chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hospitalized due to altered mental status post dialysis COVID positive treated with IV remdesivir. Immunosuppressed with tacrolimus and prednisone post kidney and pancreas transplant
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient came in to receive her booster Covid-19 shot. She didn't have her card and I didn't verify when her second dose was, only confirmed verbally with her that she's here to get her booster shot. After talking  to her friend, who presented her card, I  told the friend she's too early for her booster, who then told me the patient and her had the second shot at the same time, which was 8/28/2021. The booster was given on 1/16/22. No adverse reaction was observed. I apologized to the patient, and told her that she doesn't need to get another shot, and that I will report this administration error on my end.
Age: 78.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chronic left ventricular failure, Death
Clinical narrative: Patient passed away from chronic combined systolic and diastolic heart failure. This event was within 6 weeks of receiving the COVID vaccine.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Nasal congestion, Sneezing
Clinical narrative: nonproductive cough, nasal congestion, sneezing starting 1/12/22
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Faecaloma
Clinical narrative: Hospitalized post 10 days quarantine for fecal impaction and COVID infection "very mild"
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain upper, Appetite disorder, EGFR status assay
Clinical narrative: (1/7) 2 days after vaccination, onset of paresthesia like symptoms such as tingling and crawling throughout body,  most significant at inner right thigh, right foot at toes, right bicep and forearm, under right eye. Also notable at abdomen. Subsided 4 days after vax with occasional flare-ups. Doctor recommended follow-up with Neurology. (1/9) 4 days after vaccine, abdominal pain accompanied with burning sensation at abdominals. Pain bursts at upper abdominal - upper right to center abdominal. Progressed to worsen 5 days after vax, impacting sleep and diet. Awaken from sharp pains at upper abdominal area. Persistent pain after eating at upper abs - center. Inflammation and tightness at entire abdominal area throughout the day. Much worse at night. Discomfort along digestive track including throat. (1/13) GI doctor diagnosed epigastric pain.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Formication, Full blood count normal, Gastrointestinal inflammation, Liver function test normal, Metabolic function test
Clinical narrative: (1/7) 2 days after vaccination, onset of paresthesia like symptoms such as tingling and crawling throughout body,  most significant at inner right thigh, right foot at toes, right bicep and forearm, under right eye. Also notable at abdomen. Subsided 4 days after vax with occasional flare-ups. Doctor recommended follow-up with Neurology. (1/9) 4 days after vaccine, abdominal pain accompanied with burning sensation at abdominals. Pain bursts at upper abdominal - upper right to center abdominal. Progressed to worsen 5 days after vax, impacting sleep and diet. Awaken from sharp pains at upper abdominal area. Persistent pain after eating at upper abs - center. Inflammation and tightness at entire abdominal area throughout the day. Much worse at night. Discomfort along digestive track including throat. (1/13) GI doctor diagnosed epigastric pain.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Neurological examination, Oropharyngeal discomfort, Paraesthesia, Platelet count normal
Clinical narrative: (1/7) 2 days after vaccination, onset of paresthesia like symptoms such as tingling and crawling throughout body,  most significant at inner right thigh, right foot at toes, right bicep and forearm, under right eye. Also notable at abdomen. Subsided 4 days after vax with occasional flare-ups. Doctor recommended follow-up with Neurology. (1/9) 4 days after vaccine, abdominal pain accompanied with burning sensation at abdominals. Pain bursts at upper abdominal - upper right to center abdominal. Progressed to worsen 5 days after vax, impacting sleep and diet. Awaken from sharp pains at upper abdominal area. Persistent pain after eating at upper abs - center. Inflammation and tightness at entire abdominal area throughout the day. Much worse at night. Discomfort along digestive track including throat. (1/13) GI doctor diagnosed epigastric pain.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: (1/7) 2 days after vaccination, onset of paresthesia like symptoms such as tingling and crawling throughout body,  most significant at inner right thigh, right foot at toes, right bicep and forearm, under right eye. Also notable at abdomen. Subsided 4 days after vax with occasional flare-ups. Doctor recommended follow-up with Neurology. (1/9) 4 days after vaccine, abdominal pain accompanied with burning sensation at abdominals. Pain bursts at upper abdominal - upper right to center abdominal. Progressed to worsen 5 days after vax, impacting sleep and diet. Awaken from sharp pains at upper abdominal area. Persistent pain after eating at upper abs - center. Inflammation and tightness at entire abdominal area throughout the day. Much worse at night. Discomfort along digestive track including throat. (1/13) GI doctor diagnosed epigastric pain.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Lip swelling, Paraesthesia, Paraesthesia oral
Clinical narrative: Symptoms : Itchy welts on chest, abdomen, back, face and both UL's. Tingling of the mouth and face.  Swollen lip, dizziness and shortness of breath. Treatment: onsite intravenous steroids and anti-histamines. prescription of Gosall 20mg daily x 7 days and Prednisone 40mg daily x 5 days.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Symptoms : Itchy welts on chest, abdomen, back, face and both UL's. Tingling of the mouth and face.  Swollen lip, dizziness and shortness of breath. Treatment: onsite intravenous steroids and anti-histamines. prescription of Gosall 20mg daily x 7 days and Prednisone 40mg daily x 5 days.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Anaemia
Clinical narrative: Acute on chronic anemia. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Eye pruritus, Nasal congestion, Productive cough, Sneezing
Clinical narrative: productive cough, nonproductive cough,, nasal congestion, sneezing, itchy eyes. starting 1/10/22
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Cough, Crying, Prone position, Rash erythematous
Clinical narrative: Mom and baby (patient) came in for a 2mo WCC. Pt well and healthy was due for 2mo immunizations. Dr. approved and ordered 2mo Vaccinations which are Pediarix, Hib, PCV13, and Rotavirus. I prepared immunizations and went into the room to begin administering them. I had mom hold baby in arms upright and began to administer Rota virus orally. Patient was taking vaccine well but, then began to cough then I instructed mom to turn baby baby prone and lightly tap his back. Patient began to cry. I went for Dr.  and she came in to assess the we observed red dots on baby's bilat legs. Mom stated baby was putting his weight on mom. Dr. evaluated patient. He was alert and stable . No more immunizations  given at this visit. Patient waited 20mins in clinic and Dr. re evaluated baby again He was alert and stable. Mom sent home with instructed to watch for signs of lethargy, dehydration or any new spots on legs to take baby immediately  to ER . Patient will get the rest of 2mo Vaccines at next WCC.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Positive airway pressure therapy
Clinical narrative: HOSPITALIZED COVID DEXAMETHASONE, REMDESIVIR  BIPAP, PT WITH COPD ALSO
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Epstein-Barr virus infection, Pyrexia
Clinical narrative: FEVER; EPSTEIN BAR VIRUS
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient states that headache developed shortly after dose #1 of pfizer Covid vaccine. Patient states that headache has not gone away. Patient has not taken any medications to help with headache. Counseled her on potential side effects of vaccine and how to treat. Suggested that patient follow up with PCP.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Malignant neoplasm of ampulla of Vater
Clinical narrative: Primary cancer of ampulla of Vater. ED visit and hospitalization. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Breast pain, Fatigue, Pain
Clinical narrative: I experienced a shooting pain under my breast, fatigue, fever, dull pain in my lower back and abdominal pain.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I experienced a shooting pain under my breast, fatigue, fever, dull pain in my lower back and abdominal pain.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: 10 days after booster shot i broke out into hives for three  to four days that subsided after use of zyrtec, followed by dermatographia that still persists.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Severe tinnitus
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: Hospitalized after being sent to hospital for fever, positive for COVID.. was unable to take him back that date due to infection.  Remdesivir and ceftriaxone due to worsening xray and increased fever, tachypnea and tachycardia on day 2 of hospitalization.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: Hospitalized after being sent to hospital for fever, positive for COVID.. was unable to take him back that date due to infection.  Remdesivir and ceftriaxone due to worsening xray and increased fever, tachypnea and tachycardia on day 2 of hospitalization.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dysstasia, Gait inability, Multiple sclerosis, Pyrexia
Clinical narrative: I believe that the vaccination heightened my MS. It was a level that I never experienced before. My spouse had to help me stand & I was unable to walk. I had a fever. My symptoms subsided by mid-day the next afternoon.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Confusional state
Clinical narrative: 70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The p70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia. Patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Critical illness, Death, Dyspnoea, Fibrin D dimer increased, Hyperglycaemia
Clinical narrative: 70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The p70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia. Patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Impulsive behaviour, Insulin therapy, Intensive care, Liver function test increased
Clinical narrative: 70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The p70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia. Patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Oxygen saturation decreased, Positive airway pressure therapy, Pyrexia, Renal impairment
Clinical narrative: 70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The p70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia. Patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: 70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The p70 yo man who presented to Facility on 1/6/2022 with sepsis, fever, acute hypoxic respiratory failure and COVID pneumonia. He needed high flow oxygen and Bipap for several days, became increasingly more confused and impulsive and transferred to the ICU. Copmlicating his hospital course was AFib - stable on metoprolol, renal dysfunction, DDimer elevation likely associated with COVID, elevated LFTs associated with sepsis, steroid-induced hyperglycemia requiring insulin, and metabolic encephalopathy associated with hypoxemia and critical illness. The patient's oxygenation and work of breathing worsened as did his dependence on BiPap. Ongoing discussions with family who were opting for a short term trial of intubation until 1/13/22 at which point the patient decided "I'm done" and wanted the Bipap off and did not want escalation of cares. The family presented to bedside on 1/13/22 to be with the patient who transitioned to comfort cares on his own accord.  The patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia. Patient expired as expected on 1/13/2022 at 1656 with family at bedside.    Cause of death: acute hypoxic respiratory failure secondary to covid-19 pneumonia.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: RED ITCHING RASH THAT DEVELOPES ANYWHERE SHE TOUCHES.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Pfizer reconstitution done incorrectly with only 0.9ml NSS instead of 1.8ml.  Double dose of vaccine presumably given.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Developed temp, worsened cough- has cough at baseline r/t asthma/copd- tested positve for covid on binax rapid antigen test. Fully vaccinated w/ Moderna- no booster dose.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Insomnia
Clinical narrative: Constant itching about 4 inches from each direction from the vaccination site. keeping me up at night.  benadryl does not help. have contacted my doctor for further instructions.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received their booster dose of Moderna only 4 months after their 2nd dose of Moderna.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pyrexia
Clinical narrative: Fever, headache, and swollen lymph nodes.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Appendicitis, Surgery
Clinical narrative: abdominal pain, ED visit that ended up as acute appendicitis surgery
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Palpitations, Petechiae
Clinical narrative: 3- 4 days after Moderna booster dose c/o pressure in left side of chest- racing heart- worse at night when laying flat- petichiae spots on tops of feet
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Tooth fracture
Clinical narrative: I woke up 36 hours after the vaccine and chipped my tooth, and went to the hospital.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Axillary pain, Injection site pain, Interchange of vaccine products, Musculoskeletal chest pain
Clinical narrative: I received booster shot on Friday, January 14th (my first 2 were Moderna. 2nd dose 2-10-21) and my arm pain that started at the injection sight has spread.  It now stretches from my wrist in one painful line up to my armpit and down along my ribs. The most painful parts are the inside bend at my elbow, the armpit and each rib sensitive to touch.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, Tenderness
Clinical narrative: I received booster shot on Friday, January 14th (my first 2 were Moderna. 2nd dose 2-10-21) and my arm pain that started at the injection sight has spread.  It now stretches from my wrist in one painful line up to my armpit and down along my ribs. The most painful parts are the inside bend at my elbow, the armpit and each rib sensitive to touch.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Axillary pain, Fatigue, Insomnia, Interchange of vaccine products, Pain
Clinical narrative: I received booster shot on Friday, January 14th (my first 2 were Moderna. 2nd dose 2-10-21) and my arm pain that started at the injection sight has spread.  It now stretches from my wrist in one painful line up to my armpit and down along my ribs. The most painful parts are the inside bend at my elbow, the armpit and each rib sensitive to touch.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test, Swelling, Vaccination site pain
Clinical narrative: I received booster shot on Friday, January 14th (my first 2 were Moderna. 2nd dose 2-10-21) and my arm pain that started at the injection sight has spread.  It now stretches from my wrist in one painful line up to my armpit and down along my ribs. The most painful parts are the inside bend at my elbow, the armpit and each rib sensitive to touch.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Rash
Clinical narrative: itching, rash, dyspnea
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, C-reactive protein abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: He presented with 2 weeks of cough, fatigue and dehydration found to have acute on chronic hypoxemic respiratory failure.  He was subsequently admitted.   Acute on chronic hypox respiratory failure due to COVID-19 pneumonia causing COPD exacerbation:   Baseline oxygen requirement 2 to 3 L at rest up to 4 L with exertion for underlying COPD.  He is fully vaccinated against COVID-19.  Onset of COVID symptoms 2 weeks prior to admit.  Tested positive on 1/2/22.  CXR on 1/2/22 w/ b/l infiltrates.   CRP back to normal range.  Initial D-dimer was 1.24.  Procalcitonin level was 0.04 thus superimposed bacterial pneumonia unlikely.  He has been requiring O2 supplement 3 to 4 L NC since admit, which is his baseline.  He received Decadron 6 mg daily x3 days and Solu-Medrol 80 mg IV q8 hr x1 day.  He has received Enoxaparin 1 mg/kg sq q12 hr throughout this hospitalization since admit d-dimer was 1.24.  He received Tessalon Perles and Robitussin with codeine for cough.  Noncompliant with proning, Aerobika and I-S use.  He is at his baseline thus will discharge him to home with Decadron 6 mg po daily x6 more days (for treatment of Covid pneumonia and COPD exacerbation).  He is on 3 L NC O2 supplement at the time of the discharge which is his baseline.  Follow-up with PCP in 1 week.  He was advised to quarantine himself for 6 more days.   COPD with acute exacerbation:   Precipitated by COVID-19 pneumonia.  Treated with steroid, DuoNeb and albuterol MDI.  He is back at baseline of 3 L NC O2 supplement.  No wheezing on exam at the time of the discharge.  He was discharged to home with Decadron 6 mg daily x6 days.  He will remain on his PTA DuoNeb and albuterol MDI   Mild pancytopenia:   Likely due to viral infection, resolving.  WBC is 4.2, Hgb 11.7 g and Plt count 142K at d/c.     Dehydration:   He has received 1 L of crystalloid in ECC.  He did not received additional IVF because of active COVID pneumonia   Chronic stable medical conditions:    ---   Crohn's disease/ulcerative colitis, squamous cell carcinoma, COPD, PADM HTN, essential hypertension, GERD, hyperlipidemia
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dehydration
Clinical narrative: He presented with 2 weeks of cough, fatigue and dehydration found to have acute on chronic hypoxemic respiratory failure.  He was subsequently admitted.   Acute on chronic hypox respiratory failure due to COVID-19 pneumonia causing COPD exacerbation:   Baseline oxygen requirement 2 to 3 L at rest up to 4 L with exertion for underlying COPD.  He is fully vaccinated against COVID-19.  Onset of COVID symptoms 2 weeks prior to admit.  Tested positive on 1/2/22.  CXR on 1/2/22 w/ b/l infiltrates.   CRP back to normal range.  Initial D-dimer was 1.24.  Procalcitonin level was 0.04 thus superimposed bacterial pneumonia unlikely.  He has been requiring O2 supplement 3 to 4 L NC since admit, which is his baseline.  He received Decadron 6 mg daily x3 days and Solu-Medrol 80 mg IV q8 hr x1 day.  He has received Enoxaparin 1 mg/kg sq q12 hr throughout this hospitalization since admit d-dimer was 1.24.  He received Tessalon Perles and Robitussin with codeine for cough.  Noncompliant with proning, Aerobika and I-S use.  He is at his baseline thus will discharge him to home with Decadron 6 mg po daily x6 more days (for treatment of Covid pneumonia and COPD exacerbation).  He is on 3 L NC O2 supplement at the time of the discharge which is his baseline.  Follow-up with PCP in 1 week.  He was advised to quarantine himself for 6 more days.   COPD with acute exacerbation:   Precipitated by COVID-19 pneumonia.  Treated with steroid, DuoNeb and albuterol MDI.  He is back at baseline of 3 L NC O2 supplement.  No wheezing on exam at the time of the discharge.  He was discharged to home with Decadron 6 mg daily x6 days.  He will remain on his PTA DuoNeb and albuterol MDI   Mild pancytopenia:   Likely due to viral infection, resolving.  WBC is 4.2, Hgb 11.7 g and Plt count 142K at d/c.     Dehydration:   He has received 1 L of crystalloid in ECC.  He did not received additional IVF because of active COVID pneumonia   Chronic stable medical conditions:    ---   Crohn's disease/ulcerative colitis, squamous cell carcinoma, COPD, PADM HTN, essential hypertension, GERD, hyperlipidemia
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer, Haemoglobin decreased, Lung infiltration, Pancytopenia
Clinical narrative: He presented with 2 weeks of cough, fatigue and dehydration found to have acute on chronic hypoxemic respiratory failure.  He was subsequently admitted.   Acute on chronic hypox respiratory failure due to COVID-19 pneumonia causing COPD exacerbation:   Baseline oxygen requirement 2 to 3 L at rest up to 4 L with exertion for underlying COPD.  He is fully vaccinated against COVID-19.  Onset of COVID symptoms 2 weeks prior to admit.  Tested positive on 1/2/22.  CXR on 1/2/22 w/ b/l infiltrates.   CRP back to normal range.  Initial D-dimer was 1.24.  Procalcitonin level was 0.04 thus superimposed bacterial pneumonia unlikely.  He has been requiring O2 supplement 3 to 4 L NC since admit, which is his baseline.  He received Decadron 6 mg daily x3 days and Solu-Medrol 80 mg IV q8 hr x1 day.  He has received Enoxaparin 1 mg/kg sq q12 hr throughout this hospitalization since admit d-dimer was 1.24.  He received Tessalon Perles and Robitussin with codeine for cough.  Noncompliant with proning, Aerobika and I-S use.  He is at his baseline thus will discharge him to home with Decadron 6 mg po daily x6 more days (for treatment of Covid pneumonia and COPD exacerbation).  He is on 3 L NC O2 supplement at the time of the discharge which is his baseline.  Follow-up with PCP in 1 week.  He was advised to quarantine himself for 6 more days.   COPD with acute exacerbation:   Precipitated by COVID-19 pneumonia.  Treated with steroid, DuoNeb and albuterol MDI.  He is back at baseline of 3 L NC O2 supplement.  No wheezing on exam at the time of the discharge.  He was discharged to home with Decadron 6 mg daily x6 days.  He will remain on his PTA DuoNeb and albuterol MDI   Mild pancytopenia:   Likely due to viral infection, resolving.  WBC is 4.2, Hgb 11.7 g and Plt count 142K at d/c.     Dehydration:   He has received 1 L of crystalloid in ECC.  He did not received additional IVF because of active COVID pneumonia   Chronic stable medical conditions:    ---   Crohn's disease/ulcerative colitis, squamous cell carcinoma, COPD, PADM HTN, essential hypertension, GERD, hyperlipidemia
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Procalcitonin, Respiratory failure, SARS-CoV-2 test positive, Treatment noncompliance
Clinical narrative: He presented with 2 weeks of cough, fatigue and dehydration found to have acute on chronic hypoxemic respiratory failure.  He was subsequently admitted.   Acute on chronic hypox respiratory failure due to COVID-19 pneumonia causing COPD exacerbation:   Baseline oxygen requirement 2 to 3 L at rest up to 4 L with exertion for underlying COPD.  He is fully vaccinated against COVID-19.  Onset of COVID symptoms 2 weeks prior to admit.  Tested positive on 1/2/22.  CXR on 1/2/22 w/ b/l infiltrates.   CRP back to normal range.  Initial D-dimer was 1.24.  Procalcitonin level was 0.04 thus superimposed bacterial pneumonia unlikely.  He has been requiring O2 supplement 3 to 4 L NC since admit, which is his baseline.  He received Decadron 6 mg daily x3 days and Solu-Medrol 80 mg IV q8 hr x1 day.  He has received Enoxaparin 1 mg/kg sq q12 hr throughout this hospitalization since admit d-dimer was 1.24.  He received Tessalon Perles and Robitussin with codeine for cough.  Noncompliant with proning, Aerobika and I-S use.  He is at his baseline thus will discharge him to home with Decadron 6 mg po daily x6 more days (for treatment of Covid pneumonia and COPD exacerbation).  He is on 3 L NC O2 supplement at the time of the discharge which is his baseline.  Follow-up with PCP in 1 week.  He was advised to quarantine himself for 6 more days.   COPD with acute exacerbation:   Precipitated by COVID-19 pneumonia.  Treated with steroid, DuoNeb and albuterol MDI.  He is back at baseline of 3 L NC O2 supplement.  No wheezing on exam at the time of the discharge.  He was discharged to home with Decadron 6 mg daily x6 days.  He will remain on his PTA DuoNeb and albuterol MDI   Mild pancytopenia:   Likely due to viral infection, resolving.  WBC is 4.2, Hgb 11.7 g and Plt count 142K at d/c.     Dehydration:   He has received 1 L of crystalloid in ECC.  He did not received additional IVF because of active COVID pneumonia   Chronic stable medical conditions:    ---   Crohn's disease/ulcerative colitis, squamous cell carcinoma, COPD, PADM HTN, essential hypertension, GERD, hyperlipidemia
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Viral infection, White blood cell count decreased
Clinical narrative: He presented with 2 weeks of cough, fatigue and dehydration found to have acute on chronic hypoxemic respiratory failure.  He was subsequently admitted.   Acute on chronic hypox respiratory failure due to COVID-19 pneumonia causing COPD exacerbation:   Baseline oxygen requirement 2 to 3 L at rest up to 4 L with exertion for underlying COPD.  He is fully vaccinated against COVID-19.  Onset of COVID symptoms 2 weeks prior to admit.  Tested positive on 1/2/22.  CXR on 1/2/22 w/ b/l infiltrates.   CRP back to normal range.  Initial D-dimer was 1.24.  Procalcitonin level was 0.04 thus superimposed bacterial pneumonia unlikely.  He has been requiring O2 supplement 3 to 4 L NC since admit, which is his baseline.  He received Decadron 6 mg daily x3 days and Solu-Medrol 80 mg IV q8 hr x1 day.  He has received Enoxaparin 1 mg/kg sq q12 hr throughout this hospitalization since admit d-dimer was 1.24.  He received Tessalon Perles and Robitussin with codeine for cough.  Noncompliant with proning, Aerobika and I-S use.  He is at his baseline thus will discharge him to home with Decadron 6 mg po daily x6 more days (for treatment of Covid pneumonia and COPD exacerbation).  He is on 3 L NC O2 supplement at the time of the discharge which is his baseline.  Follow-up with PCP in 1 week.  He was advised to quarantine himself for 6 more days.   COPD with acute exacerbation:   Precipitated by COVID-19 pneumonia.  Treated with steroid, DuoNeb and albuterol MDI.  He is back at baseline of 3 L NC O2 supplement.  No wheezing on exam at the time of the discharge.  He was discharged to home with Decadron 6 mg daily x6 days.  He will remain on his PTA DuoNeb and albuterol MDI   Mild pancytopenia:   Likely due to viral infection, resolving.  WBC is 4.2, Hgb 11.7 g and Plt count 142K at d/c.     Dehydration:   He has received 1 L of crystalloid in ECC.  He did not received additional IVF because of active COVID pneumonia   Chronic stable medical conditions:    ---   Crohn's disease/ulcerative colitis, squamous cell carcinoma, COPD, PADM HTN, essential hypertension, GERD, hyperlipidemia
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Developed temp 101.6 F. and wheezes heard on auscultation. Tested positive for Covid-19. On Abbott ID Now molecular test. Fully vax but no booster- Moderna.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram abnormal, Neuropathy peripheral
Clinical narrative: Neuropathy in feet and (less so) hands being treated with Gabapentin 300mg
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Sensation of foreign body, Urticaria
Clinical narrative: Severe hives over entire body, tightness in chest, lump in throat that over four days didn't respond much to treatment (benadryl, famotidine, prednisone). Significant and sustained improvement began on day 5, but I continue to get hives.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Condition aggravated, Hypertension, Tachycardia
Clinical narrative: Crushing Chest Pain (felt as though someone was sitting on chest)  Tachycardia  Hypertension.  All started around 4pm on day of vaccination./
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Fatigue, Malaise
Clinical narrative: General fatigue and malaise the day after her booster shot. Progressed to cardiac arrest.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Cooling therapy, Death, Resuscitation
Clinical narrative: General fatigue and malaise the day after her booster shot. Progressed to cardiac arrest.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging normal, Nerve conduction studies normal
Clinical narrative: About thirty minutes after receiving my first dose, the left side of my face started to feel numb. I received my dose on a Friday and by Tuesday, it was still numb. At the doctors office, he referred me for an MRI. I was also referred to a neurologist at the local pain clinic on 04/28. They went over my results with me and told me that if anything else happens or becomes worse to come back. The numbness in my face lasted mostly over the weekend after receiving my vaccine, but it took a few months to where it started to finally fell "normal." I still have moments where my face feels funny, but it doesn't last long.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: left arm neuropathy
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Bacteraemia, Blood creatinine normal
Clinical narrative: Patient, 65 year old male, PMH TBI/SC injury to C7, Tracheostomy dependent quadriplegic admitted with increasing oxygen requirements. Treating acute on chronic respiratory failure secondary to COVID-19 pneumonia/aspiration pneumonia. Acute on chronic hypoxic respiratory failure, Aspiration pneumonia, COVID-19 Pneumonia-polymicrobial bacteremia, Initially ICU admission ventilated, Currently on O2 at 10 LPM, Continue dexamethasone decreased dose to 4 mg daily, taper dose, Blood cultures with enterococci and staph, TEE negative for endocarditis, ID following. Recommending 7-day course of ampicillin given rapid improvement, completed antibiotics on 1/11/2020. Bacteremia likely transient. Appreciate ID input, Patient has increased secretions, started on cefepime on 1/14, ID was re-consulted. Chest x-ray showed multiple infiltrates, CT chest without contrast showed left lower lobe consolidation, mild bilateral pleural effusions. Sputum cultures grew Pseudomonas, pansensitive, continue cefepime for now, change antibiotics as per ID. Consulted pulmonology for evaluating the need for bronchoscopy/mucous plugging, seen appreciate input. Patient has no fevers, low procalcitonin, Pseudomonas likely colonization. Patient appears to be volume up, continue Lasix diuresis, adjust as needed. Hypernatremia, improved, AKI - likely prerenal, Improving, Baseline normal creatinine, continue to monitor, Steroid-induced hyperglycemia, Insulin-dependent DM2, Remains hyperglycemic, Continue NPH 30 U q8h, Glargine 20 U QAM/15 U at bedtime. History of spinal cord injury with quadriplegia, History of traumatic brain injury, Schizoaffective disorder, Continue valproic acid, Latuda, clonazepam, Dyslipidemia, History of coronary artery disease, Continue Lipitor, aspirin. CODE STATUS: Full DVT prophylaxis: Heparin sub Q. Discharge plan: Plan to discharge back to group home when stable, needs hypoxia improvement, currently on 10 L of oxygen, baseline at 5 L.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Echocardiogram normal
Clinical narrative: Patient, 65 year old male, PMH TBI/SC injury to C7, Tracheostomy dependent quadriplegic admitted with increasing oxygen requirements. Treating acute on chronic respiratory failure secondary to COVID-19 pneumonia/aspiration pneumonia. Acute on chronic hypoxic respiratory failure, Aspiration pneumonia, COVID-19 Pneumonia-polymicrobial bacteremia, Initially ICU admission ventilated, Currently on O2 at 10 LPM, Continue dexamethasone decreased dose to 4 mg daily, taper dose, Blood cultures with enterococci and staph, TEE negative for endocarditis, ID following. Recommending 7-day course of ampicillin given rapid improvement, completed antibiotics on 1/11/2020. Bacteremia likely transient. Appreciate ID input, Patient has increased secretions, started on cefepime on 1/14, ID was re-consulted. Chest x-ray showed multiple infiltrates, CT chest without contrast showed left lower lobe consolidation, mild bilateral pleural effusions. Sputum cultures grew Pseudomonas, pansensitive, continue cefepime for now, change antibiotics as per ID. Consulted pulmonology for evaluating the need for bronchoscopy/mucous plugging, seen appreciate input. Patient has no fevers, low procalcitonin, Pseudomonas likely colonization. Patient appears to be volume up, continue Lasix diuresis, adjust as needed. Hypernatremia, improved, AKI - likely prerenal, Improving, Baseline normal creatinine, continue to monitor, Steroid-induced hyperglycemia, Insulin-dependent DM2, Remains hyperglycemic, Continue NPH 30 U q8h, Glargine 20 U QAM/15 U at bedtime. History of spinal cord injury with quadriplegia, History of traumatic brain injury, Schizoaffective disorder, Continue valproic acid, Latuda, clonazepam, Dyslipidemia, History of coronary artery disease, Continue Lipitor, aspirin. CODE STATUS: Full DVT prophylaxis: Heparin sub Q. Discharge plan: Plan to discharge back to group home when stable, needs hypoxia improvement, currently on 10 L of oxygen, baseline at 5 L.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Enterococcus test positive, Hyperglycaemia, Hypernatraemia, Hypoxia, Insulin-requiring type 2 diabetes mellitus
Clinical narrative: Patient, 65 year old male, PMH TBI/SC injury to C7, Tracheostomy dependent quadriplegic admitted with increasing oxygen requirements. Treating acute on chronic respiratory failure secondary to COVID-19 pneumonia/aspiration pneumonia. Acute on chronic hypoxic respiratory failure, Aspiration pneumonia, COVID-19 Pneumonia-polymicrobial bacteremia, Initially ICU admission ventilated, Currently on O2 at 10 LPM, Continue dexamethasone decreased dose to 4 mg daily, taper dose, Blood cultures with enterococci and staph, TEE negative for endocarditis, ID following. Recommending 7-day course of ampicillin given rapid improvement, completed antibiotics on 1/11/2020. Bacteremia likely transient. Appreciate ID input, Patient has increased secretions, started on cefepime on 1/14, ID was re-consulted. Chest x-ray showed multiple infiltrates, CT chest without contrast showed left lower lobe consolidation, mild bilateral pleural effusions. Sputum cultures grew Pseudomonas, pansensitive, continue cefepime for now, change antibiotics as per ID. Consulted pulmonology for evaluating the need for bronchoscopy/mucous plugging, seen appreciate input. Patient has no fevers, low procalcitonin, Pseudomonas likely colonization. Patient appears to be volume up, continue Lasix diuresis, adjust as needed. Hypernatremia, improved, AKI - likely prerenal, Improving, Baseline normal creatinine, continue to monitor, Steroid-induced hyperglycemia, Insulin-dependent DM2, Remains hyperglycemic, Continue NPH 30 U q8h, Glargine 20 U QAM/15 U at bedtime. History of spinal cord injury with quadriplegia, History of traumatic brain injury, Schizoaffective disorder, Continue valproic acid, Latuda, clonazepam, Dyslipidemia, History of coronary artery disease, Continue Lipitor, aspirin. CODE STATUS: Full DVT prophylaxis: Heparin sub Q. Discharge plan: Plan to discharge back to group home when stable, needs hypoxia improvement, currently on 10 L of oxygen, baseline at 5 L.