For code infectious Disease was consulted and patient is from his room to severe and dexamethasone course. Sputum culture grew extended spectrum cephalosporin resistant E coli.  Patient was treated with IV meropenem. Discharged on 6/3/22
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Palpitations
Clinical narrative: flushed skin, heat radiating from skin, heart palpitation, racing heart
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: Decreased appetite, Fatigue, Lymphadenopathy, Oropharyngeal pain, Rash
Clinical narrative: Four vaccine given on 5/24/2022.  Rash on face and upper body and sore throat and swollen gland in neck on right side.  Sore throat 1 week after vaccination(5/31/22) and rash 6/5/22.   Feeling tired and a lack of appetite currently.  Taking Tylenol and putting calamine lotion on the rash.
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Four vaccine given on 5/24/2022.  Rash on face and upper body and sore throat and swollen gland in neck on right side.  Sore throat 1 week after vaccination(5/31/22) and rash 6/5/22.   Feeling tired and a lack of appetite currently.  Taking Tylenol and putting calamine lotion on the rash.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient received J&J vaccine on 8/12/21. COVID positive on 5/23/22. PResented to ER on 5/23/22.  presented to the emergency department secondary to shortness of breath and worsening functional status and weakness.  Was found positive for COVID-19.  Secondary to risk factors was placed on dexamethasone and Remdesivir and completed both of those courses during his hospitalization.  He was isolated per protocol for the appropriate amount of time.  Oxygen saturations were monitored and he continued on supplemental oxygen at the same level as at home.  He was continued on his home medications. Was discharged to another facility on 6/3/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Fatigue, Headache, Malaise
Clinical narrative: COVID break through case. I received my 1st booster shot on 12/04/2021 and MY COVID symptoms started on 05/18/2022  sore throat, nasal congestions, headache, low grade fever,  lost appetite, being tired, I tested on 05/19/2022 positive. I did a tele health with my doctor on 05/20/2022 he gave  zinc, D3 and antibiotics. I took all the med for 7 days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID break through case. I received my 1st booster shot on 12/04/2021 and MY COVID symptoms started on 05/18/2022  sore throat, nasal congestions, headache, low grade fever,  lost appetite, being tired, I tested on 05/19/2022 positive. I did a tele health with my doctor on 05/20/2022 he gave  zinc, D3 and antibiotics. I took all the med for 7 days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Back pain, Chest pain, Dyspnoea, Sleep disorder
Clinical narrative: Sharp stabbing chest pains began for the first week on left side and progressively worsened to all  areas of upper chest and back. Shortness of breath and anxiety. I?m also having trouble sleeping
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted twice.   COVID breakthrough infection
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, Dyspnoea, Hydrocholecystis
Clinical narrative: Patient received pfizer vaccine on 8/7/21 and 8/28/21. Presented to ER on 5/24/22 and found to be COVID positive. Patient has chronic hypoxemic respiratory failure, used to be on 2 L, now up to 5 L for  the past week or so, was here in the ER a couple of days ago and was sent home  with doxycycline.  Comes back with worsening shortness of breath and right  upper quadrant pain with some nausea.  Workup in the ER found him to be in  acute on-chronic hypoxemic respiratory failure, although saturating well on 5  L right now.  Patient had a CT angio of the chest done, which is showing  worsening pulmonary fibrosis, gallbladder hydrops with possibly cholecystitis  and changes consistent with pulmonary hypertension.  Patient also tested  positive for COVID-19.  Since his symptoms are relatively new, he will be  started on Decadron because of his hypoxemia and also on remdesivir for a  total of 5 doses. Admitted. Patient completed remdesivir, Decadron.  He is on Zosyn,  doxycycline.  ID consulted.  Baricitinib started May 27, 2022, .  Oxygen  requirements initially escalated to Optiflow, back down to 3 L nasal cannula.   Clinically improved. Discharged on 6/4/22
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Nausea, Pulmonary fibrosis, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient received pfizer vaccine on 8/7/21 and 8/28/21. Presented to ER on 5/24/22 and found to be COVID positive. Patient has chronic hypoxemic respiratory failure, used to be on 2 L, now up to 5 L for  the past week or so, was here in the ER a couple of days ago and was sent home  with doxycycline.  Comes back with worsening shortness of breath and right  upper quadrant pain with some nausea.  Workup in the ER found him to be in  acute on-chronic hypoxemic respiratory failure, although saturating well on 5  L right now.  Patient had a CT angio of the chest done, which is showing  worsening pulmonary fibrosis, gallbladder hydrops with possibly cholecystitis  and changes consistent with pulmonary hypertension.  Patient also tested  positive for COVID-19.  Since his symptoms are relatively new, he will be  started on Decadron because of his hypoxemia and also on remdesivir for a  total of 5 doses. Admitted. Patient completed remdesivir, Decadron.  He is on Zosyn,  doxycycline.  ID consulted.  Baricitinib started May 27, 2022, .  Oxygen  requirements initially escalated to Optiflow, back down to 3 L nasal cannula.   Clinically improved. Discharged on 6/4/22
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Blood test, Cerumen removal, Ear congestion, Ear discomfort
Clinical narrative: I have problems with my ears, heavy thinking, and brain fog. I went to my doctor and they ran some test. They said I have short term memory loss and my eardrums were blocked. The EMT said I had Keratosis Obturans. He removed the keratin. Things has gotten better since he has removed it. There is no known cause as to why it develops.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Keratosis obturans, Laboratory test, Lipids, Mental impairment
Clinical narrative: I have problems with my ears, heavy thinking, and brain fog. I went to my doctor and they ran some test. They said I have short term memory loss and my eardrums were blocked. The EMT said I had Keratosis Obturans. He removed the keratin. Things has gotten better since he has removed it. There is no known cause as to why it develops.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Fibrin D dimer increased, Headache, Pain in extremity, Peripheral swelling
Clinical narrative: Headaches, chills, left arm pain and swelling
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Ultrasound Doppler normal
Clinical narrative: Headaches, chills, left arm pain and swelling
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiac arrest, Death, Intensive care, Pneumonia
Clinical narrative: Patient was in the hospital for pneumonia and developed Covid pneumonia and was transferred to the ICU where she went into cardiac arrest and passed.
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Extra dose administered, Vaccine breakthrough infection
Clinical narrative: Fully Vaccinated with 2 boosters,   COVID breakthrough infection
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: Breakthrough case of Covid, sx onset 06/02/2022. Sx began on 06/02/2022, I woke up with a sore throat, low grade fever, fatigued and I had not slept well the night before. The sore throat was not getting better. I went to urgent care to get a rapid strep test, which was negative. The rapid Covid test was negative that I took at home. Urgent care recommended a PCR test. Results came back Saturday 06/04/2022. I was extremely fatigued, throat was very sore, fever was 100.5. I have a pulse oximeter and my O2 level was at about 94%. I slept all day Saturday, most of Sunday. I did take some MUCINEX last night before bed and when I got up, I was still a little fatigued and I have not had much of an appetite. I have been drinking plenty of fluids. No other sx currently, my appetite is coming back slowly.