chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Product administered at inappropriate site
Clinical narrative: Worsening left should pain with subsequent decrease in range of motion, thought to be due to incorrect placement of the injection near or into the shoulder joint.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, firmess, swelling at injection site. Painful to touch with intermittent itching. Started ~24 hours post injection-still there currently, still tender to touch, itching subsiding. ~ 2" in diameter.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis perforated
Clinical narrative: Perforated Appendix, appendectomy removed and fully recovered
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal distension, Abscess, Asymptomatic COVID-19, COVID-19, Crohn's disease
Clinical narrative: Vaccine dates: 3/11/21, 4/1/21, 8/26/21  a 36 y.o. male admitted for postoperative Complication(s): including  postoperative complication(s) Ileus versus bowel obstruction and three small openings in midline wound.     History of Present Illness a 36 y/o male who is status post exp lap, LOA, and small bowel resection for complicated Crohn's Disease on 10/1/21. He had a prolonged hospital stay due to an ileus, an abscess with drain placement and removal, and a surgical site infection. He was released on 10/13/21. Since that time, his recovery has been up and down. He will feel good a few days and then have one bad day where he feels bloated and has less stool output. He used tylenol and ibuprofen to control his pain. Overall was slowly improving from an extensive surgical procedure.    On Sunday, he started to experience a new pain on the right side of his incision. It was burning pain without relief from medications. He ate scrambled eggs yesterday (his last meal) and vomited. When he vomited he felt his incision open up a bit and yellowish drainage poured out. There is a small opening on the superior aspect of his healing incision, < 1 cm, which is open. There is a dry gauze pad to catch any fluid. Last evening the pain got worse and he presented to his local emergency room.    On arrival, he appears comfortable. Pain well controlled. Denies nausea and vomiting. Concerned about his incisional openings and the absence of his Crohn's medications over the past few weeks. He has been receiving IV fluids over the past few weeks for dehydration.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dehydration, Drain placement, Drain removal, Drainage, Faecal volume decreased
Clinical narrative: Vaccine dates: 3/11/21, 4/1/21, 8/26/21  a 36 y.o. male admitted for postoperative Complication(s): including  postoperative complication(s) Ileus versus bowel obstruction and three small openings in midline wound.     History of Present Illness a 36 y/o male who is status post exp lap, LOA, and small bowel resection for complicated Crohn's Disease on 10/1/21. He had a prolonged hospital stay due to an ileus, an abscess with drain placement and removal, and a surgical site infection. He was released on 10/13/21. Since that time, his recovery has been up and down. He will feel good a few days and then have one bad day where he feels bloated and has less stool output. He used tylenol and ibuprofen to control his pain. Overall was slowly improving from an extensive surgical procedure.    On Sunday, he started to experience a new pain on the right side of his incision. It was burning pain without relief from medications. He ate scrambled eggs yesterday (his last meal) and vomited. When he vomited he felt his incision open up a bit and yellowish drainage poured out. There is a small opening on the superior aspect of his healing incision, < 1 cm, which is open. There is a dry gauze pad to catch any fluid. Last evening the pain got worse and he presented to his local emergency room.    On arrival, he appears comfortable. Pain well controlled. Denies nausea and vomiting. Concerned about his incisional openings and the absence of his Crohn's medications over the past few weeks. He has been receiving IV fluids over the past few weeks for dehydration.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ileus, Incision site pain, Incisional drainage, Intestinal obstruction, Laparoscopic surgery
Clinical narrative: Vaccine dates: 3/11/21, 4/1/21, 8/26/21  a 36 y.o. male admitted for postoperative Complication(s): including  postoperative complication(s) Ileus versus bowel obstruction and three small openings in midline wound.     History of Present Illness a 36 y/o male who is status post exp lap, LOA, and small bowel resection for complicated Crohn's Disease on 10/1/21. He had a prolonged hospital stay due to an ileus, an abscess with drain placement and removal, and a surgical site infection. He was released on 10/13/21. Since that time, his recovery has been up and down. He will feel good a few days and then have one bad day where he feels bloated and has less stool output. He used tylenol and ibuprofen to control his pain. Overall was slowly improving from an extensive surgical procedure.    On Sunday, he started to experience a new pain on the right side of his incision. It was burning pain without relief from medications. He ate scrambled eggs yesterday (his last meal) and vomited. When he vomited he felt his incision open up a bit and yellowish drainage poured out. There is a small opening on the superior aspect of his healing incision, < 1 cm, which is open. There is a dry gauze pad to catch any fluid. Last evening the pain got worse and he presented to his local emergency room.    On arrival, he appears comfortable. Pain well controlled. Denies nausea and vomiting. Concerned about his incisional openings and the absence of his Crohn's medications over the past few weeks. He has been receiving IV fluids over the past few weeks for dehydration.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Post procedural complication, Postoperative wound infection, SARS-CoV-2 test positive, Small intestinal resection
Clinical narrative: Vaccine dates: 3/11/21, 4/1/21, 8/26/21  a 36 y.o. male admitted for postoperative Complication(s): including  postoperative complication(s) Ileus versus bowel obstruction and three small openings in midline wound.     History of Present Illness a 36 y/o male who is status post exp lap, LOA, and small bowel resection for complicated Crohn's Disease on 10/1/21. He had a prolonged hospital stay due to an ileus, an abscess with drain placement and removal, and a surgical site infection. He was released on 10/13/21. Since that time, his recovery has been up and down. He will feel good a few days and then have one bad day where he feels bloated and has less stool output. He used tylenol and ibuprofen to control his pain. Overall was slowly improving from an extensive surgical procedure.    On Sunday, he started to experience a new pain on the right side of his incision. It was burning pain without relief from medications. He ate scrambled eggs yesterday (his last meal) and vomited. When he vomited he felt his incision open up a bit and yellowish drainage poured out. There is a small opening on the superior aspect of his healing incision, < 1 cm, which is open. There is a dry gauze pad to catch any fluid. Last evening the pain got worse and he presented to his local emergency room.    On arrival, he appears comfortable. Pain well controlled. Denies nausea and vomiting. Concerned about his incisional openings and the absence of his Crohn's medications over the past few weeks. He has been receiving IV fluids over the past few weeks for dehydration.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting, Wound dehiscence
Clinical narrative: Vaccine dates: 3/11/21, 4/1/21, 8/26/21  a 36 y.o. male admitted for postoperative Complication(s): including  postoperative complication(s) Ileus versus bowel obstruction and three small openings in midline wound.     History of Present Illness a 36 y/o male who is status post exp lap, LOA, and small bowel resection for complicated Crohn's Disease on 10/1/21. He had a prolonged hospital stay due to an ileus, an abscess with drain placement and removal, and a surgical site infection. He was released on 10/13/21. Since that time, his recovery has been up and down. He will feel good a few days and then have one bad day where he feels bloated and has less stool output. He used tylenol and ibuprofen to control his pain. Overall was slowly improving from an extensive surgical procedure.    On Sunday, he started to experience a new pain on the right side of his incision. It was burning pain without relief from medications. He ate scrambled eggs yesterday (his last meal) and vomited. When he vomited he felt his incision open up a bit and yellowish drainage poured out. There is a small opening on the superior aspect of his healing incision, < 1 cm, which is open. There is a dry gauze pad to catch any fluid. Last evening the pain got worse and he presented to his local emergency room.    On arrival, he appears comfortable. Pain well controlled. Denies nausea and vomiting. Concerned about his incisional openings and the absence of his Crohn's medications over the past few weeks. He has been receiving IV fluids over the past few weeks for dehydration.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest discomfort, Electrocardiogram, Electrocardiogram PR shortened, Head discomfort
Clinical narrative: I started to experience pressure in neck, head, and chest. Then my heart began to race very really fast. These symptoms lasted for about 7 minutes. Then my heart rate slowly declined. I went to the doctor on August 31st about this. They gave me an EKG, which slowed a short PR interval. They gave me a stress test.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Neck pain, Palpitations
Clinical narrative: I started to experience pressure in neck, head, and chest. Then my heart began to race very really fast. These symptoms lasted for about 7 minutes. Then my heart rate slowly declined. I went to the doctor on August 31st about this. They gave me an EKG, which slowed a short PR interval. They gave me a stress test.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood test normal, Cardiac stress test, Chest X-ray normal, Electrocardiogram normal
Clinical narrative: After original vaccine, I began having high blood pressure. No known cause - stress test, ECG, EKG, chest xray, stress test, bloodwork all came back perfect. After the booster, my blood pressure dropped to 99/57 (heart rate -62) then 101/65 (heart rate - 67), then 100/59 (heart rate - 75). Did not take blood pressure meds that night due to being low. In the morning, 123/69 (heart rate -99), then 116/72 (heart rate 95) took 6.25 mg Metroporol then 7/68 (heart rate -81)
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspepsia, Feeding disorder, Headache, Hypersomnia, Lethargy
Clinical narrative: Day of shot was fine. Vomiting, lethargy, feeling sick, sleeping a lot and unable to eat the day following the shot.  2nd and 3rd day headache, indigestion and general malaise continue.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Vomiting
Clinical narrative: Day of shot was fine. Vomiting, lethargy, feeling sick, sleeping a lot and unable to eat the day following the shot.  2nd and 3rd day headache, indigestion and general malaise continue.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received vaccine past the beyond use date. No adverse effects reported.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Got first shot and had a stroke five days after.
Age: 78.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, SARS-CoV-2 test
Clinical narrative: Patient presented with shortness of breathe and fatigue. Patient claimed that their caretaker is unvaccinated and recently was positive for COVID-19.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received vaccine past the beyond use date. No adverse effects reported.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Blood glucose abnormal, Bordetella test negative, Breath sounds abnormal, COVID-19
Clinical narrative: Office Visit   10/28/2021  Dyspnea, unspecified type +3 more Dx Follow-up  Reason for Visit Dyspnea, unspecified type  -     X-ray chest 2 views; Future  Hospital discharge follow-up  Chronic respiratory failure with hypoxia, on home oxygen therapy Benign essential hypertension    Patient Instructions Patient's hospitalization reviewed.  I did see her October 21, on October 23 she was admitted to Hospital with shortness of breath.  Original x-ray did show a small patchy opacity consider infiltrate versus atelectasis.  On further evaluation, patient's white blood cell count was normal, pro calcitonin was normal.  Overall, not felt to be pneumonia, a COPD exacerbation, or a congestive heart failure exacerbation.  She was sent home on prednisone.   Patient tells me that she still is feeling a bit short of breath. Her oxygen saturation here in the office today is 99%. She is not tachycardia, low likelihood of pulmonary embolism as the patient is on Eliquis and saturating normally.   On examination, she does have very slight decreased breath sounds at the left lower lung base.  Patient is due for fasting blood work, I have ordered a chest x-ray as well for the patient have done.  I would just like to ensure there is no new or potential worsening infiltrate that would be indicative of pneumonia.  I did advise the patient to order to start checking her oxygen saturations on a daily basis with her vitals.  Certainly, if she has persistently low 90s on oxygen saturation with her baseline oxygen, she is to let us know right away.   ED to Hosp-Admission Discharged   10/30/2021 - 11/2/2021 (3 days) Admission Shortness of breath     Hospital Course This is a 82-year-old lady with history of diastolic congestive heart failure, COPD on home oxygen 2 L, CKD stage III, coronary artery disease, atrial fibrillation on anticoagulation with Eliquis and diabetes mellitus who was brought in Hospital emergency department due to cough and shortness of breath.  She was admitted for work-up and she was found to be positive for COVID-19 infection.  Chest x-ray did not show any evidence of pneumonia.  She was treated for COVID-19 infection with dexamethasone.  She remained stable on 2 L oxygen.  She on admission she was also bit confused so she had acute metabolic encephalopathy likely due to hypoglycemia.  Her mental status did improve as her blood sugar got better.   On day of discharge her breathing is better.  She is still having some occasional cough with clear color sputum.  Remains afebrile.  No other new symptoms or acute event as per nursing staff
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chlamydia test negative, Chronic respiratory failure, Condition aggravated, Confusional state
Clinical narrative: Office Visit   10/28/2021  Dyspnea, unspecified type +3 more Dx Follow-up  Reason for Visit Dyspnea, unspecified type  -     X-ray chest 2 views; Future  Hospital discharge follow-up  Chronic respiratory failure with hypoxia, on home oxygen therapy Benign essential hypertension    Patient Instructions Patient's hospitalization reviewed.  I did see her October 21, on October 23 she was admitted to Hospital with shortness of breath.  Original x-ray did show a small patchy opacity consider infiltrate versus atelectasis.  On further evaluation, patient's white blood cell count was normal, pro calcitonin was normal.  Overall, not felt to be pneumonia, a COPD exacerbation, or a congestive heart failure exacerbation.  She was sent home on prednisone.   Patient tells me that she still is feeling a bit short of breath. Her oxygen saturation here in the office today is 99%. She is not tachycardia, low likelihood of pulmonary embolism as the patient is on Eliquis and saturating normally.   On examination, she does have very slight decreased breath sounds at the left lower lung base.  Patient is due for fasting blood work, I have ordered a chest x-ray as well for the patient have done.  I would just like to ensure there is no new or potential worsening infiltrate that would be indicative of pneumonia.  I did advise the patient to order to start checking her oxygen saturations on a daily basis with her vitals.  Certainly, if she has persistently low 90s on oxygen saturation with her baseline oxygen, she is to let us know right away.   ED to Hosp-Admission Discharged   10/30/2021 - 11/2/2021 (3 days) Admission Shortness of breath     Hospital Course This is a 82-year-old lady with history of diastolic congestive heart failure, COPD on home oxygen 2 L, CKD stage III, coronary artery disease, atrial fibrillation on anticoagulation with Eliquis and diabetes mellitus who was brought in Hospital emergency department due to cough and shortness of breath.  She was admitted for work-up and she was found to be positive for COVID-19 infection.  Chest x-ray did not show any evidence of pneumonia.  She was treated for COVID-19 infection with dexamethasone.  She remained stable on 2 L oxygen.  She on admission she was also bit confused so she had acute metabolic encephalopathy likely due to hypoglycemia.  Her mental status did improve as her blood sugar got better.   On day of discharge her breathing is better.  She is still having some occasional cough with clear color sputum.  Remains afebrile.  No other new symptoms or acute event as per nursing staff
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Coronavirus test negative, Dyspnoea, Enterovirus test negative, Essential hypertension, Human metapneumovirus test
Clinical narrative: Office Visit   10/28/2021  Dyspnea, unspecified type +3 more Dx Follow-up  Reason for Visit Dyspnea, unspecified type  -     X-ray chest 2 views; Future  Hospital discharge follow-up  Chronic respiratory failure with hypoxia, on home oxygen therapy Benign essential hypertension    Patient Instructions Patient's hospitalization reviewed.  I did see her October 21, on October 23 she was admitted to Hospital with shortness of breath.  Original x-ray did show a small patchy opacity consider infiltrate versus atelectasis.  On further evaluation, patient's white blood cell count was normal, pro calcitonin was normal.  Overall, not felt to be pneumonia, a COPD exacerbation, or a congestive heart failure exacerbation.  She was sent home on prednisone.   Patient tells me that she still is feeling a bit short of breath. Her oxygen saturation here in the office today is 99%. She is not tachycardia, low likelihood of pulmonary embolism as the patient is on Eliquis and saturating normally.   On examination, she does have very slight decreased breath sounds at the left lower lung base.  Patient is due for fasting blood work, I have ordered a chest x-ray as well for the patient have done.  I would just like to ensure there is no new or potential worsening infiltrate that would be indicative of pneumonia.  I did advise the patient to order to start checking her oxygen saturations on a daily basis with her vitals.  Certainly, if she has persistently low 90s on oxygen saturation with her baseline oxygen, she is to let us know right away.   ED to Hosp-Admission Discharged   10/30/2021 - 11/2/2021 (3 days) Admission Shortness of breath     Hospital Course This is a 82-year-old lady with history of diastolic congestive heart failure, COPD on home oxygen 2 L, CKD stage III, coronary artery disease, atrial fibrillation on anticoagulation with Eliquis and diabetes mellitus who was brought in Hospital emergency department due to cough and shortness of breath.  She was admitted for work-up and she was found to be positive for COVID-19 infection.  Chest x-ray did not show any evidence of pneumonia.  She was treated for COVID-19 infection with dexamethasone.  She remained stable on 2 L oxygen.  She on admission she was also bit confused so she had acute metabolic encephalopathy likely due to hypoglycemia.  Her mental status did improve as her blood sugar got better.   On day of discharge her breathing is better.  She is still having some occasional cough with clear color sputum.  Remains afebrile.  No other new symptoms or acute event as per nursing staff
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Human rhinovirus test, Hypoglycaemia, Hypoxia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Office Visit   10/28/2021  Dyspnea, unspecified type +3 more Dx Follow-up  Reason for Visit Dyspnea, unspecified type  -     X-ray chest 2 views; Future  Hospital discharge follow-up  Chronic respiratory failure with hypoxia, on home oxygen therapy Benign essential hypertension    Patient Instructions Patient's hospitalization reviewed.  I did see her October 21, on October 23 she was admitted to Hospital with shortness of breath.  Original x-ray did show a small patchy opacity consider infiltrate versus atelectasis.  On further evaluation, patient's white blood cell count was normal, pro calcitonin was normal.  Overall, not felt to be pneumonia, a COPD exacerbation, or a congestive heart failure exacerbation.  She was sent home on prednisone.   Patient tells me that she still is feeling a bit short of breath. Her oxygen saturation here in the office today is 99%. She is not tachycardia, low likelihood of pulmonary embolism as the patient is on Eliquis and saturating normally.   On examination, she does have very slight decreased breath sounds at the left lower lung base.  Patient is due for fasting blood work, I have ordered a chest x-ray as well for the patient have done.  I would just like to ensure there is no new or potential worsening infiltrate that would be indicative of pneumonia.  I did advise the patient to order to start checking her oxygen saturations on a daily basis with her vitals.  Certainly, if she has persistently low 90s on oxygen saturation with her baseline oxygen, she is to let us know right away.   ED to Hosp-Admission Discharged   10/30/2021 - 11/2/2021 (3 days) Admission Shortness of breath     Hospital Course This is a 82-year-old lady with history of diastolic congestive heart failure, COPD on home oxygen 2 L, CKD stage III, coronary artery disease, atrial fibrillation on anticoagulation with Eliquis and diabetes mellitus who was brought in Hospital emergency department due to cough and shortness of breath.  She was admitted for work-up and she was found to be positive for COVID-19 infection.  Chest x-ray did not show any evidence of pneumonia.  She was treated for COVID-19 infection with dexamethasone.  She remained stable on 2 L oxygen.  She on admission she was also bit confused so she had acute metabolic encephalopathy likely due to hypoglycemia.  Her mental status did improve as her blood sugar got better.   On day of discharge her breathing is better.  She is still having some occasional cough with clear color sputum.  Remains afebrile.  No other new symptoms or acute event as per nursing staff
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Lung opacity, Mental status changes, Metabolic encephalopathy, Mycoplasma test negative
Clinical narrative: Office Visit   10/28/2021  Dyspnea, unspecified type +3 more Dx Follow-up  Reason for Visit Dyspnea, unspecified type  -     X-ray chest 2 views; Future  Hospital discharge follow-up  Chronic respiratory failure with hypoxia, on home oxygen therapy Benign essential hypertension    Patient Instructions Patient's hospitalization reviewed.  I did see her October 21, on October 23 she was admitted to Hospital with shortness of breath.  Original x-ray did show a small patchy opacity consider infiltrate versus atelectasis.  On further evaluation, patient's white blood cell count was normal, pro calcitonin was normal.  Overall, not felt to be pneumonia, a COPD exacerbation, or a congestive heart failure exacerbation.  She was sent home on prednisone.   Patient tells me that she still is feeling a bit short of breath. Her oxygen saturation here in the office today is 99%. She is not tachycardia, low likelihood of pulmonary embolism as the patient is on Eliquis and saturating normally.   On examination, she does have very slight decreased breath sounds at the left lower lung base.  Patient is due for fasting blood work, I have ordered a chest x-ray as well for the patient have done.  I would just like to ensure there is no new or potential worsening infiltrate that would be indicative of pneumonia.  I did advise the patient to order to start checking her oxygen saturations on a daily basis with her vitals.  Certainly, if she has persistently low 90s on oxygen saturation with her baseline oxygen, she is to let us know right away.   ED to Hosp-Admission Discharged   10/30/2021 - 11/2/2021 (3 days) Admission Shortness of breath     Hospital Course This is a 82-year-old lady with history of diastolic congestive heart failure, COPD on home oxygen 2 L, CKD stage III, coronary artery disease, atrial fibrillation on anticoagulation with Eliquis and diabetes mellitus who was brought in Hospital emergency department due to cough and shortness of breath.  She was admitted for work-up and she was found to be positive for COVID-19 infection.  Chest x-ray did not show any evidence of pneumonia.  She was treated for COVID-19 infection with dexamethasone.  She remained stable on 2 L oxygen.  She on admission she was also bit confused so she had acute metabolic encephalopathy likely due to hypoglycemia.  Her mental status did improve as her blood sugar got better.   On day of discharge her breathing is better.  She is still having some occasional cough with clear color sputum.  Remains afebrile.  No other new symptoms or acute event as per nursing staff
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin normal, Productive cough, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: Office Visit   10/28/2021  Dyspnea, unspecified type +3 more Dx Follow-up  Reason for Visit Dyspnea, unspecified type  -     X-ray chest 2 views; Future  Hospital discharge follow-up  Chronic respiratory failure with hypoxia, on home oxygen therapy Benign essential hypertension    Patient Instructions Patient's hospitalization reviewed.  I did see her October 21, on October 23 she was admitted to Hospital with shortness of breath.  Original x-ray did show a small patchy opacity consider infiltrate versus atelectasis.  On further evaluation, patient's white blood cell count was normal, pro calcitonin was normal.  Overall, not felt to be pneumonia, a COPD exacerbation, or a congestive heart failure exacerbation.  She was sent home on prednisone.   Patient tells me that she still is feeling a bit short of breath. Her oxygen saturation here in the office today is 99%. She is not tachycardia, low likelihood of pulmonary embolism as the patient is on Eliquis and saturating normally.   On examination, she does have very slight decreased breath sounds at the left lower lung base.  Patient is due for fasting blood work, I have ordered a chest x-ray as well for the patient have done.  I would just like to ensure there is no new or potential worsening infiltrate that would be indicative of pneumonia.  I did advise the patient to order to start checking her oxygen saturations on a daily basis with her vitals.  Certainly, if she has persistently low 90s on oxygen saturation with her baseline oxygen, she is to let us know right away.   ED to Hosp-Admission Discharged   10/30/2021 - 11/2/2021 (3 days) Admission Shortness of breath     Hospital Course This is a 82-year-old lady with history of diastolic congestive heart failure, COPD on home oxygen 2 L, CKD stage III, coronary artery disease, atrial fibrillation on anticoagulation with Eliquis and diabetes mellitus who was brought in Hospital emergency department due to cough and shortness of breath.  She was admitted for work-up and she was found to be positive for COVID-19 infection.  Chest x-ray did not show any evidence of pneumonia.  She was treated for COVID-19 infection with dexamethasone.  She remained stable on 2 L oxygen.  She on admission she was also bit confused so she had acute metabolic encephalopathy likely due to hypoglycemia.  Her mental status did improve as her blood sugar got better.   On day of discharge her breathing is better.  She is still having some occasional cough with clear color sputum.  Remains afebrile.  No other new symptoms or acute event as per nursing staff
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Viral test negative, White blood cell count normal
Clinical narrative: Office Visit   10/28/2021  Dyspnea, unspecified type +3 more Dx Follow-up  Reason for Visit Dyspnea, unspecified type  -     X-ray chest 2 views; Future  Hospital discharge follow-up  Chronic respiratory failure with hypoxia, on home oxygen therapy Benign essential hypertension    Patient Instructions Patient's hospitalization reviewed.  I did see her October 21, on October 23 she was admitted to Hospital with shortness of breath.  Original x-ray did show a small patchy opacity consider infiltrate versus atelectasis.  On further evaluation, patient's white blood cell count was normal, pro calcitonin was normal.  Overall, not felt to be pneumonia, a COPD exacerbation, or a congestive heart failure exacerbation.  She was sent home on prednisone.   Patient tells me that she still is feeling a bit short of breath. Her oxygen saturation here in the office today is 99%. She is not tachycardia, low likelihood of pulmonary embolism as the patient is on Eliquis and saturating normally.   On examination, she does have very slight decreased breath sounds at the left lower lung base.  Patient is due for fasting blood work, I have ordered a chest x-ray as well for the patient have done.  I would just like to ensure there is no new or potential worsening infiltrate that would be indicative of pneumonia.  I did advise the patient to order to start checking her oxygen saturations on a daily basis with her vitals.  Certainly, if she has persistently low 90s on oxygen saturation with her baseline oxygen, she is to let us know right away.   ED to Hosp-Admission Discharged   10/30/2021 - 11/2/2021 (3 days) Admission Shortness of breath     Hospital Course This is a 82-year-old lady with history of diastolic congestive heart failure, COPD on home oxygen 2 L, CKD stage III, coronary artery disease, atrial fibrillation on anticoagulation with Eliquis and diabetes mellitus who was brought in Hospital emergency department due to cough and shortness of breath.  She was admitted for work-up and she was found to be positive for COVID-19 infection.  Chest x-ray did not show any evidence of pneumonia.  She was treated for COVID-19 infection with dexamethasone.  She remained stable on 2 L oxygen.  She on admission she was also bit confused so she had acute metabolic encephalopathy likely due to hypoglycemia.  Her mental status did improve as her blood sugar got better.   On day of discharge her breathing is better.  She is still having some occasional cough with clear color sputum.  Remains afebrile.  No other new symptoms or acute event as per nursing staff
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for and then tested positive for COVID-19
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Psychotic disorder
Clinical narrative: I am reporting this on behalf of my Son who is now hospitalized due to the adverse reaction to the Pfizer vaccine. 2 days after receiving his first vaccine he went into such a severe state of psychosis that he tried to jump out of my vehicle going 40 miles an hour & that doesn't even begin to describe the pure hell he & we have been going through since receiving the vaccine. I tried everything to talk him out of getting the second dose but he ended up HAVING to get it because his employer at the time required all of his employees to get the vaccine. Of course due to the psychosis he is no longer employed. May not ever be again. My son is 28 years old. He has not even begin to live yet and now his life has been turned upside down  by an adverse reaction of a vaccine. Your company knew it could cause psychosis, hallucinations,delirium ,paranoia etc. Basically schizophrenia. Yet you did not disclose any information in the beginning regarding possible side effects. While you may think you cannot be sued or touched by people who have been severely affected by your vaccine you can best believe that there is a loop hope that says otherwise & I & my attorney fully intend on finding it & when we do we will then begin the legal process of ensuring that this does not happen to anyone else. nothing personal it's just that anybody that deals with our government cannot be trusted & that includes you so I will get to the bottom of this and I have six other people with me that are going to get to the bottom of it as well.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac monitoring, Cardiac stress test, Dizziness, Dyspnoea
Clinical narrative: Heart issues - Palpatations, feeling of heart restarting multiple times over a 3 week period Severe shortness of breath Dizziness
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Heart rate irregular, Palpitations
Clinical narrative: Heart issues - Palpatations, feeling of heart restarting multiple times over a 3 week period Severe shortness of breath Dizziness
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Headache, Injection site pruritus, Mobility decreased, Neck pain
Clinical narrative: After getting the 3rd dose I had swelling and a few days later, there was itching and headache. I developed neck pain and a knot in my arm. I still have itch in the area with the shot. I still am having headache, but not as bad in the beginning. After the 2nd shot, I could not use my left arm at all. It was unable to use because I was in so much pain. I saw the doctor and received Ketorolac Troth shot and a shot of Alopecia from another doctor in the same left arm. The doctor says I may have developed Bursitis.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain in extremity, Pruritus, Swelling
Clinical narrative: After getting the 3rd dose I had swelling and a few days later, there was itching and headache. I developed neck pain and a knot in my arm. I still have itch in the area with the shot. I still am having headache, but not as bad in the beginning. After the 2nd shot, I could not use my left arm at all. It was unable to use because I was in so much pain. I saw the doctor and received Ketorolac Troth shot and a shot of Alopecia from another doctor in the same left arm. The doctor says I may have developed Bursitis.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/3/21 after being fully vaccinated.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cystitis, Pain in extremity, Urinary tract infection, Urine analysis
Clinical narrative: My arm was sore the next day. Then I felt fine after that. On October 29, 2021, I started to feel symptoms as if I had a UTI. On October 31st I went to see a doctor at Mercy Urgent Care. They diagnosed me with a UTI, and prescribed Nitrofurantoin 100mg 2xday for 5 days. I also picked up an OTC medication that helps with burning and pain when using the bathroom.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lip swelling, Swelling face
Clinical narrative: Developed facial and lip swelling about an hour later which prompted visit to PF. Treated with Prednisone and Benadryl. No tongue swelling or difficulty breathing. BP at PF was 200/108 and she had a headache. She increased her Lisinopril dose to 40mg.
Age: 32.0
Sex: M
Vaccine: FLUC4
Symptoms: Bell's palsy, Facial paralysis, Taste disorder
Clinical narrative: Altered taste occurred 1 day after shot was received and then 3 days post shot I developed a case of Bell?s palsy.  Being treated with prednisone and Valtrex. Paralysis is improving slightly but right side of face is still mostly paralyzed.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated tested positive for COVID-19.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Urticaria
Clinical narrative: Hives appeared on left arm 30 minutes after administration. The evening of the vaccination patient experienced 104 F fever. 3 days later she experienced pain at the site of the injection with a raised bump with a diameter of 2 to 2 and 1/2 inches in the diameter
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chromaturia, Myalgia, Screaming, Walking aid user
Clinical narrative: severe myalgias starting at 18-20yrs after injection that resulted in her screaming in bed and taking old pain pills. myalgias have continued taking pt from no assistive devices to walker x 5 days. Maybe a bit better day 5. darkening of urine.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Decreased appetite, Dental paraesthesia, Insomnia, Paraesthesia oral
Clinical narrative: mouth/teeth tingling, anxiety, trouble eating and sleeping
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Lymph node under the left armpit is swollen to about the size of a tennis ball. Pain shoots down to my elbow and then my wrist.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Ovarian cyst, Ultrasound abdomen abnormal, Ultrasound scan vagina, Vaginal haemorrhage
Clinical narrative: After receiving my second dose, I started having unusual bleeding. I thought it may be that I needed my Nexplanon replaced, so I had it replaced. My bleeding lasted for about 10 days. I started bleeding for a longer period of time from July 11th until August 29th. I went to my GYN and she did a full work up. She checked for infection as well. I have had Nexplanon from 2016 until recently and I did not have to purchase any feminine products, but recently I have gone through two boxes of tampons since my lasting cycle. She referred me for an ultrasound on 09/09, which they noticed that I had the cyst. It was defined as a well-defined simple cyst. My doctor proactively prescribed me hormonal birth control (Estradiol tablets) plus my Nexplanon. I am on this regimen for another 2 1/2 weeks. After I complete taking this medication, I will go back to see the doctor if I start bleeding again or the pain becomes worse.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Lymphadenopathy, Pain in extremity
Clinical narrative: 24 hours after receiving the booster shot the lymph node in my left armpit swelled up to the size of a lemon and my arm was extremely sore. This lasted for almost a week before the lymph node started to go down.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Erythema
Clinical narrative: Underarm soreness next day 24 hours after vaccine.  Redness on left breast on 10/31/2021 that lasted at least two days.  Resolved with antiinflammatory use.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Differential white blood cell count, Full blood count, Metabolic function test, Pain
Clinical narrative: fever, blisters, pain,  tingling on Rt side  frank, back, thigh, back
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: fever, blisters, pain,  tingling on Rt side  frank, back, thigh, back
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Head discomfort, Headache, Hypoaesthesia
Clinical narrative: Within 15 minutes I had an excruciating headache that lasted for a month that was at the base of the back of my neck, mostly on the left side. My brain/head just felt like it had extreme pressure on it. A week in I developed a fever that I couldn't break for a solid 2 weeks complete with body aches, no energy. The worst though was approximately 2 weeks in for 4 mornings straight I experienced stroke like symptoms where it felt like my words weren't coming out right, my face and arms went numb and I couldn't pick things up from my arm feeling heavy and lifeless. At this point I called my doctor to see if this was normal and if I should take the second shot. We discussed it was best not to at this point.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Muscular weakness, Pain, Pyrexia
Clinical narrative: Within 15 minutes I had an excruciating headache that lasted for a month that was at the base of the back of my neck, mostly on the left side. My brain/head just felt like it had extreme pressure on it. A week in I developed a fever that I couldn't break for a solid 2 weeks complete with body aches, no energy. The worst though was approximately 2 weeks in for 4 mornings straight I experienced stroke like symptoms where it felt like my words weren't coming out right, my face and arms went numb and I couldn't pick things up from my arm feeling heavy and lifeless. At this point I called my doctor to see if this was normal and if I should take the second shot. We discussed it was best not to at this point.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Electric shock sensation, Headache, Immediate post-injection reaction, Induration
Clinical narrative: Reacted to all 3 doses of the vaccine. For all doses had swollen glands. Dose 1: swollen glands, slight fever, frequent headaches, glands were under chin area and beneath the tongue. Sensation of golf ball underneath throat, did not see the doctor, just waited it out. Dose 2: Similar symptoms to dose 1, except experienced chills, temperature was stable. Dose 3: Swollen glands were underneath the ears in the back like two hard peas, immediately after the dose, the swelling has not gone down. 2 weeks before 11/4 experienced sharp shooting pain behind the ear, felt like unbearable nerve pain, lightning bolts. The pain did not subside, so went to urgent care on recommendation of a consulting nurse. At urgent care, did ultrasound on the neck, and felt that lymph nodes in the neck were swollen (not just under the chin), under the armpits, near the groin. Advised to apply heat on the neck, not given any medication. Then went to lymphatic massage therapist a week later (week before 11/4). Did a massage to try and soothe some of the lymphnode pain, as the nodes were pushing on the nerves causing pain. The entire lymphatic system was swollen overall. Still having some neck pain and swelling.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Neck pain, Neuralgia, Pain
Clinical narrative: Reacted to all 3 doses of the vaccine. For all doses had swollen glands. Dose 1: swollen glands, slight fever, frequent headaches, glands were under chin area and beneath the tongue. Sensation of golf ball underneath throat, did not see the doctor, just waited it out. Dose 2: Similar symptoms to dose 1, except experienced chills, temperature was stable. Dose 3: Swollen glands were underneath the ears in the back like two hard peas, immediately after the dose, the swelling has not gone down. 2 weeks before 11/4 experienced sharp shooting pain behind the ear, felt like unbearable nerve pain, lightning bolts. The pain did not subside, so went to urgent care on recommendation of a consulting nurse. At urgent care, did ultrasound on the neck, and felt that lymph nodes in the neck were swollen (not just under the chin), under the armpits, near the groin. Advised to apply heat on the neck, not given any medication. Then went to lymphatic massage therapist a week later (week before 11/4). Did a massage to try and soothe some of the lymphnode pain, as the nodes were pushing on the nerves causing pain. The entire lymphatic system was swollen overall. Still having some neck pain and swelling.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sensation of foreign body, Swelling, Ultrasound scan abnormal
Clinical narrative: Reacted to all 3 doses of the vaccine. For all doses had swollen glands. Dose 1: swollen glands, slight fever, frequent headaches, glands were under chin area and beneath the tongue. Sensation of golf ball underneath throat, did not see the doctor, just waited it out. Dose 2: Similar symptoms to dose 1, except experienced chills, temperature was stable. Dose 3: Swollen glands were underneath the ears in the back like two hard peas, immediately after the dose, the swelling has not gone down. 2 weeks before 11/4 experienced sharp shooting pain behind the ear, felt like unbearable nerve pain, lightning bolts. The pain did not subside, so went to urgent care on recommendation of a consulting nurse. At urgent care, did ultrasound on the neck, and felt that lymph nodes in the neck were swollen (not just under the chin), under the armpits, near the groin. Advised to apply heat on the neck, not given any medication. Then went to lymphatic massage therapist a week later (week before 11/4). Did a massage to try and soothe some of the lymphnode pain, as the nodes were pushing on the nerves causing pain. The entire lymphatic system was swollen overall. Still having some neck pain and swelling.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Feeling abnormal, Headache, Nausea, Vomiting
Clinical narrative: Nausea, Vomiting, initially   Frontal headache Loss of balance, Feeling off balance  this has continued for more than 8 days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Pain in extremity, Ultrasound scan
Clinical narrative: I had pain in my arm and a huge lump on the back of my shoulder and I still have that. I have contacted my doctor and they did an ultrasound and the results are not back.
Age: 66.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abdominal pain upper, Arthralgia, Influenza like illness
Clinical narrative: Flu-like symptoms for two days.  Bad stomach cramps.   All joints ached.