chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Malaise, Ocular hyperaemia, Pain, SARS-CoV-2 test positive
Clinical narrative: My whole family received the bivalent booster shot (Moderna and Pfizer) on 11/7 and we all tested positive for COVID on 11/9 or 11/10.  About 5 hours after the shot, I started not feeling well with a headache and wanted to lie down.  I coughed during the night, had some chills, aches, and did not want to get out of bed on 11/8.  I didn't get up until about 11am on 11/8 and went to sleep that night (11/8) at 7pm in which I coughed and I the same symptoms.  I also had a blood pressure of about 160/110 and heart rate of about 105, over several readings throughout the night of 11/8 - 11/9. The headache remained consistent and pretty strong for several days, and my eyes have been burning red.  I had tested for covid at home on 11/7 and 11/8 and was negative.  On 11/9, I saw a healthcare provider who gave me a pcr test. Later that day, I took another at home antigen test, and it was positive for COVID.  Two other family members were also positive, and the final family member was positive via a pcr test on 11/10.  We all have similar symptoms.  My husband and I both have had burning red eyes.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Musculoskeletal chest pain, SARS-CoV-2 test positive
Clinical narrative: 09/16/22 presents to EC ED for "shortness of breath, rib pain". PMHx of "hypertension"
Age: 50.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Vaccination site erythema, Vaccination site pain
Clinical narrative: RED BURN AREA ABOVE ELBOW (BELOW THE AREA OF VACCINE ADMINISTERED SITE OF MODERNA VACCINE)
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside of the recommended ranges
Age: 55.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness
Clinical narrative: severe dizziness starting the day after vaccine administration. Dizziness persists to this day
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Ear pain, Hypoacusis, Pyrexia, Tinnitus
Clinical narrative: Day following vaccination had low-grade fever the last 2 days.  Patient is most concerned with left ear pain, tinnitus, subjective difficulty hearing, axilla pain that occurred 3 days after and resolved within 1 week.
Age: 18.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Dyspnoea, Hypotension, Influenza virus test, Influenza virus test negative
Clinical narrative: Pale, shaky since 11-11:30 pm. Yesterday.  Had covid vaccination yesterday.  Reported that breathing was labored.  Heart rate was 115-130.  Fever 102.7 but now down.  Blood pressure generally low.  Some cough last night after opening gatorade mix but that stopped.
Age: 18.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nervousness, Pallor, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Pale, shaky since 11-11:30 pm. Yesterday.  Had covid vaccination yesterday.  Reported that breathing was labored.  Heart rate was 115-130.  Fever 102.7 but now down.  Blood pressure generally low.  Some cough last night after opening gatorade mix but that stopped.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19-2, FLU4
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Pt was to received the initial Moderna Primary Series along with Influenza Vaccine.  Received the Moderna Bivalent Booster.  Spoke with CDC, per guidelines: Repeat 1 monovalent dose immediately (no minimum interval) because administration of the bosterdose will result in a lower-than-authorized dose.  Discussed CDC's recommendation with provider.  Provider discussed with pt.  Patient did receive the Moderna Primary Series prior to leaving clinic.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Seizure, Syncope
Clinical narrative: dizziness, fainted, seizures
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside of the recommended ranges.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient was given covid vaccine with wrong dilution
Age: 77.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside of the recommended ranges.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lymphadenopathy, Palpitations, Urticaria
Clinical narrative: Full body hives, shortness of breath, and racing heart within an hour. Enlarged lymph nodes within one week
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Heart rate increased, Nausea, Sleep disorder
Clinical narrative: Received vaccine 1:00pm 11/9/22. At around 3:30 am 11/10/22, she woke with nausea and elevated heart rate up to 103 for a few hours. She then experienced nausea and diarrhea. Heart rate stayed elevated in 90s for several hours, then symptoms improved during the day and were fully resolved by afternoon.
Age: 62.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside of the recommended ranges.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Fatigue, Headache, Renal pain
Clinical narrative: I had a headache that wasn't terrible. I had kind of a runny nose, and my throat was scratchy but not sore. I also had abdominal and kidney pain. The worst symptom was fatigue. I completed a home test for COVID 19 on October 6, 2022. I also had a rapid test. I was put on PAXLOVID due to a compromised immune system. The doctor advised me to drink lots of fluids. I started to feel better the 2nd day of taking the medication. Within 5 to 7 days, I was symptom free outside of the fact that I was pretty tired. The doctor advised me to contact my primary care doctor regarding when I should start back on my normal medications.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had a headache that wasn't terrible. I had kind of a runny nose, and my throat was scratchy but not sore. I also had abdominal and kidney pain. The worst symptom was fatigue. I completed a home test for COVID 19 on October 6, 2022. I also had a rapid test. I was put on PAXLOVID due to a compromised immune system. The doctor advised me to drink lots of fluids. I started to feel better the 2nd day of taking the medication. Within 5 to 7 days, I was symptom free outside of the fact that I was pretty tired. The doctor advised me to contact my primary care doctor regarding when I should start back on my normal medications.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Muscular weakness, Pain
Clinical narrative: Since the vaccination the patient has experienced pain in his left shoulder and reduced mobility of his arm.  The patient shared he has been suffering with pain in his upper left arm and reduced mobility since the vaccination.  Describes soreness with movement of left arm towards his back and when he raises it overhead (most severe reaching back). He denies pain when raising straight forward or out to the side.  He reports a mild weakness related to the soreness with movement.    Patient has expressed desiring imaging (MIR of shoulder) to further evaluate and treat; however, patient has not completed any imaging at the time of the report.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Gave an extra dose for shingrix
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the Pfizer bivalent 12+ instead of the Pfizer bivalent 5-11.
Age: 81.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside of the recommended ranges.
Age: 0.25
Sex: M
Vaccine: PNC13
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/31/22
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pfizer Covid 12Y & up vaccine was given instead of Pfizer bivalent vaccine. Patient was contacted as soon as error was identified and instructions for next steps was given.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Pfizer original formulation in error of the Pfizer bivalent for his booster dose.  A different pharmacist grabbed the vial out of the fridge and handed the vial to me.  I drew up the dose and gave to the patient.   We have the bag the vials are in marked with a green sticker to alert which are bivalent and the original are in a bag that does not have this sticker on the bag.
Age: 64.0
Sex: F
Vaccine: PPV, UNK
Symptoms: Asthenia, Chest X-ray normal, Cough, Decreased appetite, Dizziness
Clinical narrative: 10/16/2022 at about 2pm I started getting a fever and felt dizzy.  I also felt a great deal of congestion and I had a cough.  I Tested with an At Home COVID-19 test, Negative.  Lots of weakness, loss of appetite and fatigue. Took Ibuprofen.  10/18 went to the Doctor.  Tested again with an At home COVID-19 test negative again.  Doctor tested for the flu, negative and a chest x ray was normal.  Prescribed Albuterol inhaler and Xhance inhaler.  Eyes itchy and cough lasted about 3 weeks.  Fever broke 10/19/2022.
Age: 64.0
Sex: F
Vaccine: PPV, UNK
Symptoms: Eye pruritus, Fatigue, Influenza virus test negative, Pyrexia, Respiratory tract congestion
Clinical narrative: 10/16/2022 at about 2pm I started getting a fever and felt dizzy.  I also felt a great deal of congestion and I had a cough.  I Tested with an At Home COVID-19 test, Negative.  Lots of weakness, loss of appetite and fatigue. Took Ibuprofen.  10/18 went to the Doctor.  Tested again with an At home COVID-19 test negative again.  Doctor tested for the flu, negative and a chest x ray was normal.  Prescribed Albuterol inhaler and Xhance inhaler.  Eyes itchy and cough lasted about 3 weeks.  Fever broke 10/19/2022.
Age: 64.0
Sex: F
Vaccine: PPV, UNK
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 10/16/2022 at about 2pm I started getting a fever and felt dizzy.  I also felt a great deal of congestion and I had a cough.  I Tested with an At Home COVID-19 test, Negative.  Lots of weakness, loss of appetite and fatigue. Took Ibuprofen.  10/18 went to the Doctor.  Tested again with an At home COVID-19 test negative again.  Doctor tested for the flu, negative and a chest x ray was normal.  Prescribed Albuterol inhaler and Xhance inhaler.  Eyes itchy and cough lasted about 3 weeks.  Fever broke 10/19/2022.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Covid 12Y & up vaccine was given instead of Pfizer bivalent vaccine. Patient was contacted as soon as error was identified and instructions for next steps was given.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest discomfort, Cough, Headache, Lower respiratory tract congestion
Clinical narrative: I had heavy cough, tight chest congestion, low-grade fever, and a headache after going to the beach with a friend a couple of days later. So I went to a local pharmacy on 10/31/2022 to take PCR COVID-19 test which came back positive. I used my breathing candy and sucked on ginger to help rebuild my immunity and get better. Later, my doctor just prescribed me albuterol to use my nebulizer for breathing treatments.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had heavy cough, tight chest congestion, low-grade fever, and a headache after going to the beach with a friend a couple of days later. So I went to a local pharmacy on 10/31/2022 to take PCR COVID-19 test which came back positive. I used my breathing candy and sucked on ginger to help rebuild my immunity and get better. Later, my doctor just prescribed me albuterol to use my nebulizer for breathing treatments.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given out of a vial unknow that had expired. The manufacturer shortened the expiration date before the office was notified.
Age: 0.92
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Given too soon
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Pfizer Covid 12Y & up vaccine was given instead of Pfizer bivalent vaccine. Patient was contacted as soon as error was identified and instructions for next steps was given.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Covid 12Y & up vaccine was given instead of Pfizer bivalent vaccine. Patient was contacted as soon as error was identified and instructions for next steps was given.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Nasopharyngitis, Oral candidiasis, Oropharyngeal pain, Pain in extremity
Clinical narrative: I had a cold a few weeks before booster, During virus was given Doxycycline for ear infection.  Cold symptons had subsided before I received booster. 1st night after getting booster, arm was painful.  Day 2 & 3 cold symptoms came back.  Lots of coughing, sore throat & developed spots on back of throat. Went to urgent care, they did covid test & strep throat test - both were negative.   Was told I had Oral Thrush & Upper Respiratory Infection.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Streptococcus test, Streptococcus test negative, Throat lesion, Upper respiratory tract infection
Clinical narrative: I had a cold a few weeks before booster, During virus was given Doxycycline for ear infection.  Cold symptons had subsided before I received booster. 1st night after getting booster, arm was painful.  Day 2 & 3 cold symptoms came back.  Lots of coughing, sore throat & developed spots on back of throat. Went to urgent care, they did covid test & strep throat test - both were negative.   Was told I had Oral Thrush & Upper Respiratory Infection.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Covid 12Y & up vaccine was given instead of Pfizer bivalent vaccine. Patient was contacted as soon as error was identified and instructions for next steps was given.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood electrolytes, Blood gases, Blood ketone body, Blood lactic acid
Clinical narrative: About 3-4 weeks after the 2nd Dose I developed an itch in my ear that became a ras, I ended up with Bells Palsy, a rash and bad vertigo, after Many different appointments for help with individual issues resulting from the original issue, I recovered from most but I still have slight vertigo that persists
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium, Computerised tomogram head, Full blood count, Fundus autofluorescence, Laboratory test
Clinical narrative: About 3-4 weeks after the 2nd Dose I developed an itch in my ear that became a ras, I ended up with Bells Palsy, a rash and bad vertigo, after Many different appointments for help with individual issues resulting from the original issue, I recovered from most but I still have slight vertigo that persists
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Optical coherence tomography, Pruritus, Rash, Scan with contrast
Clinical narrative: About 3-4 weeks after the 2nd Dose I developed an itch in my ear that became a ras, I ended up with Bells Palsy, a rash and bad vertigo, after Many different appointments for help with individual issues resulting from the original issue, I recovered from most but I still have slight vertigo that persists
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: About 3-4 weeks after the 2nd Dose I developed an itch in my ear that became a ras, I ended up with Bells Palsy, a rash and bad vertigo, after Many different appointments for help with individual issues resulting from the original issue, I recovered from most but I still have slight vertigo that persists
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Blood creatinine increased, Bronchial secretion retention, COVID-19
Clinical narrative: A 90 y.o. male patient of, CNP with history of CKD, Parkinson disease, HTN, HLD, and recent COVID infection presented with weakness, cough. Left lower lobe pneumonia, possible aspiration. Sepsis present on admission due to pneumonia. CTPE showed no PE but showed mucous impaction with left lower lobe opacity Patient has improved clinically, he tested positive for COVID infection and is on isolation for total of 10 days before he can be transitioned to skilled nursing facility.  Anticipated discharge date is October 22. Completed course of Rocephin and azithromycin during hospitalization last dose 10/19. Patient has generalized weakness, continue physical and Occupational Therapy. Speech therapy evaluated, at risk for aspiration and started precautions, instructed his wife at bedside today. CKD stage 3; Anemia, stable. Serum creatinine 1.6 on admission. Lower than previous on record Continue to monitor blood chemistries, repeat on 10/22; Hgb stable, follow up as outpatient HTN; Continue Norvasc; Continue hydralazine as needed. Parkinson disease with related dementia, hallucinations, and delusions. Continue Aricept, Namenda, and Sinemet.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Computerised tomogram thorax abnormal, Condition aggravated, Cough, Delusion
Clinical narrative: A 90 y.o. male patient of, CNP with history of CKD, Parkinson disease, HTN, HLD, and recent COVID infection presented with weakness, cough. Left lower lobe pneumonia, possible aspiration. Sepsis present on admission due to pneumonia. CTPE showed no PE but showed mucous impaction with left lower lobe opacity Patient has improved clinically, he tested positive for COVID infection and is on isolation for total of 10 days before he can be transitioned to skilled nursing facility.  Anticipated discharge date is October 22. Completed course of Rocephin and azithromycin during hospitalization last dose 10/19. Patient has generalized weakness, continue physical and Occupational Therapy. Speech therapy evaluated, at risk for aspiration and started precautions, instructed his wife at bedside today. CKD stage 3; Anemia, stable. Serum creatinine 1.6 on admission. Lower than previous on record Continue to monitor blood chemistries, repeat on 10/22; Hgb stable, follow up as outpatient HTN; Continue Norvasc; Continue hydralazine as needed. Parkinson disease with related dementia, hallucinations, and delusions. Continue Aricept, Namenda, and Sinemet.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Dementia, Haemoglobin normal, Hallucination, Hypertension, Lung opacity
Clinical narrative: A 90 y.o. male patient of, CNP with history of CKD, Parkinson disease, HTN, HLD, and recent COVID infection presented with weakness, cough. Left lower lobe pneumonia, possible aspiration. Sepsis present on admission due to pneumonia. CTPE showed no PE but showed mucous impaction with left lower lobe opacity Patient has improved clinically, he tested positive for COVID infection and is on isolation for total of 10 days before he can be transitioned to skilled nursing facility.  Anticipated discharge date is October 22. Completed course of Rocephin and azithromycin during hospitalization last dose 10/19. Patient has generalized weakness, continue physical and Occupational Therapy. Speech therapy evaluated, at risk for aspiration and started precautions, instructed his wife at bedside today. CKD stage 3; Anemia, stable. Serum creatinine 1.6 on admission. Lower than previous on record Continue to monitor blood chemistries, repeat on 10/22; Hgb stable, follow up as outpatient HTN; Continue Norvasc; Continue hydralazine as needed. Parkinson disease with related dementia, hallucinations, and delusions. Continue Aricept, Namenda, and Sinemet.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: A 90 y.o. male patient of, CNP with history of CKD, Parkinson disease, HTN, HLD, and recent COVID infection presented with weakness, cough. Left lower lobe pneumonia, possible aspiration. Sepsis present on admission due to pneumonia. CTPE showed no PE but showed mucous impaction with left lower lobe opacity Patient has improved clinically, he tested positive for COVID infection and is on isolation for total of 10 days before he can be transitioned to skilled nursing facility.  Anticipated discharge date is October 22. Completed course of Rocephin and azithromycin during hospitalization last dose 10/19. Patient has generalized weakness, continue physical and Occupational Therapy. Speech therapy evaluated, at risk for aspiration and started precautions, instructed his wife at bedside today. CKD stage 3; Anemia, stable. Serum creatinine 1.6 on admission. Lower than previous on record Continue to monitor blood chemistries, repeat on 10/22; Hgb stable, follow up as outpatient HTN; Continue Norvasc; Continue hydralazine as needed. Parkinson disease with related dementia, hallucinations, and delusions. Continue Aricept, Namenda, and Sinemet.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Covid 12Y & up vaccine was given instead of Pfizer bivalent vaccine. Patient was contacted as soon as error was identified and instructions for next steps was given.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Covid 12Y & up vaccine was given instead of Pfizer bivalent vaccine. Patient was contacted as soon as error was identified and instructions for next steps was given.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Circumstance or information capable of leading to medication error, Incorrect product formulation administered, No adverse event
Clinical narrative: Pediatric Department; Patient went downstairs to our covid vaccination clinic to obtain a 2nd dose, MONOVALENT, PFIZER 5-11 vaccine. The online tracker already have the patient added onto our covid vaccine schedule as she should have and the appropriate dose and type was on the scheduled appointment. Unfortunately, the covid vaccination clinic gave the Pediatrics Dept. Patient given the bi-valent dose for dose 2 instead of the monovalent dose. Error was caught right away when going to document the vaccine and parent was notified and scheduled for the correct vaccine 4 weeks out, December 12, 2022. She will then get a repeat bi valent 2 months after that vaccine due to being immunocompromised. No adverse reactions or symptoms reported.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Decreased appetite, Headache, Pain, Pyrexia
Clinical narrative: For the past two weeks, I have had a headache, fever, chills, body aches and loss of appetite. I am starting to feel much better now. I don't have a fever or chills anymore. I was not prescribed any medications because it is so hard to get into the doctor's office where I live. I haven't even taken any over-the-counter medications. I just try to get over things on my own.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, COVID-19, Ear pain, Fatigue, Headache
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/9/2022. While I was on vacation on 8/10/2022, I went to lunch with my grandmother. When I got back from lunch, I felt extremely tired and had nasal dryness. On 8/11/2022, I felt increasingly tired and my throat was scratchier. I took an antigen test that night and got a negative result. When I woke up the morning of 8/12/2022, I had a major headache; I almost never get headaches, so this was unusual. Also, my ears hurt and everything sounded like I was underwater, and I could even almost hear my heartbeat. Not only that, but my eyes felt hot and watery. I knew that something was going on, so I took another antigen test that day and got a positive result. I took a PCR test at a clinic later that day and got another positive result. I self-isolated for about 10 days and took OTC medicines for body aches, congestion, and fever. When 8/22/2022 or 8/23/2022 rolled around, I felt like I had a made a full recovery. On 8/22/2022, I took another antigen test and got a negative result.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Lacrimation increased, Nasal dryness, Pain, Pyrexia
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/9/2022. While I was on vacation on 8/10/2022, I went to lunch with my grandmother. When I got back from lunch, I felt extremely tired and had nasal dryness. On 8/11/2022, I felt increasingly tired and my throat was scratchier. I took an antigen test that night and got a negative result. When I woke up the morning of 8/12/2022, I had a major headache; I almost never get headaches, so this was unusual. Also, my ears hurt and everything sounded like I was underwater, and I could even almost hear my heartbeat. Not only that, but my eyes felt hot and watery. I knew that something was going on, so I took another antigen test that day and got a positive result. I took a PCR test at a clinic later that day and got another positive result. I self-isolated for about 10 days and took OTC medicines for body aches, congestion, and fever. When 8/22/2022 or 8/23/2022 rolled around, I felt like I had a made a full recovery. On 8/22/2022, I took another antigen test and got a negative result.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Quarantine, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation, Tinnitus
Clinical narrative: I received my second Moderna booster for COVID-19 on 5/9/2022. While I was on vacation on 8/10/2022, I went to lunch with my grandmother. When I got back from lunch, I felt extremely tired and had nasal dryness. On 8/11/2022, I felt increasingly tired and my throat was scratchier. I took an antigen test that night and got a negative result. When I woke up the morning of 8/12/2022, I had a major headache; I almost never get headaches, so this was unusual. Also, my ears hurt and everything sounded like I was underwater, and I could even almost hear my heartbeat. Not only that, but my eyes felt hot and watery. I knew that something was going on, so I took another antigen test that day and got a positive result. I took a PCR test at a clinic later that day and got another positive result. I self-isolated for about 10 days and took OTC medicines for body aches, congestion, and fever. When 8/22/2022 or 8/23/2022 rolled around, I felt like I had a made a full recovery. On 8/22/2022, I took another antigen test and got a negative result.
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I had a runny nose with a sore throat. I also had a headache and a cough. I tested positive on November 3, 2022. I went to the clinic and they performed a PCR test on November 4. The doctor prescribed Paxlovid. It took about 3 days for me to feel better. All of my symptoms pretty much subsided over the 3-day period except a runny nose and I am now testing negative.
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a runny nose with a sore throat. I also had a headache and a cough. I tested positive on November 3, 2022. I went to the clinic and they performed a PCR test on November 4. The doctor prescribed Paxlovid. It took about 3 days for me to feel better. All of my symptoms pretty much subsided over the 3-day period except a runny nose and I am now testing negative.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea haemorrhagic, Myalgia, Pain, Urinary tract infection
Clinical narrative: 16 days after vaccination developed bloody diarrhea that lasted for 1 week; 2 weeks later developed a UTI; Called a healthcare center and was prescribed MACROBID; still feeling achy with muscle pain.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Atelectasis, Blood folate normal
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron abnormal, Blood lactic acid normal, Blood magnesium decreased, Blood potassium decreased, Blood sodium decreased
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: CHA2DS2-VASc-score, COVID-19, Catheterisation cardiac normal, Chest X-ray, Decreased appetite
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Electrolyte substitution therapy, Glycosylated haemoglobin increased, Hyperglycaemia, Hyperlipidaemia
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Hypomagnesaemia, Hyponatraemia, Hypophagia, Hypothyroidism
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Iron deficiency anaemia, Laboratory test abnormal, Leukocytosis, Lung hyperinflation, Microcytic anaemia
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Reticulocyte count abnormal, SARS-CoV-2 test positive, Sepsis, Sinus rhythm
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea, Type 2 diabetes mellitus, Vitamin B12 normal
Clinical narrative: Patient is a 67 y.o. female patient with history of paroxysmal A. fib, hypothyroidism, hyperlipidemia, GERD presented to  Hospital with myalgias and found to have COVID-19 infection. Pt initially needed 2L O2 via nasal cannula and she was treated with steroids. Symptoms improved. Further labs showed new diagnosis of type 2 diabetes. Pt stable for discharge with meds and recommendations as noted below. Pt agreeable with plan.    Acute respiratory failure with hypoxia Covid-19 Virus Infection Myalgias Sepsis on admission Patient was tachycardic and tachypneic.  Afebrile and now with leukocytosis.  Lactic acid WNL Date of onset of symptoms: 10/23 Symptoms present on admission: " Feeling like bronchitis" Date of covid positive test: 10/25 Vaccination status: vaccinated Imaging: CXR and CTPA. CTPA showed lungs show hyperaeration with chronic changes and atelectasis. Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids  Consultants following: None Anticipated special isolation end date: 11/3    Continue steroids and PRN tylenol on discharge   Newly diagnosed Type 2 Diabetes  Presented with hyperglycemia. A1c obtained and was 6.8 Metformin started. F/u with PCP for adjustment Prescribed glucose monitor and supplies   Poor p.o. intake Hypokalemia Hyponatremia Hypomagnesemia Recent poor appetite in setting of COVID infection. Initial labs: K of 2.8, sodium 132, magnesium 1.2 Replenish electrolytes and monitor IVF Encourage PO intake Paroxysmal A. Fib HTN CHA2DS2-VASC score = 3 Normal sinus rhythm on EKG this admission Normal left heart cath in 4/2022 Continue Eliquis, Cardizem, and propafenone   Microcytic anemia Patient has been anemic for over a year B12/folate WNL Iron studies and reticulocyte labs indicative of IDA Start PO iron   HLD Continue statin   Hypothyroidism Continue Synthroid   OSA She was diagnosed with OSA in 2009 but was unable to tolerate her CPAP.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in armpit of right arm
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Migraine, Pain
Clinical narrative: I have sharp consistent migraines that worsened after the vaccination, a constant shooting pain like someone is drilling in my head.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: rash on back
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient states that she had a large welt on her arm three to four hours after receiving the flu vaccine.  She stated that it progressed down her arm towards her fingers and then moved to cover her trunk and arms.  She described it as itchy.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood lactic acid increased, C-reactive protein increased, COVID-19
Clinical narrative: Patient is a 74 y.o. male patient with history of Hypertension, diabetes, morbid obesity, OSA presented with shortness of breath.  He was found to be COVID positive and briefly required BIPAP and was able to be quickly weaned back to his home O2.  He was seen by Pulmonology and is stable for discharge from their standpoint.  He also was noted to have HAGMA, LA and AKI which all resolved with IVF.  PT and OT were consulted and family requesting HHC.  He is otherwise stable for discharge home and outpatient follow-up as above.  All questions and concerns answered at bedside with patient and his wife present.     Sepsis present on admit Covid-19 Virus Infection SIRS on admit, lactate 3.1, with AKI Hemodynamics stable and given CHF/COVID will avoid 30 ml/kg bolus Will hydrate with maintenance IVF and follow lactate, hemodynamics, and SCr closely Date of onset of symptoms: 10/3/22 Symptoms present on admission: cough, dyspnea Date of covid positive test: 10/4/2022 Vaccination status: vaccinated and 1 booster Imaging: CXR nonacute but low lung volumes. No definite focal consolidation Oxygen requirements on admission: 4LNC home O2 baseline Current oxygen requirements: Was on BiPAP now back to home O2 at 4 L NC Medical therapy: decadron remdesivir, albuterol MDI, guaifenesin/dextromethorphan Consultants following: None  Anticipated special isolation end date: 10/14/2022 CRP 64 Procalcitonin wnl Discharge on dexamethasone to complete 10 days steroid course   Lactic acidosis, resolved Lactic acid 4.3 now down to 3.4 Resolved with IVF   Acute renal failure, resolved SCr 1.68 from baseline 0.8-1.0 Due to COVID infection and home diuretics, ACEi Held home lasix, bumex, and lisinopril Avoid nephrotoxins, and provide gentle IVF hydration, encourage PO intake SCr normalized with IVF Can resume home regimen on discharge  Acute on Chronic respiratory failure Obesity hypoventilation syndrome Obstructive sleep apnea Chronic HFpEF 55% On 4LNC at baseline, clinical dehydrated CXR nonacute but low lung volumes Held home bumex, lasix, lisinopril; continue ASA metoprolol CHF meds COVID positive, started decadron and albuterol MDI Weaned back to home O2 Recommend outpatient sleep medicine follow-up for CPAP adjustment/titration   DM type 2 Peripheral neuropathy HbA1c 7.4 Started diabetic diet and decadron for COVID On gabapentin for neuropathy Follow glucose closely Continue lantus 65 units nightly as at home with scheduled Humalog with SSI TIDAC   CAD Elevated troponin Denies chest pain, trop 26>22 Suspect elevated trop due to poor renal clearance with AKI Checking EKG Continue home ASA, lipitor, and metoprolol   History of DVT/PE Chronic anticoagulation with Coumadin Pharmacy consulted for daily dosing Continue home coumadin regimen  Dementia Continue home aricept   Depression Continue home zoloft and wellbutrin   Morbid obesity BMI 44.60 Lifestyle modification recommended