chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Menstruation irregular, Nausea, Pain
Clinical narrative: Frequent chest Pain, periods are messed up. Nausea, terrible body ache, fever, chills, shaking. Same happened after 1st and 2nd shot as well. Took Advil to get fever down for 4-5 days. Body ache- very bad for 2 weeks (after 2nd and booster - 3rd shot)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Vaccine positive rechallenge
Clinical narrative: Frequent chest Pain, periods are messed up. Nausea, terrible body ache, fever, chills, shaking. Same happened after 1st and 2nd shot as well. Took Advil to get fever down for 4-5 days. Body ache- very bad for 2 weeks (after 2nd and booster - 3rd shot)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles outbreak on torso below belly button on right side of body (front, side, and back)
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives 12 hours following the vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, Blood test, Cardiac failure, Chest X-ray
Clinical narrative: approx. nov. 19 acute shortness of breath, swelling of rt. arm and side. went to walk in clinic, sent home no treatment. symptoms became more severe, admitted to er on12/15/21.  hospitalized for acute pulmonary embolism without acute cor pulmonale. diagnoses: acute heart failutre  with preserved ejection fraction (Hfpef), atrial fibrillation by electrocardiogram, primary hypertension, type 2(myocardial infarction),  pulmonary infarct, acute deep vein thrombosis (DVT) of axillary vein of right upper extremity.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Deep vein thrombosis, Dyspnoea, Electrocardiogram abnormal, Essential hypertension
Clinical narrative: approx. nov. 19 acute shortness of breath, swelling of rt. arm and side. went to walk in clinic, sent home no treatment. symptoms became more severe, admitted to er on12/15/21.  hospitalized for acute pulmonary embolism without acute cor pulmonale. diagnoses: acute heart failutre  with preserved ejection fraction (Hfpef), atrial fibrillation by electrocardiogram, primary hypertension, type 2(myocardial infarction),  pulmonary infarct, acute deep vein thrombosis (DVT) of axillary vein of right upper extremity.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pulmonary embolism, Pulmonary infarction, Swelling
Clinical narrative: approx. nov. 19 acute shortness of breath, swelling of rt. arm and side. went to walk in clinic, sent home no treatment. symptoms became more severe, admitted to er on12/15/21.  hospitalized for acute pulmonary embolism without acute cor pulmonale. diagnoses: acute heart failutre  with preserved ejection fraction (Hfpef), atrial fibrillation by electrocardiogram, primary hypertension, type 2(myocardial infarction),  pulmonary infarct, acute deep vein thrombosis (DVT) of axillary vein of right upper extremity.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Dizziness, Hyperhidrosis
Clinical narrative: Adverse event: dizziness, sweating. Treatment: Laying down on floor, foot elevation, drinking water, consuming food, ice pack to forehead. Outcome: event resolution after 16 minutes
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Hypoaesthesia, Insomnia, Nausea, Pain in extremity
Clinical narrative: incredible pain under the arm where I received the vaccine. Not at the site of injection but from my armpit and under my arm. Sometimes sharp pain, sometimes tingly. That side of my face feel numb from time to time.   The pain woke me up last night and I couldn't fall back asleep.  Taking ibuprofen every 4-6 hours but pain hasn't stopped.   Outside of the arm pain, some nausea and fevery feeling.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Sleep disorder
Clinical narrative: incredible pain under the arm where I received the vaccine. Not at the site of injection but from my armpit and under my arm. Sometimes sharp pain, sometimes tingly. That side of my face feel numb from time to time.   The pain woke me up last night and I couldn't fall back asleep.  Taking ibuprofen every 4-6 hours but pain hasn't stopped.   Outside of the arm pain, some nausea and fevery feeling.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Postmenopausal haemorrhage, Smear cervix normal
Clinical narrative: Had post-menopausal period-like cramping/bleeding  in August/September after second shot.  It stopped in October 2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that had been prepared from the previous evening but stored in refrigeration, so it was outside the 6 hour expiration window per package insert.  I spoke to Pfizer and the vaccine has been studied and is stable for 24 hours at temperatures 2 to 20 degrees C so revaccination was not indicated since the vaccine she was given fell within those constraints.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Colonoscopy, Computerised tomogram abdomen, Echocardiogram
Clinical narrative: Severe stomach pain, bowel movement, passed blood in stool.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Haematochezia, Laboratory test, Scan with contrast
Clinical narrative: Severe stomach pain, bowel movement, passed blood in stool.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Pulmonary thrombosis, Rash
Clinical narrative: Unexplainable rash, uncontrollable hives/ welts all over body. Blood clot in left lung.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Unexplainable rash, uncontrollable hives/ welts all over body. Blood clot in left lung.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Physical examination, Urticaria
Clinical narrative: Widespread urticaria on inner thighs, arms, back of neck, stomach, chest. Onset ten days after booster shot of Moderna Covid vaccine.  No history of urticaria, no known allergies to medication, food, or cosmetic products. No new medication other than birth control, but that had been taken the previous month for an IVF cycle.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Vaccine positive rechallenge
Clinical narrative: Chills shortly after going to bed. Shivering through the night until after taking Advil.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that had been prepared from the previous evening but stored in refrigeration, so it was outside the 6 hour expiration window per package insert.  I spoke to Pfizer and the vaccine has been studied and is stable for 24 hours at temperatures 2 to 20 degrees C so revaccination was not indicated since the vaccine she was given fell within those constraints.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: 14yo female had syncope after Pfizer 1st dose. Her dose was given at approximately 1:10pm. Around 1:18 pm she complained of feeling dizzy and began to pass out momentarily. She came back to quickly. She was given a cold pack for her neck and ammonia inhalant. She wanted to lie down and extended across several chairs with her head upon her guardian's lap. We gave her a second cold pack to apply to her face as well. We gave her some water too. She began to relax and recover. We watched her an additional 20 minutes until she felt recovered and then left with her guardian.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Lymph node pain, Lymphadenopathy, Malaise
Clinical narrative: ~24 hours after (12/15), chills started, no fever, general malaise, lasted about 36 hours ~48 hours after (12/16), lymph nodes in left armpit swollen, painful to touch. Pain subsided after about 36 hours, swelling has still not abated.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Electromyogram, Gait disturbance, Grip strength decreased, Immunoglobulin therapy
Clinical narrative: Day after first shot 03/18/21 - started having tingling in both my hands,  felt like they had fallen asleep.  It continued all day every day and didn't stop. I could still use my hands and just figured I had pinched a nerve or something.  Didn't really worry. Day after second shot 04/08/21, my hands started hurting and fingers were swollen.  Then it went to my shoulders a week later, then my knees, then the balls of both my feet.  Went to family doctor, Doctor, he said to talk to the endocrinologist, so we made appointment with her, she said that the pains are not diabetic related and to see a Neurologists.  This process took 7 months to get to all the different doctors.  Finally Doctor diagnosed inflammatory toxic neuropathy on 12/16/21.  I can no longer open a bottle of water, cook, hold a cup, shower without assistance, lift anything at all.  Can barely walk, knees are very painful, shoulders, elbows all now hurt to a level 9 or 10 daily.  There is no relief even with pain meds.  I can no longer go down our steps to leave the house, have to have people come help me to the car for doctor appointment.  I haven't driven in 3 months.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Impaired driving ability, Loss of personal independence in daily activities, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Day after first shot 03/18/21 - started having tingling in both my hands,  felt like they had fallen asleep.  It continued all day every day and didn't stop. I could still use my hands and just figured I had pinched a nerve or something.  Didn't really worry. Day after second shot 04/08/21, my hands started hurting and fingers were swollen.  Then it went to my shoulders a week later, then my knees, then the balls of both my feet.  Went to family doctor, Doctor, he said to talk to the endocrinologist, so we made appointment with her, she said that the pains are not diabetic related and to see a Neurologists.  This process took 7 months to get to all the different doctors.  Finally Doctor diagnosed inflammatory toxic neuropathy on 12/16/21.  I can no longer open a bottle of water, cook, hold a cup, shower without assistance, lift anything at all.  Can barely walk, knees are very painful, shoulders, elbows all now hurt to a level 9 or 10 daily.  There is no relief even with pain meds.  I can no longer go down our steps to leave the house, have to have people come help me to the car for doctor appointment.  I haven't driven in 3 months.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Toxic neuropathy
Clinical narrative: Day after first shot 03/18/21 - started having tingling in both my hands,  felt like they had fallen asleep.  It continued all day every day and didn't stop. I could still use my hands and just figured I had pinched a nerve or something.  Didn't really worry. Day after second shot 04/08/21, my hands started hurting and fingers were swollen.  Then it went to my shoulders a week later, then my knees, then the balls of both my feet.  Went to family doctor, Doctor, he said to talk to the endocrinologist, so we made appointment with her, she said that the pains are not diabetic related and to see a Neurologists.  This process took 7 months to get to all the different doctors.  Finally Doctor diagnosed inflammatory toxic neuropathy on 12/16/21.  I can no longer open a bottle of water, cook, hold a cup, shower without assistance, lift anything at all.  Can barely walk, knees are very painful, shoulders, elbows all now hurt to a level 9 or 10 daily.  There is no relief even with pain meds.  I can no longer go down our steps to leave the house, have to have people come help me to the car for doctor appointment.  I haven't driven in 3 months.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy
Clinical narrative: Swollen left axillary lymph node one day after. Tenderness at injection site.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule
Clinical narrative: Timer like Lump/clot appeared in left color bone
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Immediate post-injection reaction, Pallor, Presyncope, Visual impairment
Clinical narrative: Vasovagal response immediately after administration 1:05pm.  Patient stated she could not hear and was seeing black spots within 1 minute of administration.  Patient became very pale. Paramedics were called and arrived at 1:18pm and assessed patient as having vasovagal response. Patient fully recovered at 1:45pm.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Hives. Continuing
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Hyperhidrosis, Syncope
Clinical narrative: Syncope, Patient was alert, redness, no sob, slight sweating, light headness. ice pack, fluids, oj and food was given. patient responded to treatment. emt came. Did not take to hospital. Patient declined to go hospital
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Joint noise
Clinical narrative: Unusual and uncomfortable joint popping and crunching. In most joints: shoulders, clavicle, wrists, hips, knees and ankles etc. more so in injection arm. But uncomfortable all around.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: Patient states that arm soreness is more than normal and believed from her training as an MA that it was given too high in the arm. She states it is difficult to lift her arm. She also wanted it noted that she had 102.9 F. fever
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Electrocardiogram, Magnetic resonance imaging head normal, Muscle contractions involuntary, Palpitations
Clinical narrative: One week after the second dose of Covid 19 Pfizer vaccination. presented palpitations, tingling and fasciculations of the four extremities. Cardiologist did an echocardiogram and results were normal. On December 4th 2021 the symptoms persisted and were more frequent.  Neurologist Dr. ordered a Brain MRI and the results were normal. Today 18 th December finally the symptoms are starting to fade.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: One week after the second dose of Covid 19 Pfizer vaccination. presented palpitations, tingling and fasciculations of the four extremities. Cardiologist did an echocardiogram and results were normal. On December 4th 2021 the symptoms persisted and were more frequent.  Neurologist Dr. ordered a Brain MRI and the results were normal. Today 18 th December finally the symptoms are starting to fade.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Breast pain, Haemorrhage, Heavy menstrual bleeding, Menstruation delayed
Clinical narrative: I was five days late in my menstruation cycle, which is usually like clock work.  I developed severe breast pain.  These two symptoms led me to believe I was pregnant.   I then began  bleeding/ menstruating/ miscarrying and passed significant blood clots, at times golfball size and larger.    I've never experienced blood clots this large.  One felt as if I was passing afterbirth, it was so large.  I'm reporting this now, after hearing from female peers who experience the same thing post- booster.  After a few days of this, it stopped.  I notified my OBGYN and they advised me to take an at home pregnancy test.  Results were negative.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test negative
Clinical narrative: I was five days late in my menstruation cycle, which is usually like clock work.  I developed severe breast pain.  These two symptoms led me to believe I was pregnant.   I then began  bleeding/ menstruating/ miscarrying and passed significant blood clots, at times golfball size and larger.    I've never experienced blood clots this large.  One felt as if I was passing afterbirth, it was so large.  I'm reporting this now, after hearing from female peers who experience the same thing post- booster.  After a few days of this, it stopped.  I notified my OBGYN and they advised me to take an at home pregnancy test.  Results were negative.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Fibrin D dimer, Headache
Clinical narrative: After receiving the shot, felt the normal effects within one day - tired, joint aches, headaches, chills, and sore arm.  By on the morning of the fourth day began feeling tightness in the calf and by the evening pain and cramping like feeling in the right calf in the back.   The following day felt extreme pain, tightness in the calf, and swelling.  Went to the emergency room that night for pain.   The result was a blood clot in lower right leg.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Muscle spasms, Pain in extremity, Peripheral swelling, Thrombosis
Clinical narrative: After receiving the shot, felt the normal effects within one day - tired, joint aches, headaches, chills, and sore arm.  By on the morning of the fourth day began feeling tightness in the calf and by the evening pain and cramping like feeling in the right calf in the back.   The following day felt extreme pain, tightness in the calf, and swelling.  Went to the emergency room that night for pain.   The result was a blood clot in lower right leg.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: After receiving the shot, felt the normal effects within one day - tired, joint aches, headaches, chills, and sore arm.  By on the morning of the fourth day began feeling tightness in the calf and by the evening pain and cramping like feeling in the right calf in the back.   The following day felt extreme pain, tightness in the calf, and swelling.  Went to the emergency room that night for pain.   The result was a blood clot in lower right leg.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injury associated with device
Clinical narrative: WHEN SHE TOOK THE NEEDLE OUT OF  ARM, SHE ACCIDENTALLY PITCHED FORWARD AND POKED HER LEFT INDEX FINGER WITH THE DIRTY NEEDLE.  WASHED HER HANDS FOR 2 MINUTES WITH SOAP AND HOT WATER AND PUT A BANDAID ON.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Injection site pain, Pain
Clinical narrative: Joint aches and moderate overall body ache 1 day after shot, very sore tender at shot site: 2nd and 3rd days after shot- less soreness at site of shot, and joint/body ache gone but diarrhea severe, through night and most of day 3.
Age: 85.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue
Clinical narrative: Daughter called to report extreme fatigue, concerned that patient was so tired that he did not eat or drink much today and felt it was out of the normal expected fatigue.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Pain, Pain in extremity
Clinical narrative: Patient presented with a chief complaint of L Arm "Pain and numbness" that radiates to their L Distal Arm. Patient had normal gait with no complaint of difficulty breathing, no chest pain, no dizziness. Patient states the pain and numbness subsided 3 minutes  later, however, the injection site was still sore to palpation and general movement. A cold compress pack was applied to the patients L arm in a position of comfort. Patient was assessed every 10 minutes with continuing improvement of the L Arm  with no other complaint. Patient self ambulated to family vehicle.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicitis, Blood test, Computerised tomogram, Fatigue
Clinical narrative: Appendicitis requiring surgical removal of appendix. Patient experienced fatigue and fever of 100.4 F within 24 hours of vaccine administration. Fatigue continued over next several days. At approximately 90 hours post vaccination patient developed severe abdominal pain which localized to lower right abdomen followed by fever of 99.7 F. After 3 hours of severe pain patient checked in to ER where a CT scan was performed to confirm appendicitis. Surgical intervention was required to remove the appendix requiring anesthesia and extended recovery period. Patient has a recommended 3 week recovery period prior to returning to work with 2 months of modified activity level.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Gynaecological examination, Pyrexia, SARS-CoV-2 test, Surgery
Clinical narrative: Appendicitis requiring surgical removal of appendix. Patient experienced fatigue and fever of 100.4 F within 24 hours of vaccine administration. Fatigue continued over next several days. At approximately 90 hours post vaccination patient developed severe abdominal pain which localized to lower right abdomen followed by fever of 99.7 F. After 3 hours of severe pain patient checked in to ER where a CT scan was performed to confirm appendicitis. Surgical intervention was required to remove the appendix requiring anesthesia and extended recovery period. Patient has a recommended 3 week recovery period prior to returning to work with 2 months of modified activity level.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling cold, Gastrointestinal pain, Headache
Clinical narrative: Muscle aches.  Nausea.  Cold chills.  Elevated heart ragte.  Dizziness.  Intestinal pain.  Fever.  Headache.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Myalgia, Nausea, Pyrexia
Clinical narrative: Muscle aches.  Nausea.  Cold chills.  Elevated heart ragte.  Dizziness.  Intestinal pain.  Fever.  Headache.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site induration, Pain
Clinical narrative: Reports onset of extreme fatigue, generalized body aches and generalized joint pain began 24 hours following vaccination. Reports induration size of fist at injection site on right deltoid.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: patient received Janssen Primary dose 3/13/2021, received Pfizer Booster dose 7/14/2021. received an extra booster dose of Moderna 12/18/21. was not determined until after the vaccine was administered.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal rebound tenderness, Abdominal tenderness, Acute kidney injury, Acute left ventricular failure, Acute respiratory failure
Clinical narrative: Hospitalized 12/1/2021-still admitted currently; COVID-19 positive 12/12/2021; fully vaccinated  12/1/2021 admission note: MEDICAL DECISION MAKING:     71-year-old female presents with right upper quadrant tenderness and mild rebound.  Afebrile, review of documentation shows that she recently was diagnosed with biliary sludge in her gallbladder.  Repeat ultrasound here and blood work is obtained, pain control with morphine is ordered.  Her white count returns elevated, her bilirubin, LFTs are bumped, she is covered with ceftriaxone which she has tolerated well in the past and Flagyl.  Her ultrasound shows a thickened gallbladder wall concerning for acute cholecystitis, her CBD is 7 mm which is likely normal for her age.  I spoke with surgery here who is concerned about the possibility of a retained stone given her elevated bilirubin, he recommends transfer.  I spoke with surgery down at another Hospital, they recommend transfer emergency department to emergency department.  The patient is accepted by the emergency department physician for transfer there, is stable for transfer.  Family is updated on the plan and they verbalized understanding all questions are answered. She does have a mild AKI on labs and fluids are given here. She had a recent negative covid.  12/12/2021 note: Date of Admission: Hospital Day: 12   Chief complaint Acute respiratory failure with hypoxia   Assessment and Plan   Acute hypoxic respiratory failure multifactorial COVID-19 pneumonia, COVID-19 PCR positive 12/12 Acute on chronic diastolic heart failure Currently requiring 100% non-rebreather, respiratory consult for high-flow nasal cannula Echo showing severe MR with significant pulmonary hypertension Continue dexamethasone 6 mg daily for 10 days Lasix 40 mg IV 2 times a day Strict I&Os, daily weights, 2 g sodium diet Cardiology consult, follow-up recommendations Continuous pulse ox and tele monitoring Trend D-dimer and CRP 12/18/2021 note: CHIEF COMPLAINT Acute respiratory failure with hypoxia      Assessment/Plan     ASSESSMENT / PLAN  Plan:  -condition with ongoing trend of improvement; oxygenation improved to the point that she has been weaned to standard nasal cannula -no heart failure complaints at present; appears to be relatively euvolemic Acute hypoxic respiratory failure 2/2 CHF and COVID 19  - weaned to nasal cannula - CHF less likely the primary culprit; hypoxia now likely 2/2 COVID   Care Management Note 12/18/2021: SAR recommended Talked with pt and she wants referral to facility Will follow up with facility as they said to check back then. Pts drain still in and IR managing. Pt down to 02 at 4 liters now.  Pts covid isolation to end day 10 is 12/22/21.  cannot to go this SAR unless out of isolation.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin increased, Blood test, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Hospitalized 12/1/2021-still admitted currently; COVID-19 positive 12/12/2021; fully vaccinated  12/1/2021 admission note: MEDICAL DECISION MAKING:     71-year-old female presents with right upper quadrant tenderness and mild rebound.  Afebrile, review of documentation shows that she recently was diagnosed with biliary sludge in her gallbladder.  Repeat ultrasound here and blood work is obtained, pain control with morphine is ordered.  Her white count returns elevated, her bilirubin, LFTs are bumped, she is covered with ceftriaxone which she has tolerated well in the past and Flagyl.  Her ultrasound shows a thickened gallbladder wall concerning for acute cholecystitis, her CBD is 7 mm which is likely normal for her age.  I spoke with surgery here who is concerned about the possibility of a retained stone given her elevated bilirubin, he recommends transfer.  I spoke with surgery down at another Hospital, they recommend transfer emergency department to emergency department.  The patient is accepted by the emergency department physician for transfer there, is stable for transfer.  Family is updated on the plan and they verbalized understanding all questions are answered. She does have a mild AKI on labs and fluids are given here. She had a recent negative covid.  12/12/2021 note: Date of Admission: Hospital Day: 12   Chief complaint Acute respiratory failure with hypoxia   Assessment and Plan   Acute hypoxic respiratory failure multifactorial COVID-19 pneumonia, COVID-19 PCR positive 12/12 Acute on chronic diastolic heart failure Currently requiring 100% non-rebreather, respiratory consult for high-flow nasal cannula Echo showing severe MR with significant pulmonary hypertension Continue dexamethasone 6 mg daily for 10 days Lasix 40 mg IV 2 times a day Strict I&Os, daily weights, 2 g sodium diet Cardiology consult, follow-up recommendations Continuous pulse ox and tele monitoring Trend D-dimer and CRP 12/18/2021 note: CHIEF COMPLAINT Acute respiratory failure with hypoxia      Assessment/Plan     ASSESSMENT / PLAN  Plan:  -condition with ongoing trend of improvement; oxygenation improved to the point that she has been weaned to standard nasal cannula -no heart failure complaints at present; appears to be relatively euvolemic Acute hypoxic respiratory failure 2/2 CHF and COVID 19  - weaned to nasal cannula - CHF less likely the primary culprit; hypoxia now likely 2/2 COVID   Care Management Note 12/18/2021: SAR recommended Talked with pt and she wants referral to facility Will follow up with facility as they said to check back then. Pts drain still in and IR managing. Pt down to 02 at 4 liters now.  Pts covid isolation to end day 10 is 12/22/21.  cannot to go this SAR unless out of isolation.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cholelithiasis, Chronic left ventricular failure, Condition aggravated, Drain placement, Echocardiogram abnormal
Clinical narrative: Hospitalized 12/1/2021-still admitted currently; COVID-19 positive 12/12/2021; fully vaccinated  12/1/2021 admission note: MEDICAL DECISION MAKING:     71-year-old female presents with right upper quadrant tenderness and mild rebound.  Afebrile, review of documentation shows that she recently was diagnosed with biliary sludge in her gallbladder.  Repeat ultrasound here and blood work is obtained, pain control with morphine is ordered.  Her white count returns elevated, her bilirubin, LFTs are bumped, she is covered with ceftriaxone which she has tolerated well in the past and Flagyl.  Her ultrasound shows a thickened gallbladder wall concerning for acute cholecystitis, her CBD is 7 mm which is likely normal for her age.  I spoke with surgery here who is concerned about the possibility of a retained stone given her elevated bilirubin, he recommends transfer.  I spoke with surgery down at another Hospital, they recommend transfer emergency department to emergency department.  The patient is accepted by the emergency department physician for transfer there, is stable for transfer.  Family is updated on the plan and they verbalized understanding all questions are answered. She does have a mild AKI on labs and fluids are given here. She had a recent negative covid.  12/12/2021 note: Date of Admission: Hospital Day: 12   Chief complaint Acute respiratory failure with hypoxia   Assessment and Plan   Acute hypoxic respiratory failure multifactorial COVID-19 pneumonia, COVID-19 PCR positive 12/12 Acute on chronic diastolic heart failure Currently requiring 100% non-rebreather, respiratory consult for high-flow nasal cannula Echo showing severe MR with significant pulmonary hypertension Continue dexamethasone 6 mg daily for 10 days Lasix 40 mg IV 2 times a day Strict I&Os, daily weights, 2 g sodium diet Cardiology consult, follow-up recommendations Continuous pulse ox and tele monitoring Trend D-dimer and CRP 12/18/2021 note: CHIEF COMPLAINT Acute respiratory failure with hypoxia      Assessment/Plan     ASSESSMENT / PLAN  Plan:  -condition with ongoing trend of improvement; oxygenation improved to the point that she has been weaned to standard nasal cannula -no heart failure complaints at present; appears to be relatively euvolemic Acute hypoxic respiratory failure 2/2 CHF and COVID 19  - weaned to nasal cannula - CHF less likely the primary culprit; hypoxia now likely 2/2 COVID   Care Management Note 12/18/2021: SAR recommended Talked with pt and she wants referral to facility Will follow up with facility as they said to check back then. Pts drain still in and IR managing. Pt down to 02 at 4 liters now.  Pts covid isolation to end day 10 is 12/22/21.  cannot to go this SAR unless out of isolation.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gallbladder enlargement, Laboratory test abnormal, Liver function test increased, Mitral valve incompetence, Oxygen saturation abnormal
Clinical narrative: Hospitalized 12/1/2021-still admitted currently; COVID-19 positive 12/12/2021; fully vaccinated  12/1/2021 admission note: MEDICAL DECISION MAKING:     71-year-old female presents with right upper quadrant tenderness and mild rebound.  Afebrile, review of documentation shows that she recently was diagnosed with biliary sludge in her gallbladder.  Repeat ultrasound here and blood work is obtained, pain control with morphine is ordered.  Her white count returns elevated, her bilirubin, LFTs are bumped, she is covered with ceftriaxone which she has tolerated well in the past and Flagyl.  Her ultrasound shows a thickened gallbladder wall concerning for acute cholecystitis, her CBD is 7 mm which is likely normal for her age.  I spoke with surgery here who is concerned about the possibility of a retained stone given her elevated bilirubin, he recommends transfer.  I spoke with surgery down at another Hospital, they recommend transfer emergency department to emergency department.  The patient is accepted by the emergency department physician for transfer there, is stable for transfer.  Family is updated on the plan and they verbalized understanding all questions are answered. She does have a mild AKI on labs and fluids are given here. She had a recent negative covid.  12/12/2021 note: Date of Admission: Hospital Day: 12   Chief complaint Acute respiratory failure with hypoxia   Assessment and Plan   Acute hypoxic respiratory failure multifactorial COVID-19 pneumonia, COVID-19 PCR positive 12/12 Acute on chronic diastolic heart failure Currently requiring 100% non-rebreather, respiratory consult for high-flow nasal cannula Echo showing severe MR with significant pulmonary hypertension Continue dexamethasone 6 mg daily for 10 days Lasix 40 mg IV 2 times a day Strict I&Os, daily weights, 2 g sodium diet Cardiology consult, follow-up recommendations Continuous pulse ox and tele monitoring Trend D-dimer and CRP 12/18/2021 note: CHIEF COMPLAINT Acute respiratory failure with hypoxia      Assessment/Plan     ASSESSMENT / PLAN  Plan:  -condition with ongoing trend of improvement; oxygenation improved to the point that she has been weaned to standard nasal cannula -no heart failure complaints at present; appears to be relatively euvolemic Acute hypoxic respiratory failure 2/2 CHF and COVID 19  - weaned to nasal cannula - CHF less likely the primary culprit; hypoxia now likely 2/2 COVID   Care Management Note 12/18/2021: SAR recommended Talked with pt and she wants referral to facility Will follow up with facility as they said to check back then. Pts drain still in and IR managing. Pt down to 02 at 4 liters now.  Pts covid isolation to end day 10 is 12/22/21.  cannot to go this SAR unless out of isolation.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pulmonary hypertension, SARS-CoV-2 test positive, Ultrasound abdomen abnormal, White blood cell count increased
Clinical narrative: Hospitalized 12/1/2021-still admitted currently; COVID-19 positive 12/12/2021; fully vaccinated  12/1/2021 admission note: MEDICAL DECISION MAKING:     71-year-old female presents with right upper quadrant tenderness and mild rebound.  Afebrile, review of documentation shows that she recently was diagnosed with biliary sludge in her gallbladder.  Repeat ultrasound here and blood work is obtained, pain control with morphine is ordered.  Her white count returns elevated, her bilirubin, LFTs are bumped, she is covered with ceftriaxone which she has tolerated well in the past and Flagyl.  Her ultrasound shows a thickened gallbladder wall concerning for acute cholecystitis, her CBD is 7 mm which is likely normal for her age.  I spoke with surgery here who is concerned about the possibility of a retained stone given her elevated bilirubin, he recommends transfer.  I spoke with surgery down at another Hospital, they recommend transfer emergency department to emergency department.  The patient is accepted by the emergency department physician for transfer there, is stable for transfer.  Family is updated on the plan and they verbalized understanding all questions are answered. She does have a mild AKI on labs and fluids are given here. She had a recent negative covid.  12/12/2021 note: Date of Admission: Hospital Day: 12   Chief complaint Acute respiratory failure with hypoxia   Assessment and Plan   Acute hypoxic respiratory failure multifactorial COVID-19 pneumonia, COVID-19 PCR positive 12/12 Acute on chronic diastolic heart failure Currently requiring 100% non-rebreather, respiratory consult for high-flow nasal cannula Echo showing severe MR with significant pulmonary hypertension Continue dexamethasone 6 mg daily for 10 days Lasix 40 mg IV 2 times a day Strict I&Os, daily weights, 2 g sodium diet Cardiology consult, follow-up recommendations Continuous pulse ox and tele monitoring Trend D-dimer and CRP 12/18/2021 note: CHIEF COMPLAINT Acute respiratory failure with hypoxia      Assessment/Plan     ASSESSMENT / PLAN  Plan:  -condition with ongoing trend of improvement; oxygenation improved to the point that she has been weaned to standard nasal cannula -no heart failure complaints at present; appears to be relatively euvolemic Acute hypoxic respiratory failure 2/2 CHF and COVID 19  - weaned to nasal cannula - CHF less likely the primary culprit; hypoxia now likely 2/2 COVID   Care Management Note 12/18/2021: SAR recommended Talked with pt and she wants referral to facility Will follow up with facility as they said to check back then. Pts drain still in and IR managing. Pt down to 02 at 4 liters now.  Pts covid isolation to end day 10 is 12/22/21.  cannot to go this SAR unless out of isolation.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus - I have developed tinnitus in my left ear.  It started off as a beeping  - at first I thought that something electrical was causing it.  Then it transformed into something that sounds like a cicada, or a shaker, something rattling at a very fast pace.  That sound is constant.  It is always there.  Sometimes I also hear popping and beeping.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: NO ADVERSE EVENT, PATIENT RECEIVED 3RD DOSE OUT OF PROTICOL TIME FRAME (4 MONTHS VS 6 MONTHS)
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: none
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATINT INNAPROPRIATELY RECEIVED BOOSTER DOSE OF PFIZER VACCINE WHEN IT HAS YET TO BE APRPOVED TO BELOW 16YEAR OLD.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Disorientation, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Administered vaccination. Had patient wait with her father in vaccination area. Approximately 1 minute father approached saying daughter did not feel well. I observed patient who appeared white, sweaty and agitated/slight disorientation. I had her put head between legs, as she would not lay down. She sipped Gatorade  but felt nauseated and eventually vomited. I called 911. EMT examined patient who was beginning to feel better. EMT offered to take patient to hospital via ambulance. Patient and family declined saying she felt better. EMT also said parents could follow-up to ER or PMD as needed. Family/patient declined-said she felt better.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Vomiting
Clinical narrative: Administered vaccination. Had patient wait with her father in vaccination area. Approximately 1 minute father approached saying daughter did not feel well. I observed patient who appeared white, sweaty and agitated/slight disorientation. I had her put head between legs, as she would not lay down. She sipped Gatorade  but felt nauseated and eventually vomited. I called 911. EMT examined patient who was beginning to feel better. EMT offered to take patient to hospital via ambulance. Patient and family declined saying she felt better. EMT also said parents could follow-up to ER or PMD as needed. Family/patient declined-said she felt better.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Nausea, vomiting, headache, fever, chills, severe muscle and joint pain
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, headache, fever, chills, severe muscle and joint pain
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: fully vaccinated, covid related death
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Acute left ventricular failure, Anticoagulant therapy, Atrial fibrillation, Bacterial test
Clinical narrative: EKG showed LBBB and concern for STEMI precipitating transfer here to UIHC. She was taken to the cath lab which showed non obstructive CAD but noted afib with RVR.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Bundle branch block left, Catheterisation cardiac abnormal, Chest X-ray abnormal, Chest pain, Condition aggravated
Clinical narrative: EKG showed LBBB and concern for STEMI precipitating transfer here to UIHC. She was taken to the cath lab which showed non obstructive CAD but noted afib with RVR.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Coronary artery disease, Culture urine, Cystitis, Dysuria, Echocardiogram normal
Clinical narrative: EKG showed LBBB and concern for STEMI precipitating transfer here to UIHC. She was taken to the cath lab which showed non obstructive CAD but noted afib with RVR.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Hypertension, Hypervolaemia, Nitrite urine absent, Respiratory failure
Clinical narrative: EKG showed LBBB and concern for STEMI precipitating transfer here to UIHC. She was taken to the cath lab which showed non obstructive CAD but noted afib with RVR.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test normal, Urine leukocyte esterase positive, White blood cells urine positive
Clinical narrative: EKG showed LBBB and concern for STEMI precipitating transfer here to UIHC. She was taken to the cath lab which showed non obstructive CAD but noted afib with RVR.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Mechanical urticaria, Urticaria
Clinical narrative: Severe hives that were intolerable. At urgent care on 12/8 they gave her a shot of steroids. The hives did not go away and she went to a dermatologist on 12/16 who prescribed Medrol but didn't have any insight into what caused the hives. She went to her primary care physician on 12/17 who suggested it was Dermatographic hives and that she see an immunologist. That is scheduled for next week.
Age: 17.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Flublok inadvertently administered to 17 year old patient, only licensed for 18 and above. No adverse symptoms noted immediately after administration. Parent notified. No additional action taken.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Diarrhoea, Fatigue, Lethargy
Clinical narrative: Extreme: Nausea, Vomiting, Fatigue/Lethargy, Stomach Pain Moderate: Diarrhea, Muscle/Body Aches, Joint Pain
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Vomiting
Clinical narrative: Extreme: Nausea, Vomiting, Fatigue/Lethargy, Stomach Pain Moderate: Diarrhea, Muscle/Body Aches, Joint Pain
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Influenza virus test negative
Clinical narrative: Individual symptomatic with fatigue on 12/15/21 and sore throat, cough, body aches, HA, and n/v since 12/16/21. Went to local ED and tested negative for flu and positive for Covid on 12/18/21. Currently, in isolation for 10 days. She participated in the (PRIVACY) study and would like the antibody test done after isolation period ends.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Pain, Patient isolation, SARS-CoV-2 test positive
Clinical narrative: Individual symptomatic with fatigue on 12/15/21 and sore throat, cough, body aches, HA, and n/v since 12/16/21. Went to local ED and tested negative for flu and positive for Covid on 12/18/21. Currently, in isolation for 10 days. She participated in the (PRIVACY) study and would like the antibody test done after isolation period ends.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Chills, Dizziness, Dysgeusia, Flushing
Clinical narrative: After 1st shot: Significant Pain in arm to the point of it being immobile.  After 2nd shot: Waited the 15 minute observation time, got in car, drove about 10 minutes, whole body flush, metallic taste in the mouth, became unsteady feeling and woozy, then was in bed for 2 days with fever/ chills flu-like symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Injected limb mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: After 1st shot: Significant Pain in arm to the point of it being immobile.  After 2nd shot: Waited the 15 minute observation time, got in car, drove about 10 minutes, whole body flush, metallic taste in the mouth, became unsteady feeling and woozy, then was in bed for 2 days with fever/ chills flu-like symptoms.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest pain, Cough, Electrocardiogram, Headache
Clinical narrative: Pain in chest, shaking, blood pressure up, head ache, cough and congestion
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Tremor
Clinical narrative: Pain in chest, shaking, blood pressure up, head ache, cough and congestion
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient c/o of dizziness after receiving her booster shot. RN took vitals 98% spo2, HR 78, BP 136/80. Patient states that she went yesterday for Diabetic screening blood work due to a recent urine test that showed excess sugar. She has not other chronic conditions currently and is still waiting for the blood work results. She last ate half of a chorizo burrito around 10 am. @ 1425 RN gave her some water and patient reported that she was feeling better. RN provided education about Diabetic eating, maintaining blood sugars. Patient was feeling good when she left with her spouse at 1433.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Thrombosis
Clinical narrative: PATIENT REPORTED TODAY THAT HE WAS ADMITTED TO HOSPITAL 12/10-12/12/21 FOR LEFT LEG BLOOD CLOT AND PULMONAY EMBOLISM POSSIBLY CONNECTED TO COVID VACCINE. HE PRESENTED VISIT VERIFICATION PAPERWORK  STATING THAT. WORKUP IS CURRENTLY ONGOING FOR OTHER CAUSES OR RISK FACTORS FOR BLOOD CLOTS. UNTIL WORKUP IS COMPLETE AND REVIEWED BY OUTPATIENT PRIMARY CARE PHYSICIAN, WOULD RECOMMEND PATIENT DEFER FURTHER COVID VACCINATION UNTIL WORKUP IS COMPLETE
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with Shingles just over two weeks after COVID booster shot
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Patient complained of sore injection site one month after vaccination. She mentioned any soreness is unusual for her.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site and surrounding 3 inches of skin became hot, red, and swollen 24 hours after injection. Swelling increased for 12 hours and decreased over the course of 7 days. Site is still noticeably pinker now (3 weeks after injection)