chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Dyspnoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 01/14/2021 and 02/11/2021. The symptom onset date for COVID-19 disease is not available, but the individual tested positive for COVID-19 via an antigen test on 11/25/2021. They presented to emergency department on 11/30/2021 for shortness of breath. They were not admitted to hospital at that time. However, they were admitted to hospital later, on 12/09/2021. They remained hospitalized until their death on 12/15/2021.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Magnetic resonance imaging head, Tinnitus
Clinical narrative: Ringing in ears, constant, continues to this day.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Heart rate increased
Clinical narrative: During school the patient complained of chest pains and very rapid heartbeat. It did not go away within a couple of minutes he was taken to the school nurse. The nurse took his pulse and blood pressure and temperature which by that time was back to normal. The episode seemed to last for about 10 to 15 minutes. The patient's pediatrician was notified immediately her advice was to see if it happens again which as of now it has not.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Autopsy, Death, Malaise
Clinical narrative: My mom got her booster on 12/20 and she later on notified a family friend for Benedryl since she did not feel well and tried to sleep it off but later died in her sleep.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood thyroid stimulating hormone, Blood urea increased, Dizziness, Dyspnoea
Clinical narrative: Since 13 December he has complained of daily recurrent episodes of rashes described as fraised, red, itchy whelts which can occur anywhere on his body but typically occur at sites of pressure or where his skin is scraped or scratched. Lesions last less than 24 hours and resolve without post-inflammatory changes. He notes involvement of his palms and soles. He also endorses prior episode of facial and throat swelling which he feels caused wheezing and difficulty breathing; when he was evaluated in the ER no wheezing was noted. He otherwise denies pulmonary, GI, neurologic, and cardiovascular symptoms. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, infections, or insect bites/stings. He received his COVID19 vaccine booster dose on 4 December, 9 days prior to onset of symptoms. He has used oral antihistamines with partial control of symptoms. His symptoms led him to present to the ER on 14 and 16 December. With his first visit he received Benadryl and prednisone with transient improvement in his symptoms, but due to recurrence of his rash and facial and throat swelling he again presented to the ER two days later where he received epinephrine, IV Benadryl, and IV Decadron with resolution of his symptoms. He was again seen in the ER on 25 December for palpitations, elevated blood pressure, dizziness, and mild, transient shortness of breath felt to be secondary to his Prednisone course. He denies constitutional symptoms.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count abnormal, Leukocytosis, Lymphopenia, Metabolic function test, Palpitations
Clinical narrative: Since 13 December he has complained of daily recurrent episodes of rashes described as fraised, red, itchy whelts which can occur anywhere on his body but typically occur at sites of pressure or where his skin is scraped or scratched. Lesions last less than 24 hours and resolve without post-inflammatory changes. He notes involvement of his palms and soles. He also endorses prior episode of facial and throat swelling which he feels caused wheezing and difficulty breathing; when he was evaluated in the ER no wheezing was noted. He otherwise denies pulmonary, GI, neurologic, and cardiovascular symptoms. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, infections, or insect bites/stings. He received his COVID19 vaccine booster dose on 4 December, 9 days prior to onset of symptoms. He has used oral antihistamines with partial control of symptoms. His symptoms led him to present to the ER on 14 and 16 December. With his first visit he received Benadryl and prednisone with transient improvement in his symptoms, but due to recurrence of his rash and facial and throat swelling he again presented to the ER two days later where he received epinephrine, IV Benadryl, and IV Decadron with resolution of his symptoms. He was again seen in the ER on 25 December for palpitations, elevated blood pressure, dizziness, and mild, transient shortness of breath felt to be secondary to his Prednisone course. He denies constitutional symptoms.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash, Rash papular, Rash pruritic, Skin lesion
Clinical narrative: Since 13 December he has complained of daily recurrent episodes of rashes described as fraised, red, itchy whelts which can occur anywhere on his body but typically occur at sites of pressure or where his skin is scraped or scratched. Lesions last less than 24 hours and resolve without post-inflammatory changes. He notes involvement of his palms and soles. He also endorses prior episode of facial and throat swelling which he feels caused wheezing and difficulty breathing; when he was evaluated in the ER no wheezing was noted. He otherwise denies pulmonary, GI, neurologic, and cardiovascular symptoms. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, infections, or insect bites/stings. He received his COVID19 vaccine booster dose on 4 December, 9 days prior to onset of symptoms. He has used oral antihistamines with partial control of symptoms. His symptoms led him to present to the ER on 14 and 16 December. With his first visit he received Benadryl and prednisone with transient improvement in his symptoms, but due to recurrence of his rash and facial and throat swelling he again presented to the ER two days later where he received epinephrine, IV Benadryl, and IV Decadron with resolution of his symptoms. He was again seen in the ER on 25 December for palpitations, elevated blood pressure, dizziness, and mild, transient shortness of breath felt to be secondary to his Prednisone course. He denies constitutional symptoms.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Thrombocytosis, Thyroxine free, Troponin I, Urticaria
Clinical narrative: Since 13 December he has complained of daily recurrent episodes of rashes described as fraised, red, itchy whelts which can occur anywhere on his body but typically occur at sites of pressure or where his skin is scraped or scratched. Lesions last less than 24 hours and resolve without post-inflammatory changes. He notes involvement of his palms and soles. He also endorses prior episode of facial and throat swelling which he feels caused wheezing and difficulty breathing; when he was evaluated in the ER no wheezing was noted. He otherwise denies pulmonary, GI, neurologic, and cardiovascular symptoms. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, infections, or insect bites/stings. He received his COVID19 vaccine booster dose on 4 December, 9 days prior to onset of symptoms. He has used oral antihistamines with partial control of symptoms. His symptoms led him to present to the ER on 14 and 16 December. With his first visit he received Benadryl and prednisone with transient improvement in his symptoms, but due to recurrence of his rash and facial and throat swelling he again presented to the ER two days later where he received epinephrine, IV Benadryl, and IV Decadron with resolution of his symptoms. He was again seen in the ER on 25 December for palpitations, elevated blood pressure, dizziness, and mild, transient shortness of breath felt to be secondary to his Prednisone course. He denies constitutional symptoms.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Cardiac stress test normal, Chest X-ray normal, Chest discomfort, Computerised tomogram head normal
Clinical narrative: Jan 9, went to sleep at 2100hrs.  Woke at 2200 to urinate.  When I went back to bed, had tightness of chest, numbness/tingling in extremities.  Met ambulance while enroute to ER.  First responder advised that I had slurred speech, incoherent speech, jerky movements, and right pupil was larger than left.  At ER, they found potassium was slightly low.  Chest XRay, head CT, Head MRI, Stress test, and Echo were all normal.  Believe possible TIA.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Dyskinesia, Echocardiogram normal, Electrocardiogram normal, Hypoaesthesia
Clinical narrative: Jan 9, went to sleep at 2100hrs.  Woke at 2200 to urinate.  When I went back to bed, had tightness of chest, numbness/tingling in extremities.  Met ambulance while enroute to ER.  First responder advised that I had slurred speech, incoherent speech, jerky movements, and right pupil was larger than left.  At ER, they found potassium was slightly low.  Chest XRay, head CT, Head MRI, Stress test, and Echo were all normal.  Believe possible TIA.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incoherent, Magnetic resonance imaging head normal, Paraesthesia, Pupils unequal
Clinical narrative: Jan 9, went to sleep at 2100hrs.  Woke at 2200 to urinate.  When I went back to bed, had tightness of chest, numbness/tingling in extremities.  Met ambulance while enroute to ER.  First responder advised that I had slurred speech, incoherent speech, jerky movements, and right pupil was larger than left.  At ER, they found potassium was slightly low.  Chest XRay, head CT, Head MRI, Stress test, and Echo were all normal.  Believe possible TIA.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Left brain headache, left arm left leg. Left side of my body is always in pain
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular
Clinical narrative: The last period I had before the first shot began on 9/10/21 and it lasted 6 days (normal). I got my first shot on 10/04/21 and my second shot on 11/04/21. I did not get my period again until 11/15/21 (first day) and it lasted 11 days.   The next period began on 1/12/22 and it lasted 9 days.  I was never irregular like this before.  I am not sexually active, so I was definitely not pregnant. I'm not sure what to think about this. I'm a little young for menopause and I was not experiencing any of this before.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt. fainted
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Acne, Diarrhoea, Gastrooesophageal reflux disease, Pain, Wound
Clinical narrative: Diarrhea, acid burn, pimples, exposed wound, pain under scar tissue
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Back pain, Chills, Decreased appetite, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: ED NOTES 1/25/22: Patient first noticed blood in L PNT 5 days ago on 1/20, which persisted for 2 days and then stopped. It restarted last night (1/24). Has not noticed clots. Also reporting chills, nausea with her pain (back/"kidney" pain), decreased appetite, shortness of breath, and headache.  Regarding COVID, her son who lives her tested positive about 19 days ago. She had a sore throat 2 weeks ago, which has since resolved. She suspects that she got it from her son as she does not leave the house much beyond that, gets her groceries delivered. They had attempted to quarantine as much as possible with living on separate floors and masks in the house. She did also undergo a PNT exchange 1/5/2022. When her son tested positive, she did do a home test, which was negative at that time. She did not get another test after her sore throat.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemorrhage, Headache, Nausea, Oropharyngeal pain, Renal pain
Clinical narrative: ED NOTES 1/25/22: Patient first noticed blood in L PNT 5 days ago on 1/20, which persisted for 2 days and then stopped. It restarted last night (1/24). Has not noticed clots. Also reporting chills, nausea with her pain (back/"kidney" pain), decreased appetite, shortness of breath, and headache.  Regarding COVID, her son who lives her tested positive about 19 days ago. She had a sore throat 2 weeks ago, which has since resolved. She suspects that she got it from her son as she does not leave the house much beyond that, gets her groceries delivered. They had attempted to quarantine as much as possible with living on separate floors and masks in the house. She did also undergo a PNT exchange 1/5/2022. When her son tested positive, she did do a home test, which was negative at that time. She did not get another test after her sore throat.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Ureteral stent insertion
Clinical narrative: ED NOTES 1/25/22: Patient first noticed blood in L PNT 5 days ago on 1/20, which persisted for 2 days and then stopped. It restarted last night (1/24). Has not noticed clots. Also reporting chills, nausea with her pain (back/"kidney" pain), decreased appetite, shortness of breath, and headache.  Regarding COVID, her son who lives her tested positive about 19 days ago. She had a sore throat 2 weeks ago, which has since resolved. She suspects that she got it from her son as she does not leave the house much beyond that, gets her groceries delivered. They had attempted to quarantine as much as possible with living on separate floors and masks in the house. She did also undergo a PNT exchange 1/5/2022. When her son tested positive, she did do a home test, which was negative at that time. She did not get another test after her sore throat.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Cough, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: sore throat, headache, nonproductive cough, runny nose, body aches, chills, sinus congestion, nasal congestion, post nasal drainage. starting on 1/23/22
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Rhinorrhoea, Sinus congestion, Upper-airway cough syndrome
Clinical narrative: sore throat, headache, nonproductive cough, runny nose, body aches, chills, sinus congestion, nasal congestion, post nasal drainage. starting on 1/23/22
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Discomfort, Headache, Pain in extremity
Clinical narrative: pt received booster on 1/24/22. Called hospital on 1/25/22 to report she woke up the middle of the night with arm pain, chest pressure radiating to her back.  She  had chills and headaches.  PMH - hx of PE on blood thinners  and total knee replacement. Sees external PCP.   Pt was advised to go to ED for further evaluation of symptoms.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest pain, Cough, Dyspnoea exertional
Clinical narrative: Patient presented to ED with worsening dyspnea.  The patient had been experiencing chest pain, cough, dyspnea on exertion.  Patient admitted to hospital with Covid pneumonia.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: pt presented to ED after recent hospitalization for AHRF due to COVID; received Decadron, Eliquis, and Remdesivir during hospitalization; was dc'd to home on 2L O2; while @ home O2 sats were worsening while pt was @ rest (88-90% on 5L O2); pt was seen by NP, who suggested chest xray and lab work; pt decided to come to ED for eval; presents with mild, productive cough; COVID pneumonia; given antibiotics; persistent hypoxia even on 15L O2: transferred to ICU; placed on BiPAP; later required intubation; pt's condition worsened and family opted for comfort measures; pt was extubated and died in the hosp
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Hypoxia, Intensive care, Positive airway pressure therapy
Clinical narrative: pt presented to ED after recent hospitalization for AHRF due to COVID; received Decadron, Eliquis, and Remdesivir during hospitalization; was dc'd to home on 2L O2; while @ home O2 sats were worsening while pt was @ rest (88-90% on 5L O2); pt was seen by NP, who suggested chest xray and lab work; pt decided to come to ED for eval; presents with mild, productive cough; COVID pneumonia; given antibiotics; persistent hypoxia even on 15L O2: transferred to ICU; placed on BiPAP; later required intubation; pt's condition worsened and family opted for comfort measures; pt was extubated and died in the hosp
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough
Clinical narrative: pt presented to ED after recent hospitalization for AHRF due to COVID; received Decadron, Eliquis, and Remdesivir during hospitalization; was dc'd to home on 2L O2; while @ home O2 sats were worsening while pt was @ rest (88-90% on 5L O2); pt was seen by NP, who suggested chest xray and lab work; pt decided to come to ED for eval; presents with mild, productive cough; COVID pneumonia; given antibiotics; persistent hypoxia even on 15L O2: transferred to ICU; placed on BiPAP; later required intubation; pt's condition worsened and family opted for comfort measures; pt was extubated and died in the hosp
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Tremor
Clinical narrative: Patient felt dizzy 10 minutes after receiving his booster vaccine and experienced tremor, excessive sweating, and pale skin.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Tinnitus
Clinical narrative: I developed moderate to severe tinnitus in my left ear. Currently under care of my ENT, Dr. Tinnitus still bothers me over a month after its onset.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Symptom onset 4/3/2021
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, X-ray
Clinical narrative: Pt rec'd Moderna Booster 1/19/22.  Pt experienced dizziness all day, which started around "12:00 or 1:00" day of vaccination.  At approximately 5:30am 1/20/22 pt was light headed & nauseated.  She got up & walk to kitchen and passed out.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID infection
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness
Clinical narrative: Vaccine given In Left Deltoid.   Patient anxious about getting vaccine. Discussed and gave words of support. Patient wanted vaccine. After vaccine patient felt shakey. Took vital signs BP 162/100 per electronic BP cuff, Temp 97.9 F, P:100 SP02 99%. Patient stated she took medication today but did not eat yet. Given water, gave words of support and performed manual BP 10 min later and BP was 142/82. Patient stated she felt better has history of HTN was going to eat lunch and would call emergency if she starts experiencing Chest pain SOB or any concerns or will call provider if starts to have questions or concerns. Encouraged to follow up with provider. Patient stated she felt better and wanted to Continue to work. Supervisor present and aware of situation .
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: EXPOSURE TO COVID+ ROOMMATE ON 1/21/22.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Malaise, SARS-CoV-2 test positive
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 03/08/2021 and 04/05/2021. They became symptomatic for COVID-19 disease on 08/10/2021 and tested positive for COVID-10 via PCR on 08/16/2021. They were admitted to hospital on 08/27/2021 and were diagnosed with COVID-19 pneumonia. They remained hospitalized until their death on 08/29/2021.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 03/08/2021 and 04/05/2021. They became symptomatic for COVID-19 disease on 08/10/2021 and tested positive for COVID-10 via PCR on 08/16/2021. They were admitted to hospital on 08/27/2021 and were diagnosed with COVID-19 pneumonia. They remained hospitalized until their death on 08/29/2021.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient received a lower than authorized dose of Moderna. They were supposed to receive a full dose of Moderna to complete their primary series but were given a booster dose of Moderna instead. They were informed of the administration error immediately and rescheduled to repeat their dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Began to feel unwell 11/14/2021; Tested Positive for COVID 11/15/2021.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pfizer booster was given early. Last covid-19 dose was on 12/14/21. Booster was given on 01/25/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Lethargy, Muscular weakness
Clinical narrative: Symptoms: Severe Shivering Nausea Vomiting Muscle Weakness Joint aches Muscle Pain Lethargy Severe Headache
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Symptoms: Severe Shivering Nausea Vomiting Muscle Weakness Joint aches Muscle Pain Lethargy Severe Headache
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case after booster delivered in October 2021. Symptoms occurred 1/6/2022, PRC test confirmed positive on 1/8/22. Severe sinus headache and pressure, severe fatigue, low-grade fever and chills (for 3 days), coughing. By 1/10, down to headache and fatigue, some coughing. By 1/21, mostly gone. Sinus headache and fatigue came roaring back on 1/25.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Feeling cold, Headache, Sleep disorder
Clinical narrative: Beginning approximately 10 hours after the vaccination: chills, headache, aches in hips & knees, nausea.  Woke up in the middle of the night because I was so cold even under the covers, and lying on either hip made it ache enough to wake me up.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Inappropriate schedule of product administration, Metabolic function test
Clinical narrative: Patient received his 2nd dose of Pfizer COVID vaccine 09/26/2021. Pfizer COVID Vaccine Booster 0.3mL was administered on 01/25/2022 which is 4 months from date of 2nd primary dose. This is 1 month early than guidelines state.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urea, Full blood count, Inappropriate schedule of product administration
Clinical narrative: Patient received his 2nd dose of Pfizer COVID vaccine 09/26/2021. Pfizer COVID Vaccine Booster 0.3mL was administered on 01/25/2022 which is 4 months from date of 2nd primary dose. This is 1 month early than guidelines state.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Eye pain, Headache, Injection site pain, Magnetic resonance imaging
Clinical narrative: Moderna COVID-19 Vaccine EUA Left arm, extreme injection site pain, pain & stiff left shoulder & neck; pain in upper left of mouth, some pain blinking left eye, intermittent dull/sharp pains left side of head, 11/2-11/6/2021. Intermittent pain & stiffness over next months. Pinky & 4th fingers, left hand tingling + more pain left arm up to left side of head started 12/24/2021 - intermittently is on-going..  some days are awful while other days are better.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Oral pain, Pain in extremity, Paraesthesia, X-ray
Clinical narrative: Moderna COVID-19 Vaccine EUA Left arm, extreme injection site pain, pain & stiff left shoulder & neck; pain in upper left of mouth, some pain blinking left eye, intermittent dull/sharp pains left side of head, 11/2-11/6/2021. Intermittent pain & stiffness over next months. Pinky & 4th fingers, left hand tingling + more pain left arm up to left side of head started 12/24/2021 - intermittently is on-going..  some days are awful while other days are better.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Magnetic resonance imaging, Pain in extremity, Paraesthesia, X-ray
Clinical narrative: Moderna COVID-19 Vaccine EUA Left arm, extreme injection site pain, pain & stiff left shoulder & neck; pain in upper left of mouth, some pain blinking left eye, intermittent dull/sharp pains left side of head, 11/2-11/6/2021. Intermittent pain & stiffness over next months. Pinky & 4th fingers, left hand tingling + more pain left arm up to left side of head started 12/24/2021 - intermittently is on-going..  some days are awful while other days are better.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after 30 days in refrigerator. Was given after being in fridge for 34 days.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after 30 days in the fridge. Given on day 34 of being in the fridge
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest discomfort, Fatigue, Pain
Clinical narrative: She had upper chest discomfort. She stated she had tense pressure in her chest just lingering there. Her heart felt fluttery which went away.  Body aches and became tired. The body aches did subside.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alcohol abuse, Fatigue, Hypokalaemia, Intentional overdose, White blood cell count increased
Clinical narrative: In September,  severe increased fatigue,  heart rate ranging from 50-145 for 2 weeks. Hospitalization occurred due to intended overdose attempt and excessive alcohol consumption.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, Headache, Pain
Clinical narrative: Headache short breath dizzy body aches
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Headache short breath dizzy body aches
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Cardio-respiratory arrest, Death
Clinical narrative: admitted to the hospital with AHRF, bilateral pneumonia, acute renal failure; tested positive for COVID, FLU A, and strep; suffered cardiopulmonary arrest and died in the hospital 3 days after admission
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Influenza A virus test positive, Pneumonia, SARS-CoV-2 test positive, Streptococcal infection
Clinical narrative: admitted to the hospital with AHRF, bilateral pneumonia, acute renal failure; tested positive for COVID, FLU A, and strep; suffered cardiopulmonary arrest and died in the hospital 3 days after admission
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test positive
Clinical narrative: admitted to the hospital with AHRF, bilateral pneumonia, acute renal failure; tested positive for COVID, FLU A, and strep; suffered cardiopulmonary arrest and died in the hospital 3 days after admission
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Asthenia, Bacterial test positive, Blood alkaline phosphatase normal
Clinical narrative: 77 yo female with multiple medical issues significant for Addison's disease, h/o CVA with mild right side weakness, markedly decrease her executive functions, vascular dementia (at baseline, she is alert and oriented, ambulates with assistance from other person, cannot safely uses a cane or walker) who presented with weakness and confusion.  Patient is living at home with her husband and son.  She is fully vaccinated for COVID with 3 doses of Pfizer.  Her son developed flu like symptoms around Christmas time.  Husband noted patient was having dry cough on Monday.  On Tuesday, patient was extremely weak; husband could not get her up.  He gave patient extra dose of Hydrocortisone then brought her to our ER however it was extremely busy.  Patient was confused, kept taking off her mask and it was cold.  He decided to bring her home.  After getting home, patient slept for 13 hours straight.  This morning, her son took her temp and noted it was 103 therefore they call EMS and brought patient back to the hospital.  EMS noted patient was hypoxic 88%; placed on oxygen.  Husband did not noted any diarrhea, nausea/vomiting.  No sob.  Patient did not complaints of chest pain.  She has urinary incontinent.     Patient was alert and oriented x 1 when I saw her.  Patient was able to follow directions.  She felt fine, denied of having chest pain, sob.  abd pain, nausea/vomiting.  No dysuria.    In ER, tmax 102.5, 99% on 4L NC.  sbp 104-160, HR 64-83.  cxr without infiltrate.  Labs without leucocytosis.  Urine analysis with + Nitrate, 4+ bacteria, 5 wbc.  COVID swab is positive.  She was given hydrocortisone 100 mg IV.  1.75L NS and Cipro."   Work up was consistent with sepsis due to COVID infection and possible UTI.     Sepsis:  Secondary to COVID infection and possible UTI.  She was noted to be hypoxic by EMS to 88%, patient was initially placed on 3L oxygen but then down to room air.     Covid symptom onset on 12/28. COVID positive on 12/29. Last fever on 12/29. - Was on supplemental oxygen via NC initially but has been on room air since 12/30.  - 5 day steroid course completed. - 5 day Remdesivir course completed as well. - No respiratory symptoms and not hypoxic. - continue isolation for 10 days total, through 1/7/22.   - Completed 5 day course of Cipro for UTI.  Urine Cx grew E Coli susceptible to cipro.     Weakness and confusion:  Are likely from acute infection in the setting of dementia.  Confusion is stable but she is still weak.  Working with PT who still recommends SNF. Addison disease:  On Hydrocortisone 20 mg qam/10 mg qm, florinef 0.1 mg.  Will hold Hydrocortisone while on Decadron 6.   Dementia:  Patient is continues to be calm and appropriate.  However delirium risk continues to be high.  D/wed husband who understands.  Unfortunately with active covid infection, family cannot visit.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood magnesium normal
Clinical narrative: 77 yo female with multiple medical issues significant for Addison's disease, h/o CVA with mild right side weakness, markedly decrease her executive functions, vascular dementia (at baseline, she is alert and oriented, ambulates with assistance from other person, cannot safely uses a cane or walker) who presented with weakness and confusion.  Patient is living at home with her husband and son.  She is fully vaccinated for COVID with 3 doses of Pfizer.  Her son developed flu like symptoms around Christmas time.  Husband noted patient was having dry cough on Monday.  On Tuesday, patient was extremely weak; husband could not get her up.  He gave patient extra dose of Hydrocortisone then brought her to our ER however it was extremely busy.  Patient was confused, kept taking off her mask and it was cold.  He decided to bring her home.  After getting home, patient slept for 13 hours straight.  This morning, her son took her temp and noted it was 103 therefore they call EMS and brought patient back to the hospital.  EMS noted patient was hypoxic 88%; placed on oxygen.  Husband did not noted any diarrhea, nausea/vomiting.  No sob.  Patient did not complaints of chest pain.  She has urinary incontinent.     Patient was alert and oriented x 1 when I saw her.  Patient was able to follow directions.  She felt fine, denied of having chest pain, sob.  abd pain, nausea/vomiting.  No dysuria.    In ER, tmax 102.5, 99% on 4L NC.  sbp 104-160, HR 64-83.  cxr without infiltrate.  Labs without leucocytosis.  Urine analysis with + Nitrate, 4+ bacteria, 5 wbc.  COVID swab is positive.  She was given hydrocortisone 100 mg IV.  1.75L NS and Cipro."   Work up was consistent with sepsis due to COVID infection and possible UTI.     Sepsis:  Secondary to COVID infection and possible UTI.  She was noted to be hypoxic by EMS to 88%, patient was initially placed on 3L oxygen but then down to room air.     Covid symptom onset on 12/28. COVID positive on 12/29. Last fever on 12/29. - Was on supplemental oxygen via NC initially but has been on room air since 12/30.  - 5 day steroid course completed. - 5 day Remdesivir course completed as well. - No respiratory symptoms and not hypoxic. - continue isolation for 10 days total, through 1/7/22.   - Completed 5 day course of Cipro for UTI.  Urine Cx grew E Coli susceptible to cipro.     Weakness and confusion:  Are likely from acute infection in the setting of dementia.  Confusion is stable but she is still weak.  Working with PT who still recommends SNF. Addison disease:  On Hydrocortisone 20 mg qam/10 mg qm, florinef 0.1 mg.  Will hold Hydrocortisone while on Decadron 6.   Dementia:  Patient is continues to be calm and appropriate.  However delirium risk continues to be high.  D/wed husband who understands.  Unfortunately with active covid infection, family cannot visit.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood phosphorus normal, Blood potassium decreased, Blood sodium normal, Blood urea normal, COVID-19
Clinical narrative: 77 yo female with multiple medical issues significant for Addison's disease, h/o CVA with mild right side weakness, markedly decrease her executive functions, vascular dementia (at baseline, she is alert and oriented, ambulates with assistance from other person, cannot safely uses a cane or walker) who presented with weakness and confusion.  Patient is living at home with her husband and son.  She is fully vaccinated for COVID with 3 doses of Pfizer.  Her son developed flu like symptoms around Christmas time.  Husband noted patient was having dry cough on Monday.  On Tuesday, patient was extremely weak; husband could not get her up.  He gave patient extra dose of Hydrocortisone then brought her to our ER however it was extremely busy.  Patient was confused, kept taking off her mask and it was cold.  He decided to bring her home.  After getting home, patient slept for 13 hours straight.  This morning, her son took her temp and noted it was 103 therefore they call EMS and brought patient back to the hospital.  EMS noted patient was hypoxic 88%; placed on oxygen.  Husband did not noted any diarrhea, nausea/vomiting.  No sob.  Patient did not complaints of chest pain.  She has urinary incontinent.     Patient was alert and oriented x 1 when I saw her.  Patient was able to follow directions.  She felt fine, denied of having chest pain, sob.  abd pain, nausea/vomiting.  No dysuria.    In ER, tmax 102.5, 99% on 4L NC.  sbp 104-160, HR 64-83.  cxr without infiltrate.  Labs without leucocytosis.  Urine analysis with + Nitrate, 4+ bacteria, 5 wbc.  COVID swab is positive.  She was given hydrocortisone 100 mg IV.  1.75L NS and Cipro."   Work up was consistent with sepsis due to COVID infection and possible UTI.     Sepsis:  Secondary to COVID infection and possible UTI.  She was noted to be hypoxic by EMS to 88%, patient was initially placed on 3L oxygen but then down to room air.     Covid symptom onset on 12/28. COVID positive on 12/29. Last fever on 12/29. - Was on supplemental oxygen via NC initially but has been on room air since 12/30.  - 5 day steroid course completed. - 5 day Remdesivir course completed as well. - No respiratory symptoms and not hypoxic. - continue isolation for 10 days total, through 1/7/22.   - Completed 5 day course of Cipro for UTI.  Urine Cx grew E Coli susceptible to cipro.     Weakness and confusion:  Are likely from acute infection in the setting of dementia.  Confusion is stable but she is still weak.  Working with PT who still recommends SNF. Addison disease:  On Hydrocortisone 20 mg qam/10 mg qm, florinef 0.1 mg.  Will hold Hydrocortisone while on Decadron 6.   Dementia:  Patient is continues to be calm and appropriate.  However delirium risk continues to be high.  D/wed husband who understands.  Unfortunately with active covid infection, family cannot visit.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray normal, Confusional state, Cough, Culture urine positive
Clinical narrative: 77 yo female with multiple medical issues significant for Addison's disease, h/o CVA with mild right side weakness, markedly decrease her executive functions, vascular dementia (at baseline, she is alert and oriented, ambulates with assistance from other person, cannot safely uses a cane or walker) who presented with weakness and confusion.  Patient is living at home with her husband and son.  She is fully vaccinated for COVID with 3 doses of Pfizer.  Her son developed flu like symptoms around Christmas time.  Husband noted patient was having dry cough on Monday.  On Tuesday, patient was extremely weak; husband could not get her up.  He gave patient extra dose of Hydrocortisone then brought her to our ER however it was extremely busy.  Patient was confused, kept taking off her mask and it was cold.  He decided to bring her home.  After getting home, patient slept for 13 hours straight.  This morning, her son took her temp and noted it was 103 therefore they call EMS and brought patient back to the hospital.  EMS noted patient was hypoxic 88%; placed on oxygen.  Husband did not noted any diarrhea, nausea/vomiting.  No sob.  Patient did not complaints of chest pain.  She has urinary incontinent.     Patient was alert and oriented x 1 when I saw her.  Patient was able to follow directions.  She felt fine, denied of having chest pain, sob.  abd pain, nausea/vomiting.  No dysuria.    In ER, tmax 102.5, 99% on 4L NC.  sbp 104-160, HR 64-83.  cxr without infiltrate.  Labs without leucocytosis.  Urine analysis with + Nitrate, 4+ bacteria, 5 wbc.  COVID swab is positive.  She was given hydrocortisone 100 mg IV.  1.75L NS and Cipro."   Work up was consistent with sepsis due to COVID infection and possible UTI.     Sepsis:  Secondary to COVID infection and possible UTI.  She was noted to be hypoxic by EMS to 88%, patient was initially placed on 3L oxygen but then down to room air.     Covid symptom onset on 12/28. COVID positive on 12/29. Last fever on 12/29. - Was on supplemental oxygen via NC initially but has been on room air since 12/30.  - 5 day steroid course completed. - 5 day Remdesivir course completed as well. - No respiratory symptoms and not hypoxic. - continue isolation for 10 days total, through 1/7/22.   - Completed 5 day course of Cipro for UTI.  Urine Cx grew E Coli susceptible to cipro.     Weakness and confusion:  Are likely from acute infection in the setting of dementia.  Confusion is stable but she is still weak.  Working with PT who still recommends SNF. Addison disease:  On Hydrocortisone 20 mg qam/10 mg qm, florinef 0.1 mg.  Will hold Hydrocortisone while on Decadron 6.   Dementia:  Patient is continues to be calm and appropriate.  However delirium risk continues to be high.  D/wed husband who understands.  Unfortunately with active covid infection, family cannot visit.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Delirium, Dementia, Eosinophil percentage, Escherichia test positive, Full blood count
Clinical narrative: 77 yo female with multiple medical issues significant for Addison's disease, h/o CVA with mild right side weakness, markedly decrease her executive functions, vascular dementia (at baseline, she is alert and oriented, ambulates with assistance from other person, cannot safely uses a cane or walker) who presented with weakness and confusion.  Patient is living at home with her husband and son.  She is fully vaccinated for COVID with 3 doses of Pfizer.  Her son developed flu like symptoms around Christmas time.  Husband noted patient was having dry cough on Monday.  On Tuesday, patient was extremely weak; husband could not get her up.  He gave patient extra dose of Hydrocortisone then brought her to our ER however it was extremely busy.  Patient was confused, kept taking off her mask and it was cold.  He decided to bring her home.  After getting home, patient slept for 13 hours straight.  This morning, her son took her temp and noted it was 103 therefore they call EMS and brought patient back to the hospital.  EMS noted patient was hypoxic 88%; placed on oxygen.  Husband did not noted any diarrhea, nausea/vomiting.  No sob.  Patient did not complaints of chest pain.  She has urinary incontinent.     Patient was alert and oriented x 1 when I saw her.  Patient was able to follow directions.  She felt fine, denied of having chest pain, sob.  abd pain, nausea/vomiting.  No dysuria.    In ER, tmax 102.5, 99% on 4L NC.  sbp 104-160, HR 64-83.  cxr without infiltrate.  Labs without leucocytosis.  Urine analysis with + Nitrate, 4+ bacteria, 5 wbc.  COVID swab is positive.  She was given hydrocortisone 100 mg IV.  1.75L NS and Cipro."   Work up was consistent with sepsis due to COVID infection and possible UTI.     Sepsis:  Secondary to COVID infection and possible UTI.  She was noted to be hypoxic by EMS to 88%, patient was initially placed on 3L oxygen but then down to room air.     Covid symptom onset on 12/28. COVID positive on 12/29. Last fever on 12/29. - Was on supplemental oxygen via NC initially but has been on room air since 12/30.  - 5 day steroid course completed. - 5 day Remdesivir course completed as well. - No respiratory symptoms and not hypoxic. - continue isolation for 10 days total, through 1/7/22.   - Completed 5 day course of Cipro for UTI.  Urine Cx grew E Coli susceptible to cipro.     Weakness and confusion:  Are likely from acute infection in the setting of dementia.  Confusion is stable but she is still weak.  Working with PT who still recommends SNF. Addison disease:  On Hydrocortisone 20 mg qam/10 mg qm, florinef 0.1 mg.  Will hold Hydrocortisone while on Decadron 6.   Dementia:  Patient is continues to be calm and appropriate.  However delirium risk continues to be high.  D/wed husband who understands.  Unfortunately with active covid infection, family cannot visit.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hypersomnia, Hypoxia, Infection
Clinical narrative: 77 yo female with multiple medical issues significant for Addison's disease, h/o CVA with mild right side weakness, markedly decrease her executive functions, vascular dementia (at baseline, she is alert and oriented, ambulates with assistance from other person, cannot safely uses a cane or walker) who presented with weakness and confusion.  Patient is living at home with her husband and son.  She is fully vaccinated for COVID with 3 doses of Pfizer.  Her son developed flu like symptoms around Christmas time.  Husband noted patient was having dry cough on Monday.  On Tuesday, patient was extremely weak; husband could not get her up.  He gave patient extra dose of Hydrocortisone then brought her to our ER however it was extremely busy.  Patient was confused, kept taking off her mask and it was cold.  He decided to bring her home.  After getting home, patient slept for 13 hours straight.  This morning, her son took her temp and noted it was 103 therefore they call EMS and brought patient back to the hospital.  EMS noted patient was hypoxic 88%; placed on oxygen.  Husband did not noted any diarrhea, nausea/vomiting.  No sob.  Patient did not complaints of chest pain.  She has urinary incontinent.     Patient was alert and oriented x 1 when I saw her.  Patient was able to follow directions.  She felt fine, denied of having chest pain, sob.  abd pain, nausea/vomiting.  No dysuria.    In ER, tmax 102.5, 99% on 4L NC.  sbp 104-160, HR 64-83.  cxr without infiltrate.  Labs without leucocytosis.  Urine analysis with + Nitrate, 4+ bacteria, 5 wbc.  COVID swab is positive.  She was given hydrocortisone 100 mg IV.  1.75L NS and Cipro."   Work up was consistent with sepsis due to COVID infection and possible UTI.     Sepsis:  Secondary to COVID infection and possible UTI.  She was noted to be hypoxic by EMS to 88%, patient was initially placed on 3L oxygen but then down to room air.     Covid symptom onset on 12/28. COVID positive on 12/29. Last fever on 12/29. - Was on supplemental oxygen via NC initially but has been on room air since 12/30.  - 5 day steroid course completed. - 5 day Remdesivir course completed as well. - No respiratory symptoms and not hypoxic. - continue isolation for 10 days total, through 1/7/22.   - Completed 5 day course of Cipro for UTI.  Urine Cx grew E Coli susceptible to cipro.     Weakness and confusion:  Are likely from acute infection in the setting of dementia.  Confusion is stable but she is still weak.  Working with PT who still recommends SNF. Addison disease:  On Hydrocortisone 20 mg qam/10 mg qm, florinef 0.1 mg.  Will hold Hydrocortisone while on Decadron 6.   Dementia:  Patient is continues to be calm and appropriate.  However delirium risk continues to be high.  D/wed husband who understands.  Unfortunately with active covid infection, family cannot visit.