chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Less than 12hrs after my vaccine I went into violent shivers.  So extreme that I was beyond my body shaking, my entire body went into a tight/tense state from my toes curled to my teeth gritting down.  Then the exploding pain started in my head.  The best way to describe it was like a bomb went off in my skull.  I was so dizzy/light-headed that even closing my eyes and laying horizontal I was violently spinning.  I became extremely nauseas.  It is the most excruciating pain I have ever been in and I have never reacted to any vaccine, I have definitely received my share of them.  The pain was so bad I had given up hope in making it through it and actively pursued looking for the gun in our house to end my life.  Unfortunately and thankfully I was in such incredible pain that I couldn't focus a thought or begin to move to locate our gun.  It took me two days to begin to get relief.  I contacted a Tricare nurse line and then Community Hospital which then immediately made me an appt to see me.  After running blood test on me my kidneys and liver were failing all their blood test and I had low platelets.  The other symptoms that I faced was brain fog and it was so extreme I could walk into another room in my house and I had no idea where I was.  I was folding laundry and looking at the socks had no idea what I was doing.  I could hold conversations or even read words at times.  After a month my levels normalized, but my legs still throb as if I was running marathons every day.  I now have a constant smell of sulfuric trash and intense headaches have remained with them on a daily basis.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Tremor
Clinical narrative: Patient passed out and was shaking. She regained consciousness. The paramedics were called and monitored her. She was able to leave on her own.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Throat irritation
Clinical narrative: Pt started to cough and complained her throat was itchy
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Radiating pain in left arm when in motion when moving in certain  directions such as  forward, up, sides, back, etc.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: developed dermatographism (a form of hives)
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea
Clinical narrative: Dizziness, Chills, Nausea. Lasted about an hour then went away. I had to go to bed, then symtoms went away. I felt fine the next day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Influenza A virus test, Influenza B virus test, Pain
Clinical narrative: Fever, cough, chills and generalized body aches. Possible sick contact.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test
Clinical narrative: Fever, cough, chills and generalized body aches. Possible sick contact.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dialysis, Dyspnoea
Clinical narrative: HOSPITAL COURSE: Pt. is a 74 y.o. female with PMH of CHF, COPD not on home O2, ESRD on dialysis T/Th/Sa, Afib not on anticoagulation, HTN, T2DM, and vascular dementia, who presented with SOB concerning for CHF exacerbation. She was found to have COVID pneumonia. Patient is fully vaccinated, but has not yet received a booster. After being on RA at admission, she acutely decompensated and required BiPAP. She stabilized over the course of a week and was eventually discharge on RA.  She underwent dialysis while at the hospital and was set up with followup at a dialysis center that would accept COVID+ patients.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: HOSPITAL COURSE: Pt. is a 74 y.o. female with PMH of CHF, COPD not on home O2, ESRD on dialysis T/Th/Sa, Afib not on anticoagulation, HTN, T2DM, and vascular dementia, who presented with SOB concerning for CHF exacerbation. She was found to have COVID pneumonia. Patient is fully vaccinated, but has not yet received a booster. After being on RA at admission, she acutely decompensated and required BiPAP. She stabilized over the course of a week and was eventually discharge on RA.  She underwent dialysis while at the hospital and was set up with followup at a dialysis center that would accept COVID+ patients.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID VACCINE ON 03/15/2021 AND 04/12/2021 COUGH, FEVER, NASAL CONGESTION STARTED 01/07/2022
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Lymphadenopathy
Clinical narrative: erythema at injection site, swelling, itching, swollen lymph nodes in R axilla
Age: 1.5
Sex: F
Vaccine: DTAP, FLU4, HEPA
Symptoms: Febrile convulsion, Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Viral upper respiratory tract infection
Clinical narrative: Patient had simple febrile seizure 8 days after receiving vaccines. Patient also had likely viral upper respiratory infection that started 3-4 days prior to febrile seizure.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash pruritic, Skin swelling
Clinical narrative: Itch scalp and rash.  Started out mild but after a couple of weeks it got worse and I sought medical attention. Spoke to others who had same vaccine and they had similar symptoms.  Did not connect it to vaccine at first till I spoke to others experiencing the  same effect.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received   PFIZER covid-19 vaccine for 12 and older as the 2nd vaccine . Mother is aware of the administration  and given information on possible adverse reactions to monitor for . While under observation in our office patient did not experienced any side effects or adverse reaction to the vaccine but since the wrong vaccine was administered based on patient's age we are reporting to VAERS incase patient  experiences  any side effects or adverse reaction.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dysstasia, Gait disturbance, Nausea, Pallor
Clinical narrative: Less than 5 minutes after receiving vaccine he became drowsy and less responsive. Extremely pale face/lips were grey and complained of excruciating stomach pain and nausea. Couldn?t/wouldn?t stand or walk. He was able to be helped to the bathroom where he could not vomit but was able to have a bowel movement. Approximately 30 minutes later he started to feel some better and get color back. Approx an hour later he complained of stomach pain/nausea ongoing but not worsening.  He was ?normal? a few hours post vaccine.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Less than 5 minutes after receiving vaccine he became drowsy and less responsive. Extremely pale face/lips were grey and complained of excruciating stomach pain and nausea. Couldn?t/wouldn?t stand or walk. He was able to be helped to the bathroom where he could not vomit but was able to have a bowel movement. Approximately 30 minutes later he started to feel some better and get color back. Approx an hour later he complained of stomach pain/nausea ongoing but not worsening.  He was ?normal? a few hours post vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Electrocardiogram, Haemoglobin increased, Nausea
Clinical narrative: Patient c/o nausea, dizziness, loopy, faintness, Nurse evaluated and gave her some snacks and fluids due to patient stated she had not eaten that morning.  no other signs came up and she had stated she was feeling better and was released to go home.  Patient's boss called and stated patient was not doing well since she went home, called patient- and she stated that she is unable to walk straight and had all the same symptoms she had in the clinic, informed  provider and she asked to have patient go to the nearest hospital and be evaluated for possible allergic reaction. she was evaluated and deemed no allergic reaction to covid vaccine and was given ok to receive 2nd dose was seen at 1705 1-14-2022
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Orthostatic hypotension, Syncope
Clinical narrative: Patient c/o nausea, dizziness, loopy, faintness, Nurse evaluated and gave her some snacks and fluids due to patient stated she had not eaten that morning.  no other signs came up and she had stated she was feeling better and was released to go home.  Patient's boss called and stated patient was not doing well since she went home, called patient- and she stated that she is unable to walk straight and had all the same symptoms she had in the clinic, informed  provider and she asked to have patient go to the nearest hospital and be evaluated for possible allergic reaction. she was evaluated and deemed no allergic reaction to covid vaccine and was given ok to receive 2nd dose was seen at 1705 1-14-2022
Age: 56.0
Sex: F
Vaccine: VARZOS, UNK
Symptoms: Burning sensation, Electromyogram, Hypoaesthesia, Inflammation, Magnetic resonance imaging head
Clinical narrative: After vaccination, pt. started to develop numbness in both hands up to elbows that progressively got worse. Developed into pain, burning, pressure that would wake her at night and felt like frostbite radiating up to shoulders. Pt. states right arm is about 3 times worse than left arm. Pt. is now wearing braces daily and taking Prednisone (despite adverse reaction to Prednisone) and Xanax to help with inflammation and pain.
Age: 56.0
Sex: F
Vaccine: VARZOS, UNK
Symptoms: Magnetic resonance imaging neck, Nerve conduction studies, Orthosis user, Pain, Sleep disorder
Clinical narrative: After vaccination, pt. started to develop numbness in both hands up to elbows that progressively got worse. Developed into pain, burning, pressure that would wake her at night and felt like frostbite radiating up to shoulders. Pt. states right arm is about 3 times worse than left arm. Pt. is now wearing braces daily and taking Prednisone (despite adverse reaction to Prednisone) and Xanax to help with inflammation and pain.
Age: 56.0
Sex: F
Vaccine: VARZOS, UNK
Symptoms: Blood test, Electromyogram, Hypoaesthesia, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: After vaccination, pt. started to develop numbness in both hands up to elbows that progressively got worse. Developed into pain, burning, pressure that would wake her at night and felt like frostbite radiating up to shoulders. Pt. states right arm is about 3 times worse than left arm. Pt. is now wearing braces daily and taking Prednisone (despite adverse reaction to Prednisone) and Xanax to help with inflammation and pain.
Age: 56.0
Sex: F
Vaccine: VARZOS, UNK
Symptoms: Nerve conduction studies, Pain, Paraesthesia
Clinical narrative: After vaccination, pt. started to develop numbness in both hands up to elbows that progressively got worse. Developed into pain, burning, pressure that would wake her at night and felt like frostbite radiating up to shoulders. Pt. states right arm is about 3 times worse than left arm. Pt. is now wearing braces daily and taking Prednisone (despite adverse reaction to Prednisone) and Xanax to help with inflammation and pain.
Age: 68.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Pt states that he is fully vaccinated and boosted for COVID. Admitted to hospital with COVID symptoms and tested positive upon admission
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Cough, Mycobacterium avium complex infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 04/08/2021.  68 y/o with PMH AFIB, COPD, HTN, HLD, OSA, Seizure, pituitary tumor, Cardiac ablation, IVC filter presents with c/o nasal congestion, cough, fever and sore throat x1 day.  PCP advised ER visit for concern of Covid symptoms and pt currently has active MAC infection.  Bibasilar atelectasis per CXR. Room air sat 98%.  On IV ABX.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 04/08/2021.  68 y/o with PMH AFIB, COPD, HTN, HLD, OSA, Seizure, pituitary tumor, Cardiac ablation, IVC filter presents with c/o nasal congestion, cough, fever and sore throat x1 day.  PCP advised ER visit for concern of Covid symptoms and pt currently has active MAC infection.  Bibasilar atelectasis per CXR. Room air sat 98%.  On IV ABX.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G, Delivery, Exposure during pregnancy, Nulliparous, Primigravida
Clinical narrative: Age:  22 yrs   Date of Admission: 12/25/2021 Chief Complaint: Labor  Source of Information: Patient and Available medical record   History of Present Illness: This is a 22y.o. G1P0 at 40w0d dated by patient reported EDD.  Patient seen in L&D for contractions that started at 0200 this morning. Patient seen earlier tonight at different hospital and was sent home due to not making cervical change.Patient receives prenatal care unable to access any records. Patient denies any complications with this pregnancy. Based on records int the computer patient IGG positive for HSV-2, denied any history or prodromal symptoms at this time. Endorses hx of chlamydia back in march, states she was appropriately treated.  History At present (+)CTX, (+) FM, (-) LOF, (-) VB. Gestational Age(weeks days/7): 40      Method of Delivery: Vaginal, Spontaneous     Birth Weight: 2.95 kg (6 lb 8.1 oz)
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Age:  22 yrs   Date of Admission: 12/25/2021 Chief Complaint: Labor  Source of Information: Patient and Available medical record   History of Present Illness: This is a 22y.o. G1P0 at 40w0d dated by patient reported EDD.  Patient seen in L&D for contractions that started at 0200 this morning. Patient seen earlier tonight at different hospital and was sent home due to not making cervical change.Patient receives prenatal care unable to access any records. Patient denies any complications with this pregnancy. Based on records int the computer patient IGG positive for HSV-2, denied any history or prodromal symptoms at this time. Endorses hx of chlamydia back in march, states she was appropriately treated.  History At present (+)CTX, (+) FM, (-) LOF, (-) VB. Gestational Age(weeks days/7): 40      Method of Delivery: Vaginal, Spontaneous     Birth Weight: 2.95 kg (6 lb 8.1 oz)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Deafness bilateral, Dyspnoea, Malaise
Clinical narrative: Patient went to bed and woke up with shortness of breath, shaking, heart racing, nausea and vertigo. Went to the bathroom. It lasted for about an hour. Drove to the emergency department in the early morning hours on 12/28/2021. It felt like her heart was beating out of her chest. This was the first time she had to seek emergency treatment at an ER. The ER told her to follow-up with an ENT for the vertigo. She had the first two Moderna injections on 5/6/2021, batch/lot# 003C21A and 2nd Moderna injection on 6/3/2021 batch/lot# 049C21A. She had knee pain on the front and back left of one knee starting about 30 days before this adverse event. She said she felt ill after those injections for about 5 hours. She felt continuing nausea and vertigo first week of January 2022. On January 6, 2022, she started to feel ill with COVID-19 symptoms (coughing and runny nose). This was 16 days after the booster shot. On January 10, 2022 she tested positive for COVID-19 (20 days after her Moderna booster shot).
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Rhinorrhoea, SARS-CoV-2 test positive, Tremor
Clinical narrative: Patient went to bed and woke up with shortness of breath, shaking, heart racing, nausea and vertigo. Went to the bathroom. It lasted for about an hour. Drove to the emergency department in the early morning hours on 12/28/2021. It felt like her heart was beating out of her chest. This was the first time she had to seek emergency treatment at an ER. The ER told her to follow-up with an ENT for the vertigo. She had the first two Moderna injections on 5/6/2021, batch/lot# 003C21A and 2nd Moderna injection on 6/3/2021 batch/lot# 049C21A. She had knee pain on the front and back left of one knee starting about 30 days before this adverse event. She said she felt ill after those injections for about 5 hours. She felt continuing nausea and vertigo first week of January 2022. On January 6, 2022, she started to feel ill with COVID-19 symptoms (coughing and runny nose). This was 16 days after the booster shot. On January 10, 2022 she tested positive for COVID-19 (20 days after her Moderna booster shot).
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Patient went to bed and woke up with shortness of breath, shaking, heart racing, nausea and vertigo. Went to the bathroom. It lasted for about an hour. Drove to the emergency department in the early morning hours on 12/28/2021. It felt like her heart was beating out of her chest. This was the first time she had to seek emergency treatment at an ER. The ER told her to follow-up with an ENT for the vertigo. She had the first two Moderna injections on 5/6/2021, batch/lot# 003C21A and 2nd Moderna injection on 6/3/2021 batch/lot# 049C21A. She had knee pain on the front and back left of one knee starting about 30 days before this adverse event. She said she felt ill after those injections for about 5 hours. She felt continuing nausea and vertigo first week of January 2022. On January 6, 2022, she started to feel ill with COVID-19 symptoms (coughing and runny nose). This was 16 days after the booster shot. On January 10, 2022 she tested positive for COVID-19 (20 days after her Moderna booster shot).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chillblains, Postmenopausal haemorrhage
Clinical narrative: periodical bleeding, menstruation 10/01/2022 although in menopause since march 2019 chilblains since 15/01/2022
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Pain, Peripheral swelling, Pruritus
Clinical narrative: The patient reported that her arm was very swollen (more than expected). She also reported that her fingertips and palms of her hands were red, and that the skin had started peeling. She said it was itchy and painful, and generally very uncomfortable. The skin peeling started on her fingertips in the evening (on the day the vaccine was administered), and spread to her palms the next morning.  This was her second dose, and she did not have any problems with the first.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: The patient reported that her arm was very swollen (more than expected). She also reported that her fingertips and palms of her hands were red, and that the skin had started peeling. She said it was itchy and painful, and generally very uncomfortable. The skin peeling started on her fingertips in the evening (on the day the vaccine was administered), and spread to her palms the next morning.  This was her second dose, and she did not have any problems with the first.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Glycosylated haemoglobin, Hypoaesthesia, Metabolic function test, Vitamin B12
Clinical narrative: all over body numbness, legs, back, hands face, forehead that started 3 weeks and 5 days from the booster , symptoms a week later improving, no weakness
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Influenza virus test, Pressure of speech, Respiratory syncytial virus test, SARS-CoV-2 test
Clinical narrative: During wellness check, patient was hypoxic with pressured speech.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypoaesthesia, Tongue biting
Clinical narrative: Patient stated her face went numb and she bit her tongue while eating lunch post-vaccination. She was flushed in her face, neck and arm of vaccine administration. Benadryl given. Patient left site with husband. Follow-up call on 1/18/2022, patient still had numbness. Referred her to see her primary care ASAP.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, UNK
Symptoms: Condition aggravated, Musculoskeletal discomfort, Oropharyngeal pain
Clinical narrative: I feel pain in my throat and pressure in my neck.
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal pain, Colitis, Colonoscopy abnormal, Frequent bowel movements, Haematochezia
Clinical narrative: Approximately a week after I was administered influenza vaccine, I experienced frequent bowel movements, frequent bloody stools, frequent abdominal pains, etc.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angioedema, COVID-19, Condition aggravated, Endotracheal intubation
Clinical narrative: 68 y.o. male reportedly with a PMH significant for HTN, ESRD (RUE fistula) and a history of ACE inhibitor induced angioedema (no longer on ACE inhibitors, clearly).  Has had some milder angioedema presentations since stopping ACE-I.  Is scheduled for an angiogram next week (wife says its for pulmonary hypertension, but then mentions possibly placing stents).    On 1/8/2022 early AM his wife woke up and noted patient had severe tongue swelling, EMS was summoned and he presented to the ED. Tongue was markedly engorged. He was intubated for airway obstruction. Has received diphenhydramine and epinephrine.    Has been hypertensive since arrival.    He is being admitted to the ICU under the care of the critical care medicine service. DISCHARGE DIAGNOSES:   Clinical Indicators Treatment Response to Treatment   Acute angioedema with severe tongue swelling, resolved Acute airway obstruction due to the above, resolved Acute hypoxic respiratory failure due to the above, resolved Incidental COVID-positive without COVID-pneumonia, improving Elevated dimer due to the above, suspect improving   Patient was admitted to the hospital with significant swelling of his tongue suspected to be angioedema consistent with prior presentations. No clear trigger. Intubated and remained intubated for several days in the intensive care unit. Given steroids, H2 blockers, H1 blocker, epinephrine. Patient had slow improvement and was able to be weaned down on his ventilator needs over time. He was successfully extubated and had complete resolution of swelling of his tongue and airway obstruction prior to discharge. Voice normal. Functioning at his baseline activities of daily living prior to discharge. Discharged on a steroid taper and famotidine. The patient was found to be incidental COVID-positive but never required supplemental oxygen. Vital signs were monitored and the patient was stable regarding his respiratory status. Do not suspect symptomatic COVID. Discharge recommendations given regarding quarantine and so forth The patient responded well to the monitoring and treatment as described, and will follow-up with their primary provider as an outpatient.       Chronic hypertension Chronic renal failure, end-stage renal disease on dialysis Chronic anemia of chronic disease The above listed chronic medical conditions were monitored with routine vital signs, physical examinations, and appropriate laboratory testing and were deemed to be without exacerbation during this hospitalization.  The patient was continued on their home medication regimen for these problems and they responded well to this treatment.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypertension, Intensive care, Mechanical ventilation, Obstructive airways disorder
Clinical narrative: 68 y.o. male reportedly with a PMH significant for HTN, ESRD (RUE fistula) and a history of ACE inhibitor induced angioedema (no longer on ACE inhibitors, clearly).  Has had some milder angioedema presentations since stopping ACE-I.  Is scheduled for an angiogram next week (wife says its for pulmonary hypertension, but then mentions possibly placing stents).    On 1/8/2022 early AM his wife woke up and noted patient had severe tongue swelling, EMS was summoned and he presented to the ED. Tongue was markedly engorged. He was intubated for airway obstruction. Has received diphenhydramine and epinephrine.    Has been hypertensive since arrival.    He is being admitted to the ICU under the care of the critical care medicine service. DISCHARGE DIAGNOSES:   Clinical Indicators Treatment Response to Treatment   Acute angioedema with severe tongue swelling, resolved Acute airway obstruction due to the above, resolved Acute hypoxic respiratory failure due to the above, resolved Incidental COVID-positive without COVID-pneumonia, improving Elevated dimer due to the above, suspect improving   Patient was admitted to the hospital with significant swelling of his tongue suspected to be angioedema consistent with prior presentations. No clear trigger. Intubated and remained intubated for several days in the intensive care unit. Given steroids, H2 blockers, H1 blocker, epinephrine. Patient had slow improvement and was able to be weaned down on his ventilator needs over time. He was successfully extubated and had complete resolution of swelling of his tongue and airway obstruction prior to discharge. Voice normal. Functioning at his baseline activities of daily living prior to discharge. Discharged on a steroid taper and famotidine. The patient was found to be incidental COVID-positive but never required supplemental oxygen. Vital signs were monitored and the patient was stable regarding his respiratory status. Do not suspect symptomatic COVID. Discharge recommendations given regarding quarantine and so forth The patient responded well to the monitoring and treatment as described, and will follow-up with their primary provider as an outpatient.       Chronic hypertension Chronic renal failure, end-stage renal disease on dialysis Chronic anemia of chronic disease The above listed chronic medical conditions were monitored with routine vital signs, physical examinations, and appropriate laboratory testing and were deemed to be without exacerbation during this hospitalization.  The patient was continued on their home medication regimen for these problems and they responded well to this treatment.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Swollen tongue
Clinical narrative: 68 y.o. male reportedly with a PMH significant for HTN, ESRD (RUE fistula) and a history of ACE inhibitor induced angioedema (no longer on ACE inhibitors, clearly).  Has had some milder angioedema presentations since stopping ACE-I.  Is scheduled for an angiogram next week (wife says its for pulmonary hypertension, but then mentions possibly placing stents).    On 1/8/2022 early AM his wife woke up and noted patient had severe tongue swelling, EMS was summoned and he presented to the ED. Tongue was markedly engorged. He was intubated for airway obstruction. Has received diphenhydramine and epinephrine.    Has been hypertensive since arrival.    He is being admitted to the ICU under the care of the critical care medicine service. DISCHARGE DIAGNOSES:   Clinical Indicators Treatment Response to Treatment   Acute angioedema with severe tongue swelling, resolved Acute airway obstruction due to the above, resolved Acute hypoxic respiratory failure due to the above, resolved Incidental COVID-positive without COVID-pneumonia, improving Elevated dimer due to the above, suspect improving   Patient was admitted to the hospital with significant swelling of his tongue suspected to be angioedema consistent with prior presentations. No clear trigger. Intubated and remained intubated for several days in the intensive care unit. Given steroids, H2 blockers, H1 blocker, epinephrine. Patient had slow improvement and was able to be weaned down on his ventilator needs over time. He was successfully extubated and had complete resolution of swelling of his tongue and airway obstruction prior to discharge. Voice normal. Functioning at his baseline activities of daily living prior to discharge. Discharged on a steroid taper and famotidine. The patient was found to be incidental COVID-positive but never required supplemental oxygen. Vital signs were monitored and the patient was stable regarding his respiratory status. Do not suspect symptomatic COVID. Discharge recommendations given regarding quarantine and so forth The patient responded well to the monitoring and treatment as described, and will follow-up with their primary provider as an outpatient.       Chronic hypertension Chronic renal failure, end-stage renal disease on dialysis Chronic anemia of chronic disease The above listed chronic medical conditions were monitored with routine vital signs, physical examinations, and appropriate laboratory testing and were deemed to be without exacerbation during this hospitalization.  The patient was continued on their home medication regimen for these problems and they responded well to this treatment.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Fatigue, Peripheral swelling, Rash, Rash pruritic
Clinical narrative: Fatigue, arms began to swell, itchy rash appeared underneath the arm. Was put on antibiotics by healthcare professional.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Feeling abnormal, Headache, Injected limb mobility decreased
Clinical narrative: I received the vaccine at 8:30 am on 1/14/22. By 8:00 pm that evening, I felt really bad - severe pain in my arm, fever, body aches. On 1/15/22, I could barely lift my left arm as it hurt so bad. I noticed that the left armpit was starting to swell and I ran a 102.3 F. fever all day and had body aches, headache, and fatigue. 1/16/22, fever was down to 100 degrees and body aches started to improve. Armpit was still swollen at this time. On 1/17/22 still felt fatigued and noticed that the swelling in the armpit appeared to be worse than the previous day. 1/18/22 - swelling in armpit is significantly worse and left ear has been hurting as well. Called primary care physician to get checked. Have appointment on 1/19/2022.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain, Pain in extremity, Pyrexia
Clinical narrative: I received the vaccine at 8:30 am on 1/14/22. By 8:00 pm that evening, I felt really bad - severe pain in my arm, fever, body aches. On 1/15/22, I could barely lift my left arm as it hurt so bad. I noticed that the left armpit was starting to swell and I ran a 102.3 F. fever all day and had body aches, headache, and fatigue. 1/16/22, fever was down to 100 degrees and body aches started to improve. Armpit was still swollen at this time. On 1/17/22 still felt fatigued and noticed that the swelling in the armpit appeared to be worse than the previous day. 1/18/22 - swelling in armpit is significantly worse and left ear has been hurting as well. Called primary care physician to get checked. Have appointment on 1/19/2022.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood gases, Blood test, Chest X-ray, Diarrhoea
Clinical narrative: Sunday 12/05/2021, I started to feel ill with stomach cramps and exhaustion.    Later that evening, I started running a mild fever, 100.5F and diarrhea.    I started to get head and chest congestion, too.   The symptoms continued for a few days, and congestion got worse.  On Tuesday 12/7 I tried to get appointments with both my GP and Pulmonologist, but could not reach them.   On Wednesday night (12/8-12/9) I removed my CPAP machine because it felt like breathing was more difficult with it on.    I continued to get worse congestion, and called my drug store for OTC guafenisin.  I took guafenisin, tylenol, and phenylephrine to try and deal with the symptoms.  I called my doctors office again but was unable to reach them.    On Monday 12/13 I was still unable to get an appointment for an office visit.  My symptoms were getting worse, and I was starting to panic over frequent feelings of suffocation.    I called my insurance company "ask a nurse number", and they were not at all helpful.  The next morning, I took myself to the ER.  They diagnosed me with community-acquired pneumonia after ruling out flu, covid-19 and other viruses.   They gave me IV antibiotis and steroids, then sent me home with a course of those drugs.     After about a week I was doing better, but still have some symptoms today.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Malaise, Panic attack, Pneumonia
Clinical narrative: Sunday 12/05/2021, I started to feel ill with stomach cramps and exhaustion.    Later that evening, I started running a mild fever, 100.5F and diarrhea.    I started to get head and chest congestion, too.   The symptoms continued for a few days, and congestion got worse.  On Tuesday 12/7 I tried to get appointments with both my GP and Pulmonologist, but could not reach them.   On Wednesday night (12/8-12/9) I removed my CPAP machine because it felt like breathing was more difficult with it on.    I continued to get worse congestion, and called my drug store for OTC guafenisin.  I took guafenisin, tylenol, and phenylephrine to try and deal with the symptoms.  I called my doctors office again but was unable to reach them.    On Monday 12/13 I was still unable to get an appointment for an office visit.  My symptoms were getting worse, and I was starting to panic over frequent feelings of suffocation.    I called my insurance company "ask a nurse number", and they were not at all helpful.  The next morning, I took myself to the ER.  They diagnosed me with community-acquired pneumonia after ruling out flu, covid-19 and other viruses.   They gave me IV antibiotis and steroids, then sent me home with a course of those drugs.     After about a week I was doing better, but still have some symptoms today.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Suffocation feeling, Viral test
Clinical narrative: Sunday 12/05/2021, I started to feel ill with stomach cramps and exhaustion.    Later that evening, I started running a mild fever, 100.5F and diarrhea.    I started to get head and chest congestion, too.   The symptoms continued for a few days, and congestion got worse.  On Tuesday 12/7 I tried to get appointments with both my GP and Pulmonologist, but could not reach them.   On Wednesday night (12/8-12/9) I removed my CPAP machine because it felt like breathing was more difficult with it on.    I continued to get worse congestion, and called my drug store for OTC guafenisin.  I took guafenisin, tylenol, and phenylephrine to try and deal with the symptoms.  I called my doctors office again but was unable to reach them.    On Monday 12/13 I was still unable to get an appointment for an office visit.  My symptoms were getting worse, and I was starting to panic over frequent feelings of suffocation.    I called my insurance company "ask a nurse number", and they were not at all helpful.  The next morning, I took myself to the ER.  They diagnosed me with community-acquired pneumonia after ruling out flu, covid-19 and other viruses.   They gave me IV antibiotis and steroids, then sent me home with a course of those drugs.     After about a week I was doing better, but still have some symptoms today.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive 11/17/2021
Age: 51.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Migraine, Tinnitus, Vomiting
Clinical narrative: April 1, 2021 I received J&J Vaccine. Nov 1, 2021 I received the Moderna Booster. Days after the booster I now have constant ringing in my ears. I also get headaches regularly most of my adult life. After the Moderna Booster I have had 2 insanely painful migraines that made me dysfunctional for an entire day with vomiting. Never experienced a migraine this intense prior to the Moderna booster.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza A virus test, Influenza B virus test, Laboratory test abnormal, Nasopharyngitis
Clinical narrative: Abnormal kidney lab, cold symptoms and fatigue
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nucleic acid test, SARS-CoV-2 test
Clinical narrative: Abnormal kidney lab, cold symptoms and fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Menstruation irregular, Migraine, Palpitations
Clinical narrative: Heart palpitation and coming and going feeling of hear pumping really fast. Im getting tired easly during exercise which was not the case prior to vaccination and experiencing migraines also did not have them prior vaccination.  Also I have reported previously that I have experienced periods every 2 weeks since my vaccination and it has been now 3 months and my menstruation cycle has not came back to normal.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized (1.10.22); COVID-19 positive (1.10.22);  Fully vaccinated (no booster) Admission Date: 1/10/2022 Discharge Date: 1/12/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 78 y.o. male who presented with chief complaint of shortness of breath, sinus congestion and fatigue.  Patient reports that his whole family got exposed over new year and developed symptoms for COVID 19. He started having symptoms on 01/04 which started as a head cold and progressed to having dyspnea.  Patient denies any fever, nausea, vomiting, diarrhea or chills.  Patient's wife, son and daughter-in-law also tested positive for COVID-19. On admission to the emergency department was found to be hypoxic requiring 2 L of oxygen to keep sats above 90%.  Chest x-ray showed left-sided pneumonia.  Patient's labs within normal limit except for slightly elevated CRP.  Patient received 1 dose of Decadron in the emergency department.  His was admitted for management of COVID-19 pneumonia. Patient was started on remdesivir and dexamethasone.  Albuterol p.r.n. and Mucinex was ordered.  Patient reported improvement in his symptoms the next day.  He was able to be weaned off of supplemental oxygen to room air.  Patient was evaluated for home oxygen requirement and was found to be stable on room air at rest and with ambulation.  He was discharged home in stable condition
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Exposure to SARS-CoV-2, Fatigue, Hypoxia
Clinical narrative: Hospitalized (1.10.22); COVID-19 positive (1.10.22);  Fully vaccinated (no booster) Admission Date: 1/10/2022 Discharge Date: 1/12/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 78 y.o. male who presented with chief complaint of shortness of breath, sinus congestion and fatigue.  Patient reports that his whole family got exposed over new year and developed symptoms for COVID 19. He started having symptoms on 01/04 which started as a head cold and progressed to having dyspnea.  Patient denies any fever, nausea, vomiting, diarrhea or chills.  Patient's wife, son and daughter-in-law also tested positive for COVID-19. On admission to the emergency department was found to be hypoxic requiring 2 L of oxygen to keep sats above 90%.  Chest x-ray showed left-sided pneumonia.  Patient's labs within normal limit except for slightly elevated CRP.  Patient received 1 dose of Decadron in the emergency department.  His was admitted for management of COVID-19 pneumonia. Patient was started on remdesivir and dexamethasone.  Albuterol p.r.n. and Mucinex was ordered.  Patient reported improvement in his symptoms the next day.  He was able to be weaned off of supplemental oxygen to room air.  Patient was evaluated for home oxygen requirement and was found to be stable on room air at rest and with ambulation.  He was discharged home in stable condition
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Malaise, Nasopharyngitis, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (1.10.22); COVID-19 positive (1.10.22);  Fully vaccinated (no booster) Admission Date: 1/10/2022 Discharge Date: 1/12/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 78 y.o. male who presented with chief complaint of shortness of breath, sinus congestion and fatigue.  Patient reports that his whole family got exposed over new year and developed symptoms for COVID 19. He started having symptoms on 01/04 which started as a head cold and progressed to having dyspnea.  Patient denies any fever, nausea, vomiting, diarrhea or chills.  Patient's wife, son and daughter-in-law also tested positive for COVID-19. On admission to the emergency department was found to be hypoxic requiring 2 L of oxygen to keep sats above 90%.  Chest x-ray showed left-sided pneumonia.  Patient's labs within normal limit except for slightly elevated CRP.  Patient received 1 dose of Decadron in the emergency department.  His was admitted for management of COVID-19 pneumonia. Patient was started on remdesivir and dexamethasone.  Albuterol p.r.n. and Mucinex was ordered.  Patient reported improvement in his symptoms the next day.  He was able to be weaned off of supplemental oxygen to room air.  Patient was evaluated for home oxygen requirement and was found to be stable on room air at rest and with ambulation.  He was discharged home in stable condition
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sinus congestion
Clinical narrative: Hospitalized (1.10.22); COVID-19 positive (1.10.22);  Fully vaccinated (no booster) Admission Date: 1/10/2022 Discharge Date: 1/12/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 78 y.o. male who presented with chief complaint of shortness of breath, sinus congestion and fatigue.  Patient reports that his whole family got exposed over new year and developed symptoms for COVID 19. He started having symptoms on 01/04 which started as a head cold and progressed to having dyspnea.  Patient denies any fever, nausea, vomiting, diarrhea or chills.  Patient's wife, son and daughter-in-law also tested positive for COVID-19. On admission to the emergency department was found to be hypoxic requiring 2 L of oxygen to keep sats above 90%.  Chest x-ray showed left-sided pneumonia.  Patient's labs within normal limit except for slightly elevated CRP.  Patient received 1 dose of Decadron in the emergency department.  His was admitted for management of COVID-19 pneumonia. Patient was started on remdesivir and dexamethasone.  Albuterol p.r.n. and Mucinex was ordered.  Patient reported improvement in his symptoms the next day.  He was able to be weaned off of supplemental oxygen to room air.  Patient was evaluated for home oxygen requirement and was found to be stable on room air at rest and with ambulation.  He was discharged home in stable condition
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, COVID-19, Confusional state, Drooling, Hypoxia
Clinical narrative: Altered Mental Status      coming from Facility, was "found on floor drooling and won't speak". Per EMS report, baseline A&O3     HPI  75-year-old male with history of shredded brain injury, hypothyroidism, underlying dementia brought in by EMS for altered mental status. Patient was found by family member at the facility, grounds not responding to voice. EMS states patient was hypoxic on initial evaluation with SPO2 85% and placed on nonrebreather with improvement of SPO2. On arrival patient lethargic, responding to noxious stimuli only. No obvious signs of trauma. History is limited due to patient's dementia.   Review of Systems  Unable to perform ROS: Mental status change
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Leukocytosis, Mental status changes, Procalcitonin increased, SARS-CoV-2 test positive
Clinical narrative: Altered Mental Status      coming from Facility, was "found on floor drooling and won't speak". Per EMS report, baseline A&O3     HPI  75-year-old male with history of shredded brain injury, hypothyroidism, underlying dementia brought in by EMS for altered mental status. Patient was found by family member at the facility, grounds not responding to voice. EMS states patient was hypoxic on initial evaluation with SPO2 85% and placed on nonrebreather with improvement of SPO2. On arrival patient lethargic, responding to noxious stimuli only. No obvious signs of trauma. History is limited due to patient's dementia.   Review of Systems  Unable to perform ROS: Mental status change
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, White blood cell count increased
Clinical narrative: Altered Mental Status      coming from Facility, was "found on floor drooling and won't speak". Per EMS report, baseline A&O3     HPI  75-year-old male with history of shredded brain injury, hypothyroidism, underlying dementia brought in by EMS for altered mental status. Patient was found by family member at the facility, grounds not responding to voice. EMS states patient was hypoxic on initial evaluation with SPO2 85% and placed on nonrebreather with improvement of SPO2. On arrival patient lethargic, responding to noxious stimuli only. No obvious signs of trauma. History is limited due to patient's dementia.   Review of Systems  Unable to perform ROS: Mental status change
Age: 15.0
Sex: F
Vaccine: UNK
Symptoms: Lip blister, Lip swelling
Clinical narrative: Patient developed swelling on bottom right side of lip with a small blister located in the middle of it. Pt got vaccine on Monday and started with lip swelling on Wednesday
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID 19.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Mobility decreased
Clinical narrative: Complaining that he is unable to move right leg on awakening in the morning (day after vaccination). Having trouble walking and limping complaining that the right knee hurts.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENT OCCURED, PATIENT IS NOT 18 YO UNTIL 7/19/2022. PATIENT RECEIVED 2 DOSES OF PFIZER, LAST DOSE 5/27/21.
Age: 88.0
Sex: F
Vaccine: FLUA4
Symptoms: Chills
Clinical narrative: pt states she started having chills.  She took 2 extra strength Tylenol and some cough syrup w/ codeine.  She laid back in a recliner covered up with a blanket until the chills were gone.  The symptoms lasted about 12 hours. She no longer has any symptoms.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Headache, Nausea
Clinical narrative: Severe achy joints, chills, headache, nausea, back pain
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: Pt entered a SNF in July 2021 following a hospitalization related to peripheral vascular disease with amputation.  The pt slowly deteriorated and tested positive for COVID in September 2021.  Per the doctor's statement and the death certificate, she died in the SNF of COVID pneumonia
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Confusional state, Contusion, Fatigue, Headache
Clinical narrative: Bruising for 2 weeks after shot at injection site. Petechiae on legs and bruising on legs. Pain in joints and muscles. Extreme Fatigue. Sleepiness. Headaches. Nausea. Confusion.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Myalgia, Nausea, Petechiae, Somnolence
Clinical narrative: Bruising for 2 weeks after shot at injection site. Petechiae on legs and bruising on legs. Pain in joints and muscles. Extreme Fatigue. Sleepiness. Headaches. Nausea. Confusion.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Osteoarthritis, X-ray limb abnormal
Clinical narrative: Arm pain in right shoulder after 24 hours with no improvement, has been > 1 month since pain onset.