chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Narrative: Moderna 1/6/21 and2/4/21. Chief Complaint: No chief complaint on file. History of present illness: Patient is a 88 y.o male with PMH significant for CAD, hld, DMII, ITP, anemia, HFpEF who presents with traumatic fall. The patient states that when he was watching the football game around the midnight of 9/10, when he went to shut off the TV, he fell backwards onto his backside. He experienced nausea, dizziness, and weakness in the legs prior. He denies a loss of consciousness. He states that his appetite has been decreased but has had good intake of water. He did not take his Lantus yesterday. He has two of these episodes before with the most recent in April. He recounts a similar story with no head injury, no LOC. He also had weakness and nausea both times. Denies chest pain, sob, nausea, vomiting, fever, chills, abdominal pain, headache, changes in vision, dizziness, changes in urination and bowel movements. Upon leaving the patient's room, he developed a wave of nausea that resolved in a few minutes. The patient was discharged to rehab and was treated for a UTI. He had a positive COVID test on the 22nd of September. Some diarrhea overnight. Discharge to nursing home
Age: 61.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Burning sensation, COVID-19, Cough, Dyspnoea, Fatigue
Clinical narrative: Narrative: COVID infection after COVID vaccine series 02/23 COVID vaccine dose #1 03/16 COVID vaccine dose #3 12/20 pt present w/ c/o cough, fatigue, rhinorrhea, sore throat, red throat; COVID POSITIVE 12/21 pt with continued SOB, reports burning up and sweating like crazy, c/o cough, fever, headache, myalgia, rhinorrhea, dyspnea, wheezing; seen in ED; treated with dexamethasone 6mg IV x 1, duoneb; r/o PE, discharged from ED
Age: 61.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Headache, Hyperhidrosis, Myalgia, Oropharyngeal pain, Pharyngeal erythema
Clinical narrative: Narrative: COVID infection after COVID vaccine series 02/23 COVID vaccine dose #1 03/16 COVID vaccine dose #3 12/20 pt present w/ c/o cough, fatigue, rhinorrhea, sore throat, red throat; COVID POSITIVE 12/21 pt with continued SOB, reports burning up and sweating like crazy, c/o cough, fever, headache, myalgia, rhinorrhea, dyspnea, wheezing; seen in ED; treated with dexamethasone 6mg IV x 1, duoneb; r/o PE, discharged from ED
Age: 61.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Narrative: COVID infection after COVID vaccine series 02/23 COVID vaccine dose #1 03/16 COVID vaccine dose #3 12/20 pt present w/ c/o cough, fatigue, rhinorrhea, sore throat, red throat; COVID POSITIVE 12/21 pt with continued SOB, reports burning up and sweating like crazy, c/o cough, fever, headache, myalgia, rhinorrhea, dyspnea, wheezing; seen in ED; treated with dexamethasone 6mg IV x 1, duoneb; r/o PE, discharged from ED
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Oxygen saturation decreased
Clinical narrative: Narrative:  SOB, decrease oxygen sats in 50s on arrival, monoclonal antibodies-sarilumab., dexamethasone, oxygen, pt expired while in the hospital.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bronchopulmonary aspergillosis, Cough, Dyspnoea, Fall, Fatigue
Clinical narrative: Narrative: worsening SOB over weeks, fatigue, cough, PE october, fall, on oxygen, pneumonia, admit ICU, Community-acquired pneumonia secondary to pulmonary aspergillosis versus bacterial pneumonia. d/c h ome
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Pneumonia, Pneumonia bacterial
Clinical narrative: Narrative: worsening SOB over weeks, fatigue, cough, PE october, fall, on oxygen, pneumonia, admit ICU, Community-acquired pneumonia secondary to pulmonary aspergillosis versus bacterial pneumonia. d/c h ome
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes virus infection, Skin lesion
Clinical narrative: I had a herpes sore on my left buttock. This was diagnosed by Dr.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna even though she was only 16 years of age. No adverse events known.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admitted with increasing dyspnea
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Malaise, Oropharyngeal pain
Clinical narrative: 01/03/22: FEELING TIRED/SICK, HEADACHE, SORE THROAT
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 01/03/22: FEELING TIRED/SICK, HEADACHE, SORE THROAT
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Pneumothorax
Clinical narrative: Lightheadedness and shortness of breath.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: UNKNOWN
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Hot flush, Ligament pain, Menopause, Trigger finger
Clinical narrative: Haven't had a period since September and am getting hot flashes. Premenopause at age 41.  ALSO I'm experiencing trigger finger in both thumbs and both index fingers and have severe ligament pain in both hands all over.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: pt had previous hosp admission from 9/27 to 10/1/21 with diagnosis of AHRF secondary to COVID, was sent home on O2 supplement of 2L O2 via NC; returned to hospital with increasing SOB for 2 days, and O2 requirement of 4L via NC; O2 tubing was accidently disconnected at home and pt had O2 sats in 70s on RA; placed on BiPAP; pt's condition worsened (O2 requirement and renal function); intubated and mechanically ventilated; DNAR; family chose to withdraw support/tx and pt died in the hospital
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mechanical ventilation, Positive airway pressure therapy, Renal impairment
Clinical narrative: pt had previous hosp admission from 9/27 to 10/1/21 with diagnosis of AHRF secondary to COVID, was sent home on O2 supplement of 2L O2 via NC; returned to hospital with increasing SOB for 2 days, and O2 requirement of 4L via NC; O2 tubing was accidently disconnected at home and pt had O2 sats in 70s on RA; placed on BiPAP; pt's condition worsened (O2 requirement and renal function); intubated and mechanically ventilated; DNAR; family chose to withdraw support/tx and pt died in the hospital
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Heart rate increased, Injection site rash
Clinical narrative: Covid arm, rash below injection sight. Began 12/3 and grew larger through 12/7.  Contacted after hours family doctor due to rash and heart rate. Rash went away 2-3 days and then returned. Increased heart rate beginning 12/4 through 12/7. Resting would not drop below 90-120. Standing would immediately cause heart rate to jump to 140 and above. Went to ER on 12/6 but they just diagnosed as increased heart rate.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Arthralgia, Atelectasis, Catheterisation cardiac normal, Chest X-ray abnormal
Clinical narrative: "Final Diagnoses 1. Non-MI elevated troponin 2. Recent COVID19 vaccination administration   Key Points for Follow Up:   - cardiac MRI/cardiology follow up - repeat HbA1c in 3-6 months   Pending Results:  none               Condition at Discharge: Medically Stable   Reason for Hospitalization:  As per H&P: ""41 y.o. male presents with chest pain.  Patient received his booster of Moderna COVID vaccine on 12/1/21. He had fevers/chills/sweats for a couple days post, had felt improved but then woke up with today diaphoresis, then went back to sleep, then awoke around 5:00-5:30 with left sided chest pain going to his left shoulder. Denies a hx of chest pain. Denies a family hx of early CAD although uncle underwent CABG. In the ED, troponin 4. Cardiology consulted. Pain resolved after aspirin and morphine. Taken to cath lab.""   Hospital Course by Problem List:    #Non-MI elevated troponin #Probable post-COVID vaccination myocarditis - s/p Moderna #3 on 12/1 - troponin peaked in 6s - LHC 12/5 with Dr. with normal coronary arteries - TTE with LVEF 50-55%, no WMA - D-dimer <250 - appreciate cardiology consult - baby aspirin, metoprolol 30 day Rx provided on discharge - outpatient cardiac MRI scheduled for myocarditis workup - outpatient cardiology follow up   #Hyperlipidemia: continue home statin   #Prediabetes: HbA1c 6, repeat in 3-6 months   Procedures Performed: Coronary angiogram and left heart catheterization   Pertinent Diagnostic Results: Troponin 3.8 -- > 6.29 -- > 4 LDL 112, HDL 34 HbA1c 6 Ddimer < 250 COVID, influenza, RSV negative   Radiology:  XR CHEST SINGLE VIEW Result Date: 12/5/2021 IMPRESSION: 1. Mild linear atelectasis versus scarring at the left lung base.    ECHO ADULT COMPLETE TTE Result Date: 12/5/2021 1. Considering 2D visualization and technical calculations the left ventricular ejection fraction estimate is 50-55%.  2. Normal right ventricular size and systolic function.  3. No hemodynamically significant valvular abnormalities  4. There is no evidence of a pericardial effusion. There is no comparison study available.     CATH CORONARY PROCEDURE - CV SCHEDULER Result Date: 12/5/2021 CARDIAC CATHETERIZATION PROCEDURE REPORT  CONCLUSIONS:  1.  Right coronary artery.  Nondominant vessel.  Vessel appears normal. 2.  Left main.  Large diameter left main which appears normal. 3.  Circumflex.  Dominant vessel first obtuse marginal large diameter vessel which appears normal.  Distally the circumflex gives rise to several posterior lateral branches which and a PDA which appeared normal. 4.  Left anterior descending.  Large vessel proximally gives rise to a large diagonal which appears normal.  The LAD appears normal. 5.Left ventricle.  Left ventricle diastolic pressure measured 10 to 15 mmHg.  No gradient noted across aortic valve.  There appears to be mild global hypokinesis.  Ejection fraction 45 to 50%.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Echocardiogram, Echocardiogram normal, Ejection fraction
Clinical narrative: "Final Diagnoses 1. Non-MI elevated troponin 2. Recent COVID19 vaccination administration   Key Points for Follow Up:   - cardiac MRI/cardiology follow up - repeat HbA1c in 3-6 months   Pending Results:  none               Condition at Discharge: Medically Stable   Reason for Hospitalization:  As per H&P: ""41 y.o. male presents with chest pain.  Patient received his booster of Moderna COVID vaccine on 12/1/21. He had fevers/chills/sweats for a couple days post, had felt improved but then woke up with today diaphoresis, then went back to sleep, then awoke around 5:00-5:30 with left sided chest pain going to his left shoulder. Denies a hx of chest pain. Denies a family hx of early CAD although uncle underwent CABG. In the ED, troponin 4. Cardiology consulted. Pain resolved after aspirin and morphine. Taken to cath lab.""   Hospital Course by Problem List:    #Non-MI elevated troponin #Probable post-COVID vaccination myocarditis - s/p Moderna #3 on 12/1 - troponin peaked in 6s - LHC 12/5 with Dr. with normal coronary arteries - TTE with LVEF 50-55%, no WMA - D-dimer <250 - appreciate cardiology consult - baby aspirin, metoprolol 30 day Rx provided on discharge - outpatient cardiac MRI scheduled for myocarditis workup - outpatient cardiology follow up   #Hyperlipidemia: continue home statin   #Prediabetes: HbA1c 6, repeat in 3-6 months   Procedures Performed: Coronary angiogram and left heart catheterization   Pertinent Diagnostic Results: Troponin 3.8 -- > 6.29 -- > 4 LDL 112, HDL 34 HbA1c 6 Ddimer < 250 COVID, influenza, RSV negative   Radiology:  XR CHEST SINGLE VIEW Result Date: 12/5/2021 IMPRESSION: 1. Mild linear atelectasis versus scarring at the left lung base.    ECHO ADULT COMPLETE TTE Result Date: 12/5/2021 1. Considering 2D visualization and technical calculations the left ventricular ejection fraction estimate is 50-55%.  2. Normal right ventricular size and systolic function.  3. No hemodynamically significant valvular abnormalities  4. There is no evidence of a pericardial effusion. There is no comparison study available.     CATH CORONARY PROCEDURE - CV SCHEDULER Result Date: 12/5/2021 CARDIAC CATHETERIZATION PROCEDURE REPORT  CONCLUSIONS:  1.  Right coronary artery.  Nondominant vessel.  Vessel appears normal. 2.  Left main.  Large diameter left main which appears normal. 3.  Circumflex.  Dominant vessel first obtuse marginal large diameter vessel which appears normal.  Distally the circumflex gives rise to several posterior lateral branches which and a PDA which appeared normal. 4.  Left anterior descending.  Large vessel proximally gives rise to a large diagonal which appears normal.  The LAD appears normal. 5.Left ventricle.  Left ventricle diastolic pressure measured 10 to 15 mmHg.  No gradient noted across aortic valve.  There appears to be mild global hypokinesis.  Ejection fraction 45 to 50%.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Glucose tolerance impaired, Glycosylated haemoglobin increased, High density lipoprotein decreased, Hyperhidrosis
Clinical narrative: "Final Diagnoses 1. Non-MI elevated troponin 2. Recent COVID19 vaccination administration   Key Points for Follow Up:   - cardiac MRI/cardiology follow up - repeat HbA1c in 3-6 months   Pending Results:  none               Condition at Discharge: Medically Stable   Reason for Hospitalization:  As per H&P: ""41 y.o. male presents with chest pain.  Patient received his booster of Moderna COVID vaccine on 12/1/21. He had fevers/chills/sweats for a couple days post, had felt improved but then woke up with today diaphoresis, then went back to sleep, then awoke around 5:00-5:30 with left sided chest pain going to his left shoulder. Denies a hx of chest pain. Denies a family hx of early CAD although uncle underwent CABG. In the ED, troponin 4. Cardiology consulted. Pain resolved after aspirin and morphine. Taken to cath lab.""   Hospital Course by Problem List:    #Non-MI elevated troponin #Probable post-COVID vaccination myocarditis - s/p Moderna #3 on 12/1 - troponin peaked in 6s - LHC 12/5 with Dr. with normal coronary arteries - TTE with LVEF 50-55%, no WMA - D-dimer <250 - appreciate cardiology consult - baby aspirin, metoprolol 30 day Rx provided on discharge - outpatient cardiac MRI scheduled for myocarditis workup - outpatient cardiology follow up   #Hyperlipidemia: continue home statin   #Prediabetes: HbA1c 6, repeat in 3-6 months   Procedures Performed: Coronary angiogram and left heart catheterization   Pertinent Diagnostic Results: Troponin 3.8 -- > 6.29 -- > 4 LDL 112, HDL 34 HbA1c 6 Ddimer < 250 COVID, influenza, RSV negative   Radiology:  XR CHEST SINGLE VIEW Result Date: 12/5/2021 IMPRESSION: 1. Mild linear atelectasis versus scarring at the left lung base.    ECHO ADULT COMPLETE TTE Result Date: 12/5/2021 1. Considering 2D visualization and technical calculations the left ventricular ejection fraction estimate is 50-55%.  2. Normal right ventricular size and systolic function.  3. No hemodynamically significant valvular abnormalities  4. There is no evidence of a pericardial effusion. There is no comparison study available.     CATH CORONARY PROCEDURE - CV SCHEDULER Result Date: 12/5/2021 CARDIAC CATHETERIZATION PROCEDURE REPORT  CONCLUSIONS:  1.  Right coronary artery.  Nondominant vessel.  Vessel appears normal. 2.  Left main.  Large diameter left main which appears normal. 3.  Circumflex.  Dominant vessel first obtuse marginal large diameter vessel which appears normal.  Distally the circumflex gives rise to several posterior lateral branches which and a PDA which appeared normal. 4.  Left anterior descending.  Large vessel proximally gives rise to a large diagonal which appears normal.  The LAD appears normal. 5.Left ventricle.  Left ventricle diastolic pressure measured 10 to 15 mmHg.  No gradient noted across aortic valve.  There appears to be mild global hypokinesis.  Ejection fraction 45 to 50%.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Low density lipoprotein normal, Myocarditis, Pulmonary fibrosis, Pyrexia
Clinical narrative: "Final Diagnoses 1. Non-MI elevated troponin 2. Recent COVID19 vaccination administration   Key Points for Follow Up:   - cardiac MRI/cardiology follow up - repeat HbA1c in 3-6 months   Pending Results:  none               Condition at Discharge: Medically Stable   Reason for Hospitalization:  As per H&P: ""41 y.o. male presents with chest pain.  Patient received his booster of Moderna COVID vaccine on 12/1/21. He had fevers/chills/sweats for a couple days post, had felt improved but then woke up with today diaphoresis, then went back to sleep, then awoke around 5:00-5:30 with left sided chest pain going to his left shoulder. Denies a hx of chest pain. Denies a family hx of early CAD although uncle underwent CABG. In the ED, troponin 4. Cardiology consulted. Pain resolved after aspirin and morphine. Taken to cath lab.""   Hospital Course by Problem List:    #Non-MI elevated troponin #Probable post-COVID vaccination myocarditis - s/p Moderna #3 on 12/1 - troponin peaked in 6s - LHC 12/5 with Dr. with normal coronary arteries - TTE with LVEF 50-55%, no WMA - D-dimer <250 - appreciate cardiology consult - baby aspirin, metoprolol 30 day Rx provided on discharge - outpatient cardiac MRI scheduled for myocarditis workup - outpatient cardiology follow up   #Hyperlipidemia: continue home statin   #Prediabetes: HbA1c 6, repeat in 3-6 months   Procedures Performed: Coronary angiogram and left heart catheterization   Pertinent Diagnostic Results: Troponin 3.8 -- > 6.29 -- > 4 LDL 112, HDL 34 HbA1c 6 Ddimer < 250 COVID, influenza, RSV negative   Radiology:  XR CHEST SINGLE VIEW Result Date: 12/5/2021 IMPRESSION: 1. Mild linear atelectasis versus scarring at the left lung base.    ECHO ADULT COMPLETE TTE Result Date: 12/5/2021 1. Considering 2D visualization and technical calculations the left ventricular ejection fraction estimate is 50-55%.  2. Normal right ventricular size and systolic function.  3. No hemodynamically significant valvular abnormalities  4. There is no evidence of a pericardial effusion. There is no comparison study available.     CATH CORONARY PROCEDURE - CV SCHEDULER Result Date: 12/5/2021 CARDIAC CATHETERIZATION PROCEDURE REPORT  CONCLUSIONS:  1.  Right coronary artery.  Nondominant vessel.  Vessel appears normal. 2.  Left main.  Large diameter left main which appears normal. 3.  Circumflex.  Dominant vessel first obtuse marginal large diameter vessel which appears normal.  Distally the circumflex gives rise to several posterior lateral branches which and a PDA which appeared normal. 4.  Left anterior descending.  Large vessel proximally gives rise to a large diagonal which appears normal.  The LAD appears normal. 5.Left ventricle.  Left ventricle diastolic pressure measured 10 to 15 mmHg.  No gradient noted across aortic valve.  There appears to be mild global hypokinesis.  Ejection fraction 45 to 50%.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Sleep disorder, Troponin increased, Ventricular hypokinesia
Clinical narrative: "Final Diagnoses 1. Non-MI elevated troponin 2. Recent COVID19 vaccination administration   Key Points for Follow Up:   - cardiac MRI/cardiology follow up - repeat HbA1c in 3-6 months   Pending Results:  none               Condition at Discharge: Medically Stable   Reason for Hospitalization:  As per H&P: ""41 y.o. male presents with chest pain.  Patient received his booster of Moderna COVID vaccine on 12/1/21. He had fevers/chills/sweats for a couple days post, had felt improved but then woke up with today diaphoresis, then went back to sleep, then awoke around 5:00-5:30 with left sided chest pain going to his left shoulder. Denies a hx of chest pain. Denies a family hx of early CAD although uncle underwent CABG. In the ED, troponin 4. Cardiology consulted. Pain resolved after aspirin and morphine. Taken to cath lab.""   Hospital Course by Problem List:    #Non-MI elevated troponin #Probable post-COVID vaccination myocarditis - s/p Moderna #3 on 12/1 - troponin peaked in 6s - LHC 12/5 with Dr. with normal coronary arteries - TTE with LVEF 50-55%, no WMA - D-dimer <250 - appreciate cardiology consult - baby aspirin, metoprolol 30 day Rx provided on discharge - outpatient cardiac MRI scheduled for myocarditis workup - outpatient cardiology follow up   #Hyperlipidemia: continue home statin   #Prediabetes: HbA1c 6, repeat in 3-6 months   Procedures Performed: Coronary angiogram and left heart catheterization   Pertinent Diagnostic Results: Troponin 3.8 -- > 6.29 -- > 4 LDL 112, HDL 34 HbA1c 6 Ddimer < 250 COVID, influenza, RSV negative   Radiology:  XR CHEST SINGLE VIEW Result Date: 12/5/2021 IMPRESSION: 1. Mild linear atelectasis versus scarring at the left lung base.    ECHO ADULT COMPLETE TTE Result Date: 12/5/2021 1. Considering 2D visualization and technical calculations the left ventricular ejection fraction estimate is 50-55%.  2. Normal right ventricular size and systolic function.  3. No hemodynamically significant valvular abnormalities  4. There is no evidence of a pericardial effusion. There is no comparison study available.     CATH CORONARY PROCEDURE - CV SCHEDULER Result Date: 12/5/2021 CARDIAC CATHETERIZATION PROCEDURE REPORT  CONCLUSIONS:  1.  Right coronary artery.  Nondominant vessel.  Vessel appears normal. 2.  Left main.  Large diameter left main which appears normal. 3.  Circumflex.  Dominant vessel first obtuse marginal large diameter vessel which appears normal.  Distally the circumflex gives rise to several posterior lateral branches which and a PDA which appeared normal. 4.  Left anterior descending.  Large vessel proximally gives rise to a large diagonal which appears normal.  The LAD appears normal. 5.Left ventricle.  Left ventricle diastolic pressure measured 10 to 15 mmHg.  No gradient noted across aortic valve.  There appears to be mild global hypokinesis.  Ejection fraction 45 to 50%.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Bacterial test negative, Blood electrolytes normal, Blood lactic acid normal
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac arrest, Chest X-ray abnormal, Chest pain
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Congestive cardiomyopathy, Cough, Discomfort, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram QT prolonged, Electrocardiogram abnormal, Endotracheal intubation, General physical condition abnormal
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care unit acquired weakness, Lung consolidation, Lung infiltration, Lung opacity, Myalgia
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Oral candidiasis, Physical deconditioning, Pleural effusion, Pleuritic pain, Pneumonia aspiration
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive, Staphylococcus test negative, Supraventricular tachycardia
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Torsade de pointes, White blood cell count normal
Clinical narrative: Reason for Hospitalization:  This is a 30 yo female w/ PMhx significant for multiple sclerosis that presented to ED for evaluation of shortness of breath and is being transferred to another hospital for higher level of care. >10 days of fever, cough, SOB, myalgia, and pleuritic chest pain. 11/27 had home COVID test that was positive. Is noted to have received full vaccination in the spring and boosted at the end of September. Last rituximab infusion was also in September. Urgent care on 12/3 for the same. CXR showing diffuse infiltrates. Was not hypoxic. Rx doxycycline, decadron, albuterol, robitussin AC. Since then, increasing SOB so went back to ER. In the ED, vitals showing Tmax 39.2, HR 130s, Sp;O2 mid 80s and is now on 4L. WBC and lactic nml. Unable to run other tests there. CTA chest showing no clear PE but moderate extensive bilateral consolidative opacities w/ possible organizing PNA and small bilateral effusions. It is unclear if she got any abx. My partner accepted her admission at noon, but due to delays in transport has arrived about 930p. On exam, is toxic and uncomfortable appearing, but is also having a temp of >104F. Speaking in full sentences w/o accessory muscle usage on 3L.    Hospital Course by Problem List:  30-year-old female with:   #COVID-19 pneumonia #Acute hypoxemic respiratory failure #Possible superimposed aspiration pneumonia - vaccinated pt, s/p pfizer vaccine x2, most recent dose 6/2021 - Symptoms started 11/22, home test +11/23; COVID19+ upon admission 12/6  - intubated 12/10 post cardiac arrest; extubated 12/17 to BiPAP, weaned to HHFNC and now on NC 2-3L   -completed Remdesivir   -Decadron weaned off - completed course of Meropenem 12/18 for aspiration pneumonia.  - off COVID precautions   Critical illness myopathy:  -improving, cont PT/OT    SVT: from deconditioning, cardiomyopathy  -metoprolol xl 25mg daily, changed to 50mg daily on 1/1/22 -improved, CTM      Fevers, concern for HAP: covering staph pneumonia and gram negative  -MRSA PCR screen: negative  -start vanc and cefepime started 12/30/2, vanc stopped 12/31/21, cont cefepime for 7 days, total, last dose at 4pm 1/5/22.     Oral Thrush ?micafungin  -rons rum mouthrinse    Possible oral HSV:  HSV pcr: pending  Give acyclovir 400mg TID for 7 days    #Torsades de Pointe with cardiac arrest #Prolonged QTc #Dilated cardiomyopathy Cardiac arrest 12/10 @ 3:49AM. Review of strips shows torsades. - s/p IV amiodarone & dobutamine - TTE 12/11: LVEF 20-25% - TTE 12/17: LVEF 35-40% - TTE 12/20: LVEF 50-55% - avoid QT prolonging medications - repeat EKG with ongoing QTc despite normal lytes & no longer on QT prolonging medications; discussed with Dr.  12/24 and we reviewed EKGs. Recommends outpatient EP follow up for possible congenital prolonged QT -outpt EP appointment on 3/16/22
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Adverse event, Penile abscess, Penile swelling, Testicular swelling
Clinical narrative: Patient reporting swelling of the penis and testicles, which resulted in an abscess. Swelling of the lymphnodes in groin area.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Genital abscess, Laboratory test, Lymphadenopathy, Penile swelling, Testicular swelling
Clinical narrative: Patient reporting swelling of the penis and testicles, which resulted in an abscess. Swelling of the lymphnodes in groin area.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: Patient reporting swelling of the penis and testicles, which resulted in an abscess. Swelling of the lymphnodes in groin area.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Pain
Clinical narrative: Patient called on 01/05/22 and reported he had a bump on the area he received the vaccine. Upon observation on 01/06/22 patient appear to have an injection site reaction of redness and swelling. Patient also describe having pain, tenderness, and warm at the injection site.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient called on 01/05/22 and reported he had a bump on the area he received the vaccine. Upon observation on 01/06/22 patient appear to have an injection site reaction of redness and swelling. Patient also describe having pain, tenderness, and warm at the injection site.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Discomfort, Headache
Clinical narrative: 12 pm: Time of vaccination. 6 pm - 12 am: Onset and gradually increasing chills. 12 am - 3 am: In addition to continuing chills, heartbeats per second was approximately in the 2.5 to 3 range. Fell asleep shortly after midnight.  3 am: Awakened with sweating and ongoing rapid heartbeat. Burning heart sensation. 3:11 am: Heartbeat began decreasing.  3:41 am: Heartbeats per second in the 2 to 2.5 range. 4 am: Heart issues subsiding, but still uncomfortable. Throbbing pain in head like someone hitting the back of head with lumber. 6:25 am: Heartbeats per second still above 2. Throbbing pain in head continues. Stabbing sensation in heart. 8:12 am: Out of bed. Issues lessening, but throbbing head pain continues.  One week later 1/5/2022: Continued soreness/tightness in heart.