chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia
Clinical narrative: J&J Dose 4/7/21 (043A21A) COVID Positive 4/29/21 Deceased 5/2/21  4/30/21: Patient is a 43-year-old female transferred from emergency room, case present by a worker.  The patient had Johnson and Johnson vaccine taken for COVID-19 on April 7. Subsequently, for the last week or so, patient started to develop shortness of breath and weakness.  Patient had CT chest done with contrast on April 27, which showed patchy ground-glass opacities bilaterally suggestive of viral infection. Patient was told that she was COVID positive yesterday. Because of the patient's worsening symptoms, the patient went to the emergency room today. Prior to this, patient was on prednisone and doxycycline as well.  In the emergency room , patient was noted to be quite hypoxic.  The patient was placed on nonrebreather mask.  Labs showed a creatinine of 1.31; glucose of 411; white cell count of 18.3; potassium of 3.4; CRP of 29.7.  The patient is being transferred over here for subsequent evaluation.  Pulmonary was consulted.  On patient's interview, patient wants to be a DNR.  5/2/21: Patient was admitted on the 30th, transferred from  emergency room with acute hypoxic respiratory failure, COVID-19 pneumonia.  The patient initially wants to be DNR, does not want to be intubated, wants only medical treatment. The patient was started on BiPAP Optiflow followed by Pulmonary/Critical Care.  Patient was on IV remdesivir, on steroids.  Also on empiric levofloxacin.  Patient continued to be hypoxic. Repeated discussions were made with the patient about intubation.  Patient continues to decline intubation and wants to be a full DNR.  Subsequently, the patient's stated that to intubate her as a last ditch effort in case if she becomes severely hypoxic and if other interventions did not help.  This morning patient was severely hypoxic even with 100% FiO2 on Optiflow and BiPAP. The patient failed noninvasive ventilation, so plan was made to go ahead to intubate the patient.  Patient was intubated by anesthesiologist this morning.  Patient remained unstable, was hypoxic, even on vent.  So decision was made to transfer the patient for higher level of care for possible ECMO treatment.  Case was discussed with intensivist fellow at the hospital, who accepted the transfer. MedForce was called for the transfer.  Unfortunately, after disconnecting patient from our went in the ICU, the patient became more hypoxic, tachycardic and eventually lost her pulse.  CPR was started.  Discussions were made with the patient's husband on the phone, as patient wants to be a DNR. Eventually husband agreed for DNR as well.  Patient did not regain her pulse.  So, patient was pronounced expired today.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Bilevel positive airway pressure, Blood creatinine increased, Blood glucose increased
Clinical narrative: J&J Dose 4/7/21 (043A21A) COVID Positive 4/29/21 Deceased 5/2/21  4/30/21: Patient is a 43-year-old female transferred from emergency room, case present by a worker.  The patient had Johnson and Johnson vaccine taken for COVID-19 on April 7. Subsequently, for the last week or so, patient started to develop shortness of breath and weakness.  Patient had CT chest done with contrast on April 27, which showed patchy ground-glass opacities bilaterally suggestive of viral infection. Patient was told that she was COVID positive yesterday. Because of the patient's worsening symptoms, the patient went to the emergency room today. Prior to this, patient was on prednisone and doxycycline as well.  In the emergency room , patient was noted to be quite hypoxic.  The patient was placed on nonrebreather mask.  Labs showed a creatinine of 1.31; glucose of 411; white cell count of 18.3; potassium of 3.4; CRP of 29.7.  The patient is being transferred over here for subsequent evaluation.  Pulmonary was consulted.  On patient's interview, patient wants to be a DNR.  5/2/21: Patient was admitted on the 30th, transferred from  emergency room with acute hypoxic respiratory failure, COVID-19 pneumonia.  The patient initially wants to be DNR, does not want to be intubated, wants only medical treatment. The patient was started on BiPAP Optiflow followed by Pulmonary/Critical Care.  Patient was on IV remdesivir, on steroids.  Also on empiric levofloxacin.  Patient continued to be hypoxic. Repeated discussions were made with the patient about intubation.  Patient continues to decline intubation and wants to be a full DNR.  Subsequently, the patient's stated that to intubate her as a last ditch effort in case if she becomes severely hypoxic and if other interventions did not help.  This morning patient was severely hypoxic even with 100% FiO2 on Optiflow and BiPAP. The patient failed noninvasive ventilation, so plan was made to go ahead to intubate the patient.  Patient was intubated by anesthesiologist this morning.  Patient remained unstable, was hypoxic, even on vent.  So decision was made to transfer the patient for higher level of care for possible ECMO treatment.  Case was discussed with intensivist fellow at the hospital, who accepted the transfer. MedForce was called for the transfer.  Unfortunately, after disconnecting patient from our went in the ICU, the patient became more hypoxic, tachycardic and eventually lost her pulse.  CPR was started.  Discussions were made with the patient's husband on the phone, as patient wants to be a DNR. Eventually husband agreed for DNR as well.  Patient did not regain her pulse.  So, patient was pronounced expired today.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium decreased, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal
Clinical narrative: J&J Dose 4/7/21 (043A21A) COVID Positive 4/29/21 Deceased 5/2/21  4/30/21: Patient is a 43-year-old female transferred from emergency room, case present by a worker.  The patient had Johnson and Johnson vaccine taken for COVID-19 on April 7. Subsequently, for the last week or so, patient started to develop shortness of breath and weakness.  Patient had CT chest done with contrast on April 27, which showed patchy ground-glass opacities bilaterally suggestive of viral infection. Patient was told that she was COVID positive yesterday. Because of the patient's worsening symptoms, the patient went to the emergency room today. Prior to this, patient was on prednisone and doxycycline as well.  In the emergency room , patient was noted to be quite hypoxic.  The patient was placed on nonrebreather mask.  Labs showed a creatinine of 1.31; glucose of 411; white cell count of 18.3; potassium of 3.4; CRP of 29.7.  The patient is being transferred over here for subsequent evaluation.  Pulmonary was consulted.  On patient's interview, patient wants to be a DNR.  5/2/21: Patient was admitted on the 30th, transferred from  emergency room with acute hypoxic respiratory failure, COVID-19 pneumonia.  The patient initially wants to be DNR, does not want to be intubated, wants only medical treatment. The patient was started on BiPAP Optiflow followed by Pulmonary/Critical Care.  Patient was on IV remdesivir, on steroids.  Also on empiric levofloxacin.  Patient continued to be hypoxic. Repeated discussions were made with the patient about intubation.  Patient continues to decline intubation and wants to be a full DNR.  Subsequently, the patient's stated that to intubate her as a last ditch effort in case if she becomes severely hypoxic and if other interventions did not help.  This morning patient was severely hypoxic even with 100% FiO2 on Optiflow and BiPAP. The patient failed noninvasive ventilation, so plan was made to go ahead to intubate the patient.  Patient was intubated by anesthesiologist this morning.  Patient remained unstable, was hypoxic, even on vent.  So decision was made to transfer the patient for higher level of care for possible ECMO treatment.  Case was discussed with intensivist fellow at the hospital, who accepted the transfer. MedForce was called for the transfer.  Unfortunately, after disconnecting patient from our went in the ICU, the patient became more hypoxic, tachycardic and eventually lost her pulse.  CPR was started.  Discussions were made with the patient's husband on the phone, as patient wants to be a DNR. Eventually husband agreed for DNR as well.  Patient did not regain her pulse.  So, patient was pronounced expired today.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Fraction of inspired oxygen, Hypoxia
Clinical narrative: J&J Dose 4/7/21 (043A21A) COVID Positive 4/29/21 Deceased 5/2/21  4/30/21: Patient is a 43-year-old female transferred from emergency room, case present by a worker.  The patient had Johnson and Johnson vaccine taken for COVID-19 on April 7. Subsequently, for the last week or so, patient started to develop shortness of breath and weakness.  Patient had CT chest done with contrast on April 27, which showed patchy ground-glass opacities bilaterally suggestive of viral infection. Patient was told that she was COVID positive yesterday. Because of the patient's worsening symptoms, the patient went to the emergency room today. Prior to this, patient was on prednisone and doxycycline as well.  In the emergency room , patient was noted to be quite hypoxic.  The patient was placed on nonrebreather mask.  Labs showed a creatinine of 1.31; glucose of 411; white cell count of 18.3; potassium of 3.4; CRP of 29.7.  The patient is being transferred over here for subsequent evaluation.  Pulmonary was consulted.  On patient's interview, patient wants to be a DNR.  5/2/21: Patient was admitted on the 30th, transferred from  emergency room with acute hypoxic respiratory failure, COVID-19 pneumonia.  The patient initially wants to be DNR, does not want to be intubated, wants only medical treatment. The patient was started on BiPAP Optiflow followed by Pulmonary/Critical Care.  Patient was on IV remdesivir, on steroids.  Also on empiric levofloxacin.  Patient continued to be hypoxic. Repeated discussions were made with the patient about intubation.  Patient continues to decline intubation and wants to be a full DNR.  Subsequently, the patient's stated that to intubate her as a last ditch effort in case if she becomes severely hypoxic and if other interventions did not help.  This morning patient was severely hypoxic even with 100% FiO2 on Optiflow and BiPAP. The patient failed noninvasive ventilation, so plan was made to go ahead to intubate the patient.  Patient was intubated by anesthesiologist this morning.  Patient remained unstable, was hypoxic, even on vent.  So decision was made to transfer the patient for higher level of care for possible ECMO treatment.  Case was discussed with intensivist fellow at the hospital, who accepted the transfer. MedForce was called for the transfer.  Unfortunately, after disconnecting patient from our went in the ICU, the patient became more hypoxic, tachycardic and eventually lost her pulse.  CPR was started.  Discussions were made with the patient's husband on the phone, as patient wants to be a DNR. Eventually husband agreed for DNR as well.  Patient did not regain her pulse.  So, patient was pronounced expired today.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Lung opacity, Mechanical ventilation, Pulse absent, Respiratory tract infection viral
Clinical narrative: J&J Dose 4/7/21 (043A21A) COVID Positive 4/29/21 Deceased 5/2/21  4/30/21: Patient is a 43-year-old female transferred from emergency room, case present by a worker.  The patient had Johnson and Johnson vaccine taken for COVID-19 on April 7. Subsequently, for the last week or so, patient started to develop shortness of breath and weakness.  Patient had CT chest done with contrast on April 27, which showed patchy ground-glass opacities bilaterally suggestive of viral infection. Patient was told that she was COVID positive yesterday. Because of the patient's worsening symptoms, the patient went to the emergency room today. Prior to this, patient was on prednisone and doxycycline as well.  In the emergency room , patient was noted to be quite hypoxic.  The patient was placed on nonrebreather mask.  Labs showed a creatinine of 1.31; glucose of 411; white cell count of 18.3; potassium of 3.4; CRP of 29.7.  The patient is being transferred over here for subsequent evaluation.  Pulmonary was consulted.  On patient's interview, patient wants to be a DNR.  5/2/21: Patient was admitted on the 30th, transferred from  emergency room with acute hypoxic respiratory failure, COVID-19 pneumonia.  The patient initially wants to be DNR, does not want to be intubated, wants only medical treatment. The patient was started on BiPAP Optiflow followed by Pulmonary/Critical Care.  Patient was on IV remdesivir, on steroids.  Also on empiric levofloxacin.  Patient continued to be hypoxic. Repeated discussions were made with the patient about intubation.  Patient continues to decline intubation and wants to be a full DNR.  Subsequently, the patient's stated that to intubate her as a last ditch effort in case if she becomes severely hypoxic and if other interventions did not help.  This morning patient was severely hypoxic even with 100% FiO2 on Optiflow and BiPAP. The patient failed noninvasive ventilation, so plan was made to go ahead to intubate the patient.  Patient was intubated by anesthesiologist this morning.  Patient remained unstable, was hypoxic, even on vent.  So decision was made to transfer the patient for higher level of care for possible ECMO treatment.  Case was discussed with intensivist fellow at the hospital, who accepted the transfer. MedForce was called for the transfer.  Unfortunately, after disconnecting patient from our went in the ICU, the patient became more hypoxic, tachycardic and eventually lost her pulse.  CPR was started.  Discussions were made with the patient's husband on the phone, as patient wants to be a DNR. Eventually husband agreed for DNR as well.  Patient did not regain her pulse.  So, patient was pronounced expired today.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Scan with contrast abnormal, Tachycardia, White blood cell count increased
Clinical narrative: J&J Dose 4/7/21 (043A21A) COVID Positive 4/29/21 Deceased 5/2/21  4/30/21: Patient is a 43-year-old female transferred from emergency room, case present by a worker.  The patient had Johnson and Johnson vaccine taken for COVID-19 on April 7. Subsequently, for the last week or so, patient started to develop shortness of breath and weakness.  Patient had CT chest done with contrast on April 27, which showed patchy ground-glass opacities bilaterally suggestive of viral infection. Patient was told that she was COVID positive yesterday. Because of the patient's worsening symptoms, the patient went to the emergency room today. Prior to this, patient was on prednisone and doxycycline as well.  In the emergency room , patient was noted to be quite hypoxic.  The patient was placed on nonrebreather mask.  Labs showed a creatinine of 1.31; glucose of 411; white cell count of 18.3; potassium of 3.4; CRP of 29.7.  The patient is being transferred over here for subsequent evaluation.  Pulmonary was consulted.  On patient's interview, patient wants to be a DNR.  5/2/21: Patient was admitted on the 30th, transferred from  emergency room with acute hypoxic respiratory failure, COVID-19 pneumonia.  The patient initially wants to be DNR, does not want to be intubated, wants only medical treatment. The patient was started on BiPAP Optiflow followed by Pulmonary/Critical Care.  Patient was on IV remdesivir, on steroids.  Also on empiric levofloxacin.  Patient continued to be hypoxic. Repeated discussions were made with the patient about intubation.  Patient continues to decline intubation and wants to be a full DNR.  Subsequently, the patient's stated that to intubate her as a last ditch effort in case if she becomes severely hypoxic and if other interventions did not help.  This morning patient was severely hypoxic even with 100% FiO2 on Optiflow and BiPAP. The patient failed noninvasive ventilation, so plan was made to go ahead to intubate the patient.  Patient was intubated by anesthesiologist this morning.  Patient remained unstable, was hypoxic, even on vent.  So decision was made to transfer the patient for higher level of care for possible ECMO treatment.  Case was discussed with intensivist fellow at the hospital, who accepted the transfer. MedForce was called for the transfer.  Unfortunately, after disconnecting patient from our went in the ICU, the patient became more hypoxic, tachycardic and eventually lost her pulse.  CPR was started.  Discussions were made with the patient's husband on the phone, as patient wants to be a DNR. Eventually husband agreed for DNR as well.  Patient did not regain her pulse.  So, patient was pronounced expired today.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: Patient c/o feeling throat tightening and had difficulty breathing and chest tightness.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Pharyngeal paraesthesia, Urine analysis
Clinical narrative: Patient c/o feeling throat tightening and had difficulty breathing and chest tightness.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Throat tightness
Clinical narrative: Patient c/o feeling throat tightening and had difficulty breathing and chest tightness.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Headache, Heart rate increased, Heart rate irregular, Palpitations
Clinical narrative: Palpitations, Headache on afternoon of vaccine, next day to urgent care Rapid Afib -> hospital 4/30/21 to 5/2/21
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Headache, Palpitations
Clinical narrative: Palpitations, Headache on afternoon of vaccine, next day to urgent care Rapid Afib -> hospital 4/30/21 to 5/2/21
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Dizziness, Fall, Loss of consciousness, Syncope
Clinical narrative: a few minutes after receiving the vaccine the patient passed out and fell from his chair to the floor. in falling he hit his face on the floor breaking his glasses at the bridge of his nose and cutting that area. he also had an abrasion on his forehead from the carpeting and also chipped a lower tooth. we gave him water, he refused crackers, he did not want us to call an ambulance. he was unconscious for less than 60 seconds and came too quickly and was out of sorts for a few minutes. his mom came to pick him up and said she would take him to an urgent care.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: a few minutes after receiving the vaccine the patient passed out and fell from his chair to the floor. in falling he hit his face on the floor breaking his glasses at the bridge of his nose and cutting that area. he also had an abrasion on his forehead from the carpeting and also chipped a lower tooth. we gave him water, he refused crackers, he did not want us to call an ambulance. he was unconscious for less than 60 seconds and came too quickly and was out of sorts for a few minutes. his mom came to pick him up and said she would take him to an urgent care.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Face injury, Fall, Loss of consciousness, Skin abrasion, Tooth fracture
Clinical narrative: a few minutes after receiving the vaccine the patient passed out and fell from his chair to the floor. in falling he hit his face on the floor breaking his glasses at the bridge of his nose and cutting that area. he also had an abrasion on his forehead from the carpeting and also chipped a lower tooth. we gave him water, he refused crackers, he did not want us to call an ambulance. he was unconscious for less than 60 seconds and came too quickly and was out of sorts for a few minutes. his mom came to pick him up and said she would take him to an urgent care.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Chills, Coccidioidomycosis, Cough, Dyspnoea
Clinical narrative: 3/22 headache, chills  3/23 severe chills, headache, fever 101.48 (went to UrgentCare diagnosed as a side effect from the vaccine)  3/24, 25 chills, high fever around 101.4, slight dry cough, fatigue  3/25 went back to UrgentCare (rapid covid test>Negative)  3/25 - 4/1 high fever, fatigue, the cough got worsen, chest soreness  4/1 Vist doctor's office took Xray found pneumonia on a lung (steroid shot, prescribed med)  4/8 Visited doctor's office & Xray Xray did not show anything, and I felt better, but I suddenly got worsen with a high fever and coughs in the afternoon.  4/10 fever around 103.28 for a couple of days, a terrible headache, coughs chest pain.   (Went to ER: EKG, Blood tests, Xray, CTScan, Urine test, PCR test, Steroid shot, Breathing treatment, IV treatments, med for Valley Fever) They found pneumonia in both lungs and possible Valley fever.    I have been taking meds for Valley fever and able to take a second covid shot on 5/12.  53 days after the 1st shot.   I hope efficacy is high enough to go out without a mask safely. I am interested in voluntary check the efficacy if that helps with research.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Pneumonia, Pyrexia, SARS-CoV-2 test
Clinical narrative: 3/22 headache, chills  3/23 severe chills, headache, fever 101.48 (went to UrgentCare diagnosed as a side effect from the vaccine)  3/24, 25 chills, high fever around 101.4, slight dry cough, fatigue  3/25 went back to UrgentCare (rapid covid test>Negative)  3/25 - 4/1 high fever, fatigue, the cough got worsen, chest soreness  4/1 Vist doctor's office took Xray found pneumonia on a lung (steroid shot, prescribed med)  4/8 Visited doctor's office & Xray Xray did not show anything, and I felt better, but I suddenly got worsen with a high fever and coughs in the afternoon.  4/10 fever around 103.28 for a couple of days, a terrible headache, coughs chest pain.   (Went to ER: EKG, Blood tests, Xray, CTScan, Urine test, PCR test, Steroid shot, Breathing treatment, IV treatments, med for Valley Fever) They found pneumonia in both lungs and possible Valley fever.    I have been taking meds for Valley fever and able to take a second covid shot on 5/12.  53 days after the 1st shot.   I hope efficacy is high enough to go out without a mask safely. I am interested in voluntary check the efficacy if that helps with research.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray abnormal, Chest pain, Chills, Computerised tomogram
Clinical narrative: 3/22 headache, chills  3/23 severe chills, headache, fever 101.48 (went to UrgentCare diagnosed as a side effect from the vaccine)  3/24, 25 chills, high fever around 101.4, slight dry cough, fatigue  3/25 went back to UrgentCare (rapid covid test>Negative)  3/25 - 4/1 high fever, fatigue, the cough got worsen, chest soreness  4/1 Vist doctor's office took Xray found pneumonia on a lung (steroid shot, prescribed med)  4/8 Visited doctor's office & Xray Xray did not show anything, and I felt better, but I suddenly got worsen with a high fever and coughs in the afternoon.  4/10 fever around 103.28 for a couple of days, a terrible headache, coughs chest pain.   (Went to ER: EKG, Blood tests, Xray, CTScan, Urine test, PCR test, Steroid shot, Breathing treatment, IV treatments, med for Valley Fever) They found pneumonia in both lungs and possible Valley fever.    I have been taking meds for Valley fever and able to take a second covid shot on 5/12.  53 days after the 1st shot.   I hope efficacy is high enough to go out without a mask safely. I am interested in voluntary check the efficacy if that helps with research.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Electrocardiogram, Fatigue, Headache, Pneumonia
Clinical narrative: 3/22 headache, chills  3/23 severe chills, headache, fever 101.48 (went to UrgentCare diagnosed as a side effect from the vaccine)  3/24, 25 chills, high fever around 101.4, slight dry cough, fatigue  3/25 went back to UrgentCare (rapid covid test>Negative)  3/25 - 4/1 high fever, fatigue, the cough got worsen, chest soreness  4/1 Vist doctor's office took Xray found pneumonia on a lung (steroid shot, prescribed med)  4/8 Visited doctor's office & Xray Xray did not show anything, and I felt better, but I suddenly got worsen with a high fever and coughs in the afternoon.  4/10 fever around 103.28 for a couple of days, a terrible headache, coughs chest pain.   (Went to ER: EKG, Blood tests, Xray, CTScan, Urine test, PCR test, Steroid shot, Breathing treatment, IV treatments, med for Valley Fever) They found pneumonia in both lungs and possible Valley fever.    I have been taking meds for Valley fever and able to take a second covid shot on 5/12.  53 days after the 1st shot.   I hope efficacy is high enough to go out without a mask safely. I am interested in voluntary check the efficacy if that helps with research.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Urine analysis
Clinical narrative: 3/22 headache, chills  3/23 severe chills, headache, fever 101.48 (went to UrgentCare diagnosed as a side effect from the vaccine)  3/24, 25 chills, high fever around 101.4, slight dry cough, fatigue  3/25 went back to UrgentCare (rapid covid test>Negative)  3/25 - 4/1 high fever, fatigue, the cough got worsen, chest soreness  4/1 Vist doctor's office took Xray found pneumonia on a lung (steroid shot, prescribed med)  4/8 Visited doctor's office & Xray Xray did not show anything, and I felt better, but I suddenly got worsen with a high fever and coughs in the afternoon.  4/10 fever around 103.28 for a couple of days, a terrible headache, coughs chest pain.   (Went to ER: EKG, Blood tests, Xray, CTScan, Urine test, PCR test, Steroid shot, Breathing treatment, IV treatments, med for Valley Fever) They found pneumonia in both lungs and possible Valley fever.    I have been taking meds for Valley fever and able to take a second covid shot on 5/12.  53 days after the 1st shot.   I hope efficacy is high enough to go out without a mask safely. I am interested in voluntary check the efficacy if that helps with research.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Dizziness, Dry skin, Gait disturbance, Headache
Clinical narrative: Nauseas and knee numbness at the side after approximately 20 minutes. At the moment of trying to get up like bump on my head and huge headache like number 10 and dizziness.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Pallor, Photophobia, Skin warm
Clinical narrative: Nauseas and knee numbness at the side after approximately 20 minutes. At the moment of trying to get up like bump on my head and huge headache like number 10 and dizziness.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Dizziness, Headache, Hypoaesthesia, Nausea
Clinical narrative: Nauseas and knee numbness at the side after approximately 20 minutes. At the moment of trying to get up like bump on my head and huge headache like number 10 and dizziness.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Hypoaesthesia
Clinical narrative: Facial paralysis/Bell's Palsy
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Facial paralysis/Bell's Palsy
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase increased, Body temperature increased, C-reactive protein increased, Chest pain, Echocardiogram
Clinical narrative: Patient had fever 103.2, myalgia,  fatigue, then developed myocarditis after those post vaccine symptoms subsided.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Electrocardiogram ST segment elevation, Left ventricular dysfunction, Magnetic resonance imaging abnormal
Clinical narrative: Patient had fever 103.2, myalgia,  fatigue, then developed myocarditis after those post vaccine symptoms subsided.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Malaise, Myocarditis, Troponin increased, Ventricular hypokinesia
Clinical narrative: Patient had fever 103.2, myalgia,  fatigue, then developed myocarditis after those post vaccine symptoms subsided.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Blood test, Echocardiogram, Fatigue, Magnetic resonance imaging
Clinical narrative: Patient had fever 103.2, myalgia,  fatigue, then developed myocarditis after those post vaccine symptoms subsided.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Myocarditis, Pyrexia
Clinical narrative: Patient had fever 103.2, myalgia,  fatigue, then developed myocarditis after those post vaccine symptoms subsided.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal tenderness, Adenovirus test, Angiogram pulmonary normal, Brain natriuretic peptide increased, C-reactive protein increased
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Coagulation test normal, Cytomegalovirus test, Dizziness, Dyspnoea
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Epstein-Barr virus test, Fatigue
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer increased, Headache, Immunoglobulin therapy, Intensive care, Magnetic resonance imaging heart
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocardial oedema, Myocarditis, Nausea, Painful respiration, Pericarditis
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin normal, Pyrexia, Red blood cell sedimentation rate normal, Respiratory tract congestion, Respiratory viral panel
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.