chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypersomnia, Pulmonary function test
Clinical narrative: Extreme fatigue  starting around 10pm 4/5/2021 that has not resolved; shortness of breath with mild exertion starting 4/6/2021 that has not resolved.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity
Clinical narrative: Left arm was sore until around 6:30pm when soreness changed to pain with any attempt to raise arm. Pain has not subsided and I had a headache upon awaking this morning.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Vital signs measurement
Clinical narrative: mild swollen tongue, patient was monitored for 30 mins. vital signs WNL. Issue resolved prior to DC
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Pain of skin, Rash, Rash pruritic, Sexually transmitted disease test
Clinical narrative: Two days after I received my second shot, I noticed a rash on my stomach and chest. Slowly over the next week it spread all over my body. It itched a little but nothing too severe. After two weeks, the itching was worse and the rash spread inside my ears so I began to take a prescription. It's been three weeks since the rash first appeared and it hasn't gone away yet but it does appear to be healing. My skin now feels sore, similar to a sunburn. It doesn't itch anymore, but it can be painful. My skin seems to be drying up and getting flakey, which hopefully is a sign that it's healing.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: Two days after I received my second shot, I noticed a rash on my stomach and chest. Slowly over the next week it spread all over my body. It itched a little but nothing too severe. After two weeks, the itching was worse and the rash spread inside my ears so I began to take a prescription. It's been three weeks since the rash first appeared and it hasn't gone away yet but it does appear to be healing. My skin now feels sore, similar to a sunburn. It doesn't itch anymore, but it can be painful. My skin seems to be drying up and getting flakey, which hopefully is a sign that it's healing.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine normal, Blood urine present, Glomerular filtration rate, Hot flush, Hyperhidrosis
Clinical narrative: I was taking medication for hypertension. While it has been slowly getting better over the last year, it was still high enough to take meds, generally around 160/100 without. After the first vaccine it went very low, like 90's/50's, very rare for me. After second dose it went up and I took a pill that next day as it was 178/105. That night it went VERY low, and that is the last medication for hypertension I have taken. My BP has remained low, and most all nights it gets to the 90's/50's. PCP, Nephrologist, and myself are monitoring.   I also have had issues over last two weeks such as hot flashes/sweats (thought it was due to low BP), and started having blood in my urine last week, with some feeling like it was my period. I haven't had a period since my transplant 22 years ago, so this is odd and I have a dr appoint scheduled for next week to look into it.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotension
Clinical narrative: I was taking medication for hypertension. While it has been slowly getting better over the last year, it was still high enough to take meds, generally around 160/100 without. After the first vaccine it went very low, like 90's/50's, very rare for me. After second dose it went up and I took a pill that next day as it was 178/105. That night it went VERY low, and that is the last medication for hypertension I have taken. My BP has remained low, and most all nights it gets to the 90's/50's. PCP, Nephrologist, and myself are monitoring.   I also have had issues over last two weeks such as hot flashes/sweats (thought it was due to low BP), and started having blood in my urine last week, with some feeling like it was my period. I haven't had a period since my transplant 22 years ago, so this is odd and I have a dr appoint scheduled for next week to look into it.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram ambulatory abnormal, Electrocardiogram normal, Postural orthostatic tachycardia syndrome
Clinical narrative: Developed postural osteostatic tachycardia within a couple days. Still experiencing.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Pyrexia, Rash
Clinical narrative: 40 - 60  minutes I had light-headedness and then several hours later, around 3:30 pm, I started to develop a mild fever - 99.2.  I took a Tylenol to help fever go down. When I woke up the next morning, I felt fine.  I developed a rash about two weeks ago  - April 30th, and that stayed for a good week. The rash was on my pelvic area - worse on my right side than on my left. Two days later it was where I bend my arms on the inside of my elbow. That went away quickly and the other rash on my pelvic area is almost gone. I did have a phone visit with doctor on the 6th - and they prescribed hydrocortisone cream. That helped with the symptoms. Pregnancy history: 1st pregnancy. Due date: 11/19/2021
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Two days after my second Moderna covid shot, my left arm became swollen and red. It does NOT itch, but is painful. The rash is in the area between my shoulder and my elbow. As of this writing, I still have about half of the rash left.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Malaise, Pain, Pyrexia
Clinical narrative: General malaise, alternating chills and fever, body aches and pain that lasted for just over a day. After the start of symptoms late morning, I rested and slept until the following day. I was able to work as normal the next day, but didn't feel close to 100% normal until later that evening.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Computerised tomogram, Facial paralysis, Magnetic resonance imaging, Muscle spasms
Clinical narrative: April 25 I started with a drooped face on the right side, eyes, nose, and lips affected  - Diagnosed with Bells Palsy after stroke was ruled out. Treated with Prednisone and Valacyclovir 1GM. Symptoms improved very little after 12 days, Movement in face is slowly returning, but mot 100%. Taping eye closed to sleep.  Finished above medicines May 5. Then May 7 started with spasms/numbness in my lower back. Did nothing to cause this, had been taking it easy since Bells Palsy diagnosis.   Spasms, quivers in back with some numbness.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin discolouration, Tenderness, Urticaria
Clinical narrative: Large purple, red  3 x 5'' diameter. Itchy welt that is sore to touch.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Breast pain, Oedema peripheral
Clinical narrative: swelling in the underarms, pain in breasts, masses found in breasts, peaked in march
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: 1 dose cause some hand pain and body pain During 2 dose slight fever on the day of vaccination taken , headache and severe body pain
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Exposure to COVID-19 virus Office Visit 3/18/2021 - 72 y.o. Female; born Jun. 26, 1948June 26, 1948Encounter Summary, generated on May 13, 2021May 13, 2021  Reason for Referral  Diagnostic Imaging (Routine) Diagnostic Imaging (Routine) Status Reason Specialty Diagnoses / Procedures Referred By Contact Referred To Contact Closed   Radiology Diagnoses   COVID-19 virus infection   Cough     Procedures   Chest PA and Lat today    Electronically signed byMD at    Reason for Visit  Reason Comments Cough Cough and fever, positive for Covid 3-8-21
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blindness transient, Electrocardiogram, Ophthalmological examination normal, Visual impairment
Clinical narrative: Temporary partial blindness in the left eye. Event lasted 1 minute. One quarter of the top portion of sight in my left eye was blocked by what appeared to be a dark curtain, this went away after 1 minute. Had an exam by eye doctor the same day , no eye problems were found.  Had an exam by cardiologist the following day. He prescribed a imaging order for a head scan and prescribed Clopidogrel 75 mg  and to monitor a fib for 30n days with Apple Watch.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: patient complained of nausea and dizziness after injection. states that she fell and hit head earlier. encouraged her to go to ed. refused medical assistance. observed for additional 45 minutes. patient wanted to leave.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: patient developed lumpy rash on both arms neck and side. Dr prescribed hydroxyzine hcl and triaminolone cream . patient reports the medication helped itching but rash increased with lumps the diameter of golf balls
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Feeling hot, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient began sweating profusely approximately 10 minutes after his vaccine.  He went to his parent's car and asked his father to turn on the air conditioning as he was hot.  he then passed out in the back seat of the car.  His mother came inside and asked for assistance.  I grabbed an epi-pen and ran outside to the car.  Patient was breathing and had a pulse rate of 64.  He aroused shortly after I began asking him if he could hear me and asked if he could tell me his name.  He was pale (notably his lips were quite pale) and confused.  He could not say his name but could nod appropriately to questions when asked.  We immediately called EMS for assistance.  They arrived within 4-5 minutes and transported the patient to hospital.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Speech disorder
Clinical narrative: Patient began sweating profusely approximately 10 minutes after his vaccine.  He went to his parent's car and asked his father to turn on the air conditioning as he was hot.  he then passed out in the back seat of the car.  His mother came inside and asked for assistance.  I grabbed an epi-pen and ran outside to the car.  Patient was breathing and had a pulse rate of 64.  He aroused shortly after I began asking him if he could hear me and asked if he could tell me his name.  He was pale (notably his lips were quite pale) and confused.  He could not say his name but could nod appropriately to questions when asked.  We immediately called EMS for assistance.  They arrived within 4-5 minutes and transported the patient to hospital.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry skin, Skin warm
Clinical narrative: Lightheaded  Vital Signs: BP 141/91 HR 82 Resp 10-20 O2Sat 97%  Skin Signs: Warm and dry  Circulation: Cap refill <2sec  Respiratory: Breath sound clear bilaterally  Initial Treatment: Lay down on cot  Follow up Treatment:  Did sitting and standing BPs. Patient stable. Sent to waiting area for another 10 min. Then D/C  Disposition: Friend in car to drive home
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Face injury, Loss of consciousness, Pain in extremity, Syncope
Clinical narrative: Walked out to get the mail 5 hours after receiving the vaccine.  Feeling fine, just some soreness in the arm.  Had collected the mail in my hand and the next thing I knew I was on the pavement in the street.  My face took the brunt of the fall after fainting/blacking out.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: No adverse events listed - patient was exposed and tested positive to COVID  04/05/21 1439  COVID-19 (SARS CoV-2,RNA Molecular Amplification)  Collected: 04/05/21 0845 | Final result | Specimen: Swab from Nares   COVID-19 SARS-CoV-2 Overall Result DetectedCritical
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: During response testing for an outbreak in a homeless shelter, patient tested positive for COVID-19. She had no symptoms.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Product preparation issue
Clinical narrative: When mixing the next vial of Pfizer covid vaccine I mistakenly grabbed the old vial that had already been reconstituted and which 6 doses had already been withdrawn. I added the 1.8ml of sodium chloride and proceeded to draw up the dose for the patient. After it was administered I saw the new bottle on the counter and realized the error. I properly mixed the new vial and the patient was given another injection from the correctly mixed vial. I followed up with the patient 5/13/21. She experienced a headache and some nausea on the day she was given the vaccine but has fully recovered.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Immediately after injection clioent felt dizzy and left arm went numb. She does suffer from anxiety and Wellbutrin was due at 3pm. BP 118/78 hr 102, pulse ox 98%. Observed for 30 minutes, numbness had subsided and dizziness
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness
Clinical narrative: dizziness, bradycardia HR50 patient was monitored for 30 min v/s 126/49 HR was 58 SPO 100% patient was DC after issue resolved
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Erythema, Injection site pain, Injection site swelling
Clinical narrative: With the first dose, I had Pain at injection site, swelling, redness, fatigue..overall not good feeling.  With second dose, I had pain and swelling at injection site, fever about 6 hours post injection, along with chills and Nausea, diarrhea, along with severe skin rash 4 days post injection.  The skin rash started on both forearms and then went to middle chest area and up left side of my neck, severe itching, red, raised skin, hot too touch.  The forearm rash went away on its own and then week later the chest rash was very significant.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pruritus, Pyrexia, Rash, Skin swelling
Clinical narrative: With the first dose, I had Pain at injection site, swelling, redness, fatigue..overall not good feeling.  With second dose, I had pain and swelling at injection site, fever about 6 hours post injection, along with chills and Nausea, diarrhea, along with severe skin rash 4 days post injection.  The skin rash started on both forearms and then went to middle chest area and up left side of my neck, severe itching, red, raised skin, hot too touch.  The forearm rash went away on its own and then week later the chest rash was very significant.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin warm
Clinical narrative: With the first dose, I had Pain at injection site, swelling, redness, fatigue..overall not good feeling.  With second dose, I had pain and swelling at injection site, fever about 6 hours post injection, along with chills and Nausea, diarrhea, along with severe skin rash 4 days post injection.  The skin rash started on both forearms and then went to middle chest area and up left side of my neck, severe itching, red, raised skin, hot too touch.  The forearm rash went away on its own and then week later the chest rash was very significant.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Gait inability
Clinical narrative: On the morning of 04/23/21, patient went to get out of bed and could not walk. Stated equilibrium was off and had to walk with assistance of a cane.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Blood immunoglobulin A, Blood test, Gait disturbance
Clinical narrative: On the morning of 04/23/21, patient went to get out of bed and could not walk. Stated equilibrium was off and had to walk with assistance of a cane.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Injection site pain, Injection site paraesthesia, Injection site rash, Myalgia
Clinical narrative: 5/8/21: Tingly, burning sensation around injection site and upper shoulder area. No visual symptoms 5/9/21: Progressive tingling sensation. No visual Symptoms 5/10/21: Rash breakout on left shoulder above injection site  From 5/10, until 5/12: rash spreading with slight increase in pain/tingling sensation.  5/13/21: Pain significantly worse. Deep muscular pain, not itchy pain. Visit Dermatologist and received Shingles diagnosis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Echocardiogram, Magnetic resonance imaging abnormal
Clinical narrative: I had a stroke on April 21 followed by a second on April 26.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site nodule, Mobility decreased, Pain in extremity, Respiratory tract congestion
Clinical narrative: PATIENT CALLED REPORTING INJECTION SITE REACTION TO FIRST MODERNA COVID VACCINE GIVEN ON 033121.  SHE REPORTS DEVELOPING BRUISES ALL AROUND HER ARM THE EVENING AFTER VACCINATION.  SHE THEN NOTICED A KNOT/"BUBBLE" UNDER HER SKIN THAT WAS INITIALLY PEACH SIZED, BUT NOW IS PLUM SIZED.  SHE STATES THE BRUISING HAS DIMINISHED BUT SHE STILL HAS BRUISING.  AFTER VACCINATION, SHE COULD BARELY RAISE HER ARM AND STATES HER ARM IS STILL SORE.  SHE ALSO REPORTS DEVELOPING WHEEZING AND CONGESTION THE EVENING OF VACCINATION.  STATES SHE COULDN'T TELL IF IT WAS JUST HER ASTHMA OR FROM THE VACCINE.  STATES THE WHEEZING AND CONGESTION HAS STAYED CONSISTENT SINCE IT BEGAN 3 WEEKS AGO.  SHE IS CONCERNED ABOUT TAKING HER SECOND DOSE ON 042821@1140 BECAUSE OF THESE ISSUES. ADVISED PATIENT I THOUGHT IT WOULD BE BEST FOR HER TO BE EVALUATED BY A PROVIDER PRIOR TO RECEIVING HER SECOND DOSE.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: PATIENT CALLED REPORTING INJECTION SITE REACTION TO FIRST MODERNA COVID VACCINE GIVEN ON 033121.  SHE REPORTS DEVELOPING BRUISES ALL AROUND HER ARM THE EVENING AFTER VACCINATION.  SHE THEN NOTICED A KNOT/"BUBBLE" UNDER HER SKIN THAT WAS INITIALLY PEACH SIZED, BUT NOW IS PLUM SIZED.  SHE STATES THE BRUISING HAS DIMINISHED BUT SHE STILL HAS BRUISING.  AFTER VACCINATION, SHE COULD BARELY RAISE HER ARM AND STATES HER ARM IS STILL SORE.  SHE ALSO REPORTS DEVELOPING WHEEZING AND CONGESTION THE EVENING OF VACCINATION.  STATES SHE COULDN'T TELL IF IT WAS JUST HER ASTHMA OR FROM THE VACCINE.  STATES THE WHEEZING AND CONGESTION HAS STAYED CONSISTENT SINCE IT BEGAN 3 WEEKS AGO.  SHE IS CONCERNED ABOUT TAKING HER SECOND DOSE ON 042821@1140 BECAUSE OF THESE ISSUES. ADVISED PATIENT I THOUGHT IT WOULD BE BEST FOR HER TO BE EVALUATED BY A PROVIDER PRIOR TO RECEIVING HER SECOND DOSE.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Headache
Clinical narrative: 3 days after receiving vaccine dose, patient experienced an asthma attack.  Patient self-administered rescue inhaler and EMS was called.   Patient has had persistent headaches ever since, taking acetaminophen daily to treat.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fear of injection
Clinical narrative: HX OF DIZZY, TEMPT LOST HEAIRNG L EAR, SWEATING AND HYPOTENSION WITH FIRST DOSE.  C/O DIZZINESS, BP 132/88, HR 87, FEAR OF NEEDLE AND INJECTIONS. PROVIDED JUICE, SX RESOLVED, NO TRANSPORT.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Angiogram pulmonary abnormal, Atelectasis, Blood culture, Bordetella test negative
Clinical narrative: ED to Hosp-Admission Discharged  2/23/2021 - 2/25/2021 (2 days) Treatment team Costochondritis Principal problem Discharge Summary (Physician Assistant) ? ? Internal Medicine Cosigned by: MD at 2/27/2021  4:06 PM           Discharge Summary   Hospitalist Medicine        Admission Date: 2/23/2021 Length of Stay: 0 Days Discharge Date: 2/25/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Costochondritis Yes       COVID-19 Yes         Problem List          Resolved POA            Resolved Problems   Atypical chest pain 2/25/2021 Yes   SIRS (systemic inflammatory response syndrome) (CMS/HCC) 2/25/2021 Yes   Hyponatremia 2/25/2021 Yes   Dehydration 2/25/2021 Yes       Home Or Self Care   CODE STATUS: Full Code     Active Issues Requiring Follow-up           Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture x 2 SETS Preliminary result   Blood culture x 2 SETS Preliminary result         Hospital Course         Hospital Course:   Please refer to the admitting providers H&P for full history. Patient is a 51-year-old male with a PMHx significant for hemochromatosis, sarcoidosis and morbid obesity who initially presented to the ED for evaluation of chest pain, cough and shortness of breath.   On presentation, vitals were mostly unremarkable other than some mild tachycardia and tachypnea.  Patient was able to maintain adequate oxygenation on room air but was placed on supplemental oxygen for comfort.  Blood work was mostly unremarkable.  ABG was not particularly concerning.  Troponin was negative x3.  Patient underwent chest CTA which showed basilar atelectasis bilaterally and scattered groundglass opacities and scattered borderline size hilar and mediastinal lymph nodes consistent with patient's known sarcoidosis.   Patient was treated with supportive care and monitored overnight.  He was able to maintain sufficient oxygen levels.  On the time my evaluation, patient continues to complain of bilateral rib pain worse with deep breaths consistent with costochondritis.  I discussed with the patient that he will need to continue to take NSAIDs on a scheduled basis to help with his discomfort.  Additionally I offered to prescribe cough medicine. I discussed possibly discharging the patient on steroids however he states that he makes a point to avoid taking steroids due to his history of hemochromatosis.  At this point, patient no longer requires care in the hospital and can be discharged home.  Patient is agreeable with the plan and all questions have been answered appropriately.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Chlamydia test, Condition aggravated, Costochondritis
Clinical narrative: ED to Hosp-Admission Discharged  2/23/2021 - 2/25/2021 (2 days) Treatment team Costochondritis Principal problem Discharge Summary (Physician Assistant) ? ? Internal Medicine Cosigned by: MD at 2/27/2021  4:06 PM           Discharge Summary   Hospitalist Medicine        Admission Date: 2/23/2021 Length of Stay: 0 Days Discharge Date: 2/25/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Costochondritis Yes       COVID-19 Yes         Problem List          Resolved POA            Resolved Problems   Atypical chest pain 2/25/2021 Yes   SIRS (systemic inflammatory response syndrome) (CMS/HCC) 2/25/2021 Yes   Hyponatremia 2/25/2021 Yes   Dehydration 2/25/2021 Yes       Home Or Self Care   CODE STATUS: Full Code     Active Issues Requiring Follow-up           Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture x 2 SETS Preliminary result   Blood culture x 2 SETS Preliminary result         Hospital Course         Hospital Course:   Please refer to the admitting providers H&P for full history. Patient is a 51-year-old male with a PMHx significant for hemochromatosis, sarcoidosis and morbid obesity who initially presented to the ED for evaluation of chest pain, cough and shortness of breath.   On presentation, vitals were mostly unremarkable other than some mild tachycardia and tachypnea.  Patient was able to maintain adequate oxygenation on room air but was placed on supplemental oxygen for comfort.  Blood work was mostly unremarkable.  ABG was not particularly concerning.  Troponin was negative x3.  Patient underwent chest CTA which showed basilar atelectasis bilaterally and scattered groundglass opacities and scattered borderline size hilar and mediastinal lymph nodes consistent with patient's known sarcoidosis.   Patient was treated with supportive care and monitored overnight.  He was able to maintain sufficient oxygen levels.  On the time my evaluation, patient continues to complain of bilateral rib pain worse with deep breaths consistent with costochondritis.  I discussed with the patient that he will need to continue to take NSAIDs on a scheduled basis to help with his discomfort.  Additionally I offered to prescribe cough medicine. I discussed possibly discharging the patient on steroids however he states that he makes a point to avoid taking steroids due to his history of hemochromatosis.  At this point, patient no longer requires care in the hospital and can be discharged home.  Patient is agreeable with the plan and all questions have been answered appropriately.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dehydration, Discomfort, Dyspnoea, Enterovirus test negative
Clinical narrative: ED to Hosp-Admission Discharged  2/23/2021 - 2/25/2021 (2 days) Treatment team Costochondritis Principal problem Discharge Summary (Physician Assistant) ? ? Internal Medicine Cosigned by: MD at 2/27/2021  4:06 PM           Discharge Summary   Hospitalist Medicine        Admission Date: 2/23/2021 Length of Stay: 0 Days Discharge Date: 2/25/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Costochondritis Yes       COVID-19 Yes         Problem List          Resolved POA            Resolved Problems   Atypical chest pain 2/25/2021 Yes   SIRS (systemic inflammatory response syndrome) (CMS/HCC) 2/25/2021 Yes   Hyponatremia 2/25/2021 Yes   Dehydration 2/25/2021 Yes       Home Or Self Care   CODE STATUS: Full Code     Active Issues Requiring Follow-up           Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture x 2 SETS Preliminary result   Blood culture x 2 SETS Preliminary result         Hospital Course         Hospital Course:   Please refer to the admitting providers H&P for full history. Patient is a 51-year-old male with a PMHx significant for hemochromatosis, sarcoidosis and morbid obesity who initially presented to the ED for evaluation of chest pain, cough and shortness of breath.   On presentation, vitals were mostly unremarkable other than some mild tachycardia and tachypnea.  Patient was able to maintain adequate oxygenation on room air but was placed on supplemental oxygen for comfort.  Blood work was mostly unremarkable.  ABG was not particularly concerning.  Troponin was negative x3.  Patient underwent chest CTA which showed basilar atelectasis bilaterally and scattered groundglass opacities and scattered borderline size hilar and mediastinal lymph nodes consistent with patient's known sarcoidosis.   Patient was treated with supportive care and monitored overnight.  He was able to maintain sufficient oxygen levels.  On the time my evaluation, patient continues to complain of bilateral rib pain worse with deep breaths consistent with costochondritis.  I discussed with the patient that he will need to continue to take NSAIDs on a scheduled basis to help with his discomfort.  Additionally I offered to prescribe cough medicine. I discussed possibly discharging the patient on steroids however he states that he makes a point to avoid taking steroids due to his history of hemochromatosis.  At this point, patient no longer requires care in the hospital and can be discharged home.  Patient is agreeable with the plan and all questions have been answered appropriately.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Hyponatraemia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: ED to Hosp-Admission Discharged  2/23/2021 - 2/25/2021 (2 days) Treatment team Costochondritis Principal problem Discharge Summary (Physician Assistant) ? ? Internal Medicine Cosigned by: MD at 2/27/2021  4:06 PM           Discharge Summary   Hospitalist Medicine        Admission Date: 2/23/2021 Length of Stay: 0 Days Discharge Date: 2/25/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Costochondritis Yes       COVID-19 Yes         Problem List          Resolved POA            Resolved Problems   Atypical chest pain 2/25/2021 Yes   SIRS (systemic inflammatory response syndrome) (CMS/HCC) 2/25/2021 Yes   Hyponatremia 2/25/2021 Yes   Dehydration 2/25/2021 Yes       Home Or Self Care   CODE STATUS: Full Code     Active Issues Requiring Follow-up           Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture x 2 SETS Preliminary result   Blood culture x 2 SETS Preliminary result         Hospital Course         Hospital Course:   Please refer to the admitting providers H&P for full history. Patient is a 51-year-old male with a PMHx significant for hemochromatosis, sarcoidosis and morbid obesity who initially presented to the ED for evaluation of chest pain, cough and shortness of breath.   On presentation, vitals were mostly unremarkable other than some mild tachycardia and tachypnea.  Patient was able to maintain adequate oxygenation on room air but was placed on supplemental oxygen for comfort.  Blood work was mostly unremarkable.  ABG was not particularly concerning.  Troponin was negative x3.  Patient underwent chest CTA which showed basilar atelectasis bilaterally and scattered groundglass opacities and scattered borderline size hilar and mediastinal lymph nodes consistent with patient's known sarcoidosis.   Patient was treated with supportive care and monitored overnight.  He was able to maintain sufficient oxygen levels.  On the time my evaluation, patient continues to complain of bilateral rib pain worse with deep breaths consistent with costochondritis.  I discussed with the patient that he will need to continue to take NSAIDs on a scheduled basis to help with his discomfort.  Additionally I offered to prescribe cough medicine. I discussed possibly discharging the patient on steroids however he states that he makes a point to avoid taking steroids due to his history of hemochromatosis.  At this point, patient no longer requires care in the hospital and can be discharged home.  Patient is agreeable with the plan and all questions have been answered appropriately.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Musculoskeletal chest pain, Mycoplasma test negative, Painful respiration, Respiratory syncytial virus test negative
Clinical narrative: ED to Hosp-Admission Discharged  2/23/2021 - 2/25/2021 (2 days) Treatment team Costochondritis Principal problem Discharge Summary (Physician Assistant) ? ? Internal Medicine Cosigned by: MD at 2/27/2021  4:06 PM           Discharge Summary   Hospitalist Medicine        Admission Date: 2/23/2021 Length of Stay: 0 Days Discharge Date: 2/25/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Costochondritis Yes       COVID-19 Yes         Problem List          Resolved POA            Resolved Problems   Atypical chest pain 2/25/2021 Yes   SIRS (systemic inflammatory response syndrome) (CMS/HCC) 2/25/2021 Yes   Hyponatremia 2/25/2021 Yes   Dehydration 2/25/2021 Yes       Home Or Self Care   CODE STATUS: Full Code     Active Issues Requiring Follow-up           Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture x 2 SETS Preliminary result   Blood culture x 2 SETS Preliminary result         Hospital Course         Hospital Course:   Please refer to the admitting providers H&P for full history. Patient is a 51-year-old male with a PMHx significant for hemochromatosis, sarcoidosis and morbid obesity who initially presented to the ED for evaluation of chest pain, cough and shortness of breath.   On presentation, vitals were mostly unremarkable other than some mild tachycardia and tachypnea.  Patient was able to maintain adequate oxygenation on room air but was placed on supplemental oxygen for comfort.  Blood work was mostly unremarkable.  ABG was not particularly concerning.  Troponin was negative x3.  Patient underwent chest CTA which showed basilar atelectasis bilaterally and scattered groundglass opacities and scattered borderline size hilar and mediastinal lymph nodes consistent with patient's known sarcoidosis.   Patient was treated with supportive care and monitored overnight.  He was able to maintain sufficient oxygen levels.  On the time my evaluation, patient continues to complain of bilateral rib pain worse with deep breaths consistent with costochondritis.  I discussed with the patient that he will need to continue to take NSAIDs on a scheduled basis to help with his discomfort.  Additionally I offered to prescribe cough medicine. I discussed possibly discharging the patient on steroids however he states that he makes a point to avoid taking steroids due to his history of hemochromatosis.  At this point, patient no longer requires care in the hospital and can be discharged home.  Patient is agreeable with the plan and all questions have been answered appropriately.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sarcoidosis, Systemic inflammatory response syndrome, Tachycardia, Tachypnoea
Clinical narrative: ED to Hosp-Admission Discharged  2/23/2021 - 2/25/2021 (2 days) Treatment team Costochondritis Principal problem Discharge Summary (Physician Assistant) ? ? Internal Medicine Cosigned by: MD at 2/27/2021  4:06 PM           Discharge Summary   Hospitalist Medicine        Admission Date: 2/23/2021 Length of Stay: 0 Days Discharge Date: 2/25/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Costochondritis Yes       COVID-19 Yes         Problem List          Resolved POA            Resolved Problems   Atypical chest pain 2/25/2021 Yes   SIRS (systemic inflammatory response syndrome) (CMS/HCC) 2/25/2021 Yes   Hyponatremia 2/25/2021 Yes   Dehydration 2/25/2021 Yes       Home Or Self Care   CODE STATUS: Full Code     Active Issues Requiring Follow-up           Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture x 2 SETS Preliminary result   Blood culture x 2 SETS Preliminary result         Hospital Course         Hospital Course:   Please refer to the admitting providers H&P for full history. Patient is a 51-year-old male with a PMHx significant for hemochromatosis, sarcoidosis and morbid obesity who initially presented to the ED for evaluation of chest pain, cough and shortness of breath.   On presentation, vitals were mostly unremarkable other than some mild tachycardia and tachypnea.  Patient was able to maintain adequate oxygenation on room air but was placed on supplemental oxygen for comfort.  Blood work was mostly unremarkable.  ABG was not particularly concerning.  Troponin was negative x3.  Patient underwent chest CTA which showed basilar atelectasis bilaterally and scattered groundglass opacities and scattered borderline size hilar and mediastinal lymph nodes consistent with patient's known sarcoidosis.   Patient was treated with supportive care and monitored overnight.  He was able to maintain sufficient oxygen levels.  On the time my evaluation, patient continues to complain of bilateral rib pain worse with deep breaths consistent with costochondritis.  I discussed with the patient that he will need to continue to take NSAIDs on a scheduled basis to help with his discomfort.  Additionally I offered to prescribe cough medicine. I discussed possibly discharging the patient on steroids however he states that he makes a point to avoid taking steroids due to his history of hemochromatosis.  At this point, patient no longer requires care in the hospital and can be discharged home.  Patient is agreeable with the plan and all questions have been answered appropriately.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal, Viral test negative
Clinical narrative: ED to Hosp-Admission Discharged  2/23/2021 - 2/25/2021 (2 days) Treatment team Costochondritis Principal problem Discharge Summary (Physician Assistant) ? ? Internal Medicine Cosigned by: MD at 2/27/2021  4:06 PM           Discharge Summary   Hospitalist Medicine        Admission Date: 2/23/2021 Length of Stay: 0 Days Discharge Date: 2/25/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Costochondritis Yes       COVID-19 Yes         Problem List          Resolved POA            Resolved Problems   Atypical chest pain 2/25/2021 Yes   SIRS (systemic inflammatory response syndrome) (CMS/HCC) 2/25/2021 Yes   Hyponatremia 2/25/2021 Yes   Dehydration 2/25/2021 Yes       Home Or Self Care   CODE STATUS: Full Code     Active Issues Requiring Follow-up           Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture x 2 SETS Preliminary result   Blood culture x 2 SETS Preliminary result         Hospital Course         Hospital Course:   Please refer to the admitting providers H&P for full history. Patient is a 51-year-old male with a PMHx significant for hemochromatosis, sarcoidosis and morbid obesity who initially presented to the ED for evaluation of chest pain, cough and shortness of breath.   On presentation, vitals were mostly unremarkable other than some mild tachycardia and tachypnea.  Patient was able to maintain adequate oxygenation on room air but was placed on supplemental oxygen for comfort.  Blood work was mostly unremarkable.  ABG was not particularly concerning.  Troponin was negative x3.  Patient underwent chest CTA which showed basilar atelectasis bilaterally and scattered groundglass opacities and scattered borderline size hilar and mediastinal lymph nodes consistent with patient's known sarcoidosis.   Patient was treated with supportive care and monitored overnight.  He was able to maintain sufficient oxygen levels.  On the time my evaluation, patient continues to complain of bilateral rib pain worse with deep breaths consistent with costochondritis.  I discussed with the patient that he will need to continue to take NSAIDs on a scheduled basis to help with his discomfort.  Additionally I offered to prescribe cough medicine. I discussed possibly discharging the patient on steroids however he states that he makes a point to avoid taking steroids due to his history of hemochromatosis.  At this point, patient no longer requires care in the hospital and can be discharged home.  Patient is agreeable with the plan and all questions have been answered appropriately.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Cough, Diarrhoea, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: ? Sore Throat ? Cough ? Abdominal Pain Diarrhea Sinus congestion
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: ? Sore Throat ? Cough ? Abdominal Pain Diarrhea Sinus congestion
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Pruritus, Rash
Clinical narrative: itching, appeared to initially be a bug bite, turned into a full scale rash.  Also, interrupted my monthly period cycle which is now late.  I still don't have it and I am normally on schedule.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: 2 days after my first Moderna vaccine-I developed a facial rash on cheeks, forehead, upper lip,nose. 2 months later I still have the rash.  I was recently prescribed a Clindamycin cream, but have not started yet. I also was told to stop my Lisinopril for 1 week to see if the rash went away-it did not.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Around 4/29/21 healthy male pt developed a rash on right thigh and the right side of chest.  Pt spoke to medical professionals that he works with and was told it was a case of the Shingles.  The rash was getting worse so he started taking Valtrex.  He has only been taking this medication a couple of days so it has not had time to improve his symptoms yet but he feels like the rash is pretty contained at this point.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis, Pallor
Clinical narrative: Anxious, Pale, sweaty Seen by onsite EMTs. Discharged home with father on 5/13/2021 at 12:45 PM.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever 100.4 body aches and sore throat lasting over 2 days now a constant headache and fuzziness
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Suppressed lactation
Clinical narrative: Breastmilk milk production decrease
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Flushing, Lip swelling, Peripheral swelling, Skin warm
Clinical narrative: Swelling of the fingers, face, and lips. Flush red and warm to touch on hands and arms.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Swelling face
Clinical narrative: Swelling of the fingers, face, and lips. Flush red and warm to touch on hands and arms.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flushing, Lip swelling, Peripheral swelling, Skin warm, Swelling face
Clinical narrative: Swelling of the fingers, face, and lips. Flush red and warm to touch on hands and arms.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Mobility decreased
Clinical narrative: Per Client on 3/10/2021 received a Pfrizer COVID 19 vaccine in left arm, at Walgreen location. Per Client, vaccine was given into "my rotor cuff", and pain started immediately after vaccine. One week later, mid-day, pain worsen in left arm, and unable to have full use of left arm. 2-3 weeks later seen at Clinic, and was instructed to follow up with PCP. Client able to be seen by PCP six weeks after 3/10/2021, which was 5 days after the 2nd vaccines, and pain in left arm, along with other concerns in arm still present. Per Client, PCP prescribed  five days of steroids, and Meloxicam for pain. Per Client one week after completing the steriods, in to see an Orthopedic MD, and two or three weeks later started physical therapy on left shoulder and arm. Per Client, also have been taking Ibuprofen for pain, which seem to be helping to decrease the pain severity. Per Client, continuing to follow up with PCP, and has been in communication with the Walgreen, were the vaccine was administered. PHN suggested that Client continue to follow up with PCP, go into Urgent Care, ER, and to call 911 if having a medical emergency. Client verbalized understanding information provided.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: Please note: I am not sure this is necessarily an adverse reaction, or if it is my returning sense of smell. I had COVID in early Dec 2020 and lost all sense of smell and taste. At this time I have recovered about 60%. My 'issue' is I have started smelling Jet Fuel (kerosene) everywhere.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Consistent elevated in blood pressure
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor
Clinical narrative: Syncope and tremors
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy lung abnormal, Bronchiolitis, Cough, Dyspnoea, Fibrosis
Clinical narrative: Shortly after 1st dose pt developed SOB and cough, was treated for pneumonia w/ marginal improvement. After 2nd dose, symptoms worsened and on March 26, pt was hospitalized w/ hypoxic respiratory failure 2/2 organizing pneumonia. Is now improving with high dose steroids.   Pt had no prior respiratory problems. May have had COVID in March 2020.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Organising pneumonia, Respiratory failure
Clinical narrative: Shortly after 1st dose pt developed SOB and cough, was treated for pneumonia w/ marginal improvement. After 2nd dose, symptoms worsened and on March 26, pt was hospitalized w/ hypoxic respiratory failure 2/2 organizing pneumonia. Is now improving with high dose steroids.   Pt had no prior respiratory problems. May have had COVID in March 2020.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: History of Present Illness   Patient is a 56 y.o. female who presents for cold symptoms .  Symptoms started 4 days ago. Symptoms include headache, fatigue, "head cold", sore throat, mucus build up . Fevers: no. Shortness of breath: no. Chest pain: no. Patient has tried Mucinex and Flonase. Patient  reports that she has never smoked. She has never used smokeless tobacco..   She received her first COVID19 vaccine on Tuesday 2/23/21. She does not want the second one now that she has tested positive.   Sick contacts or exposure to known COVID: no.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: History of Present Illness   Patient is a 56 y.o. female who presents for cold symptoms .  Symptoms started 4 days ago. Symptoms include headache, fatigue, "head cold", sore throat, mucus build up . Fevers: no. Shortness of breath: no. Chest pain: no. Patient has tried Mucinex and Flonase. Patient  reports that she has never smoked. She has never used smokeless tobacco..   She received her first COVID19 vaccine on Tuesday 2/23/21. She does not want the second one now that she has tested positive.   Sick contacts or exposure to known COVID: no.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: While attempting to inject the vaccine, an unknown amount leaked out of the connection between the needle hub and the luer lock on the syringe.  Following CDC recommendations stated in the document "COVID-19 Vaccine Administration Errors and Deviations" (document # CS321629-Y, published 03/17/2021), the injector immediately administered another (full) dose in the opposing deltoid (left arm).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site rash, Pain, Pyrexia, Rash
Clinical narrative: Three hours after the injection, I developed chills, aches, and a fever. They lasted for about 36 hours.  Additionally, I have developed a rash at the injection site and it has spread across my body. It's red and itchy.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Three hours after the injection, I developed chills, aches, and a fever. They lasted for about 36 hours.  Additionally, I have developed a rash at the injection site and it has spread across my body. It's red and itchy.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heavy menstrual bleeding, Mobility decreased, Muscle spasms, Pain in extremity
Clinical narrative: 12 hours after vaccine hospitalized for shortness of breath and pain down to fingertips.  Was given lots of antihistamine and ibuprofen.  Couldn't use left arm entirety of next day.   Affected menstruation by heavier bleeding and heavier cramps.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: 12 hours after vaccine hospitalized for shortness of breath and pain down to fingertips.  Was given lots of antihistamine and ibuprofen.  Couldn't use left arm entirety of next day.   Affected menstruation by heavier bleeding and heavier cramps.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Headache, Hyperhidrosis, Myalgia
Clinical narrative: began with nausea, then chills, sweating, fever, headache, muscle and body aches and pain, loss of appetite -began around 8 pm  and lasted until Wednesday, May 12, when awakening that morning.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: began with nausea, then chills, sweating, fever, headache, muscle and body aches and pain, loss of appetite -began around 8 pm  and lasted until Wednesday, May 12, when awakening that morning.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Feeling abnormal, Gait inability, Headache, Intensive care
Clinical narrative: I got the shot around 3:15PM on Monday 4/26/21. Woke up Tuesday 4/27/21 with a minor headache and just felt out of sorts. Around noon that day I had a seizure at work and was rushed to the ER. While at the hospital waiting for a room to open up, I had another seizure. This one was much worse than the first. They had to intubate me and I spent 5 nights in the ICU. Another 3 on the Neurology floor for observation. The seizures caused Rhabdomyolysis which caused damage to my kidneys and significant muscle loss/damage. I wasn't able to walk at all for 3 days. After that I started to be able to get up out of bed and move around a little more each day.