chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Headache, Laboratory test
Clinical narrative: I got a Janssen/Johnson & Johnson vaccine on 3/6/2021. On the morning of 3/8/2021, I experienced a nosebleed, which was unusual for me, as I am not prone to nosebleeds. For about 3 days I experienced nosebleeds, which weren't very heavy and didn't last long. I also had headaches for about a week. Since the nosebleeds and headaches weren't severe, I didn't seek medical attention for them. In May 2021, I noticed that the moles on my back, arms, legs, and stomach had all either disappeared and left behind white spots in their place or else were still present but fading. I saw a dermatologist on 10/19/2021. He explained to me that they were halo nevi and that their disappearance was an immune response to either cancer or the vaccine I had received. He also mentioned that halo nevi sometimes accompany vitiligo, but he said that I definitely did not fit the diagnostic criteria for that condition.  I was given a full-body screening for cancer, and none was detected. I am scheduled to undergo another screening in April 2022, though the dermatologist is confident that I don't have cancer.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: received the pediatric (under 12) dose and he was well beyond the 4 day grace period after his 12th birthday. for second dose, we administered the 12 and older dose
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hive rash unresponsive to OTC ointments for 3 months; 6-inch radius behind each knee, right elbow 1-inch radius
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hypomenorrhoea, Menstruation irregular
Clinical narrative: My menstrual became irregular by April 11, 2021 was light and scanty. Then in July 2021 heavy and skipped menstrual months of September, October and December 2021. In February 2022 I got my menstrual three times.  Since I got my menstrual so close together the doctor wants to test same for cancer of my endometrial lining in March 2022.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Decreased appetite, Exposure during pregnancy, Fatigue, Foetal hypokinesia, Headache
Clinical narrative: This is my second pregnancy but I did not receive Tdap in the first pregnancy.  The last time I had Tdap was Mar 18, 2014.  My due date is April 2nd, 2022.    I had a headache and sore arm the same day as the vaccine.  My the next morning I had severe muscle aches and fatigue that lasted almost 3 full days were the worst symptoms.  I also experienced nausea and lack of appetite.  The arm soreness progressed to severe by day 2 after the vaccine and remained painful for over 6 days.  The baby's movement was very diminished for the full day following the vaccine.  Even when prompted with cold water, caffeine, sugar, etc., the baby could not be prompted into a typical movement pattern.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Nausea, Pain in extremity
Clinical narrative: This is my second pregnancy but I did not receive Tdap in the first pregnancy.  The last time I had Tdap was Mar 18, 2014.  My due date is April 2nd, 2022.    I had a headache and sore arm the same day as the vaccine.  My the next morning I had severe muscle aches and fatigue that lasted almost 3 full days were the worst symptoms.  I also experienced nausea and lack of appetite.  The arm soreness progressed to severe by day 2 after the vaccine and remained painful for over 6 days.  The baby's movement was very diminished for the full day following the vaccine.  Even when prompted with cold water, caffeine, sugar, etc., the baby could not be prompted into a typical movement pattern.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive at hospital on 01/07/2022.  Admitted to hospital on 01/10/2022 with symptoms: Fatigue, difficulty breathing.  Patient has multiple underlying health conditions: obesity, diabetes and hypertension.  He may have been transferred to bigger hospital as he was tested again for Covid on 01/23/2022: positive.  Patient died on 01/24/2022.  This charting of information comes from case profile.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain
Clinical narrative: Patient started having chest pain and feeling weak 15 minutes after the dose was administered. 911 was called and she was transported to the ER for evaluation.
Age: 48.0
Sex: F
Vaccine: HEPAB
Symptoms: Expired product administered
Clinical narrative: Vaccine expiration date 2/28/2022. Vaccine administered 3/4/2022.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID hospitalization
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pustule
Clinical narrative: pustules to back , stomach , buttocks, a few on arms and face
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Chest pain, Dyspnoea, Electrocardiogram ST segment elevation, Intensive care
Clinical narrative: On 8/22/21 @11pm  patient presented to the ED at a local hospital with shortness of breath, palpitations, and throbbing chest pain. EKG revealed ST elevation  and labs remarkable for elevated troponin . Patient was urgently taken to another hospital and taken to cath lab on  8/23 @2am and diagnosed with myopericarditis with no intervention needed. Patient was admitted to the ICU after for monitoring and discharged on 8/24/21 in stable condition with a prescription for colchicine and ibuprofen.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pain, Palpitations, Troponin increased
Clinical narrative: On 8/22/21 @11pm  patient presented to the ED at a local hospital with shortness of breath, palpitations, and throbbing chest pain. EKG revealed ST elevation  and labs remarkable for elevated troponin . Patient was urgently taken to another hospital and taken to cath lab on  8/23 @2am and diagnosed with myopericarditis with no intervention needed. Patient was admitted to the ICU after for monitoring and discharged on 8/24/21 in stable condition with a prescription for colchicine and ibuprofen.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient signed up for Pfizer booster Covid appt. Parent and patient checked in for appt and completed paperwork. Moderna was incorrectly noted as the vaccine to be administered. Pt was then administered moderna. Error was discovered upon billing when received error message that booster can't be administered for pt under 18.  Message left with parent, but no response at this time
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Electrocardiogram, Erythema, Heart rate increased, Pain in extremity
Clinical narrative: When I saw my doctor for my check up, I had heart palpitations. The same night that I got my vaccine, my right leg was red, swollen and hot to touch and was painful. That lasted for about 8 hours and went away. I didn't think anything about having an adverse reaction until I saw my physician and I advised them that I was having heart palpitations. She ordered an EKG and pulmonary function test after having me wearing a heart monitor. I was referred to a cardiologist. The cardiologist ran a battery of testing including another heart monitor for 3 weeks (January), a treadmill (February_ and ultrasound on the vein of my left leg (March.)  I have a follow up appointment on Thursday March 10, 2022. I am still getting a rapid heartbeat at different times during the day. I never had this before.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Peripheral swelling, Pulmonary function test, Skin warm, Ultrasound scan
Clinical narrative: When I saw my doctor for my check up, I had heart palpitations. The same night that I got my vaccine, my right leg was red, swollen and hot to touch and was painful. That lasted for about 8 hours and went away. I didn't think anything about having an adverse reaction until I saw my physician and I advised them that I was having heart palpitations. She ordered an EKG and pulmonary function test after having me wearing a heart monitor. I was referred to a cardiologist. The cardiologist ran a battery of testing including another heart monitor for 3 weeks (January), a treadmill (February_ and ultrasound on the vein of my left leg (March.)  I have a follow up appointment on Thursday March 10, 2022. I am still getting a rapid heartbeat at different times during the day. I never had this before.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received a dose of Adult Pfizer due to error with patient placement and chair swapping. Unaware of any major side effects due to the error. Patient returned to the pharmacy on 2/24/22 for the second dose and the kids Pfizer was given in accordance with CDC guidelines.
Age: 43.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Worst headache imaginable, terrible fatigue, joint pain, pain and swelling at injection site, fever over 101 accompanied by chills for 48 hours. All symptoms started 24 hours after administration and all but fever/chills continue now, 4 full days after.
Age: 43.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Worst headache imaginable, terrible fatigue, joint pain, pain and swelling at injection site, fever over 101 accompanied by chills for 48 hours. All symptoms started 24 hours after administration and all but fever/chills continue now, 4 full days after.
Age: 43.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Chills, Dizziness, Migraine, Peripheral swelling, Pyrexia
Clinical narrative: Worst headache imaginable, terrible fatigue, joint pain, pain and swelling at injection site, fever over 101 accompanied by chills for 48 hours. All symptoms started 24 hours after administration and all but fever/chills continue now, 4 full days after.
Age: 43.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Skin reaction
Clinical narrative: Worst headache imaginable, terrible fatigue, joint pain, pain and swelling at injection site, fever over 101 accompanied by chills for 48 hours. All symptoms started 24 hours after administration and all but fever/chills continue now, 4 full days after.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Decreased appetite, Dehydration, Dysphonia
Clinical narrative: Later the night of taking the vaccine her walk became off balance. The next day she became horse and her right arm was shaking. Her appetite decreased and she didn't wont to drink. She became weak and dehydrated. She was taken to the ER and her immune system started shutting down and the ER doctors stayed they didn't know why. Before taking the vaccine she was totally healthy with no known problems.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid intake reduced, Gait disturbance, Immune system disorder, Laboratory test, Tremor
Clinical narrative: Later the night of taking the vaccine her walk became off balance. The next day she became horse and her right arm was shaking. Her appetite decreased and she didn't wont to drink. She became weak and dehydrated. She was taken to the ER and her immune system started shutting down and the ER doctors stayed they didn't know why. Before taking the vaccine she was totally healthy with no known problems.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Axillary pain, Back pain, COVID-19, Chest X-ray normal
Clinical narrative: Attending Physician: Privacy Date of Admission: 1/25/2022    CC:   Chief Complaint Patient presents with ? Chest Pain     started this morning, given 3 nitro with temporary reflief        HPI:   This is a 55y.o. female with significant past medical history of HTN, T2DM, CHF, COPD, MS, and seizure disorder that presented to the hospital with chief complaint of chest pain. She states she was resting in bed yesterday relaxing when she developed sudden onset sharp pain with pressure in the center of her chest that radiated to her back, left axilla, and up the left side of her head to her ear. She denies any associated lightheadedness, dizziness, shortness of breath, nausea, vomiting, paresthesias, or diaphoresis.    She was evaluated in ED 1/9-1/10/22 for the same complaint. Work up at that time was negative. Evaluated by cardiology with recommendation for OP f/u with primary cardiologist.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. CTA PE protocol and CXR negative for acute process. EKG negative for acute changes. Serial troponin negative. She has been admitted for further evaluation and management with cardiology consultation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Ear pain, Headache, Influenza A virus test negative
Clinical narrative: Attending Physician: Privacy Date of Admission: 1/25/2022    CC:   Chief Complaint Patient presents with ? Chest Pain     started this morning, given 3 nitro with temporary reflief        HPI:   This is a 55y.o. female with significant past medical history of HTN, T2DM, CHF, COPD, MS, and seizure disorder that presented to the hospital with chief complaint of chest pain. She states she was resting in bed yesterday relaxing when she developed sudden onset sharp pain with pressure in the center of her chest that radiated to her back, left axilla, and up the left side of her head to her ear. She denies any associated lightheadedness, dizziness, shortness of breath, nausea, vomiting, paresthesias, or diaphoresis.    She was evaluated in ED 1/9-1/10/22 for the same complaint. Work up at that time was negative. Evaluated by cardiology with recommendation for OP f/u with primary cardiologist.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. CTA PE protocol and CXR negative for acute process. EKG negative for acute changes. Serial troponin negative. She has been admitted for further evaluation and management with cardiology consultation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Pain, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Attending Physician: Privacy Date of Admission: 1/25/2022    CC:   Chief Complaint Patient presents with ? Chest Pain     started this morning, given 3 nitro with temporary reflief        HPI:   This is a 55y.o. female with significant past medical history of HTN, T2DM, CHF, COPD, MS, and seizure disorder that presented to the hospital with chief complaint of chest pain. She states she was resting in bed yesterday relaxing when she developed sudden onset sharp pain with pressure in the center of her chest that radiated to her back, left axilla, and up the left side of her head to her ear. She denies any associated lightheadedness, dizziness, shortness of breath, nausea, vomiting, paresthesias, or diaphoresis.    She was evaluated in ED 1/9-1/10/22 for the same complaint. Work up at that time was negative. Evaluated by cardiology with recommendation for OP f/u with primary cardiologist.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. CTA PE protocol and CXR negative for acute process. EKG negative for acute changes. Serial troponin negative. She has been admitted for further evaluation and management with cardiology consultation.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Electrocardiogram abnormal, Laboratory test normal
Clinical narrative: Atrial fibrillation, Metoprolol, Xarelto,  Symptoms lasted about 18 hours
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Undiluted vaccine given
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram, Pulmonary thrombosis
Clinical narrative: Two weeks after receiving Booster I began to experience shortness of breath. I went to the local Emergency room Feb. 8, 2022. After blood was drawn and chest CAT was done it was determined I had developed blood clots in my lungs and was immediately admitted to hospital.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Asthenia, Blood test, Dysgraphia, Fatigue
Clinical narrative: She had some joint pain within a few days of the vaccine. Then on Oct.  4, she began having significant hand weakness. She was unable to write well. She could not cut her food.  She saw her primary care provider on Oct. 5 who ordered a neurological consult. The neurologist ordered a nerve conduction study.  The study ruled out GBS. The neurologist conducting the study suspected transverse myelitis but did not order further testing b/c treatment options would be limited. Patient also began struggling with severe sleepiness the week of Oct. 4. Her hands eventually regained most of their function but never full strength and she still (as of 3-7-21) has episodes of extreme hand weakness. Her sleepiness and fatigue also persist.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Loss of personal independence in daily activities, Muscular weakness, Myelitis transverse, Nerve conduction studies normal, Somnolence
Clinical narrative: She had some joint pain within a few days of the vaccine. Then on Oct.  4, she began having significant hand weakness. She was unable to write well. She could not cut her food.  She saw her primary care provider on Oct. 5 who ordered a neurological consult. The neurologist ordered a nerve conduction study.  The study ruled out GBS. The neurologist conducting the study suspected transverse myelitis but did not order further testing b/c treatment options would be limited. Patient also began struggling with severe sleepiness the week of Oct. 4. Her hands eventually regained most of their function but never full strength and she still (as of 3-7-21) has episodes of extreme hand weakness. Her sleepiness and fatigue also persist.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized on 12/31/2021 for 6 days.  Reporting System has no symptoms or pre-existing health conditions listed to report.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Injected limb mobility decreased, Laboratory test, Muscle spasms, Neck pain
Clinical narrative: Arm initially sore and was told it should go away in a few days. However on day number 3 the pain  began to increased instead of decrease. The pain began to spread down my arm and up to my neck. I called the doctor who said give it a few more days for the pain to go away. By December the 7th the pain was more intense and I could no longer move my left arm or neck. The pain began to move into my chest. I went to the emergency room where test showed that I have continuous muscle spams throughout  my chest arm and upper back. I lost all movement in my left arm.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: Arm initially sore and was told it should go away in a few days. However on day number 3 the pain  began to increased instead of decrease. The pain began to spread down my arm and up to my neck. I called the doctor who said give it a few more days for the pain to go away. By December the 7th the pain was more intense and I could no longer move my left arm or neck. The pain began to move into my chest. I went to the emergency room where test showed that I have continuous muscle spams throughout  my chest arm and upper back. I lost all movement in my left arm.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure, Death, Dementia, Hypertensive heart disease
Clinical narrative: pt died at home; per death certificate, pt's causes of death:  hypertensive heart disease with heart failure, COVID 19, dementia
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt died at home; per death certificate, pt's causes of death:  hypertensive heart disease with heart failure, COVID 19, dementia
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye pain, Laboratory test abnormal, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal
Clinical narrative: 2 hours after vaccination my eyeballs begun to hurt. Fever, chills. I went to eye clinic to get my eyes checked and was referred to go to an eye specialist. I was admitted upon arrival as, the doctor found out from an MRI and other test run that, my optic nerves were inflamed. I was admitted in the hospital for 5 days. The doctor then stated I am having symptoms of Multiple sclerosis.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom, Optic neuritis, Pyrexia
Clinical narrative: 2 hours after vaccination my eyeballs begun to hurt. Fever, chills. I went to eye clinic to get my eyes checked and was referred to go to an eye specialist. I was admitted upon arrival as, the doctor found out from an MRI and other test run that, my optic nerves were inflamed. I was admitted in the hospital for 5 days. The doctor then stated I am having symptoms of Multiple sclerosis.
Age: 37.0
Sex: F
Vaccine: HPV9
Symptoms: Herpes zoster
Clinical narrative: Had the display of Shingles in 2 derma zones within 10 days of shot on left side of body
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chemotherapy, Chest X-ray normal, Cough, Leukopenia
Clinical narrative: Patient is fully vaccinated. COVID +. 57-year-old female, who has a history of breast carcinoma and is currently undergoing chemotherapy.  She was admitted after developing fever withnonproductive cough and sore throat earlier on the day of admission. Additionally, she is leukopenic due to her chemo and had a white blood cell count on admission of 0.7 with 0.2% neutrophils. Her chest x-ray was negative for infiltrates on admission and she has not been hypoxemic, having normal O2 saturations on room air.  She was febrile to 101.6 degrees. No current indication for Remdesivir or baricitinib.  Antibiotics given. Patient discharged home.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage decreased, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: Patient is fully vaccinated. COVID +. 57-year-old female, who has a history of breast carcinoma and is currently undergoing chemotherapy.  She was admitted after developing fever withnonproductive cough and sore throat earlier on the day of admission. Additionally, she is leukopenic due to her chemo and had a white blood cell count on admission of 0.7 with 0.2% neutrophils. Her chest x-ray was negative for infiltrates on admission and she has not been hypoxemic, having normal O2 saturations on room air.  She was febrile to 101.6 degrees. No current indication for Remdesivir or baricitinib.  Antibiotics given. Patient discharged home.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Chest discomfort, Dyspnoea, Heart rate increased
Clinical narrative: Dose 2: 3/17/21: I was wearing a smart watch and received over 10 high heart rate alerts that day even though I was laying on the couch all day as I was having body aches and chills and a fever. My heart also felt like I was having palpitations . The symptoms only last 24 hours.   Dose 3: 12/2021: The third dose I was able to get off the couch but I was still receiving high heart rate alerts throughout the day. I was having more fluttering in my chest. The symptoms this time last 3 days and I was also having chest tightness and shortness of breath.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, B-cell lymphoma, Blood alkaline phosphatase increased, Blood bicarbonate decreased
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood culture, Blood lactic acid, Blood magnesium normal
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood phosphorus decreased, Blood potassium decreased, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood urea normal
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chemotherapy, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fibrin D dimer, Haemoglobin decreased, Haemoptysis, Headache
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Lung opacity, Oropharyngeal pain, Platelet count decreased
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Respiratory symptom, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Attending Physician:  DO      Date of Admission:  1/25/2022   Chief Complaint:  SOB   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59y.o. female with a past medical history significant for GERD, B-cell lymphoma, chronic back pain, hypertension.  She presents to Hospital on 1/25/2022 for evaluation of shortness of breath.  She states that the duration has been approximately 2 days with a slow gradual onset.  She states that the shortness of breath is worse with exertion but has now progressed to being constant.  She states that she has also had accompanying cough which is been progressively getting worse.  She states that approximately 1 week ago she was having cough with productive sputum that she believes might have blood in it.  She states that originally symptoms of upper respiratory infection started approximately 7 days ago.  She states that she is vaccinated for Covid.  She states that she has been receiving chemotherapy for her B-cell lymphoma since July 2021.  She states that she completed her final round of chemo approximately 5 days ago.  She states that she has not had any close contact with people outside of her chemotherapy center with regards to Covid positive individuals.  She denies any recent antibiotic use.  She states that she is unable to lie flat in bed due to shortness of breath.  She denies any recent lower extremity worsening edema.  She denies any history of blood clots.  She states that she does not take a blood thinner.  She states that she recently completed her 5-day course of prednisone status post chemotherapy treatment for her B-cell lymphoma as of yesterday. Admits to Headache and sore throat.  Currently denying any chest pain, fever, vomiting, abdominal pain.  Patient is currently receiving chemotherapy for lymphoma now on day 5 of treatment.     In the ED, Vitals on arrival of T 98.2°F, BP 145/75, HR 137, RR 30, SpO2 80% on room air Labs remarkable for white blood cell count 0.8, hemoglobin 8.2, platelets 87.  Sodium 129, potassium 3.3, chloride 98, bicarb 18, BUN 11, creatinine 0.66.  Alk phos 128, AST 33, ALT 18.  D-dimer 1113.  Lactic acid 3.5.  Magnesium 1.5.  Phos 2.3.  TSH 2.86.  Troponin 0 0.01x1.  Covid positive, flu and RSV negative.  Blood cultures pending.  Repeat lactic acid 0.9. Imaging: Chest x-ray diffuse interstitial and airspace opacities throughout the lungs concerning for multifocal pneumonia. Patient received 2 L fluid bolus, vancomycin, aztreonam.  Maintenance fluid started 125 cc an hour of normal saline. Infectious disease and hematology oncology consulted.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: They gave the Moderna vaccine to a 12-year-old girl. That is not suitable for his age. I didn't know it wasn't for 12 year old kids. And they didn't say anything and put it on.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anti-thyroid antibody, Antinuclear antibody negative, Arthritis, Blood iron normal, Blood thyroid stimulating hormone normal
Clinical narrative: Migraines daily, inflammation of joint, excessive weight gain, return of menopause symptoms , muscular pain, fatigue,   Acupuncture to treat side effects, minimal relief of symptoms Primary care provider for exam  and labs- all exam and labs within normal limits
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Full blood count normal, Iron binding capacity total normal, Laboratory test normal, Menopausal symptoms
Clinical narrative: Migraines daily, inflammation of joint, excessive weight gain, return of menopause symptoms , muscular pain, fatigue,   Acupuncture to treat side effects, minimal relief of symptoms Primary care provider for exam  and labs- all exam and labs within normal limits
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Myalgia, Serum ferritin normal, Thyroxine free normal, Tri-iodothyronine normal
Clinical narrative: Migraines daily, inflammation of joint, excessive weight gain, return of menopause symptoms , muscular pain, fatigue,   Acupuncture to treat side effects, minimal relief of symptoms Primary care provider for exam  and labs- all exam and labs within normal limits
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin D, Weight increased
Clinical narrative: Migraines daily, inflammation of joint, excessive weight gain, return of menopause symptoms , muscular pain, fatigue,   Acupuncture to treat side effects, minimal relief of symptoms Primary care provider for exam  and labs- all exam and labs within normal limits
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Within a day of the third dose, my mild tinnitus became noticeably worse, and by the following week it was significantly worse.  It has not improved at all since,
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Neovascular age-related macular degeneration, Ophthalmological examination normal
Clinical narrative: WET MACULAR DEGENERATION.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Gastroenteritis, Hypoxia, Nausea
Clinical narrative: Patient with 2 COVID vaccinations, last dose 03/09/21, who presented to the hospital with COVID complications.  Provider discharge summary below:  "patient presented with n/v/abdominal pain found to be covid positive and have pneumonia/gastroenteritis. GI symptoms quickly resolved. She was mildly hypoxic which also resolved. Given remdesivir and decadron while hospitalized. Once she was off oxygen she was discharged back to her AFC."