chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Large intestine polyp, Loss of personal independence in daily activities, Lung infiltration, Malaise, Mobility decreased
Clinical narrative: Moderna Dose 1 4/13/21 (016B21A) Moderna Dose 2 5/11/21 (021C21A) COVID Positive 12/31/2021  12/31/21: A 66-year-old female who has been living independently, but not doing well for several weeks, was brought to the emergency room with weakness, inability to ambulate, and very poor oral intake.  She has a history of dysphagia related to a burn in her throat.  Has not really been eating anything, unclear how much she has even been drinking.  She also has interstitial lung disease from previous x-rays, but has not really been on any treatment.  There is elevation of the left hemidiaphragm on chest x-rays. Again, etiology is somewhat unclear.  The patient smokes, but is unable to tell us how much she smokes.  The patient is a poor historian.  Most information is obtained from the emergency room staff and the EMS staff.  The patient is unable to tell us whether she has any medical problems.  She really is not aware of the date or actually where she is.  She cannot tell us the last time she had thing to eat or drink.  Does not know anything about her medical health.  She appears to be extremely dehydrated, decreased skin turgor and dry mucous membranes.  Her blood pressure is 80/50, pulse is 80 regular, oximetry is 97% on room air.  Chest x-ray shows infiltrates, but this may be related to interstitial lung disease, since she has not have leukocytosis or fever.  Unclear whether she has been tested for COVID-19. Cultures have been obtained.  IV antibiotics started for possible pneumonia with azithromycin and ceftriaxone.  She is being given IV fluids for possible sepsis, and she will probably remain in the emergency room until her blood pressure is above 95-100 systolic.  1/13/22: This patient with history of smoking had not been feeling well for several weeks.  She was admitted with severe dehydration, hypotension and anemia.  There was signs of GI bleeding and an upper endoscopy showed duodenal ulcers, and the colonoscopy showed a cecal polyp.  She did receive several units of blood.  She did test positive for COVID-19 but did not have hypoxemia or require specific antiviral therapy.  She was diagnosed with COVID on 12/30 and should be considered COVID recovered on 01/14.  Her blood pressure is still low and we have continued midodrine.  She did not want to go to a nursing home and will go home with a friend will provide much of her care. She has needed assistance getting out of bed into the bathroom.  She may be at high risk for readmission for complications of her multiple medical problems.  We have had a time replacing magnesium, and potassium.  If she can improve her overall nutrition, she should do well.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Mucosal disorder, SARS-CoV-2 test positive, Skin turgor decreased, Transfusion
Clinical narrative: Moderna Dose 1 4/13/21 (016B21A) Moderna Dose 2 5/11/21 (021C21A) COVID Positive 12/31/2021  12/31/21: A 66-year-old female who has been living independently, but not doing well for several weeks, was brought to the emergency room with weakness, inability to ambulate, and very poor oral intake.  She has a history of dysphagia related to a burn in her throat.  Has not really been eating anything, unclear how much she has even been drinking.  She also has interstitial lung disease from previous x-rays, but has not really been on any treatment.  There is elevation of the left hemidiaphragm on chest x-rays. Again, etiology is somewhat unclear.  The patient smokes, but is unable to tell us how much she smokes.  The patient is a poor historian.  Most information is obtained from the emergency room staff and the EMS staff.  The patient is unable to tell us whether she has any medical problems.  She really is not aware of the date or actually where she is.  She cannot tell us the last time she had thing to eat or drink.  Does not know anything about her medical health.  She appears to be extremely dehydrated, decreased skin turgor and dry mucous membranes.  Her blood pressure is 80/50, pulse is 80 regular, oximetry is 97% on room air.  Chest x-ray shows infiltrates, but this may be related to interstitial lung disease, since she has not have leukocytosis or fever.  Unclear whether she has been tested for COVID-19. Cultures have been obtained.  IV antibiotics started for possible pneumonia with azithromycin and ceftriaxone.  She is being given IV fluids for possible sepsis, and she will probably remain in the emergency room until her blood pressure is above 95-100 systolic.  1/13/22: This patient with history of smoking had not been feeling well for several weeks.  She was admitted with severe dehydration, hypotension and anemia.  There was signs of GI bleeding and an upper endoscopy showed duodenal ulcers, and the colonoscopy showed a cecal polyp.  She did receive several units of blood.  She did test positive for COVID-19 but did not have hypoxemia or require specific antiviral therapy.  She was diagnosed with COVID on 12/30 and should be considered COVID recovered on 01/14.  Her blood pressure is still low and we have continued midodrine.  She did not want to go to a nursing home and will go home with a friend will provide much of her care. She has needed assistance getting out of bed into the bathroom.  She may be at high risk for readmission for complications of her multiple medical problems.  We have had a time replacing magnesium, and potassium.  If she can improve her overall nutrition, she should do well.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Abdominal discomfort, Fatigue, Injection site erythema, Nausea, Neck pain
Clinical narrative: Intense pain at vaccination site and entire arm/neck. Next morning extreme nausea, upset stomach, exhaustion and continued pain at injection site. Very red spider web looking reaction at injection site. Pharmacist didn't tell us anything about the risks of the meningitis b vaccine and I assumed it was routine as it was on her MI required vaccination card. The pharmacist also gave her both vaccines in the same arm back to back and now I read it should have been separate arms.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Pain in extremity, Product administration error, Vaccination site pain
Clinical narrative: Intense pain at vaccination site and entire arm/neck. Next morning extreme nausea, upset stomach, exhaustion and continued pain at injection site. Very red spider web looking reaction at injection site. Pharmacist didn't tell us anything about the risks of the meningitis b vaccine and I assumed it was routine as it was on her MI required vaccination card. The pharmacist also gave her both vaccines in the same arm back to back and now I read it should have been separate arms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Chills, Cough, Depression
Clinical narrative: 6/27/2022 Woke up with back hurting and neck stiff. That night I felt bad, whole body aches. 6/28 at home COVID 19 test positive. Ear soreness; headache; shivering/chills; Increased sensitivity temperature and pressure; Deep depression feelings. Tele visit with doctor on 6/28. Doctor prescribed PAXLOVID. Got a PCR COVID 19 test, also positive. 6/29 symptoms got worse, and coughing increased. Sputum from coughing still clear. 7/5 symptoms improved noticeably, but not fully recovered.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Ear pain, Feeling abnormal, Headache, Musculoskeletal stiffness
Clinical narrative: 6/27/2022 Woke up with back hurting and neck stiff. That night I felt bad, whole body aches. 6/28 at home COVID 19 test positive. Ear soreness; headache; shivering/chills; Increased sensitivity temperature and pressure; Deep depression feelings. Tele visit with doctor on 6/28. Doctor prescribed PAXLOVID. Got a PCR COVID 19 test, also positive. 6/29 symptoms got worse, and coughing increased. Sputum from coughing still clear. 7/5 symptoms improved noticeably, but not fully recovered.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Productive cough, SARS-CoV-2 test positive, Temperature intolerance
Clinical narrative: 6/27/2022 Woke up with back hurting and neck stiff. That night I felt bad, whole body aches. 6/28 at home COVID 19 test positive. Ear soreness; headache; shivering/chills; Increased sensitivity temperature and pressure; Deep depression feelings. Tele visit with doctor on 6/28. Doctor prescribed PAXLOVID. Got a PCR COVID 19 test, also positive. 6/29 symptoms got worse, and coughing increased. Sputum from coughing still clear. 7/5 symptoms improved noticeably, but not fully recovered.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Insomnia, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: On July 4th at noon I was tired, and my arm was hurting. It was getting worse by the third day. My range of movement was getting worse, and I had to call out of work due to so much pain. I had my boss call my clients because I wouldn't make it into work. I can't do much of anything in the house like housework. My husband has to help me put my clothes on and help me brush my teeth. I have been. The pain is really bad it is hard to sleep at night due to the pain. The pain lasts for a long time and there is nothing to release the pain. I cannot do this forever. I am going to try and go and see another doctor.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: On July 4th at noon I was tired, and my arm was hurting. It was getting worse by the third day. My range of movement was getting worse, and I had to call out of work due to so much pain. I had my boss call my clients because I wouldn't make it into work. I can't do much of anything in the house like housework. My husband has to help me put my clothes on and help me brush my teeth. I have been. The pain is really bad it is hard to sleep at night due to the pain. The pain lasts for a long time and there is nothing to release the pain. I cannot do this forever. I am going to try and go and see another doctor.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Patient called via telephone to report a large red rash around the injection site. No other symptoms, no trouble breathings, no hives. No treatment required.
Age: 0.75
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Angioedema, Device malfunction, Needle issue
Clinical narrative: Two adverse events. 1) at time of shot there was a needle retraction malfunction, so when doser began giving the dose, some squirted out. Baby subsequently had to be redosed with a second shot so may have received a higher than standard dose  2) patient had angioedema/anaphylaxis at 545 pm while eating dinner. Had to go to the Emergency room and get epinephrine/steroids/famotidine/Zyrtec. No history of previous food allergies. Possible this was related to food as it was during dinner but was the same day as the vaccine.
Age: 0.75
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Accidental underdose, Anaphylactic reaction, Needle issue
Clinical narrative: Two adverse events. 1) at time of shot there was a needle retraction malfunction, so when doser began giving the dose, some squirted out. Baby subsequently had to be redosed with a second shot so may have received a higher than standard dose  2) patient had angioedema/anaphylaxis at 545 pm while eating dinner. Had to go to the Emergency room and get epinephrine/steroids/famotidine/Zyrtec. No history of previous food allergies. Possible this was related to food as it was during dinner but was the same day as the vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood sodium increased, COVID-19, Computerised tomogram, Confusional state
Clinical narrative: Pfizer Dose 1 3/5/21 (EN6206) Pfizer Dose 2 3/25/21 (ER8732) COVID Positive 1/21/22 1/21/22: Patient is a 73 year old female resident of local long-term care facility. Patient is a poor historian. History was obtained per chart review, ED staff and daughter who is at bedside. Nursing staff noticed that the patient was lethargic in her wheelchair today, unable to support her neck which was deviated to the right side. Has not been eating or drinking for the past several days. Patient's daughter stated that she has had a progressive decline in her health since her last hospital admission on 12/1. She was seen by her PCP on 01/04 with concerns of worsening confusion and disorientation. Infectious and metabolic workup was unremarkable. The patient does have a chronic meningioma, PCP ordered CT scan determine if there has been any changes, meningioma remains stable. Patient was seen and examined in ED. She responds to her name, which per family is her baseline. She is unable to follow commands or answer questions appropriately. She has a past medical history of schizophrenia, dementia, asthma/COPD, tobacco use and hyperlipidemia. On arrival to ED the patient was hypertensive 156/82. Laboratory findings were significant for hypernatremia 151. Hypokalemia 3.4. Urinalysis WBC 11-30. IV Rocephin 1 g given in ED. IV hydration given with NS 0.9% 1 L bolus. 2/9/22: Comfort measures per family's request. Will discharge to hospice facility. Discussed with care coordination
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Fluid intake reduced, General physical health deterioration, Hypernatraemia, Hypertension
Clinical narrative: Pfizer Dose 1 3/5/21 (EN6206) Pfizer Dose 2 3/25/21 (ER8732) COVID Positive 1/21/22 1/21/22: Patient is a 73 year old female resident of local long-term care facility. Patient is a poor historian. History was obtained per chart review, ED staff and daughter who is at bedside. Nursing staff noticed that the patient was lethargic in her wheelchair today, unable to support her neck which was deviated to the right side. Has not been eating or drinking for the past several days. Patient's daughter stated that she has had a progressive decline in her health since her last hospital admission on 12/1. She was seen by her PCP on 01/04 with concerns of worsening confusion and disorientation. Infectious and metabolic workup was unremarkable. The patient does have a chronic meningioma, PCP ordered CT scan determine if there has been any changes, meningioma remains stable. Patient was seen and examined in ED. She responds to her name, which per family is her baseline. She is unable to follow commands or answer questions appropriately. She has a past medical history of schizophrenia, dementia, asthma/COPD, tobacco use and hyperlipidemia. On arrival to ED the patient was hypertensive 156/82. Laboratory findings were significant for hypernatremia 151. Hypokalemia 3.4. Urinalysis WBC 11-30. IV Rocephin 1 g given in ED. IV hydration given with NS 0.9% 1 L bolus. 2/9/22: Comfort measures per family's request. Will discharge to hospice facility. Discussed with care coordination
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Hypophagia, Hyporesponsive to stimuli, Laboratory test normal, Lethargy
Clinical narrative: Pfizer Dose 1 3/5/21 (EN6206) Pfizer Dose 2 3/25/21 (ER8732) COVID Positive 1/21/22 1/21/22: Patient is a 73 year old female resident of local long-term care facility. Patient is a poor historian. History was obtained per chart review, ED staff and daughter who is at bedside. Nursing staff noticed that the patient was lethargic in her wheelchair today, unable to support her neck which was deviated to the right side. Has not been eating or drinking for the past several days. Patient's daughter stated that she has had a progressive decline in her health since her last hospital admission on 12/1. She was seen by her PCP on 01/04 with concerns of worsening confusion and disorientation. Infectious and metabolic workup was unremarkable. The patient does have a chronic meningioma, PCP ordered CT scan determine if there has been any changes, meningioma remains stable. Patient was seen and examined in ED. She responds to her name, which per family is her baseline. She is unable to follow commands or answer questions appropriately. She has a past medical history of schizophrenia, dementia, asthma/COPD, tobacco use and hyperlipidemia. On arrival to ED the patient was hypertensive 156/82. Laboratory findings were significant for hypernatremia 151. Hypokalemia 3.4. Urinalysis WBC 11-30. IV Rocephin 1 g given in ED. IV hydration given with NS 0.9% 1 L bolus. 2/9/22: Comfort measures per family's request. Will discharge to hospice facility. Discussed with care coordination
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Posture abnormal, SARS-CoV-2 test positive, White blood cells urine positive
Clinical narrative: Pfizer Dose 1 3/5/21 (EN6206) Pfizer Dose 2 3/25/21 (ER8732) COVID Positive 1/21/22 1/21/22: Patient is a 73 year old female resident of local long-term care facility. Patient is a poor historian. History was obtained per chart review, ED staff and daughter who is at bedside. Nursing staff noticed that the patient was lethargic in her wheelchair today, unable to support her neck which was deviated to the right side. Has not been eating or drinking for the past several days. Patient's daughter stated that she has had a progressive decline in her health since her last hospital admission on 12/1. She was seen by her PCP on 01/04 with concerns of worsening confusion and disorientation. Infectious and metabolic workup was unremarkable. The patient does have a chronic meningioma, PCP ordered CT scan determine if there has been any changes, meningioma remains stable. Patient was seen and examined in ED. She responds to her name, which per family is her baseline. She is unable to follow commands or answer questions appropriately. She has a past medical history of schizophrenia, dementia, asthma/COPD, tobacco use and hyperlipidemia. On arrival to ED the patient was hypertensive 156/82. Laboratory findings were significant for hypernatremia 151. Hypokalemia 3.4. Urinalysis WBC 11-30. IV Rocephin 1 g given in ED. IV hydration given with NS 0.9% 1 L bolus. 2/9/22: Comfort measures per family's request. Will discharge to hospice facility. Discussed with care coordination
Age: 49.0
Sex: M
Vaccine: PNC20
Symptoms: Antinuclear antibody negative, Blood folate normal, Blood glucose normal, Blood magnesium normal, CSF cell count increased
Clinical narrative: 7 days post-injection had fever, confusion requiring ER visit and admission.
Age: 49.0
Sex: M
Vaccine: PNC20
Symptoms: CSF culture negative, CSF glucose increased, CSF protein increased, Computerised tomogram head normal, Confusional state
Clinical narrative: 7 days post-injection had fever, confusion requiring ER visit and admission.
Age: 49.0
Sex: M
Vaccine: PNC20
Symptoms: Full blood count normal, Magnetic resonance imaging head normal, Malaria antibody test negative, Metabolic function test, Pyrexia
Clinical narrative: 7 days post-injection had fever, confusion requiring ER visit and admission.
Age: 49.0
Sex: M
Vaccine: PNC20
Symptoms: SARS-CoV-2 test negative, Thyroid function test normal, Vitamin B12 normal
Clinical narrative: 7 days post-injection had fever, confusion requiring ER visit and admission.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspepsia, Fatigue, Oropharyngeal pain
Clinical narrative: It started with a sore throat. The next day, I was achy and had a definite sore throat. That's when I tested for COVID-19. I had fatigue that day, too. The next day, I started with digestive stuff. I threw up many times and had a little bit of a fever, 99.9. At some point, I got cough, congestion, and runny nose with the sore throat. The aches went away after a few days. The things that remain are cough, congestion, runny nose, and fatigue. I got a prescription of PAXLOVID. I started that the second day. I'm still testing positive for COVID-19 as of yesterday.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: It started with a sore throat. The next day, I was achy and had a definite sore throat. That's when I tested for COVID-19. I had fatigue that day, too. The next day, I started with digestive stuff. I threw up many times and had a little bit of a fever, 99.9. At some point, I got cough, congestion, and runny nose with the sore throat. The aches went away after a few days. The things that remain are cough, congestion, runny nose, and fatigue. I got a prescription of PAXLOVID. I started that the second day. I'm still testing positive for COVID-19 as of yesterday.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: It started with a sore throat. The next day, I was achy and had a definite sore throat. That's when I tested for COVID-19. I had fatigue that day, too. The next day, I started with digestive stuff. I threw up many times and had a little bit of a fever, 99.9. At some point, I got cough, congestion, and runny nose with the sore throat. The aches went away after a few days. The things that remain are cough, congestion, runny nose, and fatigue. I got a prescription of PAXLOVID. I started that the second day. I'm still testing positive for COVID-19 as of yesterday.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Chest discomfort, Dyspnoea, Full blood count, Ventricular extrasystoles
Clinical narrative: Approximately 1 week after my 4th dose vaccination I experienced the following symptoms: Occasional PDC and it became frequent as weeks have come by and I had some shortness of breath and chest tightness. My heart felt swollen and inflamed. I saw my nurse practitioner and was prescribed with atenolol 25mg/1x day and it did settle down my PDC. I will be seeing a cardiologist on 07/15/22 for a follow up.
Age: 73.0
Sex: F
Vaccine: COVID19, UNK, UNK, UNK
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: COVID on 7-13-22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Hypersomnia, Malaise, Nasopharyngitis
Clinical narrative: We traveled in May 23, 2022, to get home we had to take a COVID19 test to board a plane to come home. The test was negative. I thought I was getting a cold, I took a test on June 22, 2022 and that test came back negative. I was still feeling unwell on June 23, 2022 so I tested again and this time it came back positive. I called the doctor and she prescribed PAXLOVID for five days. The first two days I was really fatigued and slept a lot but after that it felt like a summer cold.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: We traveled in May 23, 2022, to get home we had to take a COVID19 test to board a plane to come home. The test was negative. I thought I was getting a cold, I took a test on June 22, 2022 and that test came back negative. I was still feeling unwell on June 23, 2022 so I tested again and this time it came back positive. I called the doctor and she prescribed PAXLOVID for five days. The first two days I was really fatigued and slept a lot but after that it felt like a summer cold.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal, Fall
Clinical narrative: Moderna Dose 1 2/5/21 (016M20A) Moderna Dose 2 3/5/21 (013A21A) Pfizer Dose 3 12/17/21 (NA) COVID Positive 3/25/22  3/23/22: Patient is a 75 year old male who presented to ED with complaints of right hip and knee pain. Patient reports sustaining a fall 4 days ago. He was walking outside to his truck when he tripped on the sidewalk and fell onto his right side. He denies hitting his head or loc. He has been ambulating with a walker and cane due to pain in his right lower extremity. Denies chest pain or shortness of breath. He has a past medical history of COPD on 2L NC at night, CAD s/p PCI, hypertension, hyperlipidemia, type 2 diabetes mellitus, anxiety/depression, tobacco use and AAA s/p repair.   Vitals stable on arrival. Labs fairly insignificant. CT head no acute intracranial abnormality. known calcified aneurysm in the region of the left MCA trifurcation. right knee xray soft tissue swelling without acute fracture. Chest xray worsening interstitial lung disease. xray of right hip showed subcapital right femoral neck fracture. Morphine 4 mg given in ED.  3/29/22: Patient is admitted to the hospital, started on pain management and orthopedic surgery consult is requested patient is seen by Dr, and had right hip repair with insertion of cannulated screws x3 on 03/23/2022. Postoperative pain management and DVT prophylaxis per done per Orthopedic Service recommendations.  His COVID-19 test is returned positive, patient was given IV remdesivir and IV dexamethasone.  Chest x-ray does not show infiltrate, patient does have a oxygen at home 2 L.  Has been afebrile.  PT and OT evaluation is done and patient is discharged to skilled nursing facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Femoral neck fracture, Gait disturbance, Interstitial lung disease, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: Moderna Dose 1 2/5/21 (016M20A) Moderna Dose 2 3/5/21 (013A21A) Pfizer Dose 3 12/17/21 (NA) COVID Positive 3/25/22  3/23/22: Patient is a 75 year old male who presented to ED with complaints of right hip and knee pain. Patient reports sustaining a fall 4 days ago. He was walking outside to his truck when he tripped on the sidewalk and fell onto his right side. He denies hitting his head or loc. He has been ambulating with a walker and cane due to pain in his right lower extremity. Denies chest pain or shortness of breath. He has a past medical history of COPD on 2L NC at night, CAD s/p PCI, hypertension, hyperlipidemia, type 2 diabetes mellitus, anxiety/depression, tobacco use and AAA s/p repair.   Vitals stable on arrival. Labs fairly insignificant. CT head no acute intracranial abnormality. known calcified aneurysm in the region of the left MCA trifurcation. right knee xray soft tissue swelling without acute fracture. Chest xray worsening interstitial lung disease. xray of right hip showed subcapital right femoral neck fracture. Morphine 4 mg given in ED.  3/29/22: Patient is admitted to the hospital, started on pain management and orthopedic surgery consult is requested patient is seen by Dr, and had right hip repair with insertion of cannulated screws x3 on 03/23/2022. Postoperative pain management and DVT prophylaxis per done per Orthopedic Service recommendations.  His COVID-19 test is returned positive, patient was given IV remdesivir and IV dexamethasone.  Chest x-ray does not show infiltrate, patient does have a oxygen at home 2 L.  Has been afebrile.  PT and OT evaluation is done and patient is discharged to skilled nursing facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Surgery, Walking aid user, X-ray limb abnormal, X-ray of pelvis and hip abnormal
Clinical narrative: Moderna Dose 1 2/5/21 (016M20A) Moderna Dose 2 3/5/21 (013A21A) Pfizer Dose 3 12/17/21 (NA) COVID Positive 3/25/22  3/23/22: Patient is a 75 year old male who presented to ED with complaints of right hip and knee pain. Patient reports sustaining a fall 4 days ago. He was walking outside to his truck when he tripped on the sidewalk and fell onto his right side. He denies hitting his head or loc. He has been ambulating with a walker and cane due to pain in his right lower extremity. Denies chest pain or shortness of breath. He has a past medical history of COPD on 2L NC at night, CAD s/p PCI, hypertension, hyperlipidemia, type 2 diabetes mellitus, anxiety/depression, tobacco use and AAA s/p repair.   Vitals stable on arrival. Labs fairly insignificant. CT head no acute intracranial abnormality. known calcified aneurysm in the region of the left MCA trifurcation. right knee xray soft tissue swelling without acute fracture. Chest xray worsening interstitial lung disease. xray of right hip showed subcapital right femoral neck fracture. Morphine 4 mg given in ED.  3/29/22: Patient is admitted to the hospital, started on pain management and orthopedic surgery consult is requested patient is seen by Dr, and had right hip repair with insertion of cannulated screws x3 on 03/23/2022. Postoperative pain management and DVT prophylaxis per done per Orthopedic Service recommendations.  His COVID-19 test is returned positive, patient was given IV remdesivir and IV dexamethasone.  Chest x-ray does not show infiltrate, patient does have a oxygen at home 2 L.  Has been afebrile.  PT and OT evaluation is done and patient is discharged to skilled nursing facility in stable condition.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bowel movement irregularity, COVID-19, Decreased appetite, Diarrhoea, Dizziness
Clinical narrative: On Saturday, July 2nd, I woke up at 3:37AM I took my temp and it was 99.3. All day Saturday and Sunday I didn't have a bowel movement. I had a headache and took TYLENOL to relieve. I had a bowel movement three days later. The first one was normal and the second one was like diarrhea. I tested myself on July 5th, with a home COVID-19 and it was positive. My normal temp is 97.9. As of today, July 6th, I feel fine. I no longer have dizziness, aches, or lack of appetite or fever. Also, on July 5th, I saw my doctor and he recommended I take MUCINEX DM.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, SARS-CoV-2 test positive
Clinical narrative: On Saturday, July 2nd, I woke up at 3:37AM I took my temp and it was 99.3. All day Saturday and Sunday I didn't have a bowel movement. I had a headache and took TYLENOL to relieve. I had a bowel movement three days later. The first one was normal and the second one was like diarrhea. I tested myself on July 5th, with a home COVID-19 and it was positive. My normal temp is 97.9. As of today, July 6th, I feel fine. I no longer have dizziness, aches, or lack of appetite or fever. Also, on July 5th, I saw my doctor and he recommended I take MUCINEX DM.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Dysgeusia, Nasal congestion, Oropharyngeal pain
Clinical narrative: Starting 06/28/2022, I developed a very sore throat and my nose was stuffy. I had a fever that went as high as 101.3. I tested positive that day with an at home test. On 06/30/2022, I called the nurses line who connected me with the ER doctor who got me Paxlovid. I just finished the last dose yesterday. My nose is still a little stuffy and my throat is still a little sore but that is it. I finally got my taste back because the medicine made my mouth taste metallic.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Starting 06/28/2022, I developed a very sore throat and my nose was stuffy. I had a fever that went as high as 101.3. I tested positive that day with an at home test. On 06/30/2022, I called the nurses line who connected me with the ER doctor who got me Paxlovid. I just finished the last dose yesterday. My nose is still a little stuffy and my throat is still a little sore but that is it. I finally got my taste back because the medicine made my mouth taste metallic.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash pruritic, Skin warm
Clinical narrative: First COVID vaccine recieved 11/13/2021 at pharmacy. Recieved second dose 12/11/2021 at pharmacy completing series of 2 COVID vaccines. Began having minimal hives/itching rashes on chest in February daily. Would appear every 24 hours in the evening before bed that would progress onto breasts/back. Easily controlled with Benadryl PO at bedtime. Progressed to full body (hands, arms, trunk, neck, legs) urticaria in March. Daily breakouts initially requiring Zyrtec PO BID and Pepcid 20mg PO BID routinely for control of symptoms. Began a 5 day prednisone taper (50, 40, 30..) approx 03/08/2022 with no relief of urticaria. Continued with Pepcid and zyrtec with benadryl and hydroxizine PRN. Able to minimally control urticaria with PO zyrtec and PO pepcid. If I forgot a dose and went longer than 12 hours with no antihistamines, hives would appear rapidly with wheals/welps/warmth/redness and itching all over body. Recieved booster 5/10/2022 at Pharmacy. Two weeks after getting booster, had even worse breakouts of urticaria on face, neck, chest, back, trunk, arms, legs, hands, feet without any relief from IM/IV steroids, IV/PO benadryl, changing to PO allegra etc. Met with Allergy & ENT associates on 5/23/2022 and diagnosed with Chronic Urticaria of unknown origin. Completed second prednisone taper of 14 days, increased zyrtec to 20mg PO BID, Pepcid 20 mg BID and added Singulair 10mg PO at HS with hydroxizine and benadryl for breakthrough itching. STILL having breakthrough of urticaria despite specialist treatments, medication attempts, etc. Now scheduling with Immunologist for potential autoimmune reactions post COVID vaccination administration.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: First COVID vaccine recieved 11/13/2021 at pharmacy. Recieved second dose 12/11/2021 at pharmacy completing series of 2 COVID vaccines. Began having minimal hives/itching rashes on chest in February daily. Would appear every 24 hours in the evening before bed that would progress onto breasts/back. Easily controlled with Benadryl PO at bedtime. Progressed to full body (hands, arms, trunk, neck, legs) urticaria in March. Daily breakouts initially requiring Zyrtec PO BID and Pepcid 20mg PO BID routinely for control of symptoms. Began a 5 day prednisone taper (50, 40, 30..) approx 03/08/2022 with no relief of urticaria. Continued with Pepcid and zyrtec with benadryl and hydroxizine PRN. Able to minimally control urticaria with PO zyrtec and PO pepcid. If I forgot a dose and went longer than 12 hours with no antihistamines, hives would appear rapidly with wheals/welps/warmth/redness and itching all over body. Recieved booster 5/10/2022 at Pharmacy. Two weeks after getting booster, had even worse breakouts of urticaria on face, neck, chest, back, trunk, arms, legs, hands, feet without any relief from IM/IV steroids, IV/PO benadryl, changing to PO allegra etc. Met with Allergy & ENT associates on 5/23/2022 and diagnosed with Chronic Urticaria of unknown origin. Completed second prednisone taper of 14 days, increased zyrtec to 20mg PO BID, Pepcid 20 mg BID and added Singulair 10mg PO at HS with hydroxizine and benadryl for breakthrough itching. STILL having breakthrough of urticaria despite specialist treatments, medication attempts, etc. Now scheduling with Immunologist for potential autoimmune reactions post COVID vaccination administration.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Lower respiratory tract congestion, Malaise
Clinical narrative: We had a family gathering. My son-in-law had a business trip out of country and he as well as a majority in my family got COVID-19. There were no flight restrictions anymore. I developed a fever, nasal congestion, chest congestion, tiredness, and body aches. I took an at home COVID-19 test and also went to a clinic and had a rapid and PCR test which were all positive. I did a telehealth visit and was prescribed Paxlovid. I had 2 doses and I could not tolerate it due to hurting my stomach and I felt worse with it. I am still experiencing symptoms except for the fever. I have been advised by my doctor to take Mucinex and Advil.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: We had a family gathering. My son-in-law had a business trip out of country and he as well as a majority in my family got COVID-19. There were no flight restrictions anymore. I developed a fever, nasal congestion, chest congestion, tiredness, and body aches. I took an at home COVID-19 test and also went to a clinic and had a rapid and PCR test which were all positive. I did a telehealth visit and was prescribed Paxlovid. I had 2 doses and I could not tolerate it due to hurting my stomach and I felt worse with it. I am still experiencing symptoms except for the fever. I have been advised by my doctor to take Mucinex and Advil.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Ageusia, Condition aggravated, Endoscopy, Extra dose administered
Clinical narrative: Shortly after receiving the 4th dose, I experienced quite a but of tiredness and soreness. After that resolved I noticed a sudden onset of tinnitus in my right ear. I have always suffered from tinnitus but the issue was different. My doctor recommended I see an ENT who suggested that I use Flonase to open my  Eustachian tube based on the hypothesis that I had an infection in my middle ear. This did not help at all. I went to another ENT which was not helpful. Taking the Flonase has eliminated my tongues ability to detect sweet and sour taste. This has been quite devastating to me as I enjoy the taste of food. I still have the remaining 3 taste buds. My hope is that my sense of taste will recuperate as my sense of smell is unaffected. I am still seeing my primary care physician but losing hope as they are not able to determine what caused the tinnitus and loss of taste. On April 25 was when I first noticed a change in my sense of taste and nausea. Stomach pains began on April 28. My doctor diagnosed me with GERD. The nausea went away but the other issues remain.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Gastrooesophageal reflux disease, Laboratory test normal, Magnetic resonance imaging normal, Nausea
Clinical narrative: Shortly after receiving the 4th dose, I experienced quite a but of tiredness and soreness. After that resolved I noticed a sudden onset of tinnitus in my right ear. I have always suffered from tinnitus but the issue was different. My doctor recommended I see an ENT who suggested that I use Flonase to open my  Eustachian tube based on the hypothesis that I had an infection in my middle ear. This did not help at all. I went to another ENT which was not helpful. Taking the Flonase has eliminated my tongues ability to detect sweet and sour taste. This has been quite devastating to me as I enjoy the taste of food. I still have the remaining 3 taste buds. My hope is that my sense of taste will recuperate as my sense of smell is unaffected. I am still seeing my primary care physician but losing hope as they are not able to determine what caused the tinnitus and loss of taste. On April 25 was when I first noticed a change in my sense of taste and nausea. Stomach pains began on April 28. My doctor diagnosed me with GERD. The nausea went away but the other issues remain.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Tinnitus
Clinical narrative: Shortly after receiving the 4th dose, I experienced quite a but of tiredness and soreness. After that resolved I noticed a sudden onset of tinnitus in my right ear. I have always suffered from tinnitus but the issue was different. My doctor recommended I see an ENT who suggested that I use Flonase to open my  Eustachian tube based on the hypothesis that I had an infection in my middle ear. This did not help at all. I went to another ENT which was not helpful. Taking the Flonase has eliminated my tongues ability to detect sweet and sour taste. This has been quite devastating to me as I enjoy the taste of food. I still have the remaining 3 taste buds. My hope is that my sense of taste will recuperate as my sense of smell is unaffected. I am still seeing my primary care physician but losing hope as they are not able to determine what caused the tinnitus and loss of taste. On April 25 was when I first noticed a change in my sense of taste and nausea. Stomach pains began on April 28. My doctor diagnosed me with GERD. The nausea went away but the other issues remain.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Chest X-ray, Chest discomfort, Condition aggravated, Differential white blood cell count
Clinical narrative: Patient presented to hospital emergency department with complaints of generalized weakness, fatigue, mylagias, chest tightness, diaphoresis, and uncontrollable drooling one day after receipt of COVID-19 vaccine dose #4.  Found to be hypertensive, with initial blood pressures in in the ED of 148/116 and 173/110 mmHg.  Patient claimed to have run out of supplies and had not received maintenance blood pressure medicines for approximately one month.  Clinic records show documentation of chronic nonadherence.  Also present was concern for approximately daily illicit use of methamphetamine.  Accordingly, antihypertensive treatment was urgently provided as well as a comprehensive diagnostic workup for other possible cardiovascular disorders.  Following counseling on the expected course of events following vaccination and the importance of compliance with all prescribed therapy, he was discharged with stable vital signs, improving symptoms and a temporary supply of antihypertensive medications, along with scheduled follow-up plans with his primary care provider.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Drooling, Electrocardiogram, Fatigue, Full blood count, Hyperhidrosis
Clinical narrative: Patient presented to hospital emergency department with complaints of generalized weakness, fatigue, mylagias, chest tightness, diaphoresis, and uncontrollable drooling one day after receipt of COVID-19 vaccine dose #4.  Found to be hypertensive, with initial blood pressures in in the ED of 148/116 and 173/110 mmHg.  Patient claimed to have run out of supplies and had not received maintenance blood pressure medicines for approximately one month.  Clinic records show documentation of chronic nonadherence.  Also present was concern for approximately daily illicit use of methamphetamine.  Accordingly, antihypertensive treatment was urgently provided as well as a comprehensive diagnostic workup for other possible cardiovascular disorders.  Following counseling on the expected course of events following vaccination and the importance of compliance with all prescribed therapy, he was discharged with stable vital signs, improving symptoms and a temporary supply of antihypertensive medications, along with scheduled follow-up plans with his primary care provider.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypertension, Laboratory test, Metabolic function test, Myalgia, Treatment noncompliance
Clinical narrative: Patient presented to hospital emergency department with complaints of generalized weakness, fatigue, mylagias, chest tightness, diaphoresis, and uncontrollable drooling one day after receipt of COVID-19 vaccine dose #4.  Found to be hypertensive, with initial blood pressures in in the ED of 148/116 and 173/110 mmHg.  Patient claimed to have run out of supplies and had not received maintenance blood pressure medicines for approximately one month.  Clinic records show documentation of chronic nonadherence.  Also present was concern for approximately daily illicit use of methamphetamine.  Accordingly, antihypertensive treatment was urgently provided as well as a comprehensive diagnostic workup for other possible cardiovascular disorders.  Following counseling on the expected course of events following vaccination and the importance of compliance with all prescribed therapy, he was discharged with stable vital signs, improving symptoms and a temporary supply of antihypertensive medications, along with scheduled follow-up plans with his primary care provider.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Troponin I
Clinical narrative: Patient presented to hospital emergency department with complaints of generalized weakness, fatigue, mylagias, chest tightness, diaphoresis, and uncontrollable drooling one day after receipt of COVID-19 vaccine dose #4.  Found to be hypertensive, with initial blood pressures in in the ED of 148/116 and 173/110 mmHg.  Patient claimed to have run out of supplies and had not received maintenance blood pressure medicines for approximately one month.  Clinic records show documentation of chronic nonadherence.  Also present was concern for approximately daily illicit use of methamphetamine.  Accordingly, antihypertensive treatment was urgently provided as well as a comprehensive diagnostic workup for other possible cardiovascular disorders.  Following counseling on the expected course of events following vaccination and the importance of compliance with all prescribed therapy, he was discharged with stable vital signs, improving symptoms and a temporary supply of antihypertensive medications, along with scheduled follow-up plans with his primary care provider.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray normal, Dyspnoea, Wheezing
Clinical narrative: Wheezing, shortness of breath, asthma
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Myocarditis, Troponin increased
Clinical narrative: ADMISSION TO PEDIATRIC ICU AT HOSPITAL FOR MYOCARDITIS, TROPONIN ELEVATION 1.67 NG/DL ON 6/23/22
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site reaction, Injection site warmth
Clinical narrative: She had redness at the injection site, which progressed into a rash area the next day. The injection site had a large red welt at the injection site that was firm, hard and warm to the touch and she complained of itching along with pain. Her primary care physician recommended BENADRYL and TYLENOL to treat the symptoms she was experiencing. It is resolving, but has not fully resolved as of 4 days from the onset of the adverse event.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: She had redness at the injection site, which progressed into a rash area the next day. The injection site had a large red welt at the injection site that was firm, hard and warm to the touch and she complained of itching along with pain. Her primary care physician recommended BENADRYL and TYLENOL to treat the symptoms she was experiencing. It is resolving, but has not fully resolved as of 4 days from the onset of the adverse event.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Respiratory arrest, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/27/2022. I tested on Wednesday 06/29/2022 and was taken by ambulance to the ER because I was unable to breathe. I was given oxygen and steroids to open up my throat. I finished a prescription of Paxlovid. I haven't fully recovered and have still tested positive with a home test. Today is 07/06/2022 and had a telephone call with my doctor because I'm not over this yet.
Age: 0.67
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, Somnolence
Clinical narrative: Starting on 7/3/2022, Patient began to have diarrhea. He must have pooped multiple times overnight as he blew out of his diaper and the poops stunk. From 7/3/2022 through today, he is pooping 3-4 times/day when normally it is 1-2 times/day. Patient also blew out of his diaper on the mornings of 7/4/2022 and 7/5/2022. Poops also stunk. He continued to poop more than usual and by 7/5/2022, he developed a 101 degree fever (Fahrenheit). He never lost his appetite and continued to eat well. Patient was also a bit more sleepy, but didn't seem to affect his night sleep or naps. To combat the fever, I administered Tylenol during the day and Advil at night. On 7/6/2022, Patient does not have a fever, but still continues to have some lingering side effects.
Age: 1.5
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Crying, Diarrhoea, Influenza virus test, Irritability
Clinical narrative: He had a high fever of 101.7 with diarrhea  at home and at the hospital it elevated to 104.00 very irritable and crying constantly and pain in the thigh area with congestion and runny nose
Age: 1.5
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: He had a high fever of 101.7 with diarrhea  at home and at the hospital it elevated to 104.00 very irritable and crying constantly and pain in the thigh area with congestion and runny nose