chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: During the waiting period (about 5 minutes after receiving vaccine) the patient passed out for a moment and fell out of her chair. 911 was called and the patient remained laying on the floor due to feeling a bit anxious and overwhelmed. Patient stated she was not having trouble breathing but had a slight headache from hitting her head. Patient walked out of pharmacy with paramedics.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Chest discomfort, Chills, Dizziness, Hyperhidrosis
Clinical narrative: Fever, chills, excess sweating, dizziness, pain in injection site, pain in underarm, swelling in underarm, tightness in chest, tightness in underarm
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pyrexia, Submaxillary gland enlargement
Clinical narrative: Fever, chills, excess sweating, dizziness, pain in injection site, pain in underarm, swelling in underarm, tightness in chest, tightness in underarm
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Eosinophil count increased, Tachycardia, White blood cell count increased
Clinical narrative: shortness of breath 40 minutes after vaccination. Continued for several days with tachycardia up to 130 bpm. Patient went to ER 5 days after vaccination, CTA ruled out pulmonary embolus, labs showed slightly elevated WBC/eosinophils. Symptoms resolved approximately 10 days after vaccination.
Age: 36.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Eye injury, Head injury, Nasal injury, Skin laceration, Syncope
Clinical narrative: pt was vaccinated with both vaccines in left arm. flu on top and covid below.  pt went to sit in the lobby for the 15 minutes. he reports his daughter calling him so to be polite he got up from the lobby to take his phone call.  he fainted in one of our aisles, hit his head on the shelving. ended up with 3 lacerations on his head (forehead, nose bridge, under right eye).  I ran over to to assist. grabbed a chair to have him sit in. tech called for store supervisor. pt started to phase out and faint, used ammonia salts. called emergency. EMT's arrived to assess. EMT released him at the scene. family came to pick him up.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Culture, Lymphadenopathy, Pyrexia, SARS-CoV-2 test
Clinical narrative: Fever and swollen lymph node.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cardiac flutter, Chills, Dizziness, Headache
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Pain in injection site going up my arm into my neck, jaw and head. This started right away and I still have this issue. Dizziness, rash at injection site, heart flutters, swelling at injection site, fever, chills, bad muscle aches all over, joint pains, some nausea  - all these lasted about 3 1/2 days.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Myalgia, Nausea
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Pain in injection site going up my arm into my neck, jaw and head. This started right away and I still have this issue. Dizziness, rash at injection site, heart flutters, swelling at injection site, fever, chills, bad muscle aches all over, joint pains, some nausea  - all these lasted about 3 1/2 days.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pain in jaw, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Pain in injection site going up my arm into my neck, jaw and head. This started right away and I still have this issue. Dizziness, rash at injection site, heart flutters, swelling at injection site, fever, chills, bad muscle aches all over, joint pains, some nausea  - all these lasted about 3 1/2 days.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial flutter, Intensive care, Tachycardia
Clinical narrative: Presented to ED with sudden onset tachycardia/atrial flutter 145-150bpm, admitted to ICU on cardizem and heparin drip. Currently still in ICU 11/17/2021
Age: 36.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Alopecia, Alopecia areata, Biopsy skin
Clinical narrative: Massive hair loss with diagnosis of Alopecia Areata
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injected limb mobility decreased, Nausea
Clinical narrative: Unable to lift left arm which the vaccine was given in.  Extreme headache  Nausea
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient came in for booster vaccine of adult Pfizer due to working within a healthcare field. Nurse was given a syringe for a previous patient, who was to be vaccinated using the Pediatric Pfizer. However, the patient finished their paperwork before the pediatric patient. The nurse was then given a syringe with the adult Pfizer dose and was filling out/double checking the patient's paperwork. The nurse then used the incorrect syringe with the Pediatric Pfizer dose and administered it in the patient's right arm.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anxiety, Asymptomatic COVID-19, Blindness, Blood thyroid stimulating hormone normal
Clinical narrative: 11.2.21 - Hospitalized (still admitted);  COVID-19 positive (11.2.21);  s/p vaccination #1 of series  Diagnosis:  Syncope and COVID-19 Admission Date: 11/2/2021 Discharge Date: 11/6/21 Very pleasant 34 yo gentleman admitted for worsening of ongoing issues with orthostatic hypotension and near-syncope/syncope, now likely exacerbated by COVID infection and  poor oral intake. He has severe malnutrition following gastric sleeve surgery and has lost ~340 lbs thus far (initial weight 713 lbs). Suspect he has post-surgical orthostatic intolerance due to impairment in sympathetic nervous system activity, exacerbated by poor oral intake, especially in light of normal CV ECHO and normal TSH. No significant events on previous Zio patch or on telemetry aside, only occasional asymptomatic bradycardia and sinus arrhythmia. He is tolerating midodrine with some improvement in symptoms, and this can be further titrated as outpatient. Further lab investigation included cytopenias likely due to acute infection, normal AM cortisol. Some micronutrient labs are pending at discharge. We had long conversation about this today with wife participating as well. Am reassured that he does not have evidence of dangerous arrhythmia or structural heart disease. Also suspect a significant contribution from anxiety and he will pursue further management of this with his PCP as well. He feels well from a symptoms perspective, reassured, and is in agreement with discharge and further management outpatient. From COVID standpoint he is doing very well, without hypoxia, did initially have fevers now feeling much better. Received mAb as below.  MD Hospitalist DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope, unspecified syncope type [R55] COVID-19 virus infection [U07.1] HOSPITAL COURSE: Patient is a 34yo male with a history of obesity s/p bariatric surgery, hypothyroidism, and OSA who presented to the ED with a CC of syncope in setting of flu-like symptoms. He was found to be COVID positive. CT venogram head negative for dural venous thrombosis. CTA thorax negative for PE but did show patchy ground glass opacities consistent with COVID infection. He was not hypoxic. He was admitted for further care.   Orthostatic vitals obtained and were positive. He received PRN fluid boluses and oral intake was encouraged. ECHO obtained and unremarkable. Orthostasis persisted despite IVF. AM cortisol and TSH were normal. HbA1c 4.6. He was started on midodrine 5mg tid with improvement of orthostasis though he did continue to have a milder drop with orthostatic vitals. Patient was intermittently symptomatic, but less so than initially and counseled on strategies to use to avoid syncope from orthostatic hypotension. He was discharged home in stable condition. He remained asymptomatic from COVID standpoint.  Patient received MAB infusion on 11/3.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Condition aggravated, Cortisol normal, Cytopenia, Dizziness
Clinical narrative: 11.2.21 - Hospitalized (still admitted);  COVID-19 positive (11.2.21);  s/p vaccination #1 of series  Diagnosis:  Syncope and COVID-19 Admission Date: 11/2/2021 Discharge Date: 11/6/21 Very pleasant 34 yo gentleman admitted for worsening of ongoing issues with orthostatic hypotension and near-syncope/syncope, now likely exacerbated by COVID infection and  poor oral intake. He has severe malnutrition following gastric sleeve surgery and has lost ~340 lbs thus far (initial weight 713 lbs). Suspect he has post-surgical orthostatic intolerance due to impairment in sympathetic nervous system activity, exacerbated by poor oral intake, especially in light of normal CV ECHO and normal TSH. No significant events on previous Zio patch or on telemetry aside, only occasional asymptomatic bradycardia and sinus arrhythmia. He is tolerating midodrine with some improvement in symptoms, and this can be further titrated as outpatient. Further lab investigation included cytopenias likely due to acute infection, normal AM cortisol. Some micronutrient labs are pending at discharge. We had long conversation about this today with wife participating as well. Am reassured that he does not have evidence of dangerous arrhythmia or structural heart disease. Also suspect a significant contribution from anxiety and he will pursue further management of this with his PCP as well. He feels well from a symptoms perspective, reassured, and is in agreement with discharge and further management outpatient. From COVID standpoint he is doing very well, without hypoxia, did initially have fevers now feeling much better. Received mAb as below.  MD Hospitalist DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope, unspecified syncope type [R55] COVID-19 virus infection [U07.1] HOSPITAL COURSE: Patient is a 34yo male with a history of obesity s/p bariatric surgery, hypothyroidism, and OSA who presented to the ED with a CC of syncope in setting of flu-like symptoms. He was found to be COVID positive. CT venogram head negative for dural venous thrombosis. CTA thorax negative for PE but did show patchy ground glass opacities consistent with COVID infection. He was not hypoxic. He was admitted for further care.   Orthostatic vitals obtained and were positive. He received PRN fluid boluses and oral intake was encouraged. ECHO obtained and unremarkable. Orthostasis persisted despite IVF. AM cortisol and TSH were normal. HbA1c 4.6. He was started on midodrine 5mg tid with improvement of orthostasis though he did continue to have a milder drop with orthostatic vitals. Patient was intermittently symptomatic, but less so than initially and counseled on strategies to use to avoid syncope from orthostatic hypotension. He was discharged home in stable condition. He remained asymptomatic from COVID standpoint.  Patient received MAB infusion on 11/3.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Glycosylated haemoglobin normal, Hypophagia, Infection, Influenza like illness
Clinical narrative: 11.2.21 - Hospitalized (still admitted);  COVID-19 positive (11.2.21);  s/p vaccination #1 of series  Diagnosis:  Syncope and COVID-19 Admission Date: 11/2/2021 Discharge Date: 11/6/21 Very pleasant 34 yo gentleman admitted for worsening of ongoing issues with orthostatic hypotension and near-syncope/syncope, now likely exacerbated by COVID infection and  poor oral intake. He has severe malnutrition following gastric sleeve surgery and has lost ~340 lbs thus far (initial weight 713 lbs). Suspect he has post-surgical orthostatic intolerance due to impairment in sympathetic nervous system activity, exacerbated by poor oral intake, especially in light of normal CV ECHO and normal TSH. No significant events on previous Zio patch or on telemetry aside, only occasional asymptomatic bradycardia and sinus arrhythmia. He is tolerating midodrine with some improvement in symptoms, and this can be further titrated as outpatient. Further lab investigation included cytopenias likely due to acute infection, normal AM cortisol. Some micronutrient labs are pending at discharge. We had long conversation about this today with wife participating as well. Am reassured that he does not have evidence of dangerous arrhythmia or structural heart disease. Also suspect a significant contribution from anxiety and he will pursue further management of this with his PCP as well. He feels well from a symptoms perspective, reassured, and is in agreement with discharge and further management outpatient. From COVID standpoint he is doing very well, without hypoxia, did initially have fevers now feeling much better. Received mAb as below.  MD Hospitalist DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope, unspecified syncope type [R55] COVID-19 virus infection [U07.1] HOSPITAL COURSE: Patient is a 34yo male with a history of obesity s/p bariatric surgery, hypothyroidism, and OSA who presented to the ED with a CC of syncope in setting of flu-like symptoms. He was found to be COVID positive. CT venogram head negative for dural venous thrombosis. CTA thorax negative for PE but did show patchy ground glass opacities consistent with COVID infection. He was not hypoxic. He was admitted for further care.   Orthostatic vitals obtained and were positive. He received PRN fluid boluses and oral intake was encouraged. ECHO obtained and unremarkable. Orthostasis persisted despite IVF. AM cortisol and TSH were normal. HbA1c 4.6. He was started on midodrine 5mg tid with improvement of orthostasis though he did continue to have a milder drop with orthostatic vitals. Patient was intermittently symptomatic, but less so than initially and counseled on strategies to use to avoid syncope from orthostatic hypotension. He was discharged home in stable condition. He remained asymptomatic from COVID standpoint.  Patient received MAB infusion on 11/3.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Lung opacity, Malnutrition, Orthostatic hypotension, Orthostatic intolerance
Clinical narrative: 11.2.21 - Hospitalized (still admitted);  COVID-19 positive (11.2.21);  s/p vaccination #1 of series  Diagnosis:  Syncope and COVID-19 Admission Date: 11/2/2021 Discharge Date: 11/6/21 Very pleasant 34 yo gentleman admitted for worsening of ongoing issues with orthostatic hypotension and near-syncope/syncope, now likely exacerbated by COVID infection and  poor oral intake. He has severe malnutrition following gastric sleeve surgery and has lost ~340 lbs thus far (initial weight 713 lbs). Suspect he has post-surgical orthostatic intolerance due to impairment in sympathetic nervous system activity, exacerbated by poor oral intake, especially in light of normal CV ECHO and normal TSH. No significant events on previous Zio patch or on telemetry aside, only occasional asymptomatic bradycardia and sinus arrhythmia. He is tolerating midodrine with some improvement in symptoms, and this can be further titrated as outpatient. Further lab investigation included cytopenias likely due to acute infection, normal AM cortisol. Some micronutrient labs are pending at discharge. We had long conversation about this today with wife participating as well. Am reassured that he does not have evidence of dangerous arrhythmia or structural heart disease. Also suspect a significant contribution from anxiety and he will pursue further management of this with his PCP as well. He feels well from a symptoms perspective, reassured, and is in agreement with discharge and further management outpatient. From COVID standpoint he is doing very well, without hypoxia, did initially have fevers now feeling much better. Received mAb as below.  MD Hospitalist DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope, unspecified syncope type [R55] COVID-19 virus infection [U07.1] HOSPITAL COURSE: Patient is a 34yo male with a history of obesity s/p bariatric surgery, hypothyroidism, and OSA who presented to the ED with a CC of syncope in setting of flu-like symptoms. He was found to be COVID positive. CT venogram head negative for dural venous thrombosis. CTA thorax negative for PE but did show patchy ground glass opacities consistent with COVID infection. He was not hypoxic. He was admitted for further care.   Orthostatic vitals obtained and were positive. He received PRN fluid boluses and oral intake was encouraged. ECHO obtained and unremarkable. Orthostasis persisted despite IVF. AM cortisol and TSH were normal. HbA1c 4.6. He was started on midodrine 5mg tid with improvement of orthostasis though he did continue to have a milder drop with orthostatic vitals. Patient was intermittently symptomatic, but less so than initially and counseled on strategies to use to avoid syncope from orthostatic hypotension. He was discharged home in stable condition. He remained asymptomatic from COVID standpoint.  Patient received MAB infusion on 11/3.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope, Pyrexia, SARS-CoV-2 test positive, Sinus arrhythmia, Syncope
Clinical narrative: 11.2.21 - Hospitalized (still admitted);  COVID-19 positive (11.2.21);  s/p vaccination #1 of series  Diagnosis:  Syncope and COVID-19 Admission Date: 11/2/2021 Discharge Date: 11/6/21 Very pleasant 34 yo gentleman admitted for worsening of ongoing issues with orthostatic hypotension and near-syncope/syncope, now likely exacerbated by COVID infection and  poor oral intake. He has severe malnutrition following gastric sleeve surgery and has lost ~340 lbs thus far (initial weight 713 lbs). Suspect he has post-surgical orthostatic intolerance due to impairment in sympathetic nervous system activity, exacerbated by poor oral intake, especially in light of normal CV ECHO and normal TSH. No significant events on previous Zio patch or on telemetry aside, only occasional asymptomatic bradycardia and sinus arrhythmia. He is tolerating midodrine with some improvement in symptoms, and this can be further titrated as outpatient. Further lab investigation included cytopenias likely due to acute infection, normal AM cortisol. Some micronutrient labs are pending at discharge. We had long conversation about this today with wife participating as well. Am reassured that he does not have evidence of dangerous arrhythmia or structural heart disease. Also suspect a significant contribution from anxiety and he will pursue further management of this with his PCP as well. He feels well from a symptoms perspective, reassured, and is in agreement with discharge and further management outpatient. From COVID standpoint he is doing very well, without hypoxia, did initially have fevers now feeling much better. Received mAb as below.  MD Hospitalist DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope, unspecified syncope type [R55] COVID-19 virus infection [U07.1] HOSPITAL COURSE: Patient is a 34yo male with a history of obesity s/p bariatric surgery, hypothyroidism, and OSA who presented to the ED with a CC of syncope in setting of flu-like symptoms. He was found to be COVID positive. CT venogram head negative for dural venous thrombosis. CTA thorax negative for PE but did show patchy ground glass opacities consistent with COVID infection. He was not hypoxic. He was admitted for further care.   Orthostatic vitals obtained and were positive. He received PRN fluid boluses and oral intake was encouraged. ECHO obtained and unremarkable. Orthostasis persisted despite IVF. AM cortisol and TSH were normal. HbA1c 4.6. He was started on midodrine 5mg tid with improvement of orthostasis though he did continue to have a milder drop with orthostatic vitals. Patient was intermittently symptomatic, but less so than initially and counseled on strategies to use to avoid syncope from orthostatic hypotension. He was discharged home in stable condition. He remained asymptomatic from COVID standpoint.  Patient received MAB infusion on 11/3.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Venogram normal, Viral labyrinthitis, Weight decreased
Clinical narrative: 11.2.21 - Hospitalized (still admitted);  COVID-19 positive (11.2.21);  s/p vaccination #1 of series  Diagnosis:  Syncope and COVID-19 Admission Date: 11/2/2021 Discharge Date: 11/6/21 Very pleasant 34 yo gentleman admitted for worsening of ongoing issues with orthostatic hypotension and near-syncope/syncope, now likely exacerbated by COVID infection and  poor oral intake. He has severe malnutrition following gastric sleeve surgery and has lost ~340 lbs thus far (initial weight 713 lbs). Suspect he has post-surgical orthostatic intolerance due to impairment in sympathetic nervous system activity, exacerbated by poor oral intake, especially in light of normal CV ECHO and normal TSH. No significant events on previous Zio patch or on telemetry aside, only occasional asymptomatic bradycardia and sinus arrhythmia. He is tolerating midodrine with some improvement in symptoms, and this can be further titrated as outpatient. Further lab investigation included cytopenias likely due to acute infection, normal AM cortisol. Some micronutrient labs are pending at discharge. We had long conversation about this today with wife participating as well. Am reassured that he does not have evidence of dangerous arrhythmia or structural heart disease. Also suspect a significant contribution from anxiety and he will pursue further management of this with his PCP as well. He feels well from a symptoms perspective, reassured, and is in agreement with discharge and further management outpatient. From COVID standpoint he is doing very well, without hypoxia, did initially have fevers now feeling much better. Received mAb as below.  MD Hospitalist DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope, unspecified syncope type [R55] COVID-19 virus infection [U07.1] HOSPITAL COURSE: Patient is a 34yo male with a history of obesity s/p bariatric surgery, hypothyroidism, and OSA who presented to the ED with a CC of syncope in setting of flu-like symptoms. He was found to be COVID positive. CT venogram head negative for dural venous thrombosis. CTA thorax negative for PE but did show patchy ground glass opacities consistent with COVID infection. He was not hypoxic. He was admitted for further care.   Orthostatic vitals obtained and were positive. He received PRN fluid boluses and oral intake was encouraged. ECHO obtained and unremarkable. Orthostasis persisted despite IVF. AM cortisol and TSH were normal. HbA1c 4.6. He was started on midodrine 5mg tid with improvement of orthostasis though he did continue to have a milder drop with orthostatic vitals. Patient was intermittently symptomatic, but less so than initially and counseled on strategies to use to avoid syncope from orthostatic hypotension. He was discharged home in stable condition. He remained asymptomatic from COVID standpoint.  Patient received MAB infusion on 11/3.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Somewhat severe armpit lymph node pain and swelling (golf ball sized swelling). Only on armpit of the right arm. Swelling and pain persisted for 4 days following presentation.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Large hives; itchy rash on neck, stomach and back.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in armpit near injection site
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom
Clinical narrative: Presented to the ED with stroke like symptoms, admitted to the hospital for inpatient treatment and further testing.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Migraine, Pain
Clinical narrative: Severe migraine, chills, body aches, low grade fever, low to no energy for about 24hrs and then for about 3-5days low energy/ fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe migraine, chills, body aches, low grade fever, low to no energy for about 24hrs and then for about 3-5days low energy/ fatigue.
Age: 35.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Axillary pain, Swelling
Clinical narrative: Right under arm pain and swelling 2 mornings after receiving booster Covid and flu vaccines. It is the arm that the Covid vaccine was given in.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Hospitalized (11.10.21 - 11.14.21);  COVID-19 positive (11.10.21);  Fully vaccinated  Admission Date: 11/10/2021 Discharge Date: Nov 14, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxemia (HCC)  COVID-19 virus infection  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 62 year old man who presented for 8 days of sob and fever with nonproductive cough.Patient had tested positive as an outpatient on 11/4 and confirmed again on 11/10. Patient was admitted and placed on dexamethasone/remdesivir/and azithro/rocephin for superimposed bacterial pneumonia. By the time of discharge patient was on RA at rest and requiring 2L O2 with activity. At the time of discharge patient was eager to be released and feeling improved.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Pneumonia bacterial, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalized (11.10.21 - 11.14.21);  COVID-19 positive (11.10.21);  Fully vaccinated  Admission Date: 11/10/2021 Discharge Date: Nov 14, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxemia (HCC)  COVID-19 virus infection  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 62 year old man who presented for 8 days of sob and fever with nonproductive cough.Patient had tested positive as an outpatient on 11/4 and confirmed again on 11/10. Patient was admitted and placed on dexamethasone/remdesivir/and azithro/rocephin for superimposed bacterial pneumonia. By the time of discharge patient was on RA at rest and requiring 2L O2 with activity. At the time of discharge patient was eager to be released and feeling improved.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute kidney injury, Back pain, COVID-19, Cough
Clinical narrative: Hospitalized (11.10.21 - 11.12.21);  COVID-19 positive (11.10.21);  Fully vaccinated  Admission Date: 11/10/2021 Discharge Date: 11/12/2021 Details of Hospital Stay PRESENTING PROBLEM:  AKI (acute kidney injury) (HCC) [N17.9] HOSPITAL COURSE: Patient is a 60 y.o. male  who presents to hospital with shortness of breath and cough.  Patient does complain of a brown yellow productive sputum.  He also states that he has had increasing cough and dyspnea on exertion over the last 4-5 days.  He has had a low-grade temp on and off and presents in with diaphoresis.  He also complains of diffuse abdominal pain however there is no rebound or guarding and not suggestive of a surgical abdomen.  This pain did state he states he has had since his multiple previous abdominal surgeries.  He also complains of chronic low back pain states that he takes ?Tylenol ?at home.  Patient is mildly dyspneic on room air during examination.  Patient had some wheezes and was managed with bronchodilators.  He received regeneron due to COVID as well as steroids given mainly for his COPD.  His condition improved and he felt well enough for discharge.  He was noted to have some hyperglycemia while in the hospital.  He was instructed to limit carbohydrate intake, particularly refined carbs, and to follow up with his PCP as this may indicate diabetes.  HbA1c testing is pending at the time of discharge.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Hyperglycaemia, Hyperhidrosis, Pyrexia
Clinical narrative: Hospitalized (11.10.21 - 11.12.21);  COVID-19 positive (11.10.21);  Fully vaccinated  Admission Date: 11/10/2021 Discharge Date: 11/12/2021 Details of Hospital Stay PRESENTING PROBLEM:  AKI (acute kidney injury) (HCC) [N17.9] HOSPITAL COURSE: Patient is a 60 y.o. male  who presents to hospital with shortness of breath and cough.  Patient does complain of a brown yellow productive sputum.  He also states that he has had increasing cough and dyspnea on exertion over the last 4-5 days.  He has had a low-grade temp on and off and presents in with diaphoresis.  He also complains of diffuse abdominal pain however there is no rebound or guarding and not suggestive of a surgical abdomen.  This pain did state he states he has had since his multiple previous abdominal surgeries.  He also complains of chronic low back pain states that he takes ?Tylenol ?at home.  Patient is mildly dyspneic on room air during examination.  Patient had some wheezes and was managed with bronchodilators.  He received regeneron due to COVID as well as steroids given mainly for his COPD.  His condition improved and he felt well enough for discharge.  He was noted to have some hyperglycemia while in the hospital.  He was instructed to limit carbohydrate intake, particularly refined carbs, and to follow up with his PCP as this may indicate diabetes.  HbA1c testing is pending at the time of discharge.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured, Wheezing
Clinical narrative: Hospitalized (11.10.21 - 11.12.21);  COVID-19 positive (11.10.21);  Fully vaccinated  Admission Date: 11/10/2021 Discharge Date: 11/12/2021 Details of Hospital Stay PRESENTING PROBLEM:  AKI (acute kidney injury) (HCC) [N17.9] HOSPITAL COURSE: Patient is a 60 y.o. male  who presents to hospital with shortness of breath and cough.  Patient does complain of a brown yellow productive sputum.  He also states that he has had increasing cough and dyspnea on exertion over the last 4-5 days.  He has had a low-grade temp on and off and presents in with diaphoresis.  He also complains of diffuse abdominal pain however there is no rebound or guarding and not suggestive of a surgical abdomen.  This pain did state he states he has had since his multiple previous abdominal surgeries.  He also complains of chronic low back pain states that he takes ?Tylenol ?at home.  Patient is mildly dyspneic on room air during examination.  Patient had some wheezes and was managed with bronchodilators.  He received regeneron due to COVID as well as steroids given mainly for his COPD.  His condition improved and he felt well enough for discharge.  He was noted to have some hyperglycemia while in the hospital.  He was instructed to limit carbohydrate intake, particularly refined carbs, and to follow up with his PCP as this may indicate diabetes.  HbA1c testing is pending at the time of discharge.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chronic inflammatory demyelinating polyradiculoneuropathy, Coordination abnormal, Gait disturbance, Hypoaesthesia
Clinical narrative: Caused severe numbness in 95% of my body, nerve pain, difficulty walking, loss of coordination??.symptoms of  and suspected diagnosis of CIDP- Chronic Inflammatory Demyelinating Polyneuropathy.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture abnormal, Magnetic resonance imaging abnormal, Neuralgia
Clinical narrative: Caused severe numbness in 95% of my body, nerve pain, difficulty walking, loss of coordination??.symptoms of  and suspected diagnosis of CIDP- Chronic Inflammatory Demyelinating Polyneuropathy.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Swelling face
Clinical narrative: Pt reported 11/17/21 that she had swollen eyes and cheeks/face a day after flu vaccination admin'd 11/1/21. She spoke with her PCP via Regulatory Authority, was advised to take benadryl, but she decided not to. Reported no shortness of breath, chest tightening, or rash. Rested and hydrated and symptoms resolved after several days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray abnormal, Cough, Fatigue, Pneumonia bacterial
Clinical narrative: 11/2/21 that evening felt fatigued and weak 11/3/21 woke up with a fever, fatigued, weak, and cough 11/4/21 cough, fever, weak, fatigued, lung congestion 11/5/21 cough, fever, weak, fatigued, lung congestion 11/6/21 diagnosed with pneumonia viral and bacterial
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia viral, Pulmonary congestion, Pyrexia
Clinical narrative: 11/2/21 that evening felt fatigued and weak 11/3/21 woke up with a fever, fatigued, weak, and cough 11/4/21 cough, fever, weak, fatigued, lung congestion 11/5/21 cough, fever, weak, fatigued, lung congestion 11/6/21 diagnosed with pneumonia viral and bacterial
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood blister, Rash, Rash erythematous, Rash pruritic, SARS-CoV-2 antibody test
Clinical narrative: Thursday night approx 48 hours I had a body wide rash as well as erythemic areas on trunk, and what appeared to be blood blisters (?).  Rash and reddened areas were somewhat pruritic.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Blood test, COVID-19, Chest discomfort
Clinical narrative: Post vaccination I didn?t feel well right away. At 3 minute marker I became dystonic, dizzy, faint, pressure of chest, weak, heavy breathing, throat felt tight, felt very hot, heaviness of body-felt like I couldn?t move. I felt frozen. Vitals were taken: high blood pressure and pulse rate; I refused Epi because I knew it wasn?t anaphylaxis based on my vitals and the fact that it wasn?t that my throat was closing but it felt ?tight?. This lasted about an hour. Then I had ?episodes? of these same symptoms with a couple minutes in between for 6 hours. My body was weak, I was faint/dizzy, sensitive to light, beyond exhausted (slept for days), chest tightness fever of 101-102.3 for 4 days. Symptoms like this and random fainting spells lasted for 3 weeks. I went to the emergency department and they didn?t listen to me that it was because of the vaccine. I got the second dose because I was forced to in order to continue my nursing program?: I was scared and anxious that I was forced to get the second dose. It has now been about 10 months. Post both shots I still got COVID and had intense migraine headache, sensitive to light, very weak/faint, fever got up to 102 for 3 days. Post all this every day I deal with random dizzy spells and thudding of my ear along with being extra sensitive to what I eat and drink.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Dyspnoea, Dystonia, Electrocardiogram
Clinical narrative: Post vaccination I didn?t feel well right away. At 3 minute marker I became dystonic, dizzy, faint, pressure of chest, weak, heavy breathing, throat felt tight, felt very hot, heaviness of body-felt like I couldn?t move. I felt frozen. Vitals were taken: high blood pressure and pulse rate; I refused Epi because I knew it wasn?t anaphylaxis based on my vitals and the fact that it wasn?t that my throat was closing but it felt ?tight?. This lasted about an hour. Then I had ?episodes? of these same symptoms with a couple minutes in between for 6 hours. My body was weak, I was faint/dizzy, sensitive to light, beyond exhausted (slept for days), chest tightness fever of 101-102.3 for 4 days. Symptoms like this and random fainting spells lasted for 3 weeks. I went to the emergency department and they didn?t listen to me that it was because of the vaccine. I got the second dose because I was forced to in order to continue my nursing program?: I was scared and anxious that I was forced to get the second dose. It has now been about 10 months. Post both shots I still got COVID and had intense migraine headache, sensitive to light, very weak/faint, fever got up to 102 for 3 days. Post all this every day I deal with random dizzy spells and thudding of my ear along with being extra sensitive to what I eat and drink.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fear, Feeling hot, Food intolerance, Heart rate increased
Clinical narrative: Post vaccination I didn?t feel well right away. At 3 minute marker I became dystonic, dizzy, faint, pressure of chest, weak, heavy breathing, throat felt tight, felt very hot, heaviness of body-felt like I couldn?t move. I felt frozen. Vitals were taken: high blood pressure and pulse rate; I refused Epi because I knew it wasn?t anaphylaxis based on my vitals and the fact that it wasn?t that my throat was closing but it felt ?tight?. This lasted about an hour. Then I had ?episodes? of these same symptoms with a couple minutes in between for 6 hours. My body was weak, I was faint/dizzy, sensitive to light, beyond exhausted (slept for days), chest tightness fever of 101-102.3 for 4 days. Symptoms like this and random fainting spells lasted for 3 weeks. I went to the emergency department and they didn?t listen to me that it was because of the vaccine. I got the second dose because I was forced to in order to continue my nursing program?: I was scared and anxious that I was forced to get the second dose. It has now been about 10 months. Post both shots I still got COVID and had intense migraine headache, sensitive to light, very weak/faint, fever got up to 102 for 3 days. Post all this every day I deal with random dizzy spells and thudding of my ear along with being extra sensitive to what I eat and drink.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Hypertension, Malaise, Migraine, Movement disorder
Clinical narrative: Post vaccination I didn?t feel well right away. At 3 minute marker I became dystonic, dizzy, faint, pressure of chest, weak, heavy breathing, throat felt tight, felt very hot, heaviness of body-felt like I couldn?t move. I felt frozen. Vitals were taken: high blood pressure and pulse rate; I refused Epi because I knew it wasn?t anaphylaxis based on my vitals and the fact that it wasn?t that my throat was closing but it felt ?tight?. This lasted about an hour. Then I had ?episodes? of these same symptoms with a couple minutes in between for 6 hours. My body was weak, I was faint/dizzy, sensitive to light, beyond exhausted (slept for days), chest tightness fever of 101-102.3 for 4 days. Symptoms like this and random fainting spells lasted for 3 weeks. I went to the emergency department and they didn?t listen to me that it was because of the vaccine. I got the second dose because I was forced to in order to continue my nursing program?: I was scared and anxious that I was forced to get the second dose. It has now been about 10 months. Post both shots I still got COVID and had intense migraine headache, sensitive to light, very weak/faint, fever got up to 102 for 3 days. Post all this every day I deal with random dizzy spells and thudding of my ear along with being extra sensitive to what I eat and drink.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Pyrexia, Syncope, Throat tightness, Tinnitus
Clinical narrative: Post vaccination I didn?t feel well right away. At 3 minute marker I became dystonic, dizzy, faint, pressure of chest, weak, heavy breathing, throat felt tight, felt very hot, heaviness of body-felt like I couldn?t move. I felt frozen. Vitals were taken: high blood pressure and pulse rate; I refused Epi because I knew it wasn?t anaphylaxis based on my vitals and the fact that it wasn?t that my throat was closing but it felt ?tight?. This lasted about an hour. Then I had ?episodes? of these same symptoms with a couple minutes in between for 6 hours. My body was weak, I was faint/dizzy, sensitive to light, beyond exhausted (slept for days), chest tightness fever of 101-102.3 for 4 days. Symptoms like this and random fainting spells lasted for 3 weeks. I went to the emergency department and they didn?t listen to me that it was because of the vaccine. I got the second dose because I was forced to in order to continue my nursing program?: I was scared and anxious that I was forced to get the second dose. It has now been about 10 months. Post both shots I still got COVID and had intense migraine headache, sensitive to light, very weak/faint, fever got up to 102 for 3 days. Post all this every day I deal with random dizzy spells and thudding of my ear along with being extra sensitive to what I eat and drink.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Product administered at inappropriate site
Clinical narrative: I recieved the shot in my right arm, it was given to me at pharmacy by a Pharmacy Tech. She gave me the shot at the EDGE of my arm, not center. I went to sleep so I can rest. I woke up sleeping on my side, my arm was Tingly/Pins/Needles. I didnt think nothing of it until the next morning when it didnt go away. I called the Pharmacist at the pharmacy to ask him if that was normal, he said "No it is not normal,  If that doesn't go away in another day or 2 please go see your doctor. I saw my doctor I reported it since then I have been to the neurologist 2 times and and I have found no relief I am in severe pain I live in chronic pain my life is miserable I have been prescribed gabapentin but it does not help me this has been the most miserable month and a 1/2 of my life I wish I never even took the stupid shot. I need help I have 2 doctors seeing me as well as neurologist neurologist and endocrinologist endocrinologist as well as massage therapist a chiropractor chiropractor and an acupuncturist. All of this and I still have no relief I am in deep pain I have no relief I am in deep Payne I have even tried to get help from CBD and I get some relief but it's very temporary. I never had any type of pain in my life until I took the 2nd shot and it's the biggest regret I have. Please help me.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Eye swelling, Pruritus, Rash
Clinical narrative: Rash on face , both cheeks and neck  Burning itching redness with bilateral eye swelling
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Pain in extremity
Clinical narrative: Headache (migraine - very intense); fatigue; sore arm.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Hypersensitivity, Photopsia, Pruritus, Rash
Clinical narrative: Chronic itch and spontaneous hives. I had ?COVID arm? after my first dose.  It resolved in a week. Six days after my 2nd dose I developed a red splotchy rash on my upper left thigh. No itching. It resolved in a few weeks. About a month after I began to have random itching on my palms, stomach, back, neck, and chest. This last until July when I had a full allergy attack. I had hives covering my arms. I received a steroid shot and it resolved. Random itching continued but nothing worth noting. Early August I then developed a very itchy and red rash on my face, neck, and chest. Another steroid shot but this ain?t resolve much of anything. I began having flashing episodes due to the steroid shot. After that subsided my itching was still mild. I now take Zyrtec sailing. If I continue, no issues. But if I go longer than 24 hours my chest/neck gets red, hot, and itchy. I then will develop sporadic hives on my stomach.  The resolve in 15-30 minutes but the itching remains. My skin welps and reddens when touched by random things.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash macular, Rash pruritic, Urticaria
Clinical narrative: Chronic itch and spontaneous hives. I had ?COVID arm? after my first dose.  It resolved in a week. Six days after my 2nd dose I developed a red splotchy rash on my upper left thigh. No itching. It resolved in a few weeks. About a month after I began to have random itching on my palms, stomach, back, neck, and chest. This last until July when I had a full allergy attack. I had hives covering my arms. I received a steroid shot and it resolved. Random itching continued but nothing worth noting. Early August I then developed a very itchy and red rash on my face, neck, and chest. Another steroid shot but this ain?t resolve much of anything. I began having flashing episodes due to the steroid shot. After that subsided my itching was still mild. I now take Zyrtec sailing. If I continue, no issues. But if I go longer than 24 hours my chest/neck gets red, hot, and itchy. I then will develop sporadic hives on my stomach.  The resolve in 15-30 minutes but the itching remains. My skin welps and reddens when touched by random things.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction occured. A 10 mcg dose diluted to 0.3 ml was administered. The patient was underage for the vaccine that was administered.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: -Patient almost threw up, felt nauseated and dizzy and was sweating.  He looked pale and felt like he was going to fall down.   -I (the pharmacist) gave him sports drink and checked his vitals.  BP was 106/70.  He was having a hard time drinking sports drink since he felt like throwing up, but about 5-7 min he started feeling better.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chills, Dizziness, Dyspepsia
Clinical narrative: Extreme chills and low fever.  Uncontrollable shaking, achy, not being able to breathe without gasping, bloodless hands & feet, weakness for a couple hours, subsided and returned even worse like a wave that felt like I would passout and started throwing up along with the above.  The worst over in a couple more hours going to ER.  But 6 days into the week I feel achy, extremely tired, indigestion, not hungry and stopped all pills except prescribed ones.  Feels like the worse flu I've ever had.  Blood work, urine sample fine. #1 had chills, low fever, terrible shaking, achy terrible flu, passed in maybe 24 hours.  #2 The same only a little stronger and felt punk an entire week.  #3 Took me out of commission.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Influenza, Pain, Pyrexia
Clinical narrative: Extreme chills and low fever.  Uncontrollable shaking, achy, not being able to breathe without gasping, bloodless hands & feet, weakness for a couple hours, subsided and returned even worse like a wave that felt like I would passout and started throwing up along with the above.  The worst over in a couple more hours going to ER.  But 6 days into the week I feel achy, extremely tired, indigestion, not hungry and stopped all pills except prescribed ones.  Feels like the worse flu I've ever had.  Blood work, urine sample fine. #1 had chills, low fever, terrible shaking, achy terrible flu, passed in maybe 24 hours.  #2 The same only a little stronger and felt punk an entire week.  #3 Took me out of commission.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Urine analysis, Vomiting, White blood cell count
Clinical narrative: Extreme chills and low fever.  Uncontrollable shaking, achy, not being able to breathe without gasping, bloodless hands & feet, weakness for a couple hours, subsided and returned even worse like a wave that felt like I would passout and started throwing up along with the above.  The worst over in a couple more hours going to ER.  But 6 days into the week I feel achy, extremely tired, indigestion, not hungry and stopped all pills except prescribed ones.  Feels like the worse flu I've ever had.  Blood work, urine sample fine. #1 had chills, low fever, terrible shaking, achy terrible flu, passed in maybe 24 hours.  #2 The same only a little stronger and felt punk an entire week.  #3 Took me out of commission.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Vertigo, Vitamin B12
Clinical narrative: Onset of dizziness/vertigo. At approximately 8 days after booster vaccination, dizziness persisted through the entire day. 13 days later, dizziness is still intermittently reoccurring.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Heavy menstrual bleeding, Migraine, Muscle spasms
Clinical narrative: Extremely heavy period, abnormal cramping, migraine, fatigue, backache. All more severe than standard.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema
Clinical narrative: I received both Pfizer COVID vaccine shots (first dose on 5/11/21, second dose 6/2/21). I have not had eczema in 10+ years, and four days after getting the first dose I developed eczema again. It has now been 6 months and I still have eczema that has not improved since May despite using many different creams and seeing a dermatologist.