chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid intake reduced, Gastrointestinal disorder, Haemoglobin decreased, Hypophagia, Laboratory test normal
Clinical narrative: Admission Date: 6/27/2022 Discharge Date: Jun 28, 2022  PRESENTING PROBLEM: COVID   HOSPITAL COURSE: 48 y.o. female with past medical history of adrenal insufficiency, depression, anxiety, chronic pain on methadone who presented to the ED per recommendation of her endocrinologist d/t concern for adrenal crisis. Patient was recently treated for covid. She completed a 5 day course of paxovid with last treatment date this morning (6/27).  Since her diagnosis of COVID, patient endorses diarrhea which has increased in frequency over the last several days. States she has been having 8-9 stools daily associated with poor oral intake and wt loss of 6 lbs. She has been eating very little and feeling tired and weak. She has lost a significant amount of weight, 10lbs over the past week d/t the GI loss and not eating or drinking much. She admitted to feeling dizzy at times but no syncope or falls. She initially had tripled her home steroid/hydrocortisone dose for a couple days and then went back to her home dose. She has also been taking scheduled tylenol d/t ongoing fevers and chills. She denies any respiratory issues such as cough, SOB, or chest pain.    Upon arrival to the ED, patient was afebrile and hemodynamically stable. Labs were grossly unremarkable aside for AST  57, mag 1.5, hgb 10.1. No imaging was performed. On call Endocrinologist was contacted who recommended admission for scheduled IV hydrocortisone. Patient received hydrocortisone 100 mg IV while in the ED in addition to 1L IVF and tylenol   Patient stayed in hospital for 24 hours.   During hospital stay patient received IV hydrocortisone every 8 hours for 3 doses.  She remained stable throughout hospital stay.  Her diarrhea and vomiting had resolved.  She was given Lovenox prophylaxis for her COVID.  Her D-dimer was elevated at 1090.  With patient stable, she was discharged home with resumption of her oral hydrocortisone regimen at home.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting, Weight decreased
Clinical narrative: Admission Date: 6/27/2022 Discharge Date: Jun 28, 2022  PRESENTING PROBLEM: COVID   HOSPITAL COURSE: 48 y.o. female with past medical history of adrenal insufficiency, depression, anxiety, chronic pain on methadone who presented to the ED per recommendation of her endocrinologist d/t concern for adrenal crisis. Patient was recently treated for covid. She completed a 5 day course of paxovid with last treatment date this morning (6/27).  Since her diagnosis of COVID, patient endorses diarrhea which has increased in frequency over the last several days. States she has been having 8-9 stools daily associated with poor oral intake and wt loss of 6 lbs. She has been eating very little and feeling tired and weak. She has lost a significant amount of weight, 10lbs over the past week d/t the GI loss and not eating or drinking much. She admitted to feeling dizzy at times but no syncope or falls. She initially had tripled her home steroid/hydrocortisone dose for a couple days and then went back to her home dose. She has also been taking scheduled tylenol d/t ongoing fevers and chills. She denies any respiratory issues such as cough, SOB, or chest pain.    Upon arrival to the ED, patient was afebrile and hemodynamically stable. Labs were grossly unremarkable aside for AST  57, mag 1.5, hgb 10.1. No imaging was performed. On call Endocrinologist was contacted who recommended admission for scheduled IV hydrocortisone. Patient received hydrocortisone 100 mg IV while in the ED in addition to 1L IVF and tylenol   Patient stayed in hospital for 24 hours.   During hospital stay patient received IV hydrocortisone every 8 hours for 3 doses.  She remained stable throughout hospital stay.  Her diarrhea and vomiting had resolved.  She was given Lovenox prophylaxis for her COVID.  Her D-dimer was elevated at 1090.  With patient stable, she was discharged home with resumption of her oral hydrocortisone regimen at home.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization of fully vaccinated covid pt
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atelectasis, Blood lactic acid decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Discharge Physician: MD Primary Care Clinician at Discharge: MD  Admission Date: 6/23/2022 Discharge Date: 6/26/2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1] Acute respiratory failure with hypoxia [J96.01]   HOSPITAL COURSE: Patient is a 84 y.o. female with a past medical history of autoimmune hepatitis, type 2 diabetes, hyperlipidemia, and hypothyroidism who presents today with sore and cough.  In the emergency department patient was febrile with temperature of 101.1° F, she was tachycardic and tachypneic.  Patient also was hypoxic and required 6 L by nasal cannula supplemental oxygen.  Pertinent lab findings include a white blood cell count within normal limits at 7.28.  Lactic acid within normal limits at 1.8.  COVID testing was positive.  Chest x-ray showed mild bibasilar infiltrates and/or atelectasis.  Suspect small right pleural effusion.  She was admitted to the medical service for treatment of COVID-19 pneumonia.  She was started on dexamethasone.  Azathioprine for autoimmune hepatitis was held due to viral infection.  Oxygen support was titrated down to room air.  She was afebrile and hemodynamically stable.  On 06/26/2022 she was discharged home to continue immunosuppressive medications and with follow-up with her primary care physician.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Cystitis, Hypoxia, Laboratory test
Clinical narrative: Discharge Physician: MD Primary Care Clinician at Discharge: MD  Admission Date: 6/23/2022 Discharge Date: 6/26/2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1] Acute respiratory failure with hypoxia [J96.01]   HOSPITAL COURSE: Patient is a 84 y.o. female with a past medical history of autoimmune hepatitis, type 2 diabetes, hyperlipidemia, and hypothyroidism who presents today with sore and cough.  In the emergency department patient was febrile with temperature of 101.1° F, she was tachycardic and tachypneic.  Patient also was hypoxic and required 6 L by nasal cannula supplemental oxygen.  Pertinent lab findings include a white blood cell count within normal limits at 7.28.  Lactic acid within normal limits at 1.8.  COVID testing was positive.  Chest x-ray showed mild bibasilar infiltrates and/or atelectasis.  Suspect small right pleural effusion.  She was admitted to the medical service for treatment of COVID-19 pneumonia.  She was started on dexamethasone.  Azathioprine for autoimmune hepatitis was held due to viral infection.  Oxygen support was titrated down to room air.  She was afebrile and hemodynamically stable.  On 06/26/2022 she was discharged home to continue immunosuppressive medications and with follow-up with her primary care physician.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Pain, Pleural effusion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Discharge Physician: MD Primary Care Clinician at Discharge: MD  Admission Date: 6/23/2022 Discharge Date: 6/26/2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1] Acute respiratory failure with hypoxia [J96.01]   HOSPITAL COURSE: Patient is a 84 y.o. female with a past medical history of autoimmune hepatitis, type 2 diabetes, hyperlipidemia, and hypothyroidism who presents today with sore and cough.  In the emergency department patient was febrile with temperature of 101.1° F, she was tachycardic and tachypneic.  Patient also was hypoxic and required 6 L by nasal cannula supplemental oxygen.  Pertinent lab findings include a white blood cell count within normal limits at 7.28.  Lactic acid within normal limits at 1.8.  COVID testing was positive.  Chest x-ray showed mild bibasilar infiltrates and/or atelectasis.  Suspect small right pleural effusion.  She was admitted to the medical service for treatment of COVID-19 pneumonia.  She was started on dexamethasone.  Azathioprine for autoimmune hepatitis was held due to viral infection.  Oxygen support was titrated down to room air.  She was afebrile and hemodynamically stable.  On 06/26/2022 she was discharged home to continue immunosuppressive medications and with follow-up with her primary care physician.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea, Viral infection, White blood cell count normal
Clinical narrative: Discharge Physician: MD Primary Care Clinician at Discharge: MD  Admission Date: 6/23/2022 Discharge Date: 6/26/2022  PRESENTING PROBLEM: Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1] Acute respiratory failure with hypoxia [J96.01]   HOSPITAL COURSE: Patient is a 84 y.o. female with a past medical history of autoimmune hepatitis, type 2 diabetes, hyperlipidemia, and hypothyroidism who presents today with sore and cough.  In the emergency department patient was febrile with temperature of 101.1° F, she was tachycardic and tachypneic.  Patient also was hypoxic and required 6 L by nasal cannula supplemental oxygen.  Pertinent lab findings include a white blood cell count within normal limits at 7.28.  Lactic acid within normal limits at 1.8.  COVID testing was positive.  Chest x-ray showed mild bibasilar infiltrates and/or atelectasis.  Suspect small right pleural effusion.  She was admitted to the medical service for treatment of COVID-19 pneumonia.  She was started on dexamethasone.  Azathioprine for autoimmune hepatitis was held due to viral infection.  Oxygen support was titrated down to room air.  She was afebrile and hemodynamically stable.  On 06/26/2022 she was discharged home to continue immunosuppressive medications and with follow-up with her primary care physician.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Myalgia
Clinical narrative: She had chills, muscle aches and abdominal pain
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pneumonia
Clinical narrative: Patient hospitalized on 7-3-2022 with covid 19 and pneumonia.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Arthropathy, COVID-19, Condition aggravated
Clinical narrative: Within 48 hours after the vaccine I felt very hot and heat coming out of my body. Then, I lost conscientiousness and passed out. This happens when I am sleeping and wake up. This has happened a few times with the first dose. I also have an issue with my tongue where it has a coating on it. Then I had my second dose of Pfizer on 04/02/2022 and within 24 hours I passed out and lost conscientiousness again. I passed out a few more time and the most recent was 3 weeks ago. When this happens, I cannot function. I also have more of tongue issues with a yellow coating on my tongue. I have random neck movements like jerks and my muscles tightening in the back of my neck. It has flared up my underlying health conditions of lupus, fibromyalgia and neuropathy. I also got COVID-19 on 8/18/2021 and had major issues. I have permanently lost my taste and smell. I have severe brain fog and tongue swelling. I took remdesivir that I feel did help. I feel like the vaccine has slowed my immune system and I get sick easily. I have pain, swelling, and joint issues. I cannot feel some things in my hands and all over my body like my sense of feel is mostly gone.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased immune responsiveness, Dyskinesia, Feeling abnormal, Feeling hot, Fibromyalgia
Clinical narrative: Within 48 hours after the vaccine I felt very hot and heat coming out of my body. Then, I lost conscientiousness and passed out. This happens when I am sleeping and wake up. This has happened a few times with the first dose. I also have an issue with my tongue where it has a coating on it. Then I had my second dose of Pfizer on 04/02/2022 and within 24 hours I passed out and lost conscientiousness again. I passed out a few more time and the most recent was 3 weeks ago. When this happens, I cannot function. I also have more of tongue issues with a yellow coating on my tongue. I have random neck movements like jerks and my muscles tightening in the back of my neck. It has flared up my underlying health conditions of lupus, fibromyalgia and neuropathy. I also got COVID-19 on 8/18/2021 and had major issues. I have permanently lost my taste and smell. I have severe brain fog and tongue swelling. I took remdesivir that I feel did help. I feel like the vaccine has slowed my immune system and I get sick easily. I have pain, swelling, and joint issues. I cannot feel some things in my hands and all over my body like my sense of feel is mostly gone.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Loss of personal independence in daily activities, Muscle tightness, Neuropathy peripheral, Pain
Clinical narrative: Within 48 hours after the vaccine I felt very hot and heat coming out of my body. Then, I lost conscientiousness and passed out. This happens when I am sleeping and wake up. This has happened a few times with the first dose. I also have an issue with my tongue where it has a coating on it. Then I had my second dose of Pfizer on 04/02/2022 and within 24 hours I passed out and lost conscientiousness again. I passed out a few more time and the most recent was 3 weeks ago. When this happens, I cannot function. I also have more of tongue issues with a yellow coating on my tongue. I have random neck movements like jerks and my muscles tightening in the back of my neck. It has flared up my underlying health conditions of lupus, fibromyalgia and neuropathy. I also got COVID-19 on 8/18/2021 and had major issues. I have permanently lost my taste and smell. I have severe brain fog and tongue swelling. I took remdesivir that I feel did help. I feel like the vaccine has slowed my immune system and I get sick easily. I have pain, swelling, and joint issues. I cannot feel some things in my hands and all over my body like my sense of feel is mostly gone.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sensory loss, Swelling, Swollen tongue, Systemic lupus erythematosus
Clinical narrative: Within 48 hours after the vaccine I felt very hot and heat coming out of my body. Then, I lost conscientiousness and passed out. This happens when I am sleeping and wake up. This has happened a few times with the first dose. I also have an issue with my tongue where it has a coating on it. Then I had my second dose of Pfizer on 04/02/2022 and within 24 hours I passed out and lost conscientiousness again. I passed out a few more time and the most recent was 3 weeks ago. When this happens, I cannot function. I also have more of tongue issues with a yellow coating on my tongue. I have random neck movements like jerks and my muscles tightening in the back of my neck. It has flared up my underlying health conditions of lupus, fibromyalgia and neuropathy. I also got COVID-19 on 8/18/2021 and had major issues. I have permanently lost my taste and smell. I have severe brain fog and tongue swelling. I took remdesivir that I feel did help. I feel like the vaccine has slowed my immune system and I get sick easily. I have pain, swelling, and joint issues. I cannot feel some things in my hands and all over my body like my sense of feel is mostly gone.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue coated, Tongue discolouration
Clinical narrative: Within 48 hours after the vaccine I felt very hot and heat coming out of my body. Then, I lost conscientiousness and passed out. This happens when I am sleeping and wake up. This has happened a few times with the first dose. I also have an issue with my tongue where it has a coating on it. Then I had my second dose of Pfizer on 04/02/2022 and within 24 hours I passed out and lost conscientiousness again. I passed out a few more time and the most recent was 3 weeks ago. When this happens, I cannot function. I also have more of tongue issues with a yellow coating on my tongue. I have random neck movements like jerks and my muscles tightening in the back of my neck. It has flared up my underlying health conditions of lupus, fibromyalgia and neuropathy. I also got COVID-19 on 8/18/2021 and had major issues. I have permanently lost my taste and smell. I have severe brain fog and tongue swelling. I took remdesivir that I feel did help. I feel like the vaccine has slowed my immune system and I get sick easily. I have pain, swelling, and joint issues. I cannot feel some things in my hands and all over my body like my sense of feel is mostly gone.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Haemoptysis, Influenza A virus test negative, Influenza B virus test, Nasal congestion
Clinical narrative: I basically just had a sore throat and a lot of congestion with a low fever and body aches beginning on 05/26/2022. I was out of country at the time. I was tested for COVID-19 in order to return to the country but the test came back negative so I was allowed to return. When I returned home. I still had lingering symptoms and was noticing blood in my phlegm, so I called my primary care physician who did a telehealth examination. He diagnosed my symptoms as a sinus infection. A few weeks later, I was still dealing with some of the sinus infection like symptoms but I also began to have some very severe sciatic nerve pain, so I scheduled a doctor's appointment where they tested me again for COVID-19 and the results were positive. I had already been prescribed an antihistamine, nasal spray, and antibiotics for the previously diagnosed sinus infection, but after testing positive for COVID-19, I was prescribed prednisone and PAXLOVID. I did not take the PAXLOVID prescription. My symptoms have gotten progressively better, but I am still dealing with a lot of nasal and sinus congestion.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Respiratory syncytial virus test negative, Respiratory tract congestion
Clinical narrative: I basically just had a sore throat and a lot of congestion with a low fever and body aches beginning on 05/26/2022. I was out of country at the time. I was tested for COVID-19 in order to return to the country but the test came back negative so I was allowed to return. When I returned home. I still had lingering symptoms and was noticing blood in my phlegm, so I called my primary care physician who did a telehealth examination. He diagnosed my symptoms as a sinus infection. A few weeks later, I was still dealing with some of the sinus infection like symptoms but I also began to have some very severe sciatic nerve pain, so I scheduled a doctor's appointment where they tested me again for COVID-19 and the results were positive. I had already been prescribed an antihistamine, nasal spray, and antibiotics for the previously diagnosed sinus infection, but after testing positive for COVID-19, I was prescribed prednisone and PAXLOVID. I did not take the PAXLOVID prescription. My symptoms have gotten progressively better, but I am still dealing with a lot of nasal and sinus congestion.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sciatica, Sinus congestion, Sinusitis
Clinical narrative: I basically just had a sore throat and a lot of congestion with a low fever and body aches beginning on 05/26/2022. I was out of country at the time. I was tested for COVID-19 in order to return to the country but the test came back negative so I was allowed to return. When I returned home. I still had lingering symptoms and was noticing blood in my phlegm, so I called my primary care physician who did a telehealth examination. He diagnosed my symptoms as a sinus infection. A few weeks later, I was still dealing with some of the sinus infection like symptoms but I also began to have some very severe sciatic nerve pain, so I scheduled a doctor's appointment where they tested me again for COVID-19 and the results were positive. I had already been prescribed an antihistamine, nasal spray, and antibiotics for the previously diagnosed sinus infection, but after testing positive for COVID-19, I was prescribed prednisone and PAXLOVID. I did not take the PAXLOVID prescription. My symptoms have gotten progressively better, but I am still dealing with a lot of nasal and sinus congestion.
Age: 71.0
Sex: M
Vaccine: HEP
Symptoms: Extra dose administered
Clinical narrative: pt received an extra dose of Hepatitis B vaccine (Heplisav-B) on 6/27/22. Pt has been getting vaccines per alternate  vaccination schedule. He received his first dose of Heplisav-B on 11/30/21 per PCP office. A second dose of Hep B (Engerix B) was given on another office visit on 2/10/22 (note: this is not the formulation that uses per their protocol). d/t different formulations/doses required for each one, d/w Dr. and we completed his 2 dose Heplisav-B on 6/13/22. Another dose (3rd dose) of Heplisav-B was ordered on 6/24/22/verified and given on 6/27/22 in our clinic
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: I got a sore throat followed by a really bad headache fever low grade a nd extreme fatigue for five days this got better but was followed low grade fever headache fatigue and many allergy like symptoms.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I got a sore throat followed by a really bad headache fever low grade a nd extreme fatigue for five days this got better but was followed low grade fever headache fatigue and many allergy like symptoms.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received 5th dose of Pfizer COVID vaccine by error. Clinic was not notified until patient called clinic this morning stating he looked at his COVID vaccine card and noticed he received his 5th dose at our clinic yesterday (6/29/22).
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Erythema
Clinical narrative: Had significant redness and what looked like bruising appear a while after the shot. We did not notice any reaction at the injection site until 7/4/22 (8 days post vaccine) but it is possible it was there a few days earlier and we didn't notice. He says there is no tenderness or pain or itchiness at the injection site. We gave some children's loratadine (1 ml of 5mg/ml concentration) and the next morning (7/5) it was smaller
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Mobility decreased
Clinical narrative: Starting 06/02/2022, I developed fatigue which was normal for me after these injections. However, It was pretty extreme and, while it normally goes away, it did not this time. The fatigue is so extreme that everything I would normally do takes longer and I don't have the normal energy to do things. I end up napping longer and have had to take naps on a daily basis. Up until yesterday, this has been plaguing me.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Diarrhoea
Clinical narrative: 06/16/2022 in the middle of the night it started off with cold symptoms, headache, stuffy and runny nose. On 6/17/2022 I got worse with headache, vomiting, diarrhea for a couple of days, low energy and no appetite. I tested positive for COVID. I called my physician and started PAXLOVID. I got better every few hours. I had my first negative test on 6/23/2022. On 6/27/2022 I began having symptoms again. I took another COVID test, and it was positive. I tested negative on July 1,2022 and July 3, 2022. Today, my cough is mostly gone, my runny nose is gone, but I continue to get fatigued easily.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nasal congestion, Nasopharyngitis, Rhinorrhoea
Clinical narrative: 06/16/2022 in the middle of the night it started off with cold symptoms, headache, stuffy and runny nose. On 6/17/2022 I got worse with headache, vomiting, diarrhea for a couple of days, low energy and no appetite. I tested positive for COVID. I called my physician and started PAXLOVID. I got better every few hours. I had my first negative test on 6/23/2022. On 6/27/2022 I began having symptoms again. I took another COVID test, and it was positive. I tested negative on July 1,2022 and July 3, 2022. Today, my cough is mostly gone, my runny nose is gone, but I continue to get fatigued easily.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: 06/16/2022 in the middle of the night it started off with cold symptoms, headache, stuffy and runny nose. On 6/17/2022 I got worse with headache, vomiting, diarrhea for a couple of days, low energy and no appetite. I tested positive for COVID. I called my physician and started PAXLOVID. I got better every few hours. I had my first negative test on 6/23/2022. On 6/27/2022 I began having symptoms again. I took another COVID test, and it was positive. I tested negative on July 1,2022 and July 3, 2022. Today, my cough is mostly gone, my runny nose is gone, but I continue to get fatigued easily.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/23/2022 Discharge Date: Jun 27, 2022  PRESENTING PROBLEM: Acute respiratory failure due to COVID-19 (HCC) [U07.1, J96.00]   HOSPITAL COURSE: Pt. is a 71 year old male with PMH of HTN, BPH, neuropathy, and familiar tremor. Pt. presented to the ED with SOB and found to have COVID pneumonia. He was mildly hypoxic and admitted to the hospital. Dexamethasone and remdesivir were given throughout his stay. Patient is fully vaccinated with booster. Initially required two liters of supplemental O2 and was weaned down to room air. COVID inflammatory markers were initially elevated and also improved throughout his stay. He was initially generally weak and fatigued, which improved. PT.OT recommended home PT. He will continue a total of ten days of oral steroids and follow up with his PCP. Patient is discharging in improved and stable condition.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypoxia, Inflammatory marker increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/23/2022 Discharge Date: Jun 27, 2022  PRESENTING PROBLEM: Acute respiratory failure due to COVID-19 (HCC) [U07.1, J96.00]   HOSPITAL COURSE: Pt. is a 71 year old male with PMH of HTN, BPH, neuropathy, and familiar tremor. Pt. presented to the ED with SOB and found to have COVID pneumonia. He was mildly hypoxic and admitted to the hospital. Dexamethasone and remdesivir were given throughout his stay. Patient is fully vaccinated with booster. Initially required two liters of supplemental O2 and was weaned down to room air. COVID inflammatory markers were initially elevated and also improved throughout his stay. He was initially generally weak and fatigued, which improved. PT.OT recommended home PT. He will continue a total of ten days of oral steroids and follow up with his PCP. Patient is discharging in improved and stable condition.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Fatigue, headache, cough, runny nose
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt admitted to hospital.  Tested positive for Covid.  Had Covid Vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vitiligo
Clinical narrative: Vitiligo shows up right after vaccine
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization of fully vaccinated covid pt positive
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Diarrhoea
Clinical narrative: Pt presented on 01/01/22 complaining of worsening shortness of breath.  Patient states that his symptoms started on 23rd of December.  5 days later he tested positive for COVID-19.  Patient continued to have worsening shortness of breath the prompted him to come to the hospital.  The patient was also having diarrhea.  Patient was admitted and started on Rocephin, azithromycin, Decadron, remdesivir.  Patient received 2 doses of remdesivir.  He did qualify for home oxygen and it was arranged.  Patient also received 3 days of azithromycin and Rocephin.  His procalcitonin trended down. Patient was discharged on 01/03/2022 but was unable to leave until 01/04/2022 because of oxygen.  He continued improving post hospitalization.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Lung opacity, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: Pt presented on 01/01/22 complaining of worsening shortness of breath.  Patient states that his symptoms started on 23rd of December.  5 days later he tested positive for COVID-19.  Patient continued to have worsening shortness of breath the prompted him to come to the hospital.  The patient was also having diarrhea.  Patient was admitted and started on Rocephin, azithromycin, Decadron, remdesivir.  Patient received 2 doses of remdesivir.  He did qualify for home oxygen and it was arranged.  Patient also received 3 days of azithromycin and Rocephin.  His procalcitonin trended down. Patient was discharged on 01/03/2022 but was unable to leave until 01/04/2022 because of oxygen.  He continued improving post hospitalization.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: No side effects at all, but on 6/27/2022 I tested negative to COVID-19. I had runny nose, headache. I never had headaches before that's why I tested again and on Wednesday when 0n 6/29/2022 my result was positive, I went to urgent care center to make sure, and it was positive with a fever of 99.5. I am belonging to a study, and I notified them. My at home temperature was normal. Note: on 6/24 away from home - I might caught COVID there.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Diarrhoea, Dizziness, Feeling abnormal
Clinical narrative: 04/03/2022 I had my annual physical and had a Pneumonia vaccine. While talking to my nurse, I suddenly became woozy and had lower back pain. They laid me down and gave me an ice back. After I felt better, I had a case of severe diarrhea. I felt weird, went home and rested. I have not had any adverse reactions to the Pneumonia vaccine previously.  I thought this was strange that it happened two weeks after my COVID vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, SARS-CoV-2 test
Clinical narrative: Headache, Fatigue
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Laboratory test
Clinical narrative: Chest Pain, coughing
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Patient febrile and admitted to hospital.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, X-ray normal
Clinical narrative: Woke up in the morning and was having problems with mobility and complained of pain in the left hip and knee.  I took him to the physician to be looked at.  The physician gave a physical exam and ordered X-rays to make sure it was not a bone break of some kind.  After the exam the physician prescribed Ibuprofen and rest and stated it should resolve in 12 to 24 hrs.  It did resolve and within 30 hours my son was back to being completely normal.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization of full vaccinated covid positive pt
Age: 37.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID.  Pt received COVID vaccination.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I received the Covid-19 Vaccine 04/02/2022. Woke up June 30,2022 with a sore throat and  fever of 99.4 and took a Covid-19 test and was positive. I called my doctor office and was suggested to take Paxlovid. I took the medication about 4:30 that same day and finished 07/05/2022.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Lacrimation increased, Malaise, Nasal congestion
Clinical narrative: I had a cough on the 22nd of May and I tested for COVID-19 and it was negative. I felt better so I assumed it was not COVID-19 until I started to cough again the 25th. I also had a stuffy runny nose, watery eyes, along with a cough. I retested on May 25th and was positive. I called my doctor and he called in a prescription of Paxlovid which I started on the 26th and finished within 5 days. I became symptom free after a few days. I tested negative on the June 01. On June 3rd, I had the cough and stuffy nose return and I tested positive again. My symptoms went away by June 07th and I tested negative on June 08th. I completely recovered from all symptoms.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a cough on the 22nd of May and I tested for COVID-19 and it was negative. I felt better so I assumed it was not COVID-19 until I started to cough again the 25th. I also had a stuffy runny nose, watery eyes, along with a cough. I retested on May 25th and was positive. I called my doctor and he called in a prescription of Paxlovid which I started on the 26th and finished within 5 days. I became symptom free after a few days. I tested negative on the June 01. On June 3rd, I had the cough and stuffy nose return and I tested positive again. My symptoms went away by June 07th and I tested negative on June 08th. I completely recovered from all symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exercise tolerance decreased, Fatigue
Clinical narrative: I started feeling very tired at dinner. I realize I couldn't stay for dessert. I beginning to start coughing and had trouble breathing. I went to bed and woke up the next day. I couldn't walk with my group. I went to the pharmacy and got some cough medicine. I stayed in bed and couldn't participate. I did get something to eat but couldn't eat it all. The next day I was able to walk only 7 miles. On Thursday I still had cough and lung issues. On Sunday I went to a hospital and saw a doctor. She listened to my lunges and did not hear any fluid in my lunges. They did not take an x-ray. I was given a prescription for anti-inflammatory. I started feeling better on Monday. I tested positive for COVID-19.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Loss of personal independence in daily activities, Lung disorder, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: I started feeling very tired at dinner. I realize I couldn't stay for dessert. I beginning to start coughing and had trouble breathing. I went to bed and woke up the next day. I couldn't walk with my group. I went to the pharmacy and got some cough medicine. I stayed in bed and couldn't participate. I did get something to eat but couldn't eat it all. The next day I was able to walk only 7 miles. On Thursday I still had cough and lung issues. On Sunday I went to a hospital and saw a doctor. She listened to my lunges and did not hear any fluid in my lunges. They did not take an x-ray. I was given a prescription for anti-inflammatory. I started feeling better on Monday. I tested positive for COVID-19.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Confirmed breakthrough case  COVID-19 (Moderna) 1 81 Years 10 Months 03/16/2021 Hospital Moderna 011A21A   COVID-19 (Moderna) 2 81 Years 11 Months 04/13/2021 Hospital Moderna 025B21A
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Palpitations, SARS-CoV-2 test positive
Clinical narrative: 6/29 46y.o. male with a PMH significant for Wolf parkinson, Afib S/P ablation and cardioversion (on eliquis), Wolf parkinson, HFrEF ( 35-40%). HTN. Presented from home with a chief complaint of palpitations and chest tightness of 2 days duration
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Malaise, Oropharyngeal pain
Clinical narrative: I contracted COVID-19 on 05/19/2022 with symptoms of sore throat, loss of taste, loss of smell, runny nose, congestion, and I had a sore in my mouth. I received Monoclonal Antibodies on 05/22/2022. I was ill for 5 days  before my symptoms resolved. My sense of taste and smell have not fully returned, but my other symptoms fully resolved.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Stomatitis
Clinical narrative: I contracted COVID-19 on 05/19/2022 with symptoms of sore throat, loss of taste, loss of smell, runny nose, congestion, and I had a sore in my mouth. I received Monoclonal Antibodies on 05/22/2022. I was ill for 5 days  before my symptoms resolved. My sense of taste and smell have not fully returned, but my other symptoms fully resolved.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 6/29  57y.o. male with history of alcohol use disorder, cocaine use disorder, CAD, chronic back pain, COPD, HLD, HTN, OSA, DM2, tobacco use, depression present with shortness of breath, cough, dyspnea.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Animal bite, COVID-19, Localised infection, SARS-CoV-2 test positive
Clinical narrative: 6/28 48y.o. female who presents with worsening L. Thumb infection s/p dog bite 6/23. Relevant medical history includes Type 2 DM, HTN, Anxiety, Fibromyalgia
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Asthenia, COVID-19, Cognitive disorder, Hypoglycaemia
Clinical narrative: 6/28 66-year-old male with past medical history of type 2 diabetes mellitus, comes in with history of increasing weakness and hypoglycemia.  The patient has mild cognitive impairment, memory loss
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 6/28 66-year-old male with past medical history of type 2 diabetes mellitus, comes in with history of increasing weakness and hypoglycemia.  The patient has mild cognitive impairment, memory loss
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Delivery, Discomfort, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: 6/28 25y.o. G1P0 at 38w5d by L=8wk US who c/o pressure and ctx since this morning 6/28 SVD.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine contractions during pregnancy
Clinical narrative: 6/28 25y.o. G1P0 at 38w5d by L=8wk US who c/o pressure and ctx since this morning 6/28 SVD.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Nausea, SARS-CoV-2 test positive
Clinical narrative: 6/26 32y.o. female with history of asthma, hypertension, fatty liver disease, came to the hospital with complaints of nausea vomiting diarrhea and fatigue.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: 6/26 32y.o. female with history of asthma, hypertension, fatty liver disease, came to the hospital with complaints of nausea vomiting diarrhea and fatigue.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Nausea, SARS-CoV-2 test positive
Clinical narrative: 6/26 32y.o. female with history of asthma, hypertension, fatty liver disease, came to the hospital with complaints of nausea vomiting diarrhea and fatigue.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 6/26 32y.o. female with history of asthma, hypertension, fatty liver disease, came to the hospital with complaints of nausea vomiting diarrhea and fatigue.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive
Clinical narrative: 6/26 84-year-old man with a past medical history significant for solitary kidney, GERD, hypertension and prostate cancer who presents to hospital due to intractable nausea
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, COVID-19, Fall, Musculoskeletal chest pain, SARS-CoV-2 test positive
Clinical narrative: 6/26 67y.o. female with history of breast cancer, fibroids status post hysterectomy, presented with complaints of rib pain, left hip pain after a fall.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Delivery, Induced labour, Maternal exposure before pregnancy, SARS-CoV-2 test positive
Clinical narrative: 6/25 This 27y.o. G1P0000 at 39w0d by 6 5/7 wk US presents to Triage with c/o SROM 0530 AM & ctxs. No VB.. Fetal movement normal. Desires KNBC. Induced labor, birthed baby boy
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Spontaneous rupture of membranes, Uterine contractions during pregnancy
Clinical narrative: 6/25 This 27y.o. G1P0000 at 39w0d by 6 5/7 wk US presents to Triage with c/o SROM 0530 AM & ctxs. No VB.. Fetal movement normal. Desires KNBC. Induced labor, birthed baby boy
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hyporesponsive to stimuli, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: 6/24  71-year-old female with a history of quadriplegia, dysphagia with PEG tube, bladder cancer history status postresection and chronic Foley, COPD, lung cancer status post radiation and chemotherapy. Has been less responsive to her family with low-grade fever, increasing congestion and rhinorrhea--brought into the emergency room.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 6/24  71-year-old female with a history of quadriplegia, dysphagia with PEG tube, bladder cancer history status postresection and chronic Foley, COPD, lung cancer status post radiation and chemotherapy. Has been less responsive to her family with low-grade fever, increasing congestion and rhinorrhea--brought into the emergency room.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Caesarean section, Maternal exposure before pregnancy, SARS-CoV-2 test positive
Clinical narrative: 39y.o. at 39w4d presenting to triage for scheduled repeat C-section. Birthed baby boy
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Caesarean section, Maternal exposure before pregnancy, SARS-CoV-2 test positive
Clinical narrative: 6/23 37y.o. G3P2002 at 39w0d presenting to triage for scheduled repeat C-section 6/23 C-Section
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 6/22 38-year-old gentleman with history of pancreatitis in the past comes in with acute onset of severe epigastric pain with nausea and vomiting.  Pain started day before admission.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cholecystitis chronic, SARS-CoV-2 test positive
Clinical narrative: 6/22 29-year-old lady who was been referred to us for evaluation and management of what appears to be chronic cholecystitis
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Laboratory test abnormal, SARS-CoV-2 test positive
Clinical narrative: 6/22 53-year-old male with pmhx of ESRD on HD (M,W,F), R renal transplant (2014), CML, and hypertension who presents to the ER from preop with abnormal labs.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, COVID-19, Delivery, Induced labour, Maternal exposure before pregnancy
Clinical narrative: 6/20 23y.o. G2P0010 at 39w4d Estimated Date of Delivery: 6/23/22 l = 8.6 sent from office where blood pressure was mildly elevated 6/21 Induced labor, birthed baby boy
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 6/20 23y.o. G2P0010 at 39w4d Estimated Date of Delivery: 6/23/22 l = 8.6 sent from office where blood pressure was mildly elevated 6/21 Induced labor, birthed baby boy
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of Covid, tested positive on 6/29/22.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Confirmed breakthrough case   COVID-19 (Pfizer) 1  01/15/2021 local County Health Dept Pfizer EL3249   COVID-19 (Pfizer) 2  02/08/2021 local County Health Dept Pfizer EM9810   COVID-19 (Pfizer) 3  10/13/2021 vaccination center Pfizer ER2613
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal, Confusional state
Clinical narrative: Patient was admitted because of generalized fatigue, confusion and loss of appetite due to loss of taste sensation for last 2 weeks.   Patient was sleeping a lot recently and not taking his medication.  He denies any chest pain or shortness of breath. Patient was placed on oxygen.  Started on a dexamethasone and Decadron.  Also started on vitamin C vitamin D and zinc.  He did have a period of confusion it was felt to be due to delirium tremens.    CT scan of the brain was negative.  He does not have any respiratory distress.  He was able to wean off the oxygen completely.  He was clear for discharge.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Delirium, Fatigue, Haemoglobin decreased, Hypersomnia
Clinical narrative: Patient was admitted because of generalized fatigue, confusion and loss of appetite due to loss of taste sensation for last 2 weeks.   Patient was sleeping a lot recently and not taking his medication.  He denies any chest pain or shortness of breath. Patient was placed on oxygen.  Started on a dexamethasone and Decadron.  Also started on vitamin C vitamin D and zinc.  He did have a period of confusion it was felt to be due to delirium tremens.    CT scan of the brain was negative.  He does not have any respiratory distress.  He was able to wean off the oxygen completely.  He was clear for discharge.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Meniscus injury, Refusal of treatment by patient, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Patient was admitted because of generalized fatigue, confusion and loss of appetite due to loss of taste sensation for last 2 weeks.   Patient was sleeping a lot recently and not taking his medication.  He denies any chest pain or shortness of breath. Patient was placed on oxygen.  Started on a dexamethasone and Decadron.  Also started on vitamin C vitamin D and zinc.  He did have a period of confusion it was felt to be due to delirium tremens.    CT scan of the brain was negative.  He does not have any respiratory distress.  He was able to wean off the oxygen completely.  He was clear for discharge.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Confirmed Breakthrough case COVID-19 (Pfizer) 1  04/15/2021 Pfizer ER8732   COVID-19 (Pfizer) 2  05/06/2021 Pfizer EW0150
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Feeling abnormal, Feeling hot
Clinical narrative: She got her vaccine, she had soreness, heat in the left arm, soreness in the muscle was an immediate reaction.  About 8 hours later she was tired, lethargic, fever kept going higher, 100, 101 and then went to almost 102.  She also had stomach cramps, extreme fatigue, diarrhea, and a fogginess about her.  This lasted all weekend.  Last night she had herpes that started appearing on her lips and today they are coming out even more (it will get worse before it gets better).  She has not treated the herpes on her lips.  She took Advil on Saturday and Tylenol for the fever, and then kept keeping Tylenol on Saturday and Sunday, but weaning off of it on Monday and has not had any today.   She went on the portal and notified her that she was reporting this and wanting to know if the symptoms were normal for the vaccine.