chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Hospitalized X2 (10.6.21 and 10.12.21);  COVID-19 positive (10.6.21);  Fully Vaccinated  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxia  COVID-19 virus infection  COVID-19   HOSPITAL COURSE: Patient was admitted 10/6 for acute respiratory failure with hypoxia due to COVID pneumonia, requiring 2L O2 to maintain sats. He did complain on presentation of vague pain in his calves, bilateral duplex were negative for DVT; he was maintained on BID Lovenox. He completed 5 days of remdesivir and 5 days of dexamethasone. He was additionally given 3 days of coverage for CAP given persistent left lower lobe consolidation and slightly positive procalcitonin at 0.33. He was well volume repleted initially and maintained good oral intake the last few days of his hospitalization; as his only symptom was measurable hypoxia with fatigue on exertion, and as he felt comfortable to go home and continue oxygen there, this was arranged for him on 10/10, with advisement to follow up with his PCP in a week. Return instructions given.   READMITTED:  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxic  Pneumonia due to 2019 novel coronavirus  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: 54 y/o WM married community dwelling patient of Dr. was readmitted to Hospital on 10/12/21 for acute respiratory failure with hypoxia with COVID pneumonia.  The patient was previously admitted from 10/6-10/10 for COVID 19 pneumonia with hypoxia and received Remdesivir and Decadron.  He was discharged home on Decadron.  Unfortunately, the patient became increasingly short of breath and came back of an evaluation.   CTA thorax showed no PE, but extensive pneumonia bilaterally from the COVID 19 infection.  Patient had a procalcitonin of 0.07.  MRSA PCR was negative.  Film arraay was positive only for COVID 19.  We had 2 sputum cultures that were contaminated specimens.   A cardiac etiology was also ruled out.   The patient seemed to improve with ongoing steroids and addition of antibiotics to cover community acquired pneumonia.  He received MDI's including Dulera and Albuterol, as well as the addition of pulmonary toilet.  He improved quickly.  His inflammatory markers were monitored and were slowly decreasing.   He was medically stable and improved for discharge on 10/15/21.  He was sent home on oxygen at 3L nasal cannula.   He will follow up with his PCP in a week after discharge.   Thank you for the privilege of taking care of Patient.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Headache, Hypoxia
Clinical narrative: Hospitalized X2 (10.6.21 and 10.12.21);  COVID-19 positive (10.6.21);  Fully Vaccinated  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxia  COVID-19 virus infection  COVID-19   HOSPITAL COURSE: Patient was admitted 10/6 for acute respiratory failure with hypoxia due to COVID pneumonia, requiring 2L O2 to maintain sats. He did complain on presentation of vague pain in his calves, bilateral duplex were negative for DVT; he was maintained on BID Lovenox. He completed 5 days of remdesivir and 5 days of dexamethasone. He was additionally given 3 days of coverage for CAP given persistent left lower lobe consolidation and slightly positive procalcitonin at 0.33. He was well volume repleted initially and maintained good oral intake the last few days of his hospitalization; as his only symptom was measurable hypoxia with fatigue on exertion, and as he felt comfortable to go home and continue oxygen there, this was arranged for him on 10/10, with advisement to follow up with his PCP in a week. Return instructions given.   READMITTED:  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxic  Pneumonia due to 2019 novel coronavirus  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: 54 y/o WM married community dwelling patient of Dr. was readmitted to Hospital on 10/12/21 for acute respiratory failure with hypoxia with COVID pneumonia.  The patient was previously admitted from 10/6-10/10 for COVID 19 pneumonia with hypoxia and received Remdesivir and Decadron.  He was discharged home on Decadron.  Unfortunately, the patient became increasingly short of breath and came back of an evaluation.   CTA thorax showed no PE, but extensive pneumonia bilaterally from the COVID 19 infection.  Patient had a procalcitonin of 0.07.  MRSA PCR was negative.  Film arraay was positive only for COVID 19.  We had 2 sputum cultures that were contaminated specimens.   A cardiac etiology was also ruled out.   The patient seemed to improve with ongoing steroids and addition of antibiotics to cover community acquired pneumonia.  He received MDI's including Dulera and Albuterol, as well as the addition of pulmonary toilet.  He improved quickly.  His inflammatory markers were monitored and were slowly decreasing.   He was medically stable and improved for discharge on 10/15/21.  He was sent home on oxygen at 3L nasal cannula.   He will follow up with his PCP in a week after discharge.   Thank you for the privilege of taking care of Patient.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammatory marker decreased, Lung consolidation, Nausea, Pain in extremity, Pneumonia
Clinical narrative: Hospitalized X2 (10.6.21 and 10.12.21);  COVID-19 positive (10.6.21);  Fully Vaccinated  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxia  COVID-19 virus infection  COVID-19   HOSPITAL COURSE: Patient was admitted 10/6 for acute respiratory failure with hypoxia due to COVID pneumonia, requiring 2L O2 to maintain sats. He did complain on presentation of vague pain in his calves, bilateral duplex were negative for DVT; he was maintained on BID Lovenox. He completed 5 days of remdesivir and 5 days of dexamethasone. He was additionally given 3 days of coverage for CAP given persistent left lower lobe consolidation and slightly positive procalcitonin at 0.33. He was well volume repleted initially and maintained good oral intake the last few days of his hospitalization; as his only symptom was measurable hypoxia with fatigue on exertion, and as he felt comfortable to go home and continue oxygen there, this was arranged for him on 10/10, with advisement to follow up with his PCP in a week. Return instructions given.   READMITTED:  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxic  Pneumonia due to 2019 novel coronavirus  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: 54 y/o WM married community dwelling patient of Dr. was readmitted to Hospital on 10/12/21 for acute respiratory failure with hypoxia with COVID pneumonia.  The patient was previously admitted from 10/6-10/10 for COVID 19 pneumonia with hypoxia and received Remdesivir and Decadron.  He was discharged home on Decadron.  Unfortunately, the patient became increasingly short of breath and came back of an evaluation.   CTA thorax showed no PE, but extensive pneumonia bilaterally from the COVID 19 infection.  Patient had a procalcitonin of 0.07.  MRSA PCR was negative.  Film arraay was positive only for COVID 19.  We had 2 sputum cultures that were contaminated specimens.   A cardiac etiology was also ruled out.   The patient seemed to improve with ongoing steroids and addition of antibiotics to cover community acquired pneumonia.  He received MDI's including Dulera and Albuterol, as well as the addition of pulmonary toilet.  He improved quickly.  His inflammatory markers were monitored and were slowly decreasing.   He was medically stable and improved for discharge on 10/15/21.  He was sent home on oxygen at 3L nasal cannula.   He will follow up with his PCP in a week after discharge.   Thank you for the privilege of taking care of Patient.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin, SARS-CoV-2 test positive, Sputum culture, Staphylococcus test negative, Ultrasound Doppler
Clinical narrative: Hospitalized X2 (10.6.21 and 10.12.21);  COVID-19 positive (10.6.21);  Fully Vaccinated  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxia  COVID-19 virus infection  COVID-19   HOSPITAL COURSE: Patient was admitted 10/6 for acute respiratory failure with hypoxia due to COVID pneumonia, requiring 2L O2 to maintain sats. He did complain on presentation of vague pain in his calves, bilateral duplex were negative for DVT; he was maintained on BID Lovenox. He completed 5 days of remdesivir and 5 days of dexamethasone. He was additionally given 3 days of coverage for CAP given persistent left lower lobe consolidation and slightly positive procalcitonin at 0.33. He was well volume repleted initially and maintained good oral intake the last few days of his hospitalization; as his only symptom was measurable hypoxia with fatigue on exertion, and as he felt comfortable to go home and continue oxygen there, this was arranged for him on 10/10, with advisement to follow up with his PCP in a week. Return instructions given.   READMITTED:  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxic  Pneumonia due to 2019 novel coronavirus  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: 54 y/o WM married community dwelling patient of Dr. was readmitted to Hospital on 10/12/21 for acute respiratory failure with hypoxia with COVID pneumonia.  The patient was previously admitted from 10/6-10/10 for COVID 19 pneumonia with hypoxia and received Remdesivir and Decadron.  He was discharged home on Decadron.  Unfortunately, the patient became increasingly short of breath and came back of an evaluation.   CTA thorax showed no PE, but extensive pneumonia bilaterally from the COVID 19 infection.  Patient had a procalcitonin of 0.07.  MRSA PCR was negative.  Film arraay was positive only for COVID 19.  We had 2 sputum cultures that were contaminated specimens.   A cardiac etiology was also ruled out.   The patient seemed to improve with ongoing steroids and addition of antibiotics to cover community acquired pneumonia.  He received MDI's including Dulera and Albuterol, as well as the addition of pulmonary toilet.  He improved quickly.  His inflammatory markers were monitored and were slowly decreasing.   He was medically stable and improved for discharge on 10/15/21.  He was sent home on oxygen at 3L nasal cannula.   He will follow up with his PCP in a week after discharge.   Thank you for the privilege of taking care of Patient.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Hospitalized X2 (10.6.21 and 10.12.21);  COVID-19 positive (10.6.21);  Fully Vaccinated  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxia  COVID-19 virus infection  COVID-19   HOSPITAL COURSE: Patient was admitted 10/6 for acute respiratory failure with hypoxia due to COVID pneumonia, requiring 2L O2 to maintain sats. He did complain on presentation of vague pain in his calves, bilateral duplex were negative for DVT; he was maintained on BID Lovenox. He completed 5 days of remdesivir and 5 days of dexamethasone. He was additionally given 3 days of coverage for CAP given persistent left lower lobe consolidation and slightly positive procalcitonin at 0.33. He was well volume repleted initially and maintained good oral intake the last few days of his hospitalization; as his only symptom was measurable hypoxia with fatigue on exertion, and as he felt comfortable to go home and continue oxygen there, this was arranged for him on 10/10, with advisement to follow up with his PCP in a week. Return instructions given.   READMITTED:  Admission Date: 10/12/2021 Discharge Date: Oct 15, 2021 Diagnosis Pneumonia due to 2019 novel coronavirus  PRESENTING PROBLEM: Hypoxic  Pneumonia due to 2019 novel coronavirus  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: 54 y/o WM married community dwelling patient of Dr. was readmitted to Hospital on 10/12/21 for acute respiratory failure with hypoxia with COVID pneumonia.  The patient was previously admitted from 10/6-10/10 for COVID 19 pneumonia with hypoxia and received Remdesivir and Decadron.  He was discharged home on Decadron.  Unfortunately, the patient became increasingly short of breath and came back of an evaluation.   CTA thorax showed no PE, but extensive pneumonia bilaterally from the COVID 19 infection.  Patient had a procalcitonin of 0.07.  MRSA PCR was negative.  Film arraay was positive only for COVID 19.  We had 2 sputum cultures that were contaminated specimens.   A cardiac etiology was also ruled out.   The patient seemed to improve with ongoing steroids and addition of antibiotics to cover community acquired pneumonia.  He received MDI's including Dulera and Albuterol, as well as the addition of pulmonary toilet.  He improved quickly.  His inflammatory markers were monitored and were slowly decreasing.   He was medically stable and improved for discharge on 10/15/21.  He was sent home on oxygen at 3L nasal cannula.   He will follow up with his PCP in a week after discharge.   Thank you for the privilege of taking care of Patient.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea exertional, Infection, Polymerase chain reaction positive
Clinical narrative: dry cough dyspnea on exertion breakthrough infection requiring admission
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Consent form supplied at time of vaccination gave an incorrect birthday. Patient due to misreported birthdate was vaccinated with Moderna at age 16. No reported adverse events.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstrual disorder
Clinical narrative: Unexpected change in menstrual cycle. Breakthrough bleeding beginning 10 days after 2nd covid shot (pfizer)
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Wheezing
Clinical narrative: cough, shortness of breath, diarrhea, wheezing. Did have one night where he was unable to sleep flat due to shortness of breath but did sleep in bed flat last night. Symptoms have been persistent since onset, but do feel like they are improving slowly.. starting 10/4/21
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: heavy period severe increase in menstrual pain
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Headache, Injection site reaction
Clinical narrative: Monday, 10/11/2021, I noticed a big red rash on both of my legs and my arms, then two days later I noticed a circular red rash on my upper left arm around the injection site.  Then, the next day I started with itching all over my body and inside my mouth, upper roof, tongue and throat.  I called the pharmacist, and told her what was happening, which I confirmed that Zyrtec would be considered an Antihistamine and I already had a bottle of this in my cabinet, so I took one Zyrtec pill around 2:00 pm. Around 4:00 pm, i realized it wasn?t subsiding and some different symptoms started, like blurred vision, headache, cold chills and light headedness.  So, I called my mother to come to my home and pick me up to take me to Urgent Care.  While there I started with Chest Pains.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, SARS-CoV-2 test, Vision blurred
Clinical narrative: Monday, 10/11/2021, I noticed a big red rash on both of my legs and my arms, then two days later I noticed a circular red rash on my upper left arm around the injection site.  Then, the next day I started with itching all over my body and inside my mouth, upper roof, tongue and throat.  I called the pharmacist, and told her what was happening, which I confirmed that Zyrtec would be considered an Antihistamine and I already had a bottle of this in my cabinet, so I took one Zyrtec pill around 2:00 pm. Around 4:00 pm, i realized it wasn?t subsiding and some different symptoms started, like blurred vision, headache, cold chills and light headedness.  So, I called my mother to come to my home and pick me up to take me to Urgent Care.  While there I started with Chest Pains.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Thrombosis, Ultrasound scan abnormal
Clinical narrative: 1. numbness in left arm and hand. 2. Blood clot in left leg.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Autoimmune disorder, Blood test, Cardiac stress test, Dizziness
Clinical narrative: Pain in back of knees, pain in hips, pressure in back of head, dizziness, lightheaded, dry heaving, blurred vision  Wide spread symptoms of an auto immune or neurological response started 2 weeks after vaccination
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Head discomfort, Magnetic resonance imaging head
Clinical narrative: Pain in back of knees, pain in hips, pressure in back of head, dizziness, lightheaded, dry heaving, blurred vision  Wide spread symptoms of an auto immune or neurological response started 2 weeks after vaccination
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Neurological symptom, Retching, Vision blurred
Clinical narrative: Pain in back of knees, pain in hips, pressure in back of head, dizziness, lightheaded, dry heaving, blurred vision  Wide spread symptoms of an auto immune or neurological response started 2 weeks after vaccination
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Dyspnoea, Electrocardiogram normal, Pain
Clinical narrative: Patients arrives with a CC of SOB and left sternal chest pain with onset 24 hours after taking booster for COV-19 procedure.  Patient was anxious and arrived to medical facility by her own means and without assistance. Patient was seen by provider and RN along with initiation of SBAR and transported to local ER for further evaluation.  cancer.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Cardiac stress test normal, Chest pain, Dyspnoea
Clinical narrative: I was at work and had no issues. My shift ended and got in the car 10 to 3 and was driving less than 4 miles away from my work. About 2.5 miles from work I started having severe chest, should, neck, jaw pain. I had difficulty breathing as well. I was afraid I wasn't going to make it to the hospital less than 1/2 a mile, pain level was 15 out of ten - that's how  bad the pain was. So I drove to the ER.  When I went in to the ER and they did an EKG and it came back negative, bloodwork 3 times - negative, Ddimer -negative, stress test- negative. The next morning I felt fine with no issues and I was discharged after the stress test and i went home. They put me in the CDU - 24 hr observation.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer normal, Neck pain, Pain in jaw
Clinical narrative: I was at work and had no issues. My shift ended and got in the car 10 to 3 and was driving less than 4 miles away from my work. About 2.5 miles from work I started having severe chest, should, neck, jaw pain. I had difficulty breathing as well. I was afraid I wasn't going to make it to the hospital less than 1/2 a mile, pain level was 15 out of ten - that's how  bad the pain was. So I drove to the ER.  When I went in to the ER and they did an EKG and it came back negative, bloodwork 3 times - negative, Ddimer -negative, stress test- negative. The next morning I felt fine with no issues and I was discharged after the stress test and i went home. They put me in the CDU - 24 hr observation.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Erythema, Fatigue, Gait disturbance, Headache
Clinical narrative: My arm is red and  Swollen. It is hard to the touch. I have had a headache and very tired. My legs started hurting at work  , they felt very heavy andI barely made it through the rest of the afternoon.    Today I've been very fatigued and Nauseous, and as of last night I haven't ate much much. Not very hungry
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Limb discomfort, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: My arm is red and  Swollen. It is hard to the touch. I have had a headache and very tired. My legs started hurting at work  , they felt very heavy andI barely made it through the rest of the afternoon.    Today I've been very fatigued and Nauseous, and as of last night I haven't ate much much. Not very hungry
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Parosmia
Clinical narrative: Since the 3rd shot, starting 10/9/21 I have been smelling cigarette smoke. I never had covid-19, only the vaccines.  I got the booster on 10/3/21 and on 10/9/21 started smelling cigarette smoke and I am still smelling it.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Blood loss anaemia, COVID-19, Condition aggravated, Dysuria
Clinical narrative: Hospitalized 9.28 (NOT due to COVID);  found to be COVID positive during hospitalization) (10.6); fully vaccinated  Admission Date: 9/28/2021 Discharge Date: Oct 11, 2021 PRESENTING PROBLEM: Blood loss anemia [D50.0] Gross hematuria [R31.0] Hematuria, unspecified type [R31.9] HOSPITAL COURSE: Patient is a 72-year-old with past medical history significant for persistent AFib (on Xarelto), coronary artery disease status post PCI, severe aortic stenosis status post TAVR, ischemic cardiomyopathy (EF of 25%), prostate cancer status post radiation therapy who presented to the emergency department on 09/28/2021 for evaluation of hematuria and dysuria. Of note patient has been having ongoing hematuria for about 2 weeks.  PT and OT recommended subacute rehab.  Prior to discharge to subacute rehab COVID screening test was ordered and positive. As patient was totally asymptomatic he did not meet criteria for monoclonal antibody.  As he was not hypoxic no steroids were started
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haematuria, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 9.28 (NOT due to COVID);  found to be COVID positive during hospitalization) (10.6); fully vaccinated  Admission Date: 9/28/2021 Discharge Date: Oct 11, 2021 PRESENTING PROBLEM: Blood loss anemia [D50.0] Gross hematuria [R31.0] Hematuria, unspecified type [R31.9] HOSPITAL COURSE: Patient is a 72-year-old with past medical history significant for persistent AFib (on Xarelto), coronary artery disease status post PCI, severe aortic stenosis status post TAVR, ischemic cardiomyopathy (EF of 25%), prostate cancer status post radiation therapy who presented to the emergency department on 09/28/2021 for evaluation of hematuria and dysuria. Of note patient has been having ongoing hematuria for about 2 weeks.  PT and OT recommended subacute rehab.  Prior to discharge to subacute rehab COVID screening test was ordered and positive. As patient was totally asymptomatic he did not meet criteria for monoclonal antibody.  As he was not hypoxic no steroids were started
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Arthralgia, Cognitive disorder, Decreased appetite, Dermatitis atopic
Clinical narrative: Within 5 minutes after the injection, my face got hot, I turned red all over, rapid pulse, itchy all over, headache, cognitively altered, it felt odd to walk. Both pharmacists observed me and asked if I could breathe okay. I said yes. They said to get some Benedryl and take it, so I did. My son had to drive me home. During the same day, I had on my left side swollen glands in my neck, armpit, and breast. Breast tissue thickened on left. Muscle and joint pain, loss of appetite, ringing in ears, left ear tight, headache, excess mucus, pain in lungs, shortness of breath (took albuterol inhaler). tiredness, exhaustion. I contacted my GP on patient portal to report. 4/14 diagnosed with Moderna rash/ atopic dermatitis by dermatologist. Rash on left hand and chest. Database quality. Rx Triamcinolone acetpnide cream for rash.  5/5/2021 Telehealth call with doctor follow-up regarding Long Covid and regarding Moderna rash and Moderna reaction. It is decided to follow new CDC guidelines and not take second injection of Moderna due to immediate rxn. 7/6/2021 contacted GP, again due to Delta varient concerns. 8/18 Rash spreads to neck, shoulders, legs, feet and is painful, itchy, and keeps me from sleeping. Doctor Appointment follow up for Moderna rash. 10/13/2021 Doctor's. to follow up Moderna rash. It is improving after taking 2 zyrtec a day, using desoximetasone, Vanicream products, Elidel cream. Disease caused by severe acute respiratory symdrome Coronavirus 2 disorder
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Fatigue, Feeling hot, Gait disturbance
Clinical narrative: Within 5 minutes after the injection, my face got hot, I turned red all over, rapid pulse, itchy all over, headache, cognitively altered, it felt odd to walk. Both pharmacists observed me and asked if I could breathe okay. I said yes. They said to get some Benedryl and take it, so I did. My son had to drive me home. During the same day, I had on my left side swollen glands in my neck, armpit, and breast. Breast tissue thickened on left. Muscle and joint pain, loss of appetite, ringing in ears, left ear tight, headache, excess mucus, pain in lungs, shortness of breath (took albuterol inhaler). tiredness, exhaustion. I contacted my GP on patient portal to report. 4/14 diagnosed with Moderna rash/ atopic dermatitis by dermatologist. Rash on left hand and chest. Database quality. Rx Triamcinolone acetpnide cream for rash.  5/5/2021 Telehealth call with doctor follow-up regarding Long Covid and regarding Moderna rash and Moderna reaction. It is decided to follow new CDC guidelines and not take second injection of Moderna due to immediate rxn. 7/6/2021 contacted GP, again due to Delta varient concerns. 8/18 Rash spreads to neck, shoulders, legs, feet and is painful, itchy, and keeps me from sleeping. Doctor Appointment follow up for Moderna rash. 10/13/2021 Doctor's. to follow up Moderna rash. It is improving after taking 2 zyrtec a day, using desoximetasone, Vanicream products, Elidel cream. Disease caused by severe acute respiratory symdrome Coronavirus 2 disorder
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Myalgia, Pain, Productive cough
Clinical narrative: Within 5 minutes after the injection, my face got hot, I turned red all over, rapid pulse, itchy all over, headache, cognitively altered, it felt odd to walk. Both pharmacists observed me and asked if I could breathe okay. I said yes. They said to get some Benedryl and take it, so I did. My son had to drive me home. During the same day, I had on my left side swollen glands in my neck, armpit, and breast. Breast tissue thickened on left. Muscle and joint pain, loss of appetite, ringing in ears, left ear tight, headache, excess mucus, pain in lungs, shortness of breath (took albuterol inhaler). tiredness, exhaustion. I contacted my GP on patient portal to report. 4/14 diagnosed with Moderna rash/ atopic dermatitis by dermatologist. Rash on left hand and chest. Database quality. Rx Triamcinolone acetpnide cream for rash.  5/5/2021 Telehealth call with doctor follow-up regarding Long Covid and regarding Moderna rash and Moderna reaction. It is decided to follow new CDC guidelines and not take second injection of Moderna due to immediate rxn. 7/6/2021 contacted GP, again due to Delta varient concerns. 8/18 Rash spreads to neck, shoulders, legs, feet and is painful, itchy, and keeps me from sleeping. Doctor Appointment follow up for Moderna rash. 10/13/2021 Doctor's. to follow up Moderna rash. It is improving after taking 2 zyrtec a day, using desoximetasone, Vanicream products, Elidel cream. Disease caused by severe acute respiratory symdrome Coronavirus 2 disorder
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pulmonary pain, Rash, Sleep disorder, Tinnitus
Clinical narrative: Within 5 minutes after the injection, my face got hot, I turned red all over, rapid pulse, itchy all over, headache, cognitively altered, it felt odd to walk. Both pharmacists observed me and asked if I could breathe okay. I said yes. They said to get some Benedryl and take it, so I did. My son had to drive me home. During the same day, I had on my left side swollen glands in my neck, armpit, and breast. Breast tissue thickened on left. Muscle and joint pain, loss of appetite, ringing in ears, left ear tight, headache, excess mucus, pain in lungs, shortness of breath (took albuterol inhaler). tiredness, exhaustion. I contacted my GP on patient portal to report. 4/14 diagnosed with Moderna rash/ atopic dermatitis by dermatologist. Rash on left hand and chest. Database quality. Rx Triamcinolone acetpnide cream for rash.  5/5/2021 Telehealth call with doctor follow-up regarding Long Covid and regarding Moderna rash and Moderna reaction. It is decided to follow new CDC guidelines and not take second injection of Moderna due to immediate rxn. 7/6/2021 contacted GP, again due to Delta varient concerns. 8/18 Rash spreads to neck, shoulders, legs, feet and is painful, itchy, and keeps me from sleeping. Doctor Appointment follow up for Moderna rash. 10/13/2021 Doctor's. to follow up Moderna rash. It is improving after taking 2 zyrtec a day, using desoximetasone, Vanicream products, Elidel cream. Disease caused by severe acute respiratory symdrome Coronavirus 2 disorder
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Fever on the 8th of this month and it went to 100.6. I had headaches. It was more like a migraine. I had a COVID test, PCR and Rapid and both were negative. No treatment other than taking Tylenol. I had these symptoms for a couple of days.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Injection site rash
Clinical narrative: Janssen COVID-19 Vaccine EUA On Oct 13 Vaccinated at 12:45. Swelling and hot skin around injection site beginning late afternoon on first day. Super tired and went to sleep around 7 pm. Increasing body aches through the night.  On Oct 14 Discovered a rash had formed a few inches around the injection location at 6 am. Extremely tired, severe muscle aches in torso, arms, & legs. Low grade headache all day, and vision became blurred for several hours in late afternoon. Slept most of the day due to fatigue. Alternating chills and sweating starting late afternoon, and throughout the night. On Oct 15 at 6 am the rash, swelling, headache were gone. Aches subsiding and no chills since 8 am.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Myalgia, Pain, Vision blurred
Clinical narrative: Janssen COVID-19 Vaccine EUA On Oct 13 Vaccinated at 12:45. Swelling and hot skin around injection site beginning late afternoon on first day. Super tired and went to sleep around 7 pm. Increasing body aches through the night.  On Oct 14 Discovered a rash had formed a few inches around the injection location at 6 am. Extremely tired, severe muscle aches in torso, arms, & legs. Low grade headache all day, and vision became blurred for several hours in late afternoon. Slept most of the day due to fatigue. Alternating chills and sweating starting late afternoon, and throughout the night. On Oct 15 at 6 am the rash, swelling, headache were gone. Aches subsiding and no chills since 8 am.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Cough, Nasal congestion, Oropharyngeal pain
Clinical narrative: Patient presented to BWH ED on 9/19/21 with fever, sore throat, cough and nasal congestion. Patient was fully vaccinated for covid. Covid test came back positive and patient was started on remdesivir. Patient was discharged on 9/21/21 with no chest pain or SOB.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to BWH ED on 9/19/21 with fever, sore throat, cough and nasal congestion. Patient was fully vaccinated for covid. Covid test came back positive and patient was started on remdesivir. Patient was discharged on 9/21/21 with no chest pain or SOB.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Lymphadenopathy, Ultrasound scan
Clinical narrative: Enlarged lymph nodes Lump on my clavicle Two lumps underneath my neck
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood loss anaemia, C-reactive protein, Electrocardiogram, Fatigue
Clinical narrative: On the day of admission, she was seeing her PCP for a routine visit where hemoglobin was found to be 6.6.  She was otherwise feeling well with no change in her BMs (dark black from iron) and no other symptoms.  FOBT was positive.  She was admitted to our facility and received 2U PRBC.  Her hemoglobin has improved to 8.4.  An occult GI bleed is of concern for her ongoing iron-deficiency anemia.  She was seen by general surgery and recommended to have an outpatient colonoscopy and EGD next week.  She will continue her ASA 81 mg for now (given severe CAD and no brisk bleeding) and also her PO iron supplementation.  We have also arranged for a repeat Hb next week to assure ongoing stability.   PER ED CHART: Reason for Visit  Other  Diagnoses   Acute GI bleeding  Fatigue, unspecified type  Blood loss anemia     Follow-up Items Upon Discharge: -Continue PO ferrous sulfate and all other meds -EGD / Colonoscopy next week to evaluate for iron-deficiency anemia  -Repeat Hb on 10/20/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, Haemoglobin decreased, Imaging procedure, Influenza A virus test, Influenza B virus test
Clinical narrative: On the day of admission, she was seeing her PCP for a routine visit where hemoglobin was found to be 6.6.  She was otherwise feeling well with no change in her BMs (dark black from iron) and no other symptoms.  FOBT was positive.  She was admitted to our facility and received 2U PRBC.  Her hemoglobin has improved to 8.4.  An occult GI bleed is of concern for her ongoing iron-deficiency anemia.  She was seen by general surgery and recommended to have an outpatient colonoscopy and EGD next week.  She will continue her ASA 81 mg for now (given severe CAD and no brisk bleeding) and also her PO iron supplementation.  We have also arranged for a repeat Hb next week to assure ongoing stability.   PER ED CHART: Reason for Visit  Other  Diagnoses   Acute GI bleeding  Fatigue, unspecified type  Blood loss anemia     Follow-up Items Upon Discharge: -Continue PO ferrous sulfate and all other meds -EGD / Colonoscopy next week to evaluate for iron-deficiency anemia  -Repeat Hb on 10/20/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio, Occult blood positive, Respiratory syncytial virus test, SARS-CoV-2 test
Clinical narrative: On the day of admission, she was seeing her PCP for a routine visit where hemoglobin was found to be 6.6.  She was otherwise feeling well with no change in her BMs (dark black from iron) and no other symptoms.  FOBT was positive.  She was admitted to our facility and received 2U PRBC.  Her hemoglobin has improved to 8.4.  An occult GI bleed is of concern for her ongoing iron-deficiency anemia.  She was seen by general surgery and recommended to have an outpatient colonoscopy and EGD next week.  She will continue her ASA 81 mg for now (given severe CAD and no brisk bleeding) and also her PO iron supplementation.  We have also arranged for a repeat Hb next week to assure ongoing stability.   PER ED CHART: Reason for Visit  Other  Diagnoses   Acute GI bleeding  Fatigue, unspecified type  Blood loss anemia     Follow-up Items Upon Discharge: -Continue PO ferrous sulfate and all other meds -EGD / Colonoscopy next week to evaluate for iron-deficiency anemia  -Repeat Hb on 10/20/21
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Laboratory test, Myalgia, Pain
Clinical narrative: I have been advising my doctor since May that my fevers and muscle pains related to an unknown disease have seemingly come back, but they were not the same as before. I spent months before this second shot working out, losing weight, correcting so many medical issues. My heart rate was one thing I paid special attention to because I was trying to make it better. I was riding miles on my bike. I was walking almost every day. My cholesterol numbers were improving. My weight was dropping. I was still working at it until July when it almost wasn't possible anymore. I suspected it was just my condition again, but it was different. It wasn't quite as bad. The fevers weren't always as high, but I still had some very high fevers. My muscle pain was different, and now it's only in a couple of spots consistently (my left side of my chest and both of my deltoids hurt consistently). I do have other pains that pop up, but that's expected.   I was starting a new job at the end of July, although I didn't know when I was going to be starting in April at the time of my shot. I took a physical (4/16/21) at my new employer the Friday following my shot (4/13/21). They actually emailed me that my start date would be delayed.   I had concerns in early May that things were returning and I suspected my condition over the vaccine at the time. It continued to get worse.   I am now taking (October 2021) 1-2 steroids (prednisone 10 mg) a day to even feel slightly normal. I have been taking steroids regularly since May or early June. Before then I took maybe 4 or 5 in a year. They helped to break my fevers.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: I have been advising my doctor since May that my fevers and muscle pains related to an unknown disease have seemingly come back, but they were not the same as before. I spent months before this second shot working out, losing weight, correcting so many medical issues. My heart rate was one thing I paid special attention to because I was trying to make it better. I was riding miles on my bike. I was walking almost every day. My cholesterol numbers were improving. My weight was dropping. I was still working at it until July when it almost wasn't possible anymore. I suspected it was just my condition again, but it was different. It wasn't quite as bad. The fevers weren't always as high, but I still had some very high fevers. My muscle pain was different, and now it's only in a couple of spots consistently (my left side of my chest and both of my deltoids hurt consistently). I do have other pains that pop up, but that's expected.   I was starting a new job at the end of July, although I didn't know when I was going to be starting in April at the time of my shot. I took a physical (4/16/21) at my new employer the Friday following my shot (4/13/21). They actually emailed me that my start date would be delayed.   I had concerns in early May that things were returning and I suspected my condition over the vaccine at the time. It continued to get worse.   I am now taking (October 2021) 1-2 steroids (prednisone 10 mg) a day to even feel slightly normal. I have been taking steroids regularly since May or early June. Before then I took maybe 4 or 5 in a year. They helped to break my fevers.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Device connection issue, Exposure via skin contact, Needle issue, No adverse event, Syringe issue
Clinical narrative: Patient did not suffer adverse effect however syringe attached to the needle did come apart causing the vaccine dose to spill down his arm. I had to give another dose of vaccine- he did not get any of the vaccine at all the first time. The hub that attached to the needle broke when pressure was applied.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Underdose
Clinical narrative: Patient did not suffer adverse effect however syringe attached to the needle did come apart causing the vaccine dose to spill down his arm. I had to give another dose of vaccine- he did not get any of the vaccine at all the first time. The hub that attached to the needle broke when pressure was applied.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: VASOVAGAL RESPONSE
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Laboratory test abnormal, Metabolic acidosis, Oropharyngeal pain
Clinical narrative: Hospitalized;  COVID-19 positive (10.7.21);  Fully Vaccinated PLUS booster Discharge Provider: MD Primary Care Provider:  MD Admission Date: 10/9/2021 Discharge Date: Oct 11, 2021 PRESENTING PROBLEM: Metabolic acidosis [E87.2] COVID-19 virus infection [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 73 woman with PMH:  Significant for diabetes, IgG deficiency, CKD stage 4, peripheral neuropathy, bronchiectasis on azithromycin Q Monday Wednesday Friday sent to emergency department for abnormal labs. Patient husband works in a nursing home, he was tested positive 1st COVID-19.  As patient develops symptoms she was tested and positive on 10/07/2021. Labs drawn prior to monoclonal antibodies were abnormal so she was admitted. On admission she completed monoclonal antibodies.  Tolerated well.  Labs improved.  Renal functions returned to baseline. She did not require oxygen supplementation.  She still have some cough and soreness in throat. In stable condition patient is discharged home with recommendations to use incentive spirometer and prone positioning as tolerated. Also recommended to monitor vitals and pulse oximetry closely.  Recommended to return to emergency department if symptoms are getting worse given chronic lung disease.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: I have had hissing/ringing in my both of my ears. I went to my PCP and an ENT specialist. I have had a hearing test done and I passed the hearing test. I was also given steroids and a steroid shot, but the hissing and ringing in my ear will not go away.
Age: 42.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Lymphadenopathy, Swelling
Clinical narrative: Axillary lymphadenopathy. Swollen gland under right armpit. went to the Urgent care on the second day of the swelling. went away completely after 4 days
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Mom came into our office, stating her son need his second dose.  First dose was given on 5/25/21. Mom provided documentation of prior dose.  Pfizer vaccine was administered. It was noted after administration that patient was under age. No adverse event occurred.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Rash, Swelling face
Clinical narrative: Shortness of breath, facial swelling, rash
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Hypoaesthesia, Injection site erythema, Injection site warmth, Rash
Clinical narrative: within half hour after injection patient contacted triage nurse.  Arm is red and warm from the injection site to her fingers.  She has a rash on arm.  She states her fingers are numb and the numbness is moving up her arm.  She denies any shortness of breath, difficulty breathing, or swelling of her airway.  Patient was advised to seek emergent medical care a an urgent care or emergency room.
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Skin warm
Clinical narrative: within half hour after injection patient contacted triage nurse.  Arm is red and warm from the injection site to her fingers.  She has a rash on arm.  She states her fingers are numb and the numbness is moving up her arm.  She denies any shortness of breath, difficulty breathing, or swelling of her airway.  Patient was advised to seek emergent medical care a an urgent care or emergency room.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Headache and fever of 100.4. Fever lasted  about 36 hours. No fever since then.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Breast discharge, Breast engorgement, Breast pain
Clinical narrative: 33yr old female who presents for breast concerns. Thursday morning she woke up and her breasts felt engorged and the left was worse than the right and milk was coming out of the left.  It was about a teaspoon in amount.  She has had a tubal ligation for contraception. She now has pain on the left side of her breast and into her armpit and into her shoulder.  She does have a FH of breast cancer.  She has a maternal aunt with breast cancer. She does have lupus. She is having troubles emptying her bladder.  She does think she empties okay but the stream can be slow to start. She takes provera 30 mg daily to prevent menses.  ASSESSMENT: urinary issues Breast tenderness Nipple discharge PLAN: Her breast exam was benign and reassurance given that most likely her tenderness was due to hormonal changes of her breast.  I do want to check a tsh and prolactin given the nipple discharge. I do want to order a diagnostic mammogram and u/s to be safe as she is concerned about her tenderness.  If this is normal, reassurance given. Will start with a urine culture.  If her urinary symptoms aren't improving, will refer to urogyn.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary retention
Clinical narrative: 33yr old female who presents for breast concerns. Thursday morning she woke up and her breasts felt engorged and the left was worse than the right and milk was coming out of the left.  It was about a teaspoon in amount.  She has had a tubal ligation for contraception. She now has pain on the left side of her breast and into her armpit and into her shoulder.  She does have a FH of breast cancer.  She has a maternal aunt with breast cancer. She does have lupus. She is having troubles emptying her bladder.  She does think she empties okay but the stream can be slow to start. She takes provera 30 mg daily to prevent menses.  ASSESSMENT: urinary issues Breast tenderness Nipple discharge PLAN: Her breast exam was benign and reassurance given that most likely her tenderness was due to hormonal changes of her breast.  I do want to check a tsh and prolactin given the nipple discharge. I do want to order a diagnostic mammogram and u/s to be safe as she is concerned about her tenderness.  If this is normal, reassurance given. Will start with a urine culture.  If her urinary symptoms aren't improving, will refer to urogyn.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Aspartate aminotransferase increased, Asthenia, Blood creatinine decreased, Blood lactic acid increased
Clinical narrative: Patient presented with similar symptoms after receiving the 2nd dose of the vaccine in 03/21. Her illness then was self limited and she had a short 2 day hospitalization stay where she received supportive therapy.  Following the booster, she woke up extremely nauseous, severely SOB, and then vomited 2-3 times prior to her hospitalizations. She felt extreme full body fatigue and weakness, and cannot ambulate which is not her baseline.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Bundle branch block right, Cardiomegaly, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Patient presented with similar symptoms after receiving the 2nd dose of the vaccine in 03/21. Her illness then was self limited and she had a short 2 day hospitalization stay where she received supportive therapy.  Following the booster, she woke up extremely nauseous, severely SOB, and then vomited 2-3 times prior to her hospitalizations. She felt extreme full body fatigue and weakness, and cannot ambulate which is not her baseline.