chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Ear pain, Eye pain, Eye swelling
Clinical narrative: Immediately: injection given in left arm - rt side - headache & swollen glands. stiff neck. stiff shoulder. pain in head, neck & back.  fever, chills, clammy. dizzy  within 1 day: chills, fever, perfuse sweating. swollen glands & VERY painful under arms, elbows, knees & hips.  facial swelling. PAIN IN EYES, EARS & HEAD. Pain in back, hips. Sinus pressure & severe congestion (maybe inflammation). Unable to clear congestion. Broken blood vessels in arms, chest and across rib cage.  at 1 week: pain in joints & glands. eyes swollen. headache, irritability, unable to concentrate. pain. inflammation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Immediate post-injection reaction, Inflammation, Irritability
Clinical narrative: Immediately: injection given in left arm - rt side - headache & swollen glands. stiff neck. stiff shoulder. pain in head, neck & back.  fever, chills, clammy. dizzy  within 1 day: chills, fever, perfuse sweating. swollen glands & VERY painful under arms, elbows, knees & hips.  facial swelling. PAIN IN EYES, EARS & HEAD. Pain in back, hips. Sinus pressure & severe congestion (maybe inflammation). Unable to clear congestion. Broken blood vessels in arms, chest and across rib cage.  at 1 week: pain in joints & glands. eyes swollen. headache, irritability, unable to concentrate. pain. inflammation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Neck pain, Pain, Paranasal sinus discomfort
Clinical narrative: Immediately: injection given in left arm - rt side - headache & swollen glands. stiff neck. stiff shoulder. pain in head, neck & back.  fever, chills, clammy. dizzy  within 1 day: chills, fever, perfuse sweating. swollen glands & VERY painful under arms, elbows, knees & hips.  facial swelling. PAIN IN EYES, EARS & HEAD. Pain in back, hips. Sinus pressure & severe congestion (maybe inflammation). Unable to clear congestion. Broken blood vessels in arms, chest and across rib cage.  at 1 week: pain in joints & glands. eyes swollen. headache, irritability, unable to concentrate. pain. inflammation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Swelling face
Clinical narrative: Immediately: injection given in left arm - rt side - headache & swollen glands. stiff neck. stiff shoulder. pain in head, neck & back.  fever, chills, clammy. dizzy  within 1 day: chills, fever, perfuse sweating. swollen glands & VERY painful under arms, elbows, knees & hips.  facial swelling. PAIN IN EYES, EARS & HEAD. Pain in back, hips. Sinus pressure & severe congestion (maybe inflammation). Unable to clear congestion. Broken blood vessels in arms, chest and across rib cage.  at 1 week: pain in joints & glands. eyes swollen. headache, irritability, unable to concentrate. pain. inflammation.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Period stopped. Have not had a period since 2nd COVID Vax dose 40+ days ago. Periods are usually regular
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 3rd vaccine, a booster administered.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT FULLY VACCINATED TESTED POSTIVE FOR COVID 9/5/2021 AND ADMITTED TO THE HOSPITAL.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Headache, Dizziness, Chills, Fever, Nausea, Vomiting
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Dizziness, Chills, Fever, Nausea, Vomiting
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Skin abrasion
Clinical narrative: Client got dizzy and lightheaded upon administration of 1st dose of Pfizer (lot FC3181). Client had similar reaction without our knowledge. Client assisted to ground by nurse. Vitals taken WNL. Abrasion noted to right outer forearm dressed. 911 called, Vitals taken multiple times with constant observation. Client given water and crackers with improvement. Client refused any further treatment and was taken home. A/O x 4 with steady gait.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Feeling abnormal, Headache, Hypertension, Muscle twitching
Clinical narrative: All severe- Muscle weakness (starting in legs), muscle and joint pain, headaches, brain fog, blood pressure (hypertension), nerve pain and twitches
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Neuralgia
Clinical narrative: All severe- Muscle weakness (starting in legs), muscle and joint pain, headaches, brain fog, blood pressure (hypertension), nerve pain and twitches
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase, C-reactive protein, Joint range of motion decreased, Myalgia
Clinical narrative: 03/17/2021 soreness of the left arm later in the afternoon, and still till this day. Pressingly later in April 2021 I started noticing I could not lift anything heavy with my left arm. I cannot raise my left arm to normal daily activities like I used to be able to. During my physical on 04/22/2021 I told my doctor about my lose of range of motion. I still have the loss of range of motion. I began PT but only went a few times and it only worsen it. These days of muscle pain and joint pain are apotheotic.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rheumatoid arthritis
Clinical narrative: 03/17/2021 soreness of the left arm later in the afternoon, and still till this day. Pressingly later in April 2021 I started noticing I could not lift anything heavy with my left arm. I cannot raise my left arm to normal daily activities like I used to be able to. During my physical on 04/22/2021 I told my doctor about my lose of range of motion. I still have the loss of range of motion. I began PT but only went a few times and it only worsen it. These days of muscle pain and joint pain are apotheotic.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The RA, injected me with the first dose of the Moderna vaccine without asking a single question. I arrived at the clinic to receive my second dose of Pfizer and ended up receiving my first dose of Moderna.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 3rd dose (booster) administered.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Impaired work ability, Nausea, Pallor
Clinical narrative: 5 minutes after administration of vaccine, patient bean to report feelings of dizziness, lightheaded, nausea and anxiety. Pt was prompted to lay down and did so. Vital signs were taken again and pt was instructed to take deep breaths. Patient described feeling a lump in her throat. Throat was visualized and no swelling was noted. Patient was given cold pack, Gatorade, and granola bar. After 30 minutes patient was able to sit up and stated that she was feeling much better. Within this time patient's vitals were taken every 5 minutes and all vitals were  WDL. Patient was monitored for 1 hour in total after shot administration before leaving the clinic. On 9/16, two days after vaccine administration, patient called clinic to report that she had to leave work early due to feeling "nauseated, dizzy, faint, and looking pale." She requested that the vaccine be listed under her allergies. Patient was informed that side effects can last 2-3 days, instructed to hydrate and eat bland food, and to go to acute care if she continues to feel unwell or if symptoms worsen.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body
Clinical narrative: 5 minutes after administration of vaccine, patient bean to report feelings of dizziness, lightheaded, nausea and anxiety. Pt was prompted to lay down and did so. Vital signs were taken again and pt was instructed to take deep breaths. Patient described feeling a lump in her throat. Throat was visualized and no swelling was noted. Patient was given cold pack, Gatorade, and granola bar. After 30 minutes patient was able to sit up and stated that she was feeling much better. Within this time patient's vitals were taken every 5 minutes and all vitals were  WDL. Patient was monitored for 1 hour in total after shot administration before leaving the clinic. On 9/16, two days after vaccine administration, patient called clinic to report that she had to leave work early due to feeling "nauseated, dizzy, faint, and looking pale." She requested that the vaccine be listed under her allergies. Patient was informed that side effects can last 2-3 days, instructed to hydrate and eat bland food, and to go to acute care if she continues to feel unwell or if symptoms worsen.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I began to have severe blurred vision around 12 PM today, 9/17/21. This lasted about 2 hours.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient had Johnson and Johnson on 03/23/2021, and per Dr. it was appropriate for patient to receive Moderna Booster.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue, Nausea, Pain
Clinical narrative: Severe body aches, tired, fatigue, want to sleep, no energy, warm lips, nausea, no appetite. Took Tylenol 1 tblet-500 mg, PO, with a very mild relief. Will be taking 2 Tylenol's next.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Somnolence
Clinical narrative: Severe body aches, tired, fatigue, want to sleep, no energy, warm lips, nausea, no appetite. Took Tylenol 1 tblet-500 mg, PO, with a very mild relief. Will be taking 2 Tylenol's next.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocarditis
Clinical narrative: Persistent chest pain lasting 24 hours day after dose, concern for myocarditis. Resolved with nsaids after one day.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: SIRVA/ damage to rotator cuff showed with 48 hours and is still causing problems 9 weeks later.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Syncope, Wheezing
Clinical narrative: Patient experience shortness of breath, held her throat, wheezing, and collapsed. Given epi IM in left upper thigh at 5:19pm. Symptoms improved within 1 minute.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Movement disorder, Paraesthesia, Pruritus
Clinical narrative: The patient starting feeling dizzy and like she might faint about 15 minutes after the shot, it progressed to feeling like she could not swallow and itching across her chest. I attempted to give her oral Benadryl, but was not working fast enough so I administered 50mg of IM Benadryl. She still complained of not being able to move her arms or legs and feeling tingling all over so I called 911. She declined going to the hospital and went home. I did call her today and she was feeling better.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature, Chills, Injection site pain, Nausea, Pain
Clinical narrative: I was nauseous and vomiting, chills, slight temperature 99 - 99.8  And body aches and a bad ache where I was injected in my left arm
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I was nauseous and vomiting, chills, slight temperature 99 - 99.8  And body aches and a bad ache where I was injected in my left arm
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pain
Clinical narrative: Sharp shooting stabbing pain in the right side of my head above my neck.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Paraesthesia, Skin discolouration
Clinical narrative: Skin discoloration, bronchial spasms, face mouth and throat tingling
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bronchospasm, Hyperhidrosis, Hypoaesthesia, Hypoaesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: Skin discoloration, bronchial spasms, face mouth and throat tingling
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Skin discoloration, bronchial spasms, face mouth and throat tingling
Age: 68.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Patient stated received both a flu and pneumo shot on the same arm and afterwards felt his arm got very hot then turned red within a few days.  He went to the doctor and stated it was cellucitis and got an antibiotic.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT FULLY VACCINATED TESTED POSITIVE FOR COVID 9/7/2021 AND HOSPITALIZED 9/7/2021
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Arthralgia, Asthenia, Atelectasis, Blood culture negative
Clinical narrative: Hospitalized 9.8.21;  COVID-19 positive (9.8.21);  fully vaccinated  Admitted for Tumor Lysis Syndrome Brief history and medical decision making:  62F with myeloma admitted for worsening renal function and altered mental status in the context of COVID-19.   Would be unusual to note tumor lysis syndrome with myeloma - and most likely her hyperuricemia is related to acute renal injury.  Appreciate Infectious Disease guided monoclonal antibody treatment.  Nephrology assisting.  No additional chemotherapy while inpatient.  SUBJECTIVE:   This is a 62 y.o. patient with a past medical history significant for recurrent Falls, Right/left hip replacement, DM type II, Morbid obesity, CKD IV and Multiple Myeloma who presented to ED with symptoms of altered mental status and fever. In the ED, patient was found to be also Covid 19 positive, her CXR revealed Left basilar airspace opacity, atelectasis versus pneumonia with a low magnesium. Patient was treated with IVF and antibiotics and her magnesium was replaced. Upon arrival to, patient was found to have an elevated uric acid 10.1. Patient denies SOB, chest pain, palpitation, nausea/vomiting, abdominal pain, dysuria, hematuria and melena. This patient also reports recurrent falls at home despite the use of a walker and last fall was on 9/7/21 which resulted in bruising to the left hip and an open wound to the right foot, she denies hitting her head, headaches and trouble with vision. Note from 9.17.21 (still admitted) ASSESSMENT / PLAN: Covid 19 Pneumonia - Febrile at home- no fever here, no SOB - CXR with Left basilar airspace opacity, atelectasis versus pneumonia - Covid 19 positive on 9/8-S/P Regeneron 9/9 - Lactic acid neg, CRP 79.1 - Blood cx NGTD - ID following - s/p cefepime/azithro in ED- stopped per ID - s/p dex but stopped as no hypoxia - Tessalon pearls, Mucinex - stable on room air  TLS-resolved             - Nephrology following              - monitor labs              - IVF held              - continue allopurinol  AMS- resolved - possibly secondary to renal function, TLS, or infection - UA neg - Neuro checks - Fall precautions
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood magnesium decreased, Blood uric acid increased, C-reactive protein increased, COVID-19
Clinical narrative: Hospitalized 9.8.21;  COVID-19 positive (9.8.21);  fully vaccinated  Admitted for Tumor Lysis Syndrome Brief history and medical decision making:  62F with myeloma admitted for worsening renal function and altered mental status in the context of COVID-19.   Would be unusual to note tumor lysis syndrome with myeloma - and most likely her hyperuricemia is related to acute renal injury.  Appreciate Infectious Disease guided monoclonal antibody treatment.  Nephrology assisting.  No additional chemotherapy while inpatient.  SUBJECTIVE:   This is a 62 y.o. patient with a past medical history significant for recurrent Falls, Right/left hip replacement, DM type II, Morbid obesity, CKD IV and Multiple Myeloma who presented to ED with symptoms of altered mental status and fever. In the ED, patient was found to be also Covid 19 positive, her CXR revealed Left basilar airspace opacity, atelectasis versus pneumonia with a low magnesium. Patient was treated with IVF and antibiotics and her magnesium was replaced. Upon arrival to, patient was found to have an elevated uric acid 10.1. Patient denies SOB, chest pain, palpitation, nausea/vomiting, abdominal pain, dysuria, hematuria and melena. This patient also reports recurrent falls at home despite the use of a walker and last fall was on 9/7/21 which resulted in bruising to the left hip and an open wound to the right foot, she denies hitting her head, headaches and trouble with vision. Note from 9.17.21 (still admitted) ASSESSMENT / PLAN: Covid 19 Pneumonia - Febrile at home- no fever here, no SOB - CXR with Left basilar airspace opacity, atelectasis versus pneumonia - Covid 19 positive on 9/8-S/P Regeneron 9/9 - Lactic acid neg, CRP 79.1 - Blood cx NGTD - ID following - s/p cefepime/azithro in ED- stopped per ID - s/p dex but stopped as no hypoxia - Tessalon pearls, Mucinex - stable on room air  TLS-resolved             - Nephrology following              - monitor labs              - IVF held              - continue allopurinol  AMS- resolved - possibly secondary to renal function, TLS, or infection - UA neg - Neuro checks - Fall precautions
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chemotherapy, Chest X-ray abnormal, Condition aggravated, Contusion
Clinical narrative: Hospitalized 9.8.21;  COVID-19 positive (9.8.21);  fully vaccinated  Admitted for Tumor Lysis Syndrome Brief history and medical decision making:  62F with myeloma admitted for worsening renal function and altered mental status in the context of COVID-19.   Would be unusual to note tumor lysis syndrome with myeloma - and most likely her hyperuricemia is related to acute renal injury.  Appreciate Infectious Disease guided monoclonal antibody treatment.  Nephrology assisting.  No additional chemotherapy while inpatient.  SUBJECTIVE:   This is a 62 y.o. patient with a past medical history significant for recurrent Falls, Right/left hip replacement, DM type II, Morbid obesity, CKD IV and Multiple Myeloma who presented to ED with symptoms of altered mental status and fever. In the ED, patient was found to be also Covid 19 positive, her CXR revealed Left basilar airspace opacity, atelectasis versus pneumonia with a low magnesium. Patient was treated with IVF and antibiotics and her magnesium was replaced. Upon arrival to, patient was found to have an elevated uric acid 10.1. Patient denies SOB, chest pain, palpitation, nausea/vomiting, abdominal pain, dysuria, hematuria and melena. This patient also reports recurrent falls at home despite the use of a walker and last fall was on 9/7/21 which resulted in bruising to the left hip and an open wound to the right foot, she denies hitting her head, headaches and trouble with vision. Note from 9.17.21 (still admitted) ASSESSMENT / PLAN: Covid 19 Pneumonia - Febrile at home- no fever here, no SOB - CXR with Left basilar airspace opacity, atelectasis versus pneumonia - Covid 19 positive on 9/8-S/P Regeneron 9/9 - Lactic acid neg, CRP 79.1 - Blood cx NGTD - ID following - s/p cefepime/azithro in ED- stopped per ID - s/p dex but stopped as no hypoxia - Tessalon pearls, Mucinex - stable on room air  TLS-resolved             - Nephrology following              - monitor labs              - IVF held              - continue allopurinol  AMS- resolved - possibly secondary to renal function, TLS, or infection - UA neg - Neuro checks - Fall precautions
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Fall, Hyperkalaemia, Hyperuricaemia, Lung opacity
Clinical narrative: Hospitalized 9.8.21;  COVID-19 positive (9.8.21);  fully vaccinated  Admitted for Tumor Lysis Syndrome Brief history and medical decision making:  62F with myeloma admitted for worsening renal function and altered mental status in the context of COVID-19.   Would be unusual to note tumor lysis syndrome with myeloma - and most likely her hyperuricemia is related to acute renal injury.  Appreciate Infectious Disease guided monoclonal antibody treatment.  Nephrology assisting.  No additional chemotherapy while inpatient.  SUBJECTIVE:   This is a 62 y.o. patient with a past medical history significant for recurrent Falls, Right/left hip replacement, DM type II, Morbid obesity, CKD IV and Multiple Myeloma who presented to ED with symptoms of altered mental status and fever. In the ED, patient was found to be also Covid 19 positive, her CXR revealed Left basilar airspace opacity, atelectasis versus pneumonia with a low magnesium. Patient was treated with IVF and antibiotics and her magnesium was replaced. Upon arrival to, patient was found to have an elevated uric acid 10.1. Patient denies SOB, chest pain, palpitation, nausea/vomiting, abdominal pain, dysuria, hematuria and melena. This patient also reports recurrent falls at home despite the use of a walker and last fall was on 9/7/21 which resulted in bruising to the left hip and an open wound to the right foot, she denies hitting her head, headaches and trouble with vision. Note from 9.17.21 (still admitted) ASSESSMENT / PLAN: Covid 19 Pneumonia - Febrile at home- no fever here, no SOB - CXR with Left basilar airspace opacity, atelectasis versus pneumonia - Covid 19 positive on 9/8-S/P Regeneron 9/9 - Lactic acid neg, CRP 79.1 - Blood cx NGTD - ID following - s/p cefepime/azithro in ED- stopped per ID - s/p dex but stopped as no hypoxia - Tessalon pearls, Mucinex - stable on room air  TLS-resolved             - Nephrology following              - monitor labs              - IVF held              - continue allopurinol  AMS- resolved - possibly secondary to renal function, TLS, or infection - UA neg - Neuro checks - Fall precautions
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Neurological examination, Pain, Plasma cell myeloma, Pneumonia
Clinical narrative: Hospitalized 9.8.21;  COVID-19 positive (9.8.21);  fully vaccinated  Admitted for Tumor Lysis Syndrome Brief history and medical decision making:  62F with myeloma admitted for worsening renal function and altered mental status in the context of COVID-19.   Would be unusual to note tumor lysis syndrome with myeloma - and most likely her hyperuricemia is related to acute renal injury.  Appreciate Infectious Disease guided monoclonal antibody treatment.  Nephrology assisting.  No additional chemotherapy while inpatient.  SUBJECTIVE:   This is a 62 y.o. patient with a past medical history significant for recurrent Falls, Right/left hip replacement, DM type II, Morbid obesity, CKD IV and Multiple Myeloma who presented to ED with symptoms of altered mental status and fever. In the ED, patient was found to be also Covid 19 positive, her CXR revealed Left basilar airspace opacity, atelectasis versus pneumonia with a low magnesium. Patient was treated with IVF and antibiotics and her magnesium was replaced. Upon arrival to, patient was found to have an elevated uric acid 10.1. Patient denies SOB, chest pain, palpitation, nausea/vomiting, abdominal pain, dysuria, hematuria and melena. This patient also reports recurrent falls at home despite the use of a walker and last fall was on 9/7/21 which resulted in bruising to the left hip and an open wound to the right foot, she denies hitting her head, headaches and trouble with vision. Note from 9.17.21 (still admitted) ASSESSMENT / PLAN: Covid 19 Pneumonia - Febrile at home- no fever here, no SOB - CXR with Left basilar airspace opacity, atelectasis versus pneumonia - Covid 19 positive on 9/8-S/P Regeneron 9/9 - Lactic acid neg, CRP 79.1 - Blood cx NGTD - ID following - s/p cefepime/azithro in ED- stopped per ID - s/p dex but stopped as no hypoxia - Tessalon pearls, Mucinex - stable on room air  TLS-resolved             - Nephrology following              - monitor labs              - IVF held              - continue allopurinol  AMS- resolved - possibly secondary to renal function, TLS, or infection - UA neg - Neuro checks - Fall precautions
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Renal failure, Renal impairment, SARS-CoV-2 test positive, Tumour lysis syndrome
Clinical narrative: Hospitalized 9.8.21;  COVID-19 positive (9.8.21);  fully vaccinated  Admitted for Tumor Lysis Syndrome Brief history and medical decision making:  62F with myeloma admitted for worsening renal function and altered mental status in the context of COVID-19.   Would be unusual to note tumor lysis syndrome with myeloma - and most likely her hyperuricemia is related to acute renal injury.  Appreciate Infectious Disease guided monoclonal antibody treatment.  Nephrology assisting.  No additional chemotherapy while inpatient.  SUBJECTIVE:   This is a 62 y.o. patient with a past medical history significant for recurrent Falls, Right/left hip replacement, DM type II, Morbid obesity, CKD IV and Multiple Myeloma who presented to ED with symptoms of altered mental status and fever. In the ED, patient was found to be also Covid 19 positive, her CXR revealed Left basilar airspace opacity, atelectasis versus pneumonia with a low magnesium. Patient was treated with IVF and antibiotics and her magnesium was replaced. Upon arrival to, patient was found to have an elevated uric acid 10.1. Patient denies SOB, chest pain, palpitation, nausea/vomiting, abdominal pain, dysuria, hematuria and melena. This patient also reports recurrent falls at home despite the use of a walker and last fall was on 9/7/21 which resulted in bruising to the left hip and an open wound to the right foot, she denies hitting her head, headaches and trouble with vision. Note from 9.17.21 (still admitted) ASSESSMENT / PLAN: Covid 19 Pneumonia - Febrile at home- no fever here, no SOB - CXR with Left basilar airspace opacity, atelectasis versus pneumonia - Covid 19 positive on 9/8-S/P Regeneron 9/9 - Lactic acid neg, CRP 79.1 - Blood cx NGTD - ID following - s/p cefepime/azithro in ED- stopped per ID - s/p dex but stopped as no hypoxia - Tessalon pearls, Mucinex - stable on room air  TLS-resolved             - Nephrology following              - monitor labs              - IVF held              - continue allopurinol  AMS- resolved - possibly secondary to renal function, TLS, or infection - UA neg - Neuro checks - Fall precautions
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis normal, Wound
Clinical narrative: Hospitalized 9.8.21;  COVID-19 positive (9.8.21);  fully vaccinated  Admitted for Tumor Lysis Syndrome Brief history and medical decision making:  62F with myeloma admitted for worsening renal function and altered mental status in the context of COVID-19.   Would be unusual to note tumor lysis syndrome with myeloma - and most likely her hyperuricemia is related to acute renal injury.  Appreciate Infectious Disease guided monoclonal antibody treatment.  Nephrology assisting.  No additional chemotherapy while inpatient.  SUBJECTIVE:   This is a 62 y.o. patient with a past medical history significant for recurrent Falls, Right/left hip replacement, DM type II, Morbid obesity, CKD IV and Multiple Myeloma who presented to ED with symptoms of altered mental status and fever. In the ED, patient was found to be also Covid 19 positive, her CXR revealed Left basilar airspace opacity, atelectasis versus pneumonia with a low magnesium. Patient was treated with IVF and antibiotics and her magnesium was replaced. Upon arrival to, patient was found to have an elevated uric acid 10.1. Patient denies SOB, chest pain, palpitation, nausea/vomiting, abdominal pain, dysuria, hematuria and melena. This patient also reports recurrent falls at home despite the use of a walker and last fall was on 9/7/21 which resulted in bruising to the left hip and an open wound to the right foot, she denies hitting her head, headaches and trouble with vision. Note from 9.17.21 (still admitted) ASSESSMENT / PLAN: Covid 19 Pneumonia - Febrile at home- no fever here, no SOB - CXR with Left basilar airspace opacity, atelectasis versus pneumonia - Covid 19 positive on 9/8-S/P Regeneron 9/9 - Lactic acid neg, CRP 79.1 - Blood cx NGTD - ID following - s/p cefepime/azithro in ED- stopped per ID - s/p dex but stopped as no hypoxia - Tessalon pearls, Mucinex - stable on room air  TLS-resolved             - Nephrology following              - monitor labs              - IVF held              - continue allopurinol  AMS- resolved - possibly secondary to renal function, TLS, or infection - UA neg - Neuro checks - Fall precautions
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Muscle contractions involuntary, Paraesthesia
Clinical narrative: 3 hours after vaccine patient started feeling muscle fasciculations in the legs, with occasional pins and needles and weakness
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Medial tibial stress syndrome, Muscle contractions involuntary, Muscle tightness, Myalgia
Clinical narrative: 3 hours after vaccine patient started feeling muscle fasciculations in the legs, with occasional pins and needles and weakness
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nervousness, Neurological examination normal, Pain in extremity, Reflex test normal
Clinical narrative: 3 hours after vaccine patient started feeling muscle fasciculations in the legs, with occasional pins and needles and weakness
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Respiratory tract congestion
Clinical narrative: Patient admitted 9/5 for cough, congestion and shortness of breath.  Patient discharged on 9/10.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Confusional state, Decreased appetite, Fatigue
Clinical narrative: Mental confusion, muscle weakness, fatigue,  decreased apatite
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Muscular weakness, Urine analysis
Clinical narrative: Mental confusion, muscle weakness, fatigue,  decreased apatite
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Hot flush
Clinical narrative: Woke up with fever, body aches, sweating around 3am. This continued all night, body hurt so bad, cold and hot flashes, shivering, SEVERE headache, sweating, fever above 100, went to dr. Told to rest and take aspirin for 3 weeks to prevent clot. Fever remained, exhausted, facial hives started around 5 pm slept from 9 am-2pm then slept again off and on until the next day on 11/17 woke up with no fever. Still sweating but almost all symptoms resolved aside from arm pain.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain, Pyrexia, Urticaria
Clinical narrative: Woke up with fever, body aches, sweating around 3am. This continued all night, body hurt so bad, cold and hot flashes, shivering, SEVERE headache, sweating, fever above 100, went to dr. Told to rest and take aspirin for 3 weeks to prevent clot. Fever remained, exhausted, facial hives started around 5 pm slept from 9 am-2pm then slept again off and on until the next day on 11/17 woke up with no fever. Still sweating but almost all symptoms resolved aside from arm pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: To be filled in or corrected by doctor. May have CovID breakthru Initially can't remember cause(s) that brought to needing medical attention.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Diffuse muscle pain in left upper extremity. Home exercise and Ibuprofen
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, C-reactive protein increased, Chest X-ray normal, Cough, Diarrhoea
Clinical narrative: 8/27/21 receive janssen vaccine. States next day developed b/l gluteus pain, h/a, gral malaise, myalgias. On 9/7/21 call Duty HS with arm pain at sight of jab and continued body aches. Order to take nsaid?s. 9/12 continued with myalgias, developed diarrhea, n/v and 100.7 temp. rapid antigen test 9/13: neg. seen at the clinic 9/17 with continued sx?s. no SOB, no chest pain, no skin rashes. Sent to ER for further testing and released w/o meds after work-up reviewed by MD. That night developed cough, yellow phlegm, fatigue (no SOB), h/a?s. diarrhea and n/v resolved. Seen by me 9/17 and stated no h/a, no n/v, diarrhea. Persistent pain on site of jab radiating to tricep. No lower limbs radiculopathy, loss of strength, unsteady gait, facial muscles abnormalities, dysphagia, double vision or b/b/dysfunction. On exam he does not looks acutely or chronically ill.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count abnormal, Headache, Influenza A virus test negative, Influenza B virus test
Clinical narrative: 8/27/21 receive janssen vaccine. States next day developed b/l gluteus pain, h/a, gral malaise, myalgias. On 9/7/21 call Duty HS with arm pain at sight of jab and continued body aches. Order to take nsaid?s. 9/12 continued with myalgias, developed diarrhea, n/v and 100.7 temp. rapid antigen test 9/13: neg. seen at the clinic 9/17 with continued sx?s. no SOB, no chest pain, no skin rashes. Sent to ER for further testing and released w/o meds after work-up reviewed by MD. That night developed cough, yellow phlegm, fatigue (no SOB), h/a?s. diarrhea and n/v resolved. Seen by me 9/17 and stated no h/a, no n/v, diarrhea. Persistent pain on site of jab radiating to tricep. No lower limbs radiculopathy, loss of strength, unsteady gait, facial muscles abnormalities, dysphagia, double vision or b/b/dysfunction. On exam he does not looks acutely or chronically ill.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Malaise, Metabolic function test normal, Musculoskeletal pain, Myalgia
Clinical narrative: 8/27/21 receive janssen vaccine. States next day developed b/l gluteus pain, h/a, gral malaise, myalgias. On 9/7/21 call Duty HS with arm pain at sight of jab and continued body aches. Order to take nsaid?s. 9/12 continued with myalgias, developed diarrhea, n/v and 100.7 temp. rapid antigen test 9/13: neg. seen at the clinic 9/17 with continued sx?s. no SOB, no chest pain, no skin rashes. Sent to ER for further testing and released w/o meds after work-up reviewed by MD. That night developed cough, yellow phlegm, fatigue (no SOB), h/a?s. diarrhea and n/v resolved. Seen by me 9/17 and stated no h/a, no n/v, diarrhea. Persistent pain on site of jab radiating to tricep. No lower limbs radiculopathy, loss of strength, unsteady gait, facial muscles abnormalities, dysphagia, double vision or b/b/dysfunction. On exam he does not looks acutely or chronically ill.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Platelet count normal, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative
Clinical narrative: 8/27/21 receive janssen vaccine. States next day developed b/l gluteus pain, h/a, gral malaise, myalgias. On 9/7/21 call Duty HS with arm pain at sight of jab and continued body aches. Order to take nsaid?s. 9/12 continued with myalgias, developed diarrhea, n/v and 100.7 temp. rapid antigen test 9/13: neg. seen at the clinic 9/17 with continued sx?s. no SOB, no chest pain, no skin rashes. Sent to ER for further testing and released w/o meds after work-up reviewed by MD. That night developed cough, yellow phlegm, fatigue (no SOB), h/a?s. diarrhea and n/v resolved. Seen by me 9/17 and stated no h/a, no n/v, diarrhea. Persistent pain on site of jab radiating to tricep. No lower limbs radiculopathy, loss of strength, unsteady gait, facial muscles abnormalities, dysphagia, double vision or b/b/dysfunction. On exam he does not looks acutely or chronically ill.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus bradycardia, Sputum discoloured, Streptococcus test negative, Vomiting, White blood cell count increased
Clinical narrative: 8/27/21 receive janssen vaccine. States next day developed b/l gluteus pain, h/a, gral malaise, myalgias. On 9/7/21 call Duty HS with arm pain at sight of jab and continued body aches. Order to take nsaid?s. 9/12 continued with myalgias, developed diarrhea, n/v and 100.7 temp. rapid antigen test 9/13: neg. seen at the clinic 9/17 with continued sx?s. no SOB, no chest pain, no skin rashes. Sent to ER for further testing and released w/o meds after work-up reviewed by MD. That night developed cough, yellow phlegm, fatigue (no SOB), h/a?s. diarrhea and n/v resolved. Seen by me 9/17 and stated no h/a, no n/v, diarrhea. Persistent pain on site of jab radiating to tricep. No lower limbs radiculopathy, loss of strength, unsteady gait, facial muscles abnormalities, dysphagia, double vision or b/b/dysfunction. On exam he does not looks acutely or chronically ill.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Photopsia, Tinnitus, Tremor, Vibratory sense increased, Visual snow syndrome
Clinical narrative: About 8 hours post vaccination I began seeing flashing lights in my eyes and what looked like television static. I started hearing ringing in my ears and felt ?internal tremors.? My body felt as though it was vibrating. I was subsequently diagnosed with visual snow syndrome several months later by a neurologist. The vaccine triggered the syndrome that I now have to live with for the rest of my life. No treatment no cure.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion missed, Condition aggravated, Exposure during pregnancy, Muscle spasms, Pregnancy test positive
Clinical narrative: Pregnancy confirmed on 8/9/21. EDD 4/18/22.  Spotting and cramping were noted on 8/17/21. A sonogram on 8/20/21 visualized subchorionic hemorrhage and fetal pole. Sonogram on 8/30/21 - no hemorrhage noted. Normal pregnancy and gestational age were noted. Fetal pole and heartbeat observed. A sonogram on 9/7/21 noted the arrest of gestational growth and absence of heartbeat.  Spotting and cramping were noted from 8/17/21 through 8/30/21. Arrest to fetal growth estimated at 9/1/21.  History of prior miscarriage x 5. History of live term birth x 1.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Subchorionic haemorrhage, Ultrasound scan abnormal, Ultrasound scan normal, Uterine dilation and curettage, Vaginal haemorrhage
Clinical narrative: Pregnancy confirmed on 8/9/21. EDD 4/18/22.  Spotting and cramping were noted on 8/17/21. A sonogram on 8/20/21 visualized subchorionic hemorrhage and fetal pole. Sonogram on 8/30/21 - no hemorrhage noted. Normal pregnancy and gestational age were noted. Fetal pole and heartbeat observed. A sonogram on 9/7/21 noted the arrest of gestational growth and absence of heartbeat.  Spotting and cramping were noted from 8/17/21 through 8/30/21. Arrest to fetal growth estimated at 9/1/21.  History of prior miscarriage x 5. History of live term birth x 1.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Right after vaccine was given into LUA, patient passed out. Patient was moved from a chair to a wheelchair and then to the EMS area. Vitals were taken and patient assessed.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypoaesthesia oral
Clinical narrative: Numb tongue, flushed cheeks, vitals assessed. 50mg Benadryl administered at 1036, patient evaluated at 1100. Patient discharged home at 1105 and advised to call 911 if feeling worse and to follow up with HCP.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pruritus, Muscle spasms
Clinical narrative: Monday September 13, I had a lot of pain in my arm and cramps up to the tips of my fingers. In the afternoon I noticed my arm was very swollen in the area around the vaccine (approximately 2 inches in diameter, and 1/4 of elevation inch) the area was very red, I applet ice. The same day I took 3 doses of Acetaminophen with a gap of 8 hours between 1 and 2 and a gap of 6 hours between 2 and 3 since I had fever. Tuesday September 12 I did not apply ice to the area, the area of the arm remains inflamed and red. Cramps continue but is less frequently. Wednesday 15 and Thursday 16 September, I apply ice at night, the area continues with the same inflammation, the color begging to look slightly darker and less red. Very itchy in the area. Friday, September 17, the area still inflamed when I touch it feels hard. There is no pain but suddenly it gets very itchy. There's only pain around the inflammation.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vaccination site swelling
Clinical narrative: Monday September 13, I had a lot of pain in my arm and cramps up to the tips of my fingers. In the afternoon I noticed my arm was very swollen in the area around the vaccine (approximately 2 inches in diameter, and 1/4 of elevation inch) the area was very red, I applet ice. The same day I took 3 doses of Acetaminophen with a gap of 8 hours between 1 and 2 and a gap of 6 hours between 2 and 3 since I had fever. Tuesday September 12 I did not apply ice to the area, the area of the arm remains inflamed and red. Cramps continue but is less frequently. Wednesday 15 and Thursday 16 September, I apply ice at night, the area continues with the same inflammation, the color begging to look slightly darker and less red. Very itchy in the area. Friday, September 17, the area still inflamed when I touch it feels hard. There is no pain but suddenly it gets very itchy. There's only pain around the inflammation.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Blood culture negative, C-reactive protein increased, COVID-19
Clinical narrative: Hospitalized;  COVID-19 positive (9.1.21; 9.8.21);  fully vaccinated  Admission Date: 9/8/2021 Discharge Date:9/17/2021  Discharge Disposition:  home or self care  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 HOSPITAL COURSE: Patient is a 60M with past medical history of HTN, CLL ( not on treatment), OSA and fully vaccinated against COVID-19 who is presenting  with hypoxia and SOB. He tested positive for COVID 7 days ago (9/1) when he developed cough. He was scheduled to have monoclonial antibody infusion today however, was sent to the ED from the clinic due to hypoxia sats were at 87% prior to the infusion.He reports cough, chest heaviness, diarrhea and fevers. He has since been having worsening dyspnea, productive cough and persistent fever and chills. . He was febrile tachycardic and hypoxic on admission. He was placed on 2L oxygen with improvement in his oxygenation. Labs were notable for CRP 340.2, WBC 33.45, hgb 10.9.  He was admitted for acute hypoxic respiratory failure related to COVID-19 infection and possible superimposed bacterial pneumonia.  CT angiogram thorax showing no evidence of pulmonary embolism.  He received 5 days of remdesivir, and 10 days of Decadron.  He was noted to have elevated procalcitonin.  Blood and sputum cultures were negative.  He was placed on Rocephin and doxycycline for 7 days. He has had worsening respiratory status requiring placement of a HFNC. He was seen by pulmonary medicine. Inflammatory markers trended down. For his CLL he was diagnosed April 2021 with baseline WBC of 20. He is currently on not on active treatment. WBC level increased in the setting of infection and decadron use 9/17/2021 Pt S+E. Now on room air and stable at discharge. Patient in agreement with verbal instructions to return to ED if he experiences increased SOB. He will follow with his outpatient physicians
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Hospitalized;  COVID-19 positive (9.1.21; 9.8.21);  fully vaccinated  Admission Date: 9/8/2021 Discharge Date:9/17/2021  Discharge Disposition:  home or self care  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 HOSPITAL COURSE: Patient is a 60M with past medical history of HTN, CLL ( not on treatment), OSA and fully vaccinated against COVID-19 who is presenting  with hypoxia and SOB. He tested positive for COVID 7 days ago (9/1) when he developed cough. He was scheduled to have monoclonial antibody infusion today however, was sent to the ED from the clinic due to hypoxia sats were at 87% prior to the infusion.He reports cough, chest heaviness, diarrhea and fevers. He has since been having worsening dyspnea, productive cough and persistent fever and chills. . He was febrile tachycardic and hypoxic on admission. He was placed on 2L oxygen with improvement in his oxygenation. Labs were notable for CRP 340.2, WBC 33.45, hgb 10.9.  He was admitted for acute hypoxic respiratory failure related to COVID-19 infection and possible superimposed bacterial pneumonia.  CT angiogram thorax showing no evidence of pulmonary embolism.  He received 5 days of remdesivir, and 10 days of Decadron.  He was noted to have elevated procalcitonin.  Blood and sputum cultures were negative.  He was placed on Rocephin and doxycycline for 7 days. He has had worsening respiratory status requiring placement of a HFNC. He was seen by pulmonary medicine. Inflammatory markers trended down. For his CLL he was diagnosed April 2021 with baseline WBC of 20. He is currently on not on active treatment. WBC level increased in the setting of infection and decadron use 9/17/2021 Pt S+E. Now on room air and stable at discharge. Patient in agreement with verbal instructions to return to ED if he experiences increased SOB. He will follow with his outpatient physicians