chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Product preparation issue
Clinical narrative: Shingrix vaccine was not reconstituted. Pt only received adjuvant suspension.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Sleep disorder
Clinical narrative: Continued arm discomfort when lifting or turning my arm. I have not had any treatment. It is only bothersome at night when I sleep and am moving my arm above my head or when I am doing yoga or other exercise where my arm is raised and moving or twisting.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown at this time.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive Covid test, February 2022
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: I started having symptoms like a really bad sinus infection on January 20th. I started taking Dayquil because I thought that it was a normal sinus infection. I went to get tested after I was not getting better which was about 5 days later. I tested positive for COVID 19. I contacted my doctor who prescribed steroids, a cough medicine called bromine and a 3rd medication. After a week or so, I felt close to human again. I still have a bit of a cough but I feel that I am completely recovered. My food still taste funny also.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Grip strength decreased, Loss of personal independence in daily activities, Mobility decreased, Muscular weakness
Clinical narrative: I started feeling pain in my shoulder/bursa area. I couldn't lift my arm, or rotate it. I had trouble putting clothes on, holding anything or hanging my purse off of it. I couldn't reach across my body or lift it over my head. I couldn't raise my arm in front of me or to the side due to pain and muscle weakness. This occurred in November, December, and into January.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rotator cuff syndrome
Clinical narrative: I started feeling pain in my shoulder/bursa area. I couldn't lift my arm, or rotate it. I had trouble putting clothes on, holding anything or hanging my purse off of it. I couldn't reach across my body or lift it over my head. I couldn't raise my arm in front of me or to the side due to pain and muscle weakness. This occurred in November, December, and into January.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown at this time
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Insomnia, Pain, Pain in extremity
Clinical narrative: It was similar to the first two shots. That night I went home and the pain became worse. I put ice packs on it and became very fatigued. It continued for two days to the point where I couldn't get out of bed. After that the pain started moving down my shoulder to my arm. I treated it with ice packs. It was hard to lay down and I wasn't able to sleep. None the less it was getting worse so I contacted the doctor a week later. I also have a doctor I see for my Peripheral Neuropathy and the doctor said it should eventually go away. I basically treated it with Tylenol and ice packs. It went through Thanksgiving, Christmas and New Years. Finally at the end of December I saw my primary care physician for my annual check up. She took some x-rays and so forth and thought I should try some physical therapy. She thought it could be bursitis but I've had bursitis before and its way worse. The fatigue is the main component of it. She did give me Celebrex. The Celebrex helped for a bit but it was extremely hard on my stomach since I have Gerd.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: It was similar to the first two shots. That night I went home and the pain became worse. I put ice packs on it and became very fatigued. It continued for two days to the point where I couldn't get out of bed. After that the pain started moving down my shoulder to my arm. I treated it with ice packs. It was hard to lay down and I wasn't able to sleep. None the less it was getting worse so I contacted the doctor a week later. I also have a doctor I see for my Peripheral Neuropathy and the doctor said it should eventually go away. I basically treated it with Tylenol and ice packs. It went through Thanksgiving, Christmas and New Years. Finally at the end of December I saw my primary care physician for my annual check up. She took some x-rays and so forth and thought I should try some physical therapy. She thought it could be bursitis but I've had bursitis before and its way worse. The fatigue is the main component of it. She did give me Celebrex. The Celebrex helped for a bit but it was extremely hard on my stomach since I have Gerd.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Electrocardiogram normal, Electroencephalogram normal, Metabolic function test, Orthostatic hypotension
Clinical narrative: Patient reported a vasovagal syncope episode that appeared to be psychogenic nonepileptic involuntary movements by bystanders, however the patient retained consciousness throughout the experience.  It lasted roughly two minutes.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient reported a vasovagal syncope episode that appeared to be psychogenic nonepileptic involuntary movements by bystanders, however the patient retained consciousness throughout the experience.  It lasted roughly two minutes.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Dyspnoea, Lung hyperinflation
Clinical narrative: I have been with a shortage of breath, I went to the doctor, they told me I had pneumonia; my lower lung is very inflated. I need to go to another chest x-ray in 3 weeks. I got COVID on Nov 30. I got antibody infusion Dec 3rd. They will do an echo to look at my heart on Thursday 2/24/2022.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia
Clinical narrative: I have been with a shortage of breath, I went to the doctor, they told me I had pneumonia; my lower lung is very inflated. I need to go to another chest x-ray in 3 weeks. I got COVID on Nov 30. I got antibody infusion Dec 3rd. They will do an echo to look at my heart on Thursday 2/24/2022.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Dizziness, Dyspnoea, Feeling drunk, Palpitations
Clinical narrative: Patient called 7 days after vaccination to report that, since his vaccination, he has experienced shortness of breath and racing heart rate. (He has not taken his heart rate, but says that he "Can feel it racing". He further reports that on the day of his vaccine he felt almost drunk and woozy. It should be noted that he was very upset (boarding on angry) that he had to get the vaccination because his employer required it.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Aspiration, Asthenia
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood bicarbonate normal, Blood chloride normal, Blood creatinine normal, Blood culture positive
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Blood potassium normal, Blood sodium decreased, Blood urea normal, Chest X-ray normal
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Fall, Glycosylated haemoglobin normal
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Gram stain positive, Haematocrit decreased, Haemoglobin decreased, Hypokalaemia, Hypomagnesaemia
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Illness, Influenza virus test negative, Lung opacity, Malaise
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nausea, Oedema peripheral, Platelet count normal, Pneumonia
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin increased, Prohormone brain natriuretic peptide increased, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Tachycardia
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Vomiting, White blood cell count normal
Clinical narrative: Progress NOTE on 1/17/22 76-year-old female with past medical history of paroxysmal atrial fibrillation on Eliquis, diabetes type 2, hypertension, hyperlipidemia, lower extremity swelling who presented to the ED on 1/16 complaining of shortness of breath that began approximately week ago.  She states that she did receive her COVID-19 booster shot on Tuesday 1/11 and has been feeling slightly ill since that time.  She also had significant weakness, malaise, shortness of breath, nausea and 4 episodes of vomiting.She was recently seen by NP cardiologist on 1/12. and was recommended to continue metoprolol.  She previously was suppose to be taking diltiazem but was not sure if she was actually taking this.  She also was started on furosemide 20 mg  On arrival EMS found her to be in atrial fibrillation and found to have an oxygen saturation of 74%.  She also had a right lower extremity weakness which is due to a fall couple weeks ago she was given 4 mg of Zofran.  In the ER she was found to be tachycardic with heart rate up to 120s after was started on Cardizem drip.  She is found to be hypoxic 86% on room air, blood pressure 124/61.   proBNP 1833, troponin negative, procalcitonin 23.37, blood cultures negative to date preliminary, COVID-negative, RSV influenza negative, WBCs 9.4.  Chest x-ray read showed no identifiable acute cardiopulmonary disease.  CTA of the chest shows patchy groundglass opacity in the lung base left greater than the right.  Consistent with infections/aspiration type changes.  She was started on azithromycin, Rocephin.  Electrophysiology did evaluate patient and did recommend increasing her metoprolol from 25 mg twice daily to 50 mg twice daily as well as continuing her Eliquis.  #A-fib w/ RVR - recently changed from diltiazem & metoprolol to metoprolol alone and lasix. On eliquis.  Electrophysiology was consulted and recommends increasing her metoprolol to 50 mg twice daily.  Monitor closely  #Acute hypoxic respiratory failure w/ initial oxygen 82% on RA likely 2/2 to a-fib w/ RVR and CAP.  Rocephin, doxycycline. Monitor  #Significant 2nd hand smoke exposure > 50 yrs - recommend outpatient f/u with PCP for PFT's and repeat imaging once feeling better.  #CAP w/ elevated procalcitonin. Tx as above #N/V/cough/ possibly 2/2 to vaccine reaction? - COVID negative. Has been ill since vaccine.  F/u on Cortisol level. Will report     #Severe Hypomagnesium, mild hypokalemia - replace and monitor closely.  #DM2 - f/u w/ HgA1c. Hold Metformin and Januvia, glipizide  #LE edema - improved after lasix. Lasix has been held  #HTN - Lisinopril held  #HLD - Atorvastatin # Mild to mod Tricuspid regurgitation,  Mitral regurgitation on ECHO 1/10  # Obstructive sleep apnea (unable to tolerate cpap)   #Elevated Pro-BNP, likely 2/2 to A-fib.    1/20/22 Review of systems: No fevers or chills No nausea vomiting or diarrhea, no abdominal pain No chest pain or shortness of breath HEENT is negative Skin is negative 1/21/22 Discharge home
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: MOC called on call doctor 24 hours after administration. Per Doctor's note, patient developed full body hives about 24 hours after his 2nd COVID 19 vaccine. He has not been sick with anything in many weeks, no new fever. Denied wheezing, difficulties breathing, vomiting, chest discomfort, flushing, mouth, tongue, throat swelling, voice changing. No evidence of any other reason for generalized urticarial eruption besides vaccine administration.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Burning sensation, Chest X-ray normal, Erythema, Mechanical urticaria
Clinical narrative: Extreme itching, burning under skin, pins-and-needles, tingling. Painful. Extreme redness when itched or scratched. Diagnosed by allergist/immunologist with dermatographia.   Treatment: prescribed Claritin (double dose)  Outcomes: Condition still ongoing 7 weeks after shot. Claritin alleviates some itching, but not the burning or pins-and-needles sensation.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pruritus
Clinical narrative: Extreme itching, burning under skin, pins-and-needles, tingling. Painful. Extreme redness when itched or scratched. Diagnosed by allergist/immunologist with dermatographia.   Treatment: prescribed Claritin (double dose)  Outcomes: Condition still ongoing 7 weeks after shot. Claritin alleviates some itching, but not the burning or pins-and-needles sensation.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid breakthrough
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Bell's palsy, Computerised tomogram head, Dry eye, Facial asymmetry
Clinical narrative: Patient with Bells Palsy & Pfizer booster within a month of symptoms. 49YF with history of diabetes, sleep apnea, dyslipidemia, and obesity.  She presents to the hospital on 1/27/22 with a 2-day history of facial paresthesias.  About 2 days ago, she dozed off and when she woke up, she had an abnormal feeling on the left side of her tongue.  She has also noticed an achy sensation on the left side of her head on the top.  She tells me that it felt as though she was having pressure there from a hair clip which she took out. This morning, she was brushing her teeth and she noticed that her mouth felt abnormal on the left side and water was dribbling out of the left side of her mouth.  Her smile also looked asymmetric.  She has noticed some tearing of her left eye and tells me that it feels very dry.  She has not had any vesicles in her ear or any ear pain, no upper respiratory infections recently.  She received the Pfizer booster sometime after Christmas within the last few weeks.  She has not had any fevers or chills.  No nausea or vomiting.  No chest pain or trouble breathing, no unilateral weakness of her extremities.  No difficulty with balance or coordination.  She has never had a history of stroke, TIA, or MI.  She went see her primary care provider and was instructed to come to the emergency department for further evaluation.  A neurological consultation was requested.   Discussed with neurology in the absence of other strokelike findings, the progression to the upper facial weakness this should be treated with 7-day course of steroids, eyedrops and eye patch.  Reviewed the patient's labs without any significant anemia, metabolic abnormality, COVID-19 testing.  At this time I have discussed Bell's palsy with the patient, outpatient treatment, the importance of primary care follow-up and I will give her a referral for neurology.  She is comfortable discharge at this time on 1/27/22.  We did advise her that given her diabetes history she should check her glucose carefully and be in close contact with her primary care physician.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Lacrimation increased, Magnetic resonance imaging normal, Paraesthesia
Clinical narrative: Patient with Bells Palsy & Pfizer booster within a month of symptoms. 49YF with history of diabetes, sleep apnea, dyslipidemia, and obesity.  She presents to the hospital on 1/27/22 with a 2-day history of facial paresthesias.  About 2 days ago, she dozed off and when she woke up, she had an abnormal feeling on the left side of her tongue.  She has also noticed an achy sensation on the left side of her head on the top.  She tells me that it felt as though she was having pressure there from a hair clip which she took out. This morning, she was brushing her teeth and she noticed that her mouth felt abnormal on the left side and water was dribbling out of the left side of her mouth.  Her smile also looked asymmetric.  She has noticed some tearing of her left eye and tells me that it feels very dry.  She has not had any vesicles in her ear or any ear pain, no upper respiratory infections recently.  She received the Pfizer booster sometime after Christmas within the last few weeks.  She has not had any fevers or chills.  No nausea or vomiting.  No chest pain or trouble breathing, no unilateral weakness of her extremities.  No difficulty with balance or coordination.  She has never had a history of stroke, TIA, or MI.  She went see her primary care provider and was instructed to come to the emergency department for further evaluation.  A neurological consultation was requested.   Discussed with neurology in the absence of other strokelike findings, the progression to the upper facial weakness this should be treated with 7-day course of steroids, eyedrops and eye patch.  Reviewed the patient's labs without any significant anemia, metabolic abnormality, COVID-19 testing.  At this time I have discussed Bell's palsy with the patient, outpatient treatment, the importance of primary care follow-up and I will give her a referral for neurology.  She is comfortable discharge at this time on 1/27/22.  We did advise her that given her diabetes history she should check her glucose carefully and be in close contact with her primary care physician.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: Dr. accidentally administered a 3rd dose of HPV (Guardasil) to pt. Per Dr., only two doses should have been administered. These two doses were already administered previously. The Doctor's office accidentally scheduled an appointment and administered a 3rd dose.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle atrophy, Oedema peripheral, Skin discolouration
Clinical narrative: Shortly after receiving the vaccine patient has swelling in the left axilla.  He now has 5 cm tender, firm swelling with central purple discoloration.  He has atrophy of the left pectoralis muscle.  He has no rash on the left deltoid.  Of Note: patient  had COVID-19 and then received the 2nd Pfizer Vaccine 3 weeks later.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient complained of having numb whole arm one hour after first pfizer covid vaccine lasting 3 days then disappearing. Arm fine after that.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Headache, Illness, Mobility decreased
Clinical narrative: 30 minutes later had cold chills.went to bedand slept for 3 hour. Ate something went back to bed and woke up with severe head ache on top of my head. Two days later went to Dr. tested positive with both test. Got infusion 4 days laster. Never left my house for 31 days. Wasn't able to do do anything for another 2 weeks. Lost 12 lbs. Never been this sick in my life
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Weight decreased
Clinical narrative: 30 minutes later had cold chills.went to bedand slept for 3 hour. Ate something went back to bed and woke up with severe head ache on top of my head. Two days later went to Dr. tested positive with both test. Got infusion 4 days laster. Never left my house for 31 days. Wasn't able to do do anything for another 2 weeks. Lost 12 lbs. Never been this sick in my life
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Client mistakenly given a dose pfizer instead of a dose of Moderna. Client was aware of the mistake when called and indicated thst he had been feeling well since the vaccination.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Culture, Headache, Lumbar puncture, Meningitis, Pain
Clinical narrative: After receiving the booster I had body aches and a headache for two days, and then after those two days I was okay until about a week later. I went to the hospital with a terrible headache and they diagnosed me with meningitis disease, they gave me midocodron, magnesium and Zahren to see if it will help.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Amnesia, Asthenia, Chest X-ray, Chills
Clinical narrative: Within 48 hours experienced severe cold/flu symptoms.  Had Covid negative Covid test with hospital on  November 8th.  Put on antibiotic and steroids.  Experienced shortness of breath, respiratory tract and sinus infection.  No fever but experienced chills/body aches, wheezing.    No significant improvement so provider continued with an additional dose of steroids/antibiotics.  Second  Covid test performed around November 26th also negative.  Was off work on Disability PFL through December 3, 2021. Since 2nd Pfizer dose on 12/14/2021 experiencing the following:  Vertigo - loss of hearing (muffled)- ringing in the ears, dizziness, extreme headache (migraine), nausea, blurred vision, body aches, forgetfulness/memory loss, weight gain, light sensitivity, decreased strength/increased weakness.  Loss of stamina for physical activity. bloating.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Dizziness, Dyspnoea, Headache, Hypoacusis
Clinical narrative: Within 48 hours experienced severe cold/flu symptoms.  Had Covid negative Covid test with hospital on  November 8th.  Put on antibiotic and steroids.  Experienced shortness of breath, respiratory tract and sinus infection.  No fever but experienced chills/body aches, wheezing.    No significant improvement so provider continued with an additional dose of steroids/antibiotics.  Second  Covid test performed around November 26th also negative.  Was off work on Disability PFL through December 3, 2021. Since 2nd Pfizer dose on 12/14/2021 experiencing the following:  Vertigo - loss of hearing (muffled)- ringing in the ears, dizziness, extreme headache (migraine), nausea, blurred vision, body aches, forgetfulness/memory loss, weight gain, light sensitivity, decreased strength/increased weakness.  Loss of stamina for physical activity. bloating.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Inappropriate schedule of product administration, Influenza, Malaise, Memory impairment
Clinical narrative: Within 48 hours experienced severe cold/flu symptoms.  Had Covid negative Covid test with hospital on  November 8th.  Put on antibiotic and steroids.  Experienced shortness of breath, respiratory tract and sinus infection.  No fever but experienced chills/body aches, wheezing.    No significant improvement so provider continued with an additional dose of steroids/antibiotics.  Second  Covid test performed around November 26th also negative.  Was off work on Disability PFL through December 3, 2021. Since 2nd Pfizer dose on 12/14/2021 experiencing the following:  Vertigo - loss of hearing (muffled)- ringing in the ears, dizziness, extreme headache (migraine), nausea, blurred vision, body aches, forgetfulness/memory loss, weight gain, light sensitivity, decreased strength/increased weakness.  Loss of stamina for physical activity. bloating.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Nasopharyngitis, Nausea, Pain, Photophobia
Clinical narrative: Within 48 hours experienced severe cold/flu symptoms.  Had Covid negative Covid test with hospital on  November 8th.  Put on antibiotic and steroids.  Experienced shortness of breath, respiratory tract and sinus infection.  No fever but experienced chills/body aches, wheezing.    No significant improvement so provider continued with an additional dose of steroids/antibiotics.  Second  Covid test performed around November 26th also negative.  Was off work on Disability PFL through December 3, 2021. Since 2nd Pfizer dose on 12/14/2021 experiencing the following:  Vertigo - loss of hearing (muffled)- ringing in the ears, dizziness, extreme headache (migraine), nausea, blurred vision, body aches, forgetfulness/memory loss, weight gain, light sensitivity, decreased strength/increased weakness.  Loss of stamina for physical activity. bloating.