chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac function test, Chest X-ray, Cough, Electrocardiogram
Clinical narrative: Cough, sore throat, positive COVID test
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Metabolic function test, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Cough, sore throat, positive COVID test
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/25 and 4/1. Positive on 9/14.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Decreased appetite, Diarrhoea, Laboratory test
Clinical narrative: Pt came to ER c/o palpitation, unwell, nausea, diarrhea, lack of appetite and diagnosed with Covid 10 days prior.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Palpitations, SARS-CoV-2 test positive
Clinical narrative: Pt came to ER c/o palpitation, unwell, nausea, diarrhea, lack of appetite and diagnosed with Covid 10 days prior.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Chills, Computerised tomogram, Discomfort
Clinical narrative: I got my shot and started feeling lightheaded. I also had a metal taste in my mouth. As I was speaking, I fainted. I was given Benadryl and was sent home. The next few days, I had chills, headaches, body aches, stomach pain and tingling in my fingers. A few days later, I felt disconnected from myself. It was not a normal feeling for me. I was sitting with friends and family laughing when all of a sudden, my left side body went heavy and stopped working. I went to the ER had a CT scan, brain scan, heart scan and was tested for a stroke. I went home and went to a PCP who suggested I was having a panic attack. We did tests that were not conclusive. Currently, I experience the heaviness 3-4 times a day. Sometimes it's short and sometimes it will last for 20 minutes. My thyroid was also tested but I don't think it came back with concerns. I had none of these symptoms prior to the moderna vaccine. I was prescribed a medication for panic attacks, but I was experiencing suicidal thoughts, so I was immediately taken off.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Feeling abnormal, Headache, Hypokinesia
Clinical narrative: I got my shot and started feeling lightheaded. I also had a metal taste in my mouth. As I was speaking, I fainted. I was given Benadryl and was sent home. The next few days, I had chills, headaches, body aches, stomach pain and tingling in my fingers. A few days later, I felt disconnected from myself. It was not a normal feeling for me. I was sitting with friends and family laughing when all of a sudden, my left side body went heavy and stopped working. I went to the ER had a CT scan, brain scan, heart scan and was tested for a stroke. I went home and went to a PCP who suggested I was having a panic attack. We did tests that were not conclusive. Currently, I experience the heaviness 3-4 times a day. Sometimes it's short and sometimes it will last for 20 minutes. My thyroid was also tested but I don't think it came back with concerns. I had none of these symptoms prior to the moderna vaccine. I was prescribed a medication for panic attacks, but I was experiencing suicidal thoughts, so I was immediately taken off.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Panic attack, Paraesthesia, Syncope
Clinical narrative: I got my shot and started feeling lightheaded. I also had a metal taste in my mouth. As I was speaking, I fainted. I was given Benadryl and was sent home. The next few days, I had chills, headaches, body aches, stomach pain and tingling in my fingers. A few days later, I felt disconnected from myself. It was not a normal feeling for me. I was sitting with friends and family laughing when all of a sudden, my left side body went heavy and stopped working. I went to the ER had a CT scan, brain scan, heart scan and was tested for a stroke. I went home and went to a PCP who suggested I was having a panic attack. We did tests that were not conclusive. Currently, I experience the heaviness 3-4 times a day. Sometimes it's short and sometimes it will last for 20 minutes. My thyroid was also tested but I don't think it came back with concerns. I had none of these symptoms prior to the moderna vaccine. I was prescribed a medication for panic attacks, but I was experiencing suicidal thoughts, so I was immediately taken off.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: This case meets vaccine breakthrough criteria review.  SXS SOB, COUGH, CHEST CONGESTION
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This case meets vaccine breakthrough criteria review.  SXS SOB, COUGH, CHEST CONGESTION
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Nausea
Clinical narrative: throat closed,  left side face and neck swollen, fever, chills, nausea, throwing up, muscle pain, joint pain, fatique
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Pyrexia, Swelling, Swelling face, Vomiting
Clinical narrative: throat closed,  left side face and neck swollen, fever, chills, nausea, throwing up, muscle pain, joint pain, fatique
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 6/25 and 7/23. Positive on 9/14;
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Presented on the evening of 8/28/2021 following a fall with bilateral leg pain as well as weakness and deconditioning.  She was also noted to be bradycardic with heart rates in the 50s.  Unfortunately her COVID-19 PCR test on 8/31/21 came back positive.  This delayed her discharge as she was required to be placed on precautions for a period of time, despite her being overall stable and asymptomatic.  She was found to have require increased oxygen from her baseline of 2 L which she uses as needed at night.  She was requiring just a couple of liters, and imaging was consistent with potential pneumonitis, and she was treated for COPD exacerbation.  She was placed on IV steroids, scheduled nebulizers, as well as IV azithromycin.  She did show improvement throughout her hospitalization, and was ultimately able to wean off of oxygen.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Imaging procedure abnormal, Oxygen saturation decreased, Pain in extremity, Physical deconditioning
Clinical narrative: Presented on the evening of 8/28/2021 following a fall with bilateral leg pain as well as weakness and deconditioning.  She was also noted to be bradycardic with heart rates in the 50s.  Unfortunately her COVID-19 PCR test on 8/31/21 came back positive.  This delayed her discharge as she was required to be placed on precautions for a period of time, despite her being overall stable and asymptomatic.  She was found to have require increased oxygen from her baseline of 2 L which she uses as needed at night.  She was requiring just a couple of liters, and imaging was consistent with potential pneumonitis, and she was treated for COPD exacerbation.  She was placed on IV steroids, scheduled nebulizers, as well as IV azithromycin.  She did show improvement throughout her hospitalization, and was ultimately able to wean off of oxygen.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented on the evening of 8/28/2021 following a fall with bilateral leg pain as well as weakness and deconditioning.  She was also noted to be bradycardic with heart rates in the 50s.  Unfortunately her COVID-19 PCR test on 8/31/21 came back positive.  This delayed her discharge as she was required to be placed on precautions for a period of time, despite her being overall stable and asymptomatic.  She was found to have require increased oxygen from her baseline of 2 L which she uses as needed at night.  She was requiring just a couple of liters, and imaging was consistent with potential pneumonitis, and she was treated for COPD exacerbation.  She was placed on IV steroids, scheduled nebulizers, as well as IV azithromycin.  She did show improvement throughout her hospitalization, and was ultimately able to wean off of oxygen.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Palpitations
Clinical narrative: Pounding heart beat overnight. Ok next day Severe headache  forehead temple pressure still persistent after four days. No nausea or fever
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Angiogram cerebral abnormal, Angiopathy, Basal ganglia infarction, Cerebral infarction
Clinical narrative: stroke
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Cerebrovascular disorder, Magnetic resonance imaging head abnormal, Perfusion brain scan
Clinical narrative: stroke
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: After my second vaccine, May 8th 2021, I did not have a menstrual cycle in June or July.  In August I had a menstrual  cycle every day for a month leading into September.    My cycles are normal otherwise as I take the pill.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia
Clinical narrative: Strong tingling, numbness and pain from injection site to tips of fingers for about 2-3 weeks after vaccine.  Pain has subsided.  Tingling and numbness is not as strong however still persists from injection site to tip of fingers.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Paraesthesia
Clinical narrative: Tingling in right hand/fingers and extreme back pain
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Chest pain, Dyspnoea, Full blood count, Pulmonary embolism
Clinical narrative: multiple pulmonary emboli Eliquis 10 mg bid for one week, then 5 mg bid short of breath, chest pain started 8/27/2021 still short of breath today
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Decreased appetite
Clinical narrative: I was symptomatic and tested positive for Covid.  Symptoms began with fatigue and nasal drainage and congestion.  This proceeded to low grade fever and body aches.  It progressed to loss of sense of smell and taste, and loss of appetite.  The fever only lasted a few days but I was extremely tired for 10 days.  Sinus symptoms continued another week.  I am coughing some now, worse at night and with exercise.  I didn't cough so much during the active covid. But the cough is persisting.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I was symptomatic and tested positive for Covid.  Symptoms began with fatigue and nasal drainage and congestion.  This proceeded to low grade fever and body aches.  It progressed to loss of sense of smell and taste, and loss of appetite.  The fever only lasted a few days but I was extremely tired for 10 days.  Sinus symptoms continued another week.  I am coughing some now, worse at night and with exercise.  I didn't cough so much during the active covid. But the cough is persisting.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I was symptomatic and tested positive for Covid.  Symptoms began with fatigue and nasal drainage and congestion.  This proceeded to low grade fever and body aches.  It progressed to loss of sense of smell and taste, and loss of appetite.  The fever only lasted a few days but I was extremely tired for 10 days.  Sinus symptoms continued another week.  I am coughing some now, worse at night and with exercise.  I didn't cough so much during the active covid. But the cough is persisting.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Dizziness, Headache, Heart rate increased
Clinical narrative: After the 1 st dose, about 6 hours later,  I had trembles and shakes, sweating profusely and my heart was beating very fast.  I took all my vitals and everything was normal.   This lasted for about a hour and went away.  After the 2nd dose 3/11/2021  lot 025A21A IM LA, I had mild symptoms of headache and achiness.  Around 1st part of June 2021, I had a repeat of the same symptoms trembles, shaking, sweating and heart racing and muscle weakness returned.   The symptoms can last upto 2 hours.   I was having these symptoms about an average of once a week.   I did consult with my doctor and recommended to just wait and see.  Around the middle of July 2021, I broke out in a full body rash. It starts out as tiny red dots and explodes into bigger ones.  Located under my arms and all over my back, belly, hands and groin area.  I also have a past history of Meniere's disease and recently I have been having dizziness spells, lightheadedness, nausea and my balance is really off.  It will go away and come back. I noticed these episodes are a little bit more severe than in the past.  My last episode of shakes, sweating, heart reacing  was last week 9/10/2021 and lasted for 45 minutes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Muscular weakness, Nausea, Pain, Rash
Clinical narrative: After the 1 st dose, about 6 hours later,  I had trembles and shakes, sweating profusely and my heart was beating very fast.  I took all my vitals and everything was normal.   This lasted for about a hour and went away.  After the 2nd dose 3/11/2021  lot 025A21A IM LA, I had mild symptoms of headache and achiness.  Around 1st part of June 2021, I had a repeat of the same symptoms trembles, shaking, sweating and heart racing and muscle weakness returned.   The symptoms can last upto 2 hours.   I was having these symptoms about an average of once a week.   I did consult with my doctor and recommended to just wait and see.  Around the middle of July 2021, I broke out in a full body rash. It starts out as tiny red dots and explodes into bigger ones.  Located under my arms and all over my back, belly, hands and groin area.  I also have a past history of Meniere's disease and recently I have been having dizziness spells, lightheadedness, nausea and my balance is really off.  It will go away and come back. I noticed these episodes are a little bit more severe than in the past.  My last episode of shakes, sweating, heart reacing  was last week 9/10/2021 and lasted for 45 minutes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Tremor
Clinical narrative: After the 1 st dose, about 6 hours later,  I had trembles and shakes, sweating profusely and my heart was beating very fast.  I took all my vitals and everything was normal.   This lasted for about a hour and went away.  After the 2nd dose 3/11/2021  lot 025A21A IM LA, I had mild symptoms of headache and achiness.  Around 1st part of June 2021, I had a repeat of the same symptoms trembles, shaking, sweating and heart racing and muscle weakness returned.   The symptoms can last upto 2 hours.   I was having these symptoms about an average of once a week.   I did consult with my doctor and recommended to just wait and see.  Around the middle of July 2021, I broke out in a full body rash. It starts out as tiny red dots and explodes into bigger ones.  Located under my arms and all over my back, belly, hands and groin area.  I also have a past history of Meniere's disease and recently I have been having dizziness spells, lightheadedness, nausea and my balance is really off.  It will go away and come back. I noticed these episodes are a little bit more severe than in the past.  My last episode of shakes, sweating, heart reacing  was last week 9/10/2021 and lasted for 45 minutes.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Balance disorder, Discomfort, Dizziness, Headache
Clinical narrative: On 09/10/2021 had normal symtoms of body aches, large bruise at injection site and headaches; however on morning of 09/11/2021 I was awaken with temperature on 100.9, body aches, large bruise at injection site , large red area below injection site, light headness, dizziness, equilibrium off and continued to spread and enlarged lymph nodes in right axilla with pain and discomfort.  on 09/13/2021 pt was prescribed Cephalexin 250mg po qid for 10 days, Acetaminophen 50mg po prn, Cetirizine 5mg po prn and Hydrocortisone 0.5% topical cream to use prn.  I followed up with my Primary Care Dr. on 09/14/2021
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site bruising, Injection site erythema, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: On 09/10/2021 had normal symtoms of body aches, large bruise at injection site and headaches; however on morning of 09/11/2021 I was awaken with temperature on 100.9, body aches, large bruise at injection site , large red area below injection site, light headness, dizziness, equilibrium off and continued to spread and enlarged lymph nodes in right axilla with pain and discomfort.  on 09/13/2021 pt was prescribed Cephalexin 250mg po qid for 10 days, Acetaminophen 50mg po prn, Cetirizine 5mg po prn and Hydrocortisone 0.5% topical cream to use prn.  I followed up with my Primary Care Dr. on 09/14/2021
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Epistaxis, Menstruation irregular, Uterine spasm
Clinical narrative: Periods were regular since teenage years, 33-35 days apart, now post vaccine they are 23-25 apart.  No history of nosebleeds EXCEPT during pregnancy, now 2 times a months since vaccine Uterine cramps often, prior to vaccine only during period
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Basal ganglia infarction, Computerised tomogram head abnormal, Dysarthria, Facial paresis
Clinical narrative: Patient received COVID vaccine (PFizer) on 7/7/2021 and 8/5/2021 respectively. She presents to hospital on 9/14, which is 41 days after second vaccination, suffering an ischemic stroke with an acute/subacute infarct involving the left basal ganglia and internal capsule without evidence of hemorrhagic conversion. Patient has hx of tobacco abuse. She demonstrates moderate degree of dysarthria, right facial weakness and mild weakness of her right upper and lower extremities. NIHSS of 4.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hemiparesis, Ischaemic stroke
Clinical narrative: Patient received COVID vaccine (PFizer) on 7/7/2021 and 8/5/2021 respectively. She presents to hospital on 9/14, which is 41 days after second vaccination, suffering an ischemic stroke with an acute/subacute infarct involving the left basal ganglia and internal capsule without evidence of hemorrhagic conversion. Patient has hx of tobacco abuse. She demonstrates moderate degree of dysarthria, right facial weakness and mild weakness of her right upper and lower extremities. NIHSS of 4.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Condition aggravated, Cough, Depression
Clinical narrative: Hospitalized 9.14.21 ;  COVID-19 positive 9.6.21;  fully vaccinated HISTORY OF PRESENT ILLNESS: HPI and hx obtained from patient and chart review. Patient is a 35 y.o. male with pmhx of depression and anxiety who presented with a chief complaint of suicidal ideation. Patient reports worsening symptoms of depression and feeling hopeless facility thoughts of harming himself for the past week.  He reports that the past a year he has had multiple stressors in his life.  Stressors include being in jail the common going to rehab not being able to see his children, and the death of his brother 2 years ago due to suicide.  His depression symptoms include not being able to stay asleep poor appetite, feeling down depressed and hopeless.  He has taken multiple medications in the past for his depression he does not remember which ones he has tried.  He reports that last week after he was tested positive for COVID-19 his depression symptoms got worse.  Yesterday he took a half a tablet of Suboxone because he was anxious, after he took it he to the rest of the bottle out.  He reports being on Suboxone in the past but has not taken it in a year.  He reports a history of alcohol use and heroin use but has not consumed in 4 years.  Today he had thoughts of harming himself, but did not have a plan.  He wants help for his depression. In regards to his COVID symptoms he reports having a headache, nausea, cough, diarrhea that started on 09/05.  He went to the emergency department and that is where he tested positive for COVID on 09/07.  He now denies any fevers, chills, difficulty breathing.  He reports having some mild nausea. Brief ED course:  Vitals were stable on arrival to the emergency department.  Spoke with social Work .  General medicine will admit patient for further evaluation and workup.   CHIEF COMPLAINT: Suicidal ideation    ASSESSMENT/PLAN: Patient is a 35 y.o. male  with PMH of depression/anxiety .  He presented to the emergency department due to suicidal ideation. # Suicidal ideation Patient reports that the last year has been hard for him.  He has multiple stressors including being in jail, being in rehab, not being able to be there for his children, as well recent death his brother 2 years ago due to suicide.  He reports that this week his depression has gotten significantly he thinks due to recent diagnosis COVID.  He reports today that she have follow-up ending his life, but did not have a specific plan. He reports not wanting to take any medications.   Plan: - video monitoring - social work consult- Plan for him to touch base with network, patient agreeable to inpatient psych treatment but no facility open for covid patients.  - urine drug screen - EKG given his recent Suboxone use # COVID-19 positive Patient tested positive for SARS-CoV-2 on 9/6/2021.  He reports some nausea,  mild cough, and headache but no other symptoms. Symptoms started on 9/5. He does not qualify for remdesivir or steroids.  - Continue to monitor
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Drug screen, Electrocardiogram, Headache, Nausea
Clinical narrative: Hospitalized 9.14.21 ;  COVID-19 positive 9.6.21;  fully vaccinated HISTORY OF PRESENT ILLNESS: HPI and hx obtained from patient and chart review. Patient is a 35 y.o. male with pmhx of depression and anxiety who presented with a chief complaint of suicidal ideation. Patient reports worsening symptoms of depression and feeling hopeless facility thoughts of harming himself for the past week.  He reports that the past a year he has had multiple stressors in his life.  Stressors include being in jail the common going to rehab not being able to see his children, and the death of his brother 2 years ago due to suicide.  His depression symptoms include not being able to stay asleep poor appetite, feeling down depressed and hopeless.  He has taken multiple medications in the past for his depression he does not remember which ones he has tried.  He reports that last week after he was tested positive for COVID-19 his depression symptoms got worse.  Yesterday he took a half a tablet of Suboxone because he was anxious, after he took it he to the rest of the bottle out.  He reports being on Suboxone in the past but has not taken it in a year.  He reports a history of alcohol use and heroin use but has not consumed in 4 years.  Today he had thoughts of harming himself, but did not have a plan.  He wants help for his depression. In regards to his COVID symptoms he reports having a headache, nausea, cough, diarrhea that started on 09/05.  He went to the emergency department and that is where he tested positive for COVID on 09/07.  He now denies any fevers, chills, difficulty breathing.  He reports having some mild nausea. Brief ED course:  Vitals were stable on arrival to the emergency department.  Spoke with social Work .  General medicine will admit patient for further evaluation and workup.   CHIEF COMPLAINT: Suicidal ideation    ASSESSMENT/PLAN: Patient is a 35 y.o. male  with PMH of depression/anxiety .  He presented to the emergency department due to suicidal ideation. # Suicidal ideation Patient reports that the last year has been hard for him.  He has multiple stressors including being in jail, being in rehab, not being able to be there for his children, as well recent death his brother 2 years ago due to suicide.  He reports that this week his depression has gotten significantly he thinks due to recent diagnosis COVID.  He reports today that she have follow-up ending his life, but did not have a specific plan. He reports not wanting to take any medications.   Plan: - video monitoring - social work consult- Plan for him to touch base with network, patient agreeable to inpatient psych treatment but no facility open for covid patients.  - urine drug screen - EKG given his recent Suboxone use # COVID-19 positive Patient tested positive for SARS-CoV-2 on 9/6/2021.  He reports some nausea,  mild cough, and headache but no other symptoms. Symptoms started on 9/5. He does not qualify for remdesivir or steroids.  - Continue to monitor
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Self-injurious ideation, Suicidal ideation, Vomiting
Clinical narrative: Hospitalized 9.14.21 ;  COVID-19 positive 9.6.21;  fully vaccinated HISTORY OF PRESENT ILLNESS: HPI and hx obtained from patient and chart review. Patient is a 35 y.o. male with pmhx of depression and anxiety who presented with a chief complaint of suicidal ideation. Patient reports worsening symptoms of depression and feeling hopeless facility thoughts of harming himself for the past week.  He reports that the past a year he has had multiple stressors in his life.  Stressors include being in jail the common going to rehab not being able to see his children, and the death of his brother 2 years ago due to suicide.  His depression symptoms include not being able to stay asleep poor appetite, feeling down depressed and hopeless.  He has taken multiple medications in the past for his depression he does not remember which ones he has tried.  He reports that last week after he was tested positive for COVID-19 his depression symptoms got worse.  Yesterday he took a half a tablet of Suboxone because he was anxious, after he took it he to the rest of the bottle out.  He reports being on Suboxone in the past but has not taken it in a year.  He reports a history of alcohol use and heroin use but has not consumed in 4 years.  Today he had thoughts of harming himself, but did not have a plan.  He wants help for his depression. In regards to his COVID symptoms he reports having a headache, nausea, cough, diarrhea that started on 09/05.  He went to the emergency department and that is where he tested positive for COVID on 09/07.  He now denies any fevers, chills, difficulty breathing.  He reports having some mild nausea. Brief ED course:  Vitals were stable on arrival to the emergency department.  Spoke with social Work .  General medicine will admit patient for further evaluation and workup.   CHIEF COMPLAINT: Suicidal ideation    ASSESSMENT/PLAN: Patient is a 35 y.o. male  with PMH of depression/anxiety .  He presented to the emergency department due to suicidal ideation. # Suicidal ideation Patient reports that the last year has been hard for him.  He has multiple stressors including being in jail, being in rehab, not being able to be there for his children, as well recent death his brother 2 years ago due to suicide.  He reports that this week his depression has gotten significantly he thinks due to recent diagnosis COVID.  He reports today that she have follow-up ending his life, but did not have a specific plan. He reports not wanting to take any medications.   Plan: - video monitoring - social work consult- Plan for him to touch base with network, patient agreeable to inpatient psych treatment but no facility open for covid patients.  - urine drug screen - EKG given his recent Suboxone use # COVID-19 positive Patient tested positive for SARS-CoV-2 on 9/6/2021.  He reports some nausea,  mild cough, and headache but no other symptoms. Symptoms started on 9/5. He does not qualify for remdesivir or steroids.  - Continue to monitor
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Loss of consciousness, Syncope
Clinical narrative: Patient fainted. The person with him got my attention very shortly after he got the vaccine. He fell down and hit his head, and ended up in a sitting position. He became conscious and with the help of a stander-by, we were able to gently lower him into a laying position. He felt fine after laying down for a while and got some water. There was no redness around the injection site nor any other indications of an allergic reaction. The 911 operator asked if he wanted someone to come and check on him, but he declined this. After a while he got up and sat in a chair for several minutes, and then they left.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Injection site pruritus, Injection site rash, Pain, Pruritus
Clinical narrative: Shooting pains (pain level 2 out of 10) along sides of abdomen from below ribs to upper pelvis occurred the evening after the 2nd injection. About 3 weeks after that I got "covid arm," at the injection site on my left arm and was itchy along my arm, abdomen and back. Was easily controlled with Benadryl and subsided about 24-36 hours after covid arm was noticed. The approximate diameter of the arm rash at the injection site was 3.5 inches. About a month after the Covid Arm subsided, I developed a rash along both sides of my abdomen, with more concentrated on the right side. The same rash also developed from above my coxic bone up my spine, feathering out a few inches in either direction and ending about mid-shoulder blade area. This rash started approximately March 15th and has not gone away since then. Sometimes it lessens to barely noticeable, and then it comes back bright red and itchy, always in the same exact spots, and then fades slowly and as it fades turns the color of a bruise.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Skin discolouration, Urticaria
Clinical narrative: Shooting pains (pain level 2 out of 10) along sides of abdomen from below ribs to upper pelvis occurred the evening after the 2nd injection. About 3 weeks after that I got "covid arm," at the injection site on my left arm and was itchy along my arm, abdomen and back. Was easily controlled with Benadryl and subsided about 24-36 hours after covid arm was noticed. The approximate diameter of the arm rash at the injection site was 3.5 inches. About a month after the Covid Arm subsided, I developed a rash along both sides of my abdomen, with more concentrated on the right side. The same rash also developed from above my coxic bone up my spine, feathering out a few inches in either direction and ending about mid-shoulder blade area. This rash started approximately March 15th and has not gone away since then. Sometimes it lessens to barely noticeable, and then it comes back bright red and itchy, always in the same exact spots, and then fades slowly and as it fades turns the color of a bruise.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Mental status changes
Clinical narrative: Per medical records, patient has an underlying history of hypothyroidism, oropharyngeal cancer post chemotherapy who presented to the ER on 08/22/2021 with altered mental status and shortness of breath. Pt is also a former smoker. Pt was intubated in the ED on 08/22. Pt expired on 09/05/2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administration error
Clinical narrative: Pt did not have any adverse side affects.  The vaccine was administered in error
Age: 60.0
Sex: F
Vaccine: HEPA
Symptoms: Lip swelling, Swelling face
Clinical narrative: Received vacine at work. Awoke day after day of vaccine with swelling of lips and face, No swelling of tongue, no obstruction of airway, , no urticaria, no respiratory symptoms. No treatement indicated . Returned to work.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Faecal calprotectin, Irritable bowel syndrome
Clinical narrative: Exactly 1 week after getting my second Pfizer Covid dose I hadn what I consider now to be, an IBS flare. I was very close to going to the ER because the diarrhea and and stomach sensations were so painful. I've never experienced anything like that before. I've had a few episodes since then as well and have begun to work with doctors to figure out what is going on.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Laboratory test, SARS-CoV-2 test
Clinical narrative: Pt came to ER c/o difficulty breathing onset just prior to arrival to ED.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dialysis, Endotracheal intubation, Haemofiltration, Haemoglobin decreased
Clinical narrative: Hospital Course:  on 8/26/21 Patient was admitted to the ICU. Her pulmonary status worsened and she eventually required BiPAP. Started on IV antibiotics and steroids. She required Levophed for hypotension.  Started on remdesivir and baracitinib.  8/28: Ivermectin started. Started budesonide and zinc.  On 8/30: Worsened respiratory distress, despite initiation of dialysis, thus was intubated. Proned.   On 8/31: Started CRRT per nephrology, tocilizumab per ID, and given 1 unit of PRBC to improve perfusion due to low hemoglobin. Patient was not proned due to labile BPs.   On 9/1: Bilevel to conventional vent.  9/3: Extubated.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Mechanical ventilation, Positive airway pressure therapy, Respiratory distress
Clinical narrative: Hospital Course:  on 8/26/21 Patient was admitted to the ICU. Her pulmonary status worsened and she eventually required BiPAP. Started on IV antibiotics and steroids. She required Levophed for hypotension.  Started on remdesivir and baracitinib.  8/28: Ivermectin started. Started budesonide and zinc.  On 8/30: Worsened respiratory distress, despite initiation of dialysis, thus was intubated. Proned.   On 8/31: Started CRRT per nephrology, tocilizumab per ID, and given 1 unit of PRBC to improve perfusion due to low hemoglobin. Patient was not proned due to labile BPs.   On 9/1: Bilevel to conventional vent.  9/3: Extubated.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospital Course:  on 8/26/21 Patient was admitted to the ICU. Her pulmonary status worsened and she eventually required BiPAP. Started on IV antibiotics and steroids. She required Levophed for hypotension.  Started on remdesivir and baracitinib.  8/28: Ivermectin started. Started budesonide and zinc.  On 8/30: Worsened respiratory distress, despite initiation of dialysis, thus was intubated. Proned.   On 8/31: Started CRRT per nephrology, tocilizumab per ID, and given 1 unit of PRBC to improve perfusion due to low hemoglobin. Patient was not proned due to labile BPs.   On 9/1: Bilevel to conventional vent.  9/3: Extubated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Electrocardiogram normal, Heart rate increased, Hypoaesthesia
Clinical narrative: Completely numb left arm, rapid heart rate, leg pain and chest pain starting around 12:30am 9/9/21. Went to the ER and heart rate was high. Blood work looked normal and EKG was normal. That was the only tests done.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Completely numb left arm, rapid heart rate, leg pain and chest pain starting around 12:30am 9/9/21. Went to the ER and heart rate was high. Blood work looked normal and EKG was normal. That was the only tests done.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Hospitalized;  COVID-19 positive (9.13.21);  fully vaccinated Admission Date: 9/13/2021 Discharge Date: 9/14/21  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19  HOSPITAL COURSE: 84 year old female who was sent to ED for COVID testing after known exposure at facility. Patient was asymptomatic but tested positive for COVID 19. Due to COVID status facility unable to accommodate patients return so patient was admitted to observation while safe discharge plan was arranged. Patient had a caregiver from the facility who volunteered to take patient to her home and provide care until patient able to return to her AL facility. She confirmed awareness of patients care needs and was able to obtain patients prescriptions from AL facility. Plan was confirmed with patients guardian who was in agreement. CONSULTS / RECOMMENDATION: none INPATIENT PROCEDURES: none Discharge disposition: home or self care
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hypertension, Urine analysis
Clinical narrative: I see my doctor every 6 months and I went to a regular doctor?s appointment and I developed high blood pressure. They gave me some medications. I am still taking those pills. They did a blood test and urine test, but I do not know the results.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Nausea
Clinical narrative: This case meets vaccine breakthrough criteria review.  SXS 1 WEEK OF COUGH, NAUSEA, DIARRHEA, BODY ACHES, CHILLS
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This case meets vaccine breakthrough criteria review.  SXS 1 WEEK OF COUGH, NAUSEA, DIARRHEA, BODY ACHES, CHILLS
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Full blood count, Metabolic function test, Oxygen saturation decreased
Clinical narrative: Nursing home resident vaccinated 2 weeks prior, developed low (80's) saturation, admitted to hospital.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cluster headache, Condition aggravated, Extra dose administered, Headache
Clinical narrative: I have had 3 doses, each one produced the same issue. I am reporting this as people with cluster headaches will wind up in the ER if they have the problems I did and am also wondering if this might be a bad choice of type of vaccine for people with cluster headaches. 9 hours after the first dose I wound up in the ER and received 2 shots into my head, the pain was an ice pick like jabbing every 10 seconds and was completely debilitating.  After this event I went to a headache specialist that was recommended to me, he diagnosed cluster headaches and prescribed sumatriptan nasal spray, which does seem to work but not nearly as well after each of my vaccines.   9 hours after the second vaccine the headache began and continued for 8 hours, I used 2 of the sumatriptan nasal doses. 16 hours after the third dose the headaches came on and were much harder to mitigate, I used 3 doses over 12 hours and I?d say after 13 hours it lessened .  After each dose I experienced body aches along with the headache but I deemed this to be normal and wouldn?t bother reporting that. The aches were more severe every place that I have arthritis.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Pain
Clinical narrative: I have had 3 doses, each one produced the same issue. I am reporting this as people with cluster headaches will wind up in the ER if they have the problems I did and am also wondering if this might be a bad choice of type of vaccine for people with cluster headaches. 9 hours after the first dose I wound up in the ER and received 2 shots into my head, the pain was an ice pick like jabbing every 10 seconds and was completely debilitating.  After this event I went to a headache specialist that was recommended to me, he diagnosed cluster headaches and prescribed sumatriptan nasal spray, which does seem to work but not nearly as well after each of my vaccines.   9 hours after the second vaccine the headache began and continued for 8 hours, I used 2 of the sumatriptan nasal doses. 16 hours after the third dose the headaches came on and were much harder to mitigate, I used 3 doses over 12 hours and I?d say after 13 hours it lessened .  After each dose I experienced body aches along with the headache but I deemed this to be normal and wouldn?t bother reporting that. The aches were more severe every place that I have arthritis.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Mental status changes, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 09/04/21  he patient presents with 96 year old female with a medical Hx of Dementia, COPD, hypertension, congestive heart failure, paced rhythm, peripheral vascular disease. Presents to the ED Altered mental status per EMS. EMS reports of met sepsis criteria, patient being tachycardic and febrile, they report that over the last couple of days patient has become more confused at her nursing facility. History is limited at this time.l.  The onset was 3  days ago.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Tachycardia
Clinical narrative: 09/04/21  he patient presents with 96 year old female with a medical Hx of Dementia, COPD, hypertension, congestive heart failure, paced rhythm, peripheral vascular disease. Presents to the ED Altered mental status per EMS. EMS reports of met sepsis criteria, patient being tachycardic and febrile, they report that over the last couple of days patient has become more confused at her nursing facility. History is limited at this time.l.  The onset was 3  days ago.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Chills, Cough, Diarrhoea
Clinical narrative: The patient presents with Viral symptoms.  Started 6 days ago.  Is having low-grade fever, chills, loss of taste, loss of smell, headache, body aches, rhinorrhea, cough, dyspnea, diarrhea.  Has been taking Tylenol.  Had both of her COVID shots with Pfizer finishing in June 2021.  Husband is sick with similar symptoms..  The onset was 6  days ago.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Headache, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: The patient presents with Viral symptoms.  Started 6 days ago.  Is having low-grade fever, chills, loss of taste, loss of smell, headache, body aches, rhinorrhea, cough, dyspnea, diarrhea.  Has been taking Tylenol.  Had both of her COVID shots with Pfizer finishing in June 2021.  Husband is sick with similar symptoms..  The onset was 6  days ago.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: The patient presents with Viral symptoms.  Started 6 days ago.  Is having low-grade fever, chills, loss of taste, loss of smell, headache, body aches, rhinorrhea, cough, dyspnea, diarrhea.  Has been taking Tylenol.  Had both of her COVID shots with Pfizer finishing in June 2021.  Husband is sick with similar symptoms..  The onset was 6  days ago.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test negative, Blood test normal, Borrelia test negative, Foot fracture, Hypoaesthesia
Clinical narrative: I noticed sometime in May; the bottoms of my feet feel numb. I had a broken toe in my left foot that had some leftover numbness. I realized that both my feet felt numb, my left side more. In my pads, toes and heels of my feet, I have numbness. The doctor did test feeling via poking my feet and I did feel that. The doctor did a test with a sound bar where she put it on my wrist and I felt it but when placed on my ankle, I did not feel anything. I also have no muscle weakness to accompany the numbness which is usually common. I don?t feel sick at all. It?s just that all of a sudden, my feet are numb with no explanation.  There were blood tests done regarding vitamin deficiency, thyroid, Lyme disease, wheat allergy. I have never smoked, drank. I am not a diabetic or anything like that. I am waiting to get a nerve test in October.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Feeling abnormal, Hot flush, Injected limb mobility decreased
Clinical narrative: Strong pain in the left arm with limited movement Arm's  muscle has been paralyzed (No medication cures the pain) Brain fog  Lack of energy Raised body temperature at night - difficult to sleep  hot flashes at day time
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Muscle disorder, Pain in extremity
Clinical narrative: Strong pain in the left arm with limited movement Arm's  muscle has been paralyzed (No medication cures the pain) Brain fog  Lack of energy Raised body temperature at night - difficult to sleep  hot flashes at day time
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sciatica, Vomiting
Clinical narrative: Aside from fever, vomiting, aches and pains I had severe sciatic pain on my right side. It was so painful that I started a Medrol Dose Pac which helped by Day 3. I started that on September 2.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: The patient presents with 6 day Hx of cold symptoms including dyspnea, loss of sense of taste and smell, headache, cough, rib pain, vomiting, and fevers. Pt was prescribed Azithromycin by her PCP. She had positive test result for COVID-19 infection 4 days ago despite receiving Pfizer brand vaccinations in April of this year.  The onset was 6  days ago.  The course/duration of symptoms is constant.  The character of symptoms is cold symptoms.  Risk factors consist of COVID-19 infection.  Therapy today: prescription medications.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Musculoskeletal chest pain, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The patient presents with 6 day Hx of cold symptoms including dyspnea, loss of sense of taste and smell, headache, cough, rib pain, vomiting, and fevers. Pt was prescribed Azithromycin by her PCP. She had positive test result for COVID-19 infection 4 days ago despite receiving Pfizer brand vaccinations in April of this year.  The onset was 6  days ago.  The course/duration of symptoms is constant.  The character of symptoms is cold symptoms.  Risk factors consist of COVID-19 infection.  Therapy today: prescription medications.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: The patient presents with 6 day Hx of cold symptoms including dyspnea, loss of sense of taste and smell, headache, cough, rib pain, vomiting, and fevers. Pt was prescribed Azithromycin by her PCP. She had positive test result for COVID-19 infection 4 days ago despite receiving Pfizer brand vaccinations in April of this year.  The onset was 6  days ago.  The course/duration of symptoms is constant.  The character of symptoms is cold symptoms.  Risk factors consist of COVID-19 infection.  Therapy today: prescription medications.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Contusion, Dizziness, Electrocardiogram
Clinical narrative: 8/14/21 reported rapid heart rate and dizziness, felt light headed, chest pain.  Lasted about 3 days. 8/15/21 complained of a spot behind right knee that was swelling and felt like a sharp painful bruise.  9/2/21 Called health department and still having a rapid heart rate. Her Dr said that a Vaers needed to be completed and if the symptoms continues that she would need to wear a Holter monitor.  Advised by her Dr  not to take second Pfizer dose. 9/15/21 Reports that at rest she is feeling better but with exertion she feels her heart racing.  the area behind her knee  is still there.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Joint swelling, Laboratory test
Clinical narrative: 8/14/21 reported rapid heart rate and dizziness, felt light headed, chest pain.  Lasted about 3 days. 8/15/21 complained of a spot behind right knee that was swelling and felt like a sharp painful bruise.  9/2/21 Called health department and still having a rapid heart rate. Her Dr said that a Vaers needed to be completed and if the symptoms continues that she would need to wear a Holter monitor.  Advised by her Dr  not to take second Pfizer dose. 9/15/21 Reports that at rest she is feeling better but with exertion she feels her heart racing.  the area behind her knee  is still there.