chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray, Cough, Dyspnoea, Encephalopathy
Clinical narrative: CHIEF COMPLAINT:  Weakness, shortness of breath, and a cough of several days' duration.   HISTORY OF PRESENT ILLNESS:  The patient is an 84-year-old with history of paroxysmal atrial fibrillation, on Warfarin, chronic kidney disease, diabetes mellitus, coronary artery disease status post stents, hypothyroidism, and osteoarthritis, who tested positive on 08/20/2021.  Wife was also positive.  He has been at home, but has had gotten increasingly weak with very poor oral intake.  He has had several falls at home and refused to come in.  Today, he had another fall and wife convinced him to have a rescue squad was called in and he was then brought to the ER.  When they presented, he had a rhonchorous cough and was also hypoxic and quite deconditioned.  Currently, patient is not providing much history.  He admits to the cough.  He states he usually gets around with a walker or a cane.  Other questions asked like loss of smell or taste, the patient is unable to provide.  He is selective with some of his answers.  In the ER, found to be hypoxic, requiring 4-6 liters of oxygen and we were asked to admit the patient.  The patient did get his COVID vaccination.  Wife was taking care of him at home, but she states she is unable to cope, which is why she brought him to the hospital.  The patient is hypoglycemic with a blood sugar of 45. Wife had stated to the ER that though he had poor oral intake she still gave him   his Insulin because he had previously had some hyperglycemia.  ASSESSMENT AND PLAN: 1.  COVID infection, his creatinine clearance  is about 30, which is borderline so will hold remdesivir We will put him on steroids at this time.  Continue oxygen supplementation.  He is already on Warfarin.  We will continue this for anticoagulation. 2.  Some acute encephalopathy.  I am not sure whether he is just weak and involves an effort to answer questions or just some lethargy.  He has had this history of falls and he is on Coumadin.  We will get a CT of his head. 3.  Acute hypoxic respiratory failure, likely from COVID pneumonia.  CXR findings  is not classic at this time.  We will repeat a chest x-ray in the morning.  Continue to monitor patient, wean the oxygen as needed.  We will get a baseline ABG  Due to  lethargy to ascertain if he has hypercapnia.   He may need BiPAP.  Contains critical data CORONAVIRUS (COVID 19) PCR Order: 274006261 Status:  Final result Specimen Information: NASOPHARYNGEAL SWAB    0 Result Notes  Ref Range & Units 8/8/21 2010 CORONAVIRUS SARS COV 2 PCR (RESP) NEGATIVE POSITIVEPanic   PATIENT STILL HOSPITALIZED AS OF 8/20/2021
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Hypoglycaemia, Hypophagia, Hypoxia, Lethargy
Clinical narrative: CHIEF COMPLAINT:  Weakness, shortness of breath, and a cough of several days' duration.   HISTORY OF PRESENT ILLNESS:  The patient is an 84-year-old with history of paroxysmal atrial fibrillation, on Warfarin, chronic kidney disease, diabetes mellitus, coronary artery disease status post stents, hypothyroidism, and osteoarthritis, who tested positive on 08/20/2021.  Wife was also positive.  He has been at home, but has had gotten increasingly weak with very poor oral intake.  He has had several falls at home and refused to come in.  Today, he had another fall and wife convinced him to have a rescue squad was called in and he was then brought to the ER.  When they presented, he had a rhonchorous cough and was also hypoxic and quite deconditioned.  Currently, patient is not providing much history.  He admits to the cough.  He states he usually gets around with a walker or a cane.  Other questions asked like loss of smell or taste, the patient is unable to provide.  He is selective with some of his answers.  In the ER, found to be hypoxic, requiring 4-6 liters of oxygen and we were asked to admit the patient.  The patient did get his COVID vaccination.  Wife was taking care of him at home, but she states she is unable to cope, which is why she brought him to the hospital.  The patient is hypoglycemic with a blood sugar of 45. Wife had stated to the ER that though he had poor oral intake she still gave him   his Insulin because he had previously had some hyperglycemia.  ASSESSMENT AND PLAN: 1.  COVID infection, his creatinine clearance  is about 30, which is borderline so will hold remdesivir We will put him on steroids at this time.  Continue oxygen supplementation.  He is already on Warfarin.  We will continue this for anticoagulation. 2.  Some acute encephalopathy.  I am not sure whether he is just weak and involves an effort to answer questions or just some lethargy.  He has had this history of falls and he is on Coumadin.  We will get a CT of his head. 3.  Acute hypoxic respiratory failure, likely from COVID pneumonia.  CXR findings  is not classic at this time.  We will repeat a chest x-ray in the morning.  Continue to monitor patient, wean the oxygen as needed.  We will get a baseline ABG  Due to  lethargy to ascertain if he has hypercapnia.   He may need BiPAP.  Contains critical data CORONAVIRUS (COVID 19) PCR Order: 274006261 Status:  Final result Specimen Information: NASOPHARYNGEAL SWAB    0 Result Notes  Ref Range & Units 8/8/21 2010 CORONAVIRUS SARS COV 2 PCR (RESP) NEGATIVE POSITIVEPanic   PATIENT STILL HOSPITALIZED AS OF 8/20/2021
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Physical deconditioning, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:  Weakness, shortness of breath, and a cough of several days' duration.   HISTORY OF PRESENT ILLNESS:  The patient is an 84-year-old with history of paroxysmal atrial fibrillation, on Warfarin, chronic kidney disease, diabetes mellitus, coronary artery disease status post stents, hypothyroidism, and osteoarthritis, who tested positive on 08/20/2021.  Wife was also positive.  He has been at home, but has had gotten increasingly weak with very poor oral intake.  He has had several falls at home and refused to come in.  Today, he had another fall and wife convinced him to have a rescue squad was called in and he was then brought to the ER.  When they presented, he had a rhonchorous cough and was also hypoxic and quite deconditioned.  Currently, patient is not providing much history.  He admits to the cough.  He states he usually gets around with a walker or a cane.  Other questions asked like loss of smell or taste, the patient is unable to provide.  He is selective with some of his answers.  In the ER, found to be hypoxic, requiring 4-6 liters of oxygen and we were asked to admit the patient.  The patient did get his COVID vaccination.  Wife was taking care of him at home, but she states she is unable to cope, which is why she brought him to the hospital.  The patient is hypoglycemic with a blood sugar of 45. Wife had stated to the ER that though he had poor oral intake she still gave him   his Insulin because he had previously had some hyperglycemia.  ASSESSMENT AND PLAN: 1.  COVID infection, his creatinine clearance  is about 30, which is borderline so will hold remdesivir We will put him on steroids at this time.  Continue oxygen supplementation.  He is already on Warfarin.  We will continue this for anticoagulation. 2.  Some acute encephalopathy.  I am not sure whether he is just weak and involves an effort to answer questions or just some lethargy.  He has had this history of falls and he is on Coumadin.  We will get a CT of his head. 3.  Acute hypoxic respiratory failure, likely from COVID pneumonia.  CXR findings  is not classic at this time.  We will repeat a chest x-ray in the morning.  Continue to monitor patient, wean the oxygen as needed.  We will get a baseline ABG  Due to  lethargy to ascertain if he has hypercapnia.   He may need BiPAP.  Contains critical data CORONAVIRUS (COVID 19) PCR Order: 274006261 Status:  Final result Specimen Information: NASOPHARYNGEAL SWAB    0 Result Notes  Ref Range & Units 8/8/21 2010 CORONAVIRUS SARS COV 2 PCR (RESP) NEGATIVE POSITIVEPanic   PATIENT STILL HOSPITALIZED AS OF 8/20/2021
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Pain in extremity
Clinical narrative: Sore left arm, tightness in chest, sharp chest pains.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Pruritus, Rash erythematous, Swelling, Urticaria
Clinical narrative: I noticed a hive forming 4 weeks after second vaccine. it started small and grew almost to the size of my upper arm within a few days (left arm). I also grew an identical hive on the right arm where I had received my first vaccine. They are hot, itchy, swollen (one day), red, painful and sting like fire or glass. Took Benadryl, Claritin, cold hydrocortisone cream and ice packs for the first few days. Got an appointment with my doctor and was prescribed three days (2 pills at 40mg) of Prednisone (steroid) and was told to take 20 mg of Pepcid to tackle the itch and inflammation. I was also told to continue what I was already doing. I still have the hives and it is currently five days after initial sighting. They are also different than my first hives. My first hives were spots around my right elbow. These hives are small spots around the injection site with large areas of redness surrounding them.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, MMRV, PNC13
Symptoms: Wrong patient received product
Clinical narrative: vaccination administered to wrong patient with the same first name and age.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized due to COVID-19. Patient is fully vaccinated.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion, Epistaxis, Immunoglobulin therapy, Oral blood blister
Clinical narrative: Developed numerous bruises on my arms, blood blisters in my mouth and one nose bleed. I waited until I received my second Moderna dose on February 21, 2021 before contacting my hematologist.  I went in for blood work and tested low on platelets at 4,000.  I was admitted to the hospital and was there for 6 days.  I was treated with intravenous dexamethasone, platelets, IVIg therapy and finally 4 weeks of Rituxan.  Platelets finally went up to normal range at the end of March and have remained in the normal range
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased
Clinical narrative: Developed numerous bruises on my arms, blood blisters in my mouth and one nose bleed. I waited until I received my second Moderna dose on February 21, 2021 before contacting my hematologist.  I went in for blood work and tested low on platelets at 4,000.  I was admitted to the hospital and was there for 6 days.  I was treated with intravenous dexamethasone, platelets, IVIg therapy and finally 4 weeks of Rituxan.  Platelets finally went up to normal range at the end of March and have remained in the normal range
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperventilation, Paraesthesia, Tremor
Clinical narrative: Patient was hyperventilating, shaking and she said her arm was tingling, called EMS they checked her vitals was okay when they arrived probably 10 min later and patient refused to go to the hospital
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Pruritus, Rash
Clinical narrative: 6" x 3" rash on lower left side of back, several other smaller rashes similar in shape and color in proximity. Some itching but not severe.  Showed up about 8-9 days after first dose of Moderna.   Also, felt shortness of breath during exercise 8-9 days after first dose of Moderna. Woke next day with feelings of chest compression/tightness and coughing.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Fatigue, Infection, Nasopharyngitis
Clinical narrative: (08/01/2021) Mild Cold symptoms, loss of smell, Fatigue, ect. went to doc (08/02/2021) Got results for breakthru CovID on (08/04/2021)  Was released from  isolation on 08/14/2021.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: (08/01/2021) Mild Cold symptoms, loss of smell, Fatigue, ect. went to doc (08/02/2021) Got results for breakthru CovID on (08/04/2021)  Was released from  isolation on 08/14/2021.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient experienced rash on lower arm (opposite arm from vaccinated arm) a couple hours post vaccination.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye swelling, Pruritus, Scab, Swelling face
Clinical narrative: Patient reported puffy face, scabbing across face and body, itching, eyes swollen closed. Some of these symptoms lasted weeks.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Albumin globulin ratio, Decreased appetite, Nausea, Vomiting
Clinical narrative: Patient called today to ask about some symptoms he was experiencing following receipt of the COVID vaccine. Patient received first dose COVID-19 Pfizer vaccine (lot FC3181 exp 10/31/2021 L Deltoid) Tues 8/17/21. Patient states he started experiencing nausea and vomited the following day 8/18 and again today 8/20/21. He has been feeling achy and hasn't had much of an appetite. I recommended he call his physician to let them know as well. He denied any issues with staying hydrated, as he had only vomited three times total since the vaccine. I told him he could take tylenol to help the achiness and he should stay on top of his hydration. He is going to let his physician know as well as ask their advice with regards to getting the second dose or not.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient called to inform us that she still has redness, swelling and warmth in the right arm red 9 days after vaccination.  She is not currently having any systemic issues.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: CLIENT CONTRACTED COVID DESPITE FULLY VACCINATED AT TIME OF EXPOSURE AND POSITIVE PCR TEST.  HOSPITALIZED INPATIENT AND RECEIVED MONOCLONAL ANTIBODIES TREATMENT.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED TWO MODERNA DOSES 3/4 AND 4/1 ALSO RECEIVED PFIZER 7/30
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: admitted to 8/10/2021. Case has not been interviewed. As of 8/20/2021,  she is still admitted to a regular nursing unit.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid 19 on 08/16/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage urinary tract, Heavy menstrual bleeding, Iron deficiency anaemia, Menstruation irregular
Clinical narrative: Prolonged heavy menstral bleeding...I had a full heavy period which started on 14 May and lasted til mid-July. I had no blood for 10 days, then had a full heavy (bleeding in large clots) period for a week, then a week break, then a week period, etc. I continue in this one week on one week off cycle.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure abnormal, Cardiac stress test normal, Colitis, Dizziness postural
Clinical narrative: Experienced some fatigue after vaccine, as possible side effect. Over next couple of months I noticed I was fatigued more than I normally had been, maybe a couple times a month.  It was worse in April as it would come on quickly and require I lie down and rest or nap. I have never been a person to take naps.  Scheduled exercise class got to be more effort. It continues a couple times a month.  I also had BP dropping low, systolic in 80's and 90's, diastolic in 60's.  Heart rate is often in 50's or 60's.  I get dizzy if I bend and stand up,  and still experience low energy.   I am working with my cardiologist, stress test was good, kidney blood flow ultrasound also good.  Cardiac CT is scheduled.  I don't know if this is vaccine related,  just that it started within a couple months after vaccine and experiencing some fatigue after vaccine.   I also had an ER visit for colitis, which was a first.  No reason identified.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate decreased, Ultrasound Doppler
Clinical narrative: Experienced some fatigue after vaccine, as possible side effect. Over next couple of months I noticed I was fatigued more than I normally had been, maybe a couple times a month.  It was worse in April as it would come on quickly and require I lie down and rest or nap. I have never been a person to take naps.  Scheduled exercise class got to be more effort. It continues a couple times a month.  I also had BP dropping low, systolic in 80's and 90's, diastolic in 60's.  Heart rate is often in 50's or 60's.  I get dizzy if I bend and stand up,  and still experience low energy.   I am working with my cardiologist, stress test was good, kidney blood flow ultrasound also good.  Cardiac CT is scheduled.  I don't know if this is vaccine related,  just that it started within a couple months after vaccine and experiencing some fatigue after vaccine.   I also had an ER visit for colitis, which was a first.  No reason identified.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dysphonia, Nasal congestion
Clinical narrative: Patient is a 91-year-old female who presents today for evaluation of having a sore throat for the last 2-3 days with voice becoming more hoarse.  No drooling.  No dyspnea.  She has rhinorrhea, congestion and a dry cough.  No known ill contacts.  Patient has been fully vaccinated for COVID-19 (Pfizer, 2nd dose 2/19/21.  Patient denies fevers, chills, nausea, vomiting, chest pain, abdominal pain or urinary changes.  She has noticed some diarrhea.  No analgesics taken prior to arrival.  Oxygenation is 92-93% RA on arrival.  Speaking in full and non-labored sentences.  Occasional coughing.  ASSESSMENT  &  PLAN: Patient's condition remained stable during ED monitoring.  Available old records were reviewed.  Data available relating to medications and allergies were also reviewed in charting system.  Patient treated with tylenol PO and Dexamethasone PO  On reassessments, tolerating oral.  Oxygenation 92-98% RA.  Multiple potential diagnoses were considered in this patient.  Patient placed in both airborne with eye protection and contact isolation status.  Patient tested for COVID-19 with COVID-19 PCR testing PENDING.  Rapid strep testing is negative.  I offered CXR and/or CT soft tissue neck along with laboratory assessment after initial rapid strep is negative however patient declines this testing at this time.  She is afebrile and otherwise non-toxic appearing.  No respiratory distress or drooling.  No neck rigidity or mass on palpation.  No erythema or bruising of skin.  No clear evidence for retropharyngeal abscess, epiglottis, tracheitis among other considerations.  Overall patient with likely viral pharyngitis with URI/cough.  COVID-19 infection is possible although she is fully vaccinated, consideration of breakthrough infection.     Patient should follow-up closely with PCP however can return to ER for any worsening symptoms and/or for any further concerns.       After evaluation in the Emergency Department, my clinical impression is:       CT(R) 1. Viral pharyngitis  VIRAL PHARYNGITIS 2. URI (upper respiratory infection)  UPPER RESPIRATORY INFECTION         Script:     NONE                 MD 08/19/21 0429
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test, Streptococcus test negative, Viral pharyngitis
Clinical narrative: Patient is a 91-year-old female who presents today for evaluation of having a sore throat for the last 2-3 days with voice becoming more hoarse.  No drooling.  No dyspnea.  She has rhinorrhea, congestion and a dry cough.  No known ill contacts.  Patient has been fully vaccinated for COVID-19 (Pfizer, 2nd dose 2/19/21.  Patient denies fevers, chills, nausea, vomiting, chest pain, abdominal pain or urinary changes.  She has noticed some diarrhea.  No analgesics taken prior to arrival.  Oxygenation is 92-93% RA on arrival.  Speaking in full and non-labored sentences.  Occasional coughing.  ASSESSMENT  &  PLAN: Patient's condition remained stable during ED monitoring.  Available old records were reviewed.  Data available relating to medications and allergies were also reviewed in charting system.  Patient treated with tylenol PO and Dexamethasone PO  On reassessments, tolerating oral.  Oxygenation 92-98% RA.  Multiple potential diagnoses were considered in this patient.  Patient placed in both airborne with eye protection and contact isolation status.  Patient tested for COVID-19 with COVID-19 PCR testing PENDING.  Rapid strep testing is negative.  I offered CXR and/or CT soft tissue neck along with laboratory assessment after initial rapid strep is negative however patient declines this testing at this time.  She is afebrile and otherwise non-toxic appearing.  No respiratory distress or drooling.  No neck rigidity or mass on palpation.  No erythema or bruising of skin.  No clear evidence for retropharyngeal abscess, epiglottis, tracheitis among other considerations.  Overall patient with likely viral pharyngitis with URI/cough.  COVID-19 infection is possible although she is fully vaccinated, consideration of breakthrough infection.     Patient should follow-up closely with PCP however can return to ER for any worsening symptoms and/or for any further concerns.       After evaluation in the Emergency Department, my clinical impression is:       CT(R) 1. Viral pharyngitis  VIRAL PHARYNGITIS 2. URI (upper respiratory infection)  UPPER RESPIRATORY INFECTION         Script:     NONE                 MD 08/19/21 0429
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Patient admitted to hospital on 8/19 positive for COVID after being fully vaccinated. Presented with thrombocytopenia, weakness, and falls.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip pruritus, Lip swelling, Peripheral swelling, Pruritus
Clinical narrative: Patient stated that his palms and lips got really itchy and swelled some. He went to this doctor and they prescribed him prednisone.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: Patient stated that his palms and lips got really itchy and swelled some. He went to this doctor and they prescribed him prednisone.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: The day after the second dose of the vaccine I  got a rash on my arms, trunk and my hips. It did not itch and it was in patches. It was not raised or warm. I saw my doctor and they advised me to take Benadryl. I did not take any but the rash started to go away after 3-4 days. It still was not itchy.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization 08/07/21-08/11/21
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized for COVID 19 post vaccination.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure, Tonic clonic movements
Clinical narrative: Patient experienced tonic clonic seizure at 11.40 a.m., lasting approximately 45 seconds.  Patient recovered within a minute, vital signs and color returned to normal.  Parent was advised to take patient to pediatric clinic today for further work up and determination of  best way to administer second COVID vaccine..
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Prostatic specific antigen normal, Pruritus, Rash, SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: Prior to 05/01/2021 I started to notice reduced urinary flow and it started getting more noticeable around 05/01/2021. I went to see Dr. on 06/29/2021 at 10:30 am., and she prescribed Tamsulosin .4 mg od. I have also noticed a small rash on my forehead, that is itchy, it's not red, but it doesn't seem to be going away.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Urine output decreased
Clinical narrative: Prior to 05/01/2021 I started to notice reduced urinary flow and it started getting more noticeable around 05/01/2021. I went to see Dr. on 06/29/2021 at 10:30 am., and she prescribed Tamsulosin .4 mg od. I have also noticed a small rash on my forehead, that is itchy, it's not red, but it doesn't seem to be going away.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID19 08/07/21 -8/12/21. Received dexamethasone and Remdesivir.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: ? Fatigue ? Tenderness at injection site
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Endotracheal intubation, Hypoxia, Intensive care
Clinical narrative: patient was brought to ER from  nursing home due to hypoxemia. Patient was satting in the mid-40s on non-rebreather and was intubated emergently when brought to the ER. ICU was called for admission. Patient is hospitalized due to COVID-19. Patient is fully vaccinated.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria
Clinical narrative: hives, throat tightness
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood test
Clinical narrative: Starting around the beginning of May, I realized I had a receding hairline especially above my ears. I went to see the physician 5/21/2021 and the Doctor said it could be an autoimmune response. Unknown reason for the hair loss at the moment. It hasn't been progressing now that I have noticed it. It seems to have stabilized. Topical - Minoxidil - liquid OTC to use for it (apply to scalp) and I have been using it somewhat inconsistently. It is still present - the loss.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Carpal tunnel syndrome
Clinical narrative: Syncope, numbness in left arm
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes abnormal, Blood glucose increased, Erythema, Laboratory test abnormal, Pyrexia
Clinical narrative: 5/24/2021 fever that lasted for 6 days. 5/26/2021 telehealth visit because face was getting red. Was told to rest and drink plenty of fluids. 5/29/2021 went to emergency room and admitted to hospital. 5/31/2021 discharge.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain in extremity
Clinical narrative: neuropathy pain on the 10 toes, no treatment, started a week after the 1st moderna vaccine on 3/22/2021 and lasted until as of today 8/20/2021
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site paraesthesia
Clinical narrative: Parasthesia/pain at site of injection that's lasting persistently since vaccinated in 04/2021 and comes and goes in severity.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Computerised tomogram head normal, Condition aggravated, Headache
Clinical narrative: Moderna Dose 1 2/8/2021 (011M20A) Moderna Dose 2 3/5/21 (013A21A) COVID Positive 7/12/21  7/12/21: Presented to ED. History is obtained from patient as well as by personal review of records. Pt. is 73-year-old with known history of essential hypertension for many years. She reports that her blood pressures were well controlled for a long time on amlodipine 5 mg daily. She was initially seen at convenient care for headache of 2 days duration.  Pain involved front and back of head. Associated with nausea.  She felt unwell.  Symptoms became worse at 14:00 hours on 7/12/2021.  She denied previous history of similar headache.  She is on arthritis and takes ibuprofen regularly.  While undergoing evaluation in emergency department her blood pressure was as high as 201/98.  Head CT was negative.  Blood pressures were controlled with IV hydralazine. Patient denied focal motor weakness.  No focal sensory loss.  Denied double vision or other visual problems.  No difficulty with swallowing.  No difficulty with speech.  Denied  anosmia or lack of taste.  7/14/21: Patient is a 73-year-old female who presented to the hospital with a headache.  There was some associated nausea with this and in general the patient had started feeling unwell with some myalgias and joint pain symptoms as well.  CT scans were performed which showed no obvious signs of stroke and the patient had no other focal neurological complaints.  Ultimately the patient tested positive for COVID-19 and was admitted to the hospital and started on treatment for this with zinc, vitamin-C, vitamin-D and remdesivir.  Patient remained afebrile and did not eat oxygen while admitted to the hospital.  On the morning of 07/14/2021 the patient was starting to feel better and was otherwise felt medically stable for discharge home.  Patient did receive both dose of the moderna vaccine and despite that the patient did contract COVID-19 will need quarantine for 7-10 days.  This discussed which indicated understanding.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Malaise, Myalgia, Nausea, SARS-CoV-2 test positive
Clinical narrative: Moderna Dose 1 2/8/2021 (011M20A) Moderna Dose 2 3/5/21 (013A21A) COVID Positive 7/12/21  7/12/21: Presented to ED. History is obtained from patient as well as by personal review of records. Pt. is 73-year-old with known history of essential hypertension for many years. She reports that her blood pressures were well controlled for a long time on amlodipine 5 mg daily. She was initially seen at convenient care for headache of 2 days duration.  Pain involved front and back of head. Associated with nausea.  She felt unwell.  Symptoms became worse at 14:00 hours on 7/12/2021.  She denied previous history of similar headache.  She is on arthritis and takes ibuprofen regularly.  While undergoing evaluation in emergency department her blood pressure was as high as 201/98.  Head CT was negative.  Blood pressures were controlled with IV hydralazine. Patient denied focal motor weakness.  No focal sensory loss.  Denied double vision or other visual problems.  No difficulty with swallowing.  No difficulty with speech.  Denied  anosmia or lack of taste.  7/14/21: Patient is a 73-year-old female who presented to the hospital with a headache.  There was some associated nausea with this and in general the patient had started feeling unwell with some myalgias and joint pain symptoms as well.  CT scans were performed which showed no obvious signs of stroke and the patient had no other focal neurological complaints.  Ultimately the patient tested positive for COVID-19 and was admitted to the hospital and started on treatment for this with zinc, vitamin-C, vitamin-D and remdesivir.  Patient remained afebrile and did not eat oxygen while admitted to the hospital.  On the morning of 07/14/2021 the patient was starting to feel better and was otherwise felt medically stable for discharge home.  Patient did receive both dose of the moderna vaccine and despite that the patient did contract COVID-19 will need quarantine for 7-10 days.  This discussed which indicated understanding.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Herpes zoster, Loss of personal independence in daily activities, Myalgia
Clinical narrative: I received the first Pfizer covid 19 vaccine on 8/2/21.  On 8/5/21 I began experiencing intermittent stabbing pain in my left shoulder deltoid muscle.  Over the following days, the pain became more frequent and severe.  By 8/8/21, a shingles rash developed on my left shoulder and arm.  On 8/9/21, I went to immediate care and was diagnosed with shingles and prescribed 4 medications: Valacyclovir, 1Hm 3x/day, 7 days Prednisone 20mg, 2x/day, 5days Acetaminophen with codeine 300/30 every 6hrs Hydrocortisone cream 2.5% 2x daily  On 8/10/21 I have 9/10 stabbing deep muscle pain in my left deltoid for about 30 minutes that literally brought me to my knees.  Since then, the intermittent pain went away and has turned into a constant 5/10 pain in my left arm.  I went to my primary doctor on 8/12/21 to follow up, he prescribed gabapentin, which is not really helping with the pain.  As of today 8/20/21, I continue to have 5/10 pain in my right arm.  I am not sleeping well.  The pain is definitely effecting my daily functionality.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I received the first Pfizer covid 19 vaccine on 8/2/21.  On 8/5/21 I began experiencing intermittent stabbing pain in my left shoulder deltoid muscle.  Over the following days, the pain became more frequent and severe.  By 8/8/21, a shingles rash developed on my left shoulder and arm.  On 8/9/21, I went to immediate care and was diagnosed with shingles and prescribed 4 medications: Valacyclovir, 1Hm 3x/day, 7 days Prednisone 20mg, 2x/day, 5days Acetaminophen with codeine 300/30 every 6hrs Hydrocortisone cream 2.5% 2x daily  On 8/10/21 I have 9/10 stabbing deep muscle pain in my left deltoid for about 30 minutes that literally brought me to my knees.  Since then, the intermittent pain went away and has turned into a constant 5/10 pain in my left arm.  I went to my primary doctor on 8/12/21 to follow up, he prescribed gabapentin, which is not really helping with the pain.  As of today 8/20/21, I continue to have 5/10 pain in my right arm.  I am not sleeping well.  The pain is definitely effecting my daily functionality.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Swollen at site, confirmed by urgent care Dr. Possible cellulitis
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: This patient received her first dose of the Pfizer COVID vaccination on 7/29/21. She had already received a dose of the J&J vaccination and receiving the Pfizer vaccination series after the J&J vaccine has not yet been shown to be safe and effective. When patient attempted to get the 2nd dose of the Pfizer series the state registry was checked and patient was counseled that she cannot get the 2nd dose of Pfizer.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: 53M with hypothyroidism, ulcerative colitis s/p remote colectomy, DM1 (on insulin pump), and GERD who presents with fever, poor appetite, nausea, cough and worsening SOB beginning on 8/7. Tested covid + on 8/10. Received pfizer vaccine series in march. Seen in ED 8/13 and given levaquin for CAP. After discharge he noted his O2 sats reading 84-89%.    COVID Pneumonia/Acute hypoxemic respiratory failure - he was treated with decadron 6mg daily for 4 days and remdesivir for 5 days. Supplemental O2 was successfully weaned from 2lpm to room air. In case he would require tocilizumab, screening labs were sent and returned negative except cocci which is pending.    Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  covid pneumonia
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Laboratory test, Nausea, Oxygen saturation decreased
Clinical narrative: 53M with hypothyroidism, ulcerative colitis s/p remote colectomy, DM1 (on insulin pump), and GERD who presents with fever, poor appetite, nausea, cough and worsening SOB beginning on 8/7. Tested covid + on 8/10. Received pfizer vaccine series in march. Seen in ED 8/13 and given levaquin for CAP. After discharge he noted his O2 sats reading 84-89%.    COVID Pneumonia/Acute hypoxemic respiratory failure - he was treated with decadron 6mg daily for 4 days and remdesivir for 5 days. Supplemental O2 was successfully weaned from 2lpm to room air. In case he would require tocilizumab, screening labs were sent and returned negative except cocci which is pending.    Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  covid pneumonia
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 53M with hypothyroidism, ulcerative colitis s/p remote colectomy, DM1 (on insulin pump), and GERD who presents with fever, poor appetite, nausea, cough and worsening SOB beginning on 8/7. Tested covid + on 8/10. Received pfizer vaccine series in march. Seen in ED 8/13 and given levaquin for CAP. After discharge he noted his O2 sats reading 84-89%.    COVID Pneumonia/Acute hypoxemic respiratory failure - he was treated with decadron 6mg daily for 4 days and remdesivir for 5 days. Supplemental O2 was successfully weaned from 2lpm to room air. In case he would require tocilizumab, screening labs were sent and returned negative except cocci which is pending.    Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  covid pneumonia
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate irregular, Syncope
Clinical narrative: Light headed, irregular heart rhythm, faint
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, Myalgia, Nausea
Clinical narrative: 8/8/21: Patient was sent to clinic by PCP to request orders for bamlanivimab infusion-Pt reports testing positive at a testing center on Wednesday and has been symptomatic for 7 days. Pt states she also brought husband to Clinic due to COVID like symptoms and husband was recommended to go to the ED due to hypoxia. Presents to ED with SOB. She states over the last 5 days she has had symptoms of generalized myalgias, fevers, nausea, vomiting and diarrhea. 8 8/8/21: Patient received rapid COVID test at clinic which resulted as negative. 8/8/21: Patient tested COVID positive upon admission  8/12/21: Pt discharged home
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 8/8/21: Patient was sent to clinic by PCP to request orders for bamlanivimab infusion-Pt reports testing positive at a testing center on Wednesday and has been symptomatic for 7 days. Pt states she also brought husband to Clinic due to COVID like symptoms and husband was recommended to go to the ED due to hypoxia. Presents to ED with SOB. She states over the last 5 days she has had symptoms of generalized myalgias, fevers, nausea, vomiting and diarrhea. 8 8/8/21: Patient received rapid COVID test at clinic which resulted as negative. 8/8/21: Patient tested COVID positive upon admission  8/12/21: Pt discharged home
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: First dose Pfizer Lot# FA6780 given on 08/05/21.  Second dose Lot#FD8448 administered on 08/20/21 (day 15)
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Dyspnoea, Erythema, Peripheral swelling, Skin warm, Urticaria
Clinical narrative: hives, left arm swelling erythema and warmth, trouble  breathing
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: 8/8/21: Patient presented to the emergency department with complaints of body aches, headaches, fevers, cough, sore throat, vomiting, diarrhea and shortness of breath x1 week. Wife is positive for COVID-19 at this time. He apparently had a negative rapid COVID test but due to hypoxia noted at home he decided to come to the ED for further evaluation. Patient tested positive for COVID-19 8/8/2021. Of note, patient received Pfizer COVID-19 vaccine, last dose administered April 2021. 8/16/2021: Patient still admitted as of report submission
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoxia, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 8/8/21: Patient presented to the emergency department with complaints of body aches, headaches, fevers, cough, sore throat, vomiting, diarrhea and shortness of breath x1 week. Wife is positive for COVID-19 at this time. He apparently had a negative rapid COVID test but due to hypoxia noted at home he decided to come to the ED for further evaluation. Patient tested positive for COVID-19 8/8/2021. Of note, patient received Pfizer COVID-19 vaccine, last dose administered April 2021. 8/16/2021: Patient still admitted as of report submission
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 8/8/21: Patient presented to the emergency department with complaints of body aches, headaches, fevers, cough, sore throat, vomiting, diarrhea and shortness of breath x1 week. Wife is positive for COVID-19 at this time. He apparently had a negative rapid COVID test but due to hypoxia noted at home he decided to come to the ED for further evaluation. Patient tested positive for COVID-19 8/8/2021. Of note, patient received Pfizer COVID-19 vaccine, last dose administered April 2021. 8/16/2021: Patient still admitted as of report submission
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood immunoglobulin E increased, Blood test, Chest pain, Cough
Clinical narrative: I received the second dose and my throat started to swell and the back of my tongue.  I started coughing and had difficulty breathing.  It continued to escalate.  I started to get a headache.  I did wait 30 minutes after the shot and these reactions started.  She said wait another 15 minutes.  They called for the emergency assist to help me. They had to come get me in wheelchair.  They took me to the urgent care part of the hospital.  The PA looked down my throat and my tonsils and nose were closing and very red.  She gave me a shot of steroids.  I asked her for an asthma treatment, and they did not do that, but they did give me Allegra.  The steroid helps a little but did not get rid of it.  The days followed I got worse and nausea and vomiting.  I also had weakness.  That Thursday I went to my PCP, and he called 911.  EMS came and got me and took me to Hospital.  They treated me and told me that I was still having an allergic reaction.  They gave me an epi shot, and Pepcid.  I was stable and I was still not breathing well.  On July 3rd I started to gasp for air.  I went to   the ER.  They admitted me I started to have chest pains.  I was having difficulty breathing and headaches.  I was there from July 3rd to July 7th.  When I was in the hospital, they gave me prednisone, but it was not making me better, but it made me vomit and there bedding in the hospital was giving an allergic reaction.  I also started to have allergic reaction to medication hey gave me. I was having sensitivity to everything.  My IGE was over 1400.  I was having a reaction to something in the vaccine.  I became hypersensitive.  I was discharged and the next week I was admitted for severe dehydration and my veins collapse. I was admitted to Westside Hospital.  I was having allergic reaction to foods and was having convulsions.  I stopped eating due to this.  They were trying to discharge me, and I started to have the reactions again to everything environmental, perfumes, foods, etc.  I have never had reactions to any of this.  I was admitted again to the hospital on August 3rd.  I started to have seizures and I can not speak clearly.  The headaches and severe weakness.  They did an MRI, and I did not have a stroke. They diagnosed me with allergy induced seizures. All together I had 6 ER visits and 3 hospital admissions. I am still waiting to receive treatment because they do not know what it is.  They treat my symptoms and make me stable but then send me home.  I went to the Dr. which he is an immunologist.  He did a blood test and diagnosed me hypersensitive reaction to the vaccine.  My white blood cells are low.   I see an allergist next week.  I sleep in a mask, and I cannot be without it.   I am also unable to work.  The only thing that has helped me a little is Benadryl to help with the convulsions.  My allergist is Dr.  I have lost 17 pounds from July 1st.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dehydration, Dyspnoea, Headache, Hypersensitivity
Clinical narrative: I received the second dose and my throat started to swell and the back of my tongue.  I started coughing and had difficulty breathing.  It continued to escalate.  I started to get a headache.  I did wait 30 minutes after the shot and these reactions started.  She said wait another 15 minutes.  They called for the emergency assist to help me. They had to come get me in wheelchair.  They took me to the urgent care part of the hospital.  The PA looked down my throat and my tonsils and nose were closing and very red.  She gave me a shot of steroids.  I asked her for an asthma treatment, and they did not do that, but they did give me Allegra.  The steroid helps a little but did not get rid of it.  The days followed I got worse and nausea and vomiting.  I also had weakness.  That Thursday I went to my PCP, and he called 911.  EMS came and got me and took me to Hospital.  They treated me and told me that I was still having an allergic reaction.  They gave me an epi shot, and Pepcid.  I was stable and I was still not breathing well.  On July 3rd I started to gasp for air.  I went to   the ER.  They admitted me I started to have chest pains.  I was having difficulty breathing and headaches.  I was there from July 3rd to July 7th.  When I was in the hospital, they gave me prednisone, but it was not making me better, but it made me vomit and there bedding in the hospital was giving an allergic reaction.  I also started to have allergic reaction to medication hey gave me. I was having sensitivity to everything.  My IGE was over 1400.  I was having a reaction to something in the vaccine.  I became hypersensitive.  I was discharged and the next week I was admitted for severe dehydration and my veins collapse. I was admitted to Westside Hospital.  I was having allergic reaction to foods and was having convulsions.  I stopped eating due to this.  They were trying to discharge me, and I started to have the reactions again to everything environmental, perfumes, foods, etc.  I have never had reactions to any of this.  I was admitted again to the hospital on August 3rd.  I started to have seizures and I can not speak clearly.  The headaches and severe weakness.  They did an MRI, and I did not have a stroke. They diagnosed me with allergy induced seizures. All together I had 6 ER visits and 3 hospital admissions. I am still waiting to receive treatment because they do not know what it is.  They treat my symptoms and make me stable but then send me home.  I went to the Dr. which he is an immunologist.  He did a blood test and diagnosed me hypersensitive reaction to the vaccine.  My white blood cells are low.   I see an allergist next week.  I sleep in a mask, and I cannot be without it.   I am also unable to work.  The only thing that has helped me a little is Benadryl to help with the convulsions.  My allergist is Dr.  I have lost 17 pounds from July 1st.