chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nephrolithiasis, Oesophageal dilatation, Respiratory acidosis, Respiratory failure, Speech disorder
Clinical narrative: Patient is a 57yF w/ PMHx of asthma, OSA with CPAP, CAD status post stent, and bipolar disorder presenting with acute onset SOB.  At time of my exam, patient intubated and sedated, unable to provide history.  History obtained per chart review and discussion with patient's daughter.  She reports that patient's husband called daughter whenever patient began to develop difficulty speaking due to SOB.  Daughter then instructed patient's husband to call EMS.  On 1st responder arrival patient was noted to be significantly dyspneic, lip cyanosis noted, responding in 1 to 2 word phrases only.  Reportedly AOx2 at that time.  Patient was also noted to be diaphoretic, without nausea.  EKG with NSR.  Patient was given albute albuterol and Atrovent via non-rebreather mask, and transported to ED. Daughter reports that patient is generally AOx4, but that she "has the mental status of a 12 year old, and won't get any older than that." Denies any diagnosis associated with this.  Patient has been vaccinated for COVID, no known positive contacts.   DISCHARGE: Admitting diagnoses:  History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis, acute encephalopathy, acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Discharge diagnoses: History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis,  acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Consulting physician:  Pulmonology Primary care physician Community Clinic  Procedures and Diagnostics: CTA of the chest per PE protocol 02/04/2022:  IMPRESSION: NO EVIDENCE FOR PULMONARY EMBOLISM. ATHEROSCLEROSIS INCLUDING CORONARY ARTERY DISEASE. SMALL CALIBER TRACHEA AND MAINSTEM BRONCHI, SUGGESTIVE OF TRACHEOBRONCHOMALACIA.  CORRELATION FOR POTENTIALLY RELATED SYMPTOMS RECOMMENDED. MILD, CENTRAL GROUND-GLASS CHANGES IN EACH LUNG ARE NONSPECIFIC AND FAVORED TO BE SECONDARY TO LOW LUNG VOLUMES AT THE TIME OF THE EXAMINATION.  MILD BRONCHIOLITIS IS ALSO POSSIBLE. MILDLY DILATED UPPER THORACIC AND LOWER CERVICAL ESOPHAGUS WITH AN AIR-FLUID LEVEL, LIKELY GASTROESOPHAGEAL REFLUX. INCIDENTAL, NONOBSTRUCTING LEFT NEPHROLITHIASIS.  THE FINAL REPORT IS CONCORDANT WITH THE PRELIMINARY VRAD REPORT.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Tracheomalacia
Clinical narrative: Patient is a 57yF w/ PMHx of asthma, OSA with CPAP, CAD status post stent, and bipolar disorder presenting with acute onset SOB.  At time of my exam, patient intubated and sedated, unable to provide history.  History obtained per chart review and discussion with patient's daughter.  She reports that patient's husband called daughter whenever patient began to develop difficulty speaking due to SOB.  Daughter then instructed patient's husband to call EMS.  On 1st responder arrival patient was noted to be significantly dyspneic, lip cyanosis noted, responding in 1 to 2 word phrases only.  Reportedly AOx2 at that time.  Patient was also noted to be diaphoretic, without nausea.  EKG with NSR.  Patient was given albute albuterol and Atrovent via non-rebreather mask, and transported to ED. Daughter reports that patient is generally AOx4, but that she "has the mental status of a 12 year old, and won't get any older than that." Denies any diagnosis associated with this.  Patient has been vaccinated for COVID, no known positive contacts.   DISCHARGE: Admitting diagnoses:  History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis, acute encephalopathy, acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Discharge diagnoses: History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis,  acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Consulting physician:  Pulmonology Primary care physician Community Clinic  Procedures and Diagnostics: CTA of the chest per PE protocol 02/04/2022:  IMPRESSION: NO EVIDENCE FOR PULMONARY EMBOLISM. ATHEROSCLEROSIS INCLUDING CORONARY ARTERY DISEASE. SMALL CALIBER TRACHEA AND MAINSTEM BRONCHI, SUGGESTIVE OF TRACHEOBRONCHOMALACIA.  CORRELATION FOR POTENTIALLY RELATED SYMPTOMS RECOMMENDED. MILD, CENTRAL GROUND-GLASS CHANGES IN EACH LUNG ARE NONSPECIFIC AND FAVORED TO BE SECONDARY TO LOW LUNG VOLUMES AT THE TIME OF THE EXAMINATION.  MILD BRONCHIOLITIS IS ALSO POSSIBLE. MILDLY DILATED UPPER THORACIC AND LOWER CERVICAL ESOPHAGUS WITH AN AIR-FLUID LEVEL, LIKELY GASTROESOPHAGEAL REFLUX. INCIDENTAL, NONOBSTRUCTING LEFT NEPHROLITHIASIS.  THE FINAL REPORT IS CONCORDANT WITH THE PRELIMINARY VRAD REPORT.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Aphasia, Arteriosclerosis, Breath sounds abnormal, Cyanosis
Clinical narrative: Patient is a 57yF w/ PMHx of asthma, OSA with CPAP, CAD status post stent, and bipolar disorder presenting with acute onset SOB.  At time of my exam, patient intubated and sedated, unable to provide history.  History obtained per chart review and discussion with patient's daughter.  She reports that patient's husband called daughter whenever patient began to develop difficulty speaking due to SOB.  Daughter then instructed patient's husband to call EMS.  On 1st responder arrival patient was noted to be significantly dyspneic, lip cyanosis noted, responding in 1 to 2 word phrases only.  Reportedly AOx2 at that time.  Patient was also noted to be diaphoretic, without nausea.  EKG with NSR.  Patient was given albute albuterol and Atrovent via non-rebreather mask, and transported to ED. Daughter reports that patient is generally AOx4, but that she "has the mental status of a 12 year old, and won't get any older than that." Denies any diagnosis associated with this.  Patient has been vaccinated for COVID, no known positive contacts.   DISCHARGE: Admitting diagnoses:  History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis, acute encephalopathy, acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Discharge diagnoses: History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis,  acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Consulting physician:  Pulmonology Primary care physician Community Clinic  Procedures and Diagnostics: CTA of the chest per PE protocol 02/04/2022:  IMPRESSION: NO EVIDENCE FOR PULMONARY EMBOLISM. ATHEROSCLEROSIS INCLUDING CORONARY ARTERY DISEASE. SMALL CALIBER TRACHEA AND MAINSTEM BRONCHI, SUGGESTIVE OF TRACHEOBRONCHOMALACIA.  CORRELATION FOR POTENTIALLY RELATED SYMPTOMS RECOMMENDED. MILD, CENTRAL GROUND-GLASS CHANGES IN EACH LUNG ARE NONSPECIFIC AND FAVORED TO BE SECONDARY TO LOW LUNG VOLUMES AT THE TIME OF THE EXAMINATION.  MILD BRONCHIOLITIS IS ALSO POSSIBLE. MILDLY DILATED UPPER THORACIC AND LOWER CERVICAL ESOPHAGUS WITH AN AIR-FLUID LEVEL, LIKELY GASTROESOPHAGEAL REFLUX. INCIDENTAL, NONOBSTRUCTING LEFT NEPHROLITHIASIS.  THE FINAL REPORT IS CONCORDANT WITH THE PRELIMINARY VRAD REPORT.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Endotracheal intubation, Gastrooesophageal reflux disease, Hyperhidrosis
Clinical narrative: Patient is a 57yF w/ PMHx of asthma, OSA with CPAP, CAD status post stent, and bipolar disorder presenting with acute onset SOB.  At time of my exam, patient intubated and sedated, unable to provide history.  History obtained per chart review and discussion with patient's daughter.  She reports that patient's husband called daughter whenever patient began to develop difficulty speaking due to SOB.  Daughter then instructed patient's husband to call EMS.  On 1st responder arrival patient was noted to be significantly dyspneic, lip cyanosis noted, responding in 1 to 2 word phrases only.  Reportedly AOx2 at that time.  Patient was also noted to be diaphoretic, without nausea.  EKG with NSR.  Patient was given albute albuterol and Atrovent via non-rebreather mask, and transported to ED. Daughter reports that patient is generally AOx4, but that she "has the mental status of a 12 year old, and won't get any older than that." Denies any diagnosis associated with this.  Patient has been vaccinated for COVID, no known positive contacts.   DISCHARGE: Admitting diagnoses:  History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis, acute encephalopathy, acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Discharge diagnoses: History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis,  acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Consulting physician:  Pulmonology Primary care physician Community Clinic  Procedures and Diagnostics: CTA of the chest per PE protocol 02/04/2022:  IMPRESSION: NO EVIDENCE FOR PULMONARY EMBOLISM. ATHEROSCLEROSIS INCLUDING CORONARY ARTERY DISEASE. SMALL CALIBER TRACHEA AND MAINSTEM BRONCHI, SUGGESTIVE OF TRACHEOBRONCHOMALACIA.  CORRELATION FOR POTENTIALLY RELATED SYMPTOMS RECOMMENDED. MILD, CENTRAL GROUND-GLASS CHANGES IN EACH LUNG ARE NONSPECIFIC AND FAVORED TO BE SECONDARY TO LOW LUNG VOLUMES AT THE TIME OF THE EXAMINATION.  MILD BRONCHIOLITIS IS ALSO POSSIBLE. MILDLY DILATED UPPER THORACIC AND LOWER CERVICAL ESOPHAGUS WITH AN AIR-FLUID LEVEL, LIKELY GASTROESOPHAGEAL REFLUX. INCIDENTAL, NONOBSTRUCTING LEFT NEPHROLITHIASIS.  THE FINAL REPORT IS CONCORDANT WITH THE PRELIMINARY VRAD REPORT.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Intellectual disability, Lung disorder, Lung opacity, Nephrolithiasis, Oesophageal disorder
Clinical narrative: Patient is a 57yF w/ PMHx of asthma, OSA with CPAP, CAD status post stent, and bipolar disorder presenting with acute onset SOB.  At time of my exam, patient intubated and sedated, unable to provide history.  History obtained per chart review and discussion with patient's daughter.  She reports that patient's husband called daughter whenever patient began to develop difficulty speaking due to SOB.  Daughter then instructed patient's husband to call EMS.  On 1st responder arrival patient was noted to be significantly dyspneic, lip cyanosis noted, responding in 1 to 2 word phrases only.  Reportedly AOx2 at that time.  Patient was also noted to be diaphoretic, without nausea.  EKG with NSR.  Patient was given albute albuterol and Atrovent via non-rebreather mask, and transported to ED. Daughter reports that patient is generally AOx4, but that she "has the mental status of a 12 year old, and won't get any older than that." Denies any diagnosis associated with this.  Patient has been vaccinated for COVID, no known positive contacts.   DISCHARGE: Admitting diagnoses:  History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis, acute encephalopathy, acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Discharge diagnoses: History of asthma, COVID-19 viral infection, hypercapnic respiratory failure, respiratory acidosis,  acute kidney injury, bipolar disorder, CAD, history of coronary artery stenting, hypertension, OSA on CPAP Consulting physician:  Pulmonology Primary care physician Community Clinic  Procedures and Diagnostics: CTA of the chest per PE protocol 02/04/2022:  IMPRESSION: NO EVIDENCE FOR PULMONARY EMBOLISM. ATHEROSCLEROSIS INCLUDING CORONARY ARTERY DISEASE. SMALL CALIBER TRACHEA AND MAINSTEM BRONCHI, SUGGESTIVE OF TRACHEOBRONCHOMALACIA.  CORRELATION FOR POTENTIALLY RELATED SYMPTOMS RECOMMENDED. MILD, CENTRAL GROUND-GLASS CHANGES IN EACH LUNG ARE NONSPECIFIC AND FAVORED TO BE SECONDARY TO LOW LUNG VOLUMES AT THE TIME OF THE EXAMINATION.  MILD BRONCHIOLITIS IS ALSO POSSIBLE. MILDLY DILATED UPPER THORACIC AND LOWER CERVICAL ESOPHAGUS WITH AN AIR-FLUID LEVEL, LIKELY GASTROESOPHAGEAL REFLUX. INCIDENTAL, NONOBSTRUCTING LEFT NEPHROLITHIASIS.  THE FINAL REPORT IS CONCORDANT WITH THE PRELIMINARY VRAD REPORT.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myalgia, Pyrexia
Clinical narrative: I had fever at 101.0 for 5days. Cough, muscle aches and pain.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Transient global amnesia
Clinical narrative: Documented , Trans Global Amnesia
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Atrial fibrillation, Blood creatinine increased, Blood urea increased, COVID-19
Clinical narrative: 88-year-old male brought to the emergency room for generalized weakness and confusion.  History is the patient had a positive COVID test 4 days ago.  I believe he was started on doxycycline.  The patient also has a history of COPD and has been on prednisone intermittently.  The patient has been fully vaccinated and has had a booster.  The patient was hypoxic in the emergency room tonight.  He is confused.  He has a white count of 18000 with a left shift.  Procalcitonin is elevated at 1.71.  BUN and creatinine are elevated at 66.5 and 2.2 which is a new finding.  His baseline creatinine is around 1.1.  Initially he presented in atrial fibrillation with rapid ventricular response but his rate became controlled prior to any intervention.  The patient has a history of having a Watchman device although when asked he states that he is on an anticoagulant.  I cannot find any record on the prescription list of any anticoagulant that he is currently taking.  He was admitted to this facility in November of 2021 and at time of discharge was not on any anticoagulation.  The patient has been borderline hypotensive in the emergency room.  He has received a couple of fluid boluses which have helped his blood pressure.  Chest x-ray does show interstitial prominence and a left pleural effusion which appears small but also appears new.  The patient has a history of diastolic heart failure.  His last echo was November 4, 2021 with an ejection fraction of 50-55% but did demonstrate diastolic dysfunction.  I have been asked to admit the patient for his presumed sepsis and COVID pneumonia.  INPATIENT AT THIS TIME.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Confusional state, Diastolic dysfunction, Echocardiogram abnormal
Clinical narrative: 88-year-old male brought to the emergency room for generalized weakness and confusion.  History is the patient had a positive COVID test 4 days ago.  I believe he was started on doxycycline.  The patient also has a history of COPD and has been on prednisone intermittently.  The patient has been fully vaccinated and has had a booster.  The patient was hypoxic in the emergency room tonight.  He is confused.  He has a white count of 18000 with a left shift.  Procalcitonin is elevated at 1.71.  BUN and creatinine are elevated at 66.5 and 2.2 which is a new finding.  His baseline creatinine is around 1.1.  Initially he presented in atrial fibrillation with rapid ventricular response but his rate became controlled prior to any intervention.  The patient has a history of having a Watchman device although when asked he states that he is on an anticoagulant.  I cannot find any record on the prescription list of any anticoagulant that he is currently taking.  He was admitted to this facility in November of 2021 and at time of discharge was not on any anticoagulation.  The patient has been borderline hypotensive in the emergency room.  He has received a couple of fluid boluses which have helped his blood pressure.  Chest x-ray does show interstitial prominence and a left pleural effusion which appears small but also appears new.  The patient has a history of diastolic heart failure.  His last echo was November 4, 2021 with an ejection fraction of 50-55% but did demonstrate diastolic dysfunction.  I have been asked to admit the patient for his presumed sepsis and COVID pneumonia.  INPATIENT AT THIS TIME.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ejection fraction normal, Hypotension, Hypoxia, Interstitial lung disease, Pleural effusion
Clinical narrative: 88-year-old male brought to the emergency room for generalized weakness and confusion.  History is the patient had a positive COVID test 4 days ago.  I believe he was started on doxycycline.  The patient also has a history of COPD and has been on prednisone intermittently.  The patient has been fully vaccinated and has had a booster.  The patient was hypoxic in the emergency room tonight.  He is confused.  He has a white count of 18000 with a left shift.  Procalcitonin is elevated at 1.71.  BUN and creatinine are elevated at 66.5 and 2.2 which is a new finding.  His baseline creatinine is around 1.1.  Initially he presented in atrial fibrillation with rapid ventricular response but his rate became controlled prior to any intervention.  The patient has a history of having a Watchman device although when asked he states that he is on an anticoagulant.  I cannot find any record on the prescription list of any anticoagulant that he is currently taking.  He was admitted to this facility in November of 2021 and at time of discharge was not on any anticoagulation.  The patient has been borderline hypotensive in the emergency room.  He has received a couple of fluid boluses which have helped his blood pressure.  Chest x-ray does show interstitial prominence and a left pleural effusion which appears small but also appears new.  The patient has a history of diastolic heart failure.  His last echo was November 4, 2021 with an ejection fraction of 50-55% but did demonstrate diastolic dysfunction.  I have been asked to admit the patient for his presumed sepsis and COVID pneumonia.  INPATIENT AT THIS TIME.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Procalcitonin increased, SARS-CoV-2 test positive, Sepsis, White blood cell count increased
Clinical narrative: 88-year-old male brought to the emergency room for generalized weakness and confusion.  History is the patient had a positive COVID test 4 days ago.  I believe he was started on doxycycline.  The patient also has a history of COPD and has been on prednisone intermittently.  The patient has been fully vaccinated and has had a booster.  The patient was hypoxic in the emergency room tonight.  He is confused.  He has a white count of 18000 with a left shift.  Procalcitonin is elevated at 1.71.  BUN and creatinine are elevated at 66.5 and 2.2 which is a new finding.  His baseline creatinine is around 1.1.  Initially he presented in atrial fibrillation with rapid ventricular response but his rate became controlled prior to any intervention.  The patient has a history of having a Watchman device although when asked he states that he is on an anticoagulant.  I cannot find any record on the prescription list of any anticoagulant that he is currently taking.  He was admitted to this facility in November of 2021 and at time of discharge was not on any anticoagulation.  The patient has been borderline hypotensive in the emergency room.  He has received a couple of fluid boluses which have helped his blood pressure.  Chest x-ray does show interstitial prominence and a left pleural effusion which appears small but also appears new.  The patient has a history of diastolic heart failure.  His last echo was November 4, 2021 with an ejection fraction of 50-55% but did demonstrate diastolic dysfunction.  I have been asked to admit the patient for his presumed sepsis and COVID pneumonia.  INPATIENT AT THIS TIME.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, Chest X-ray abnormal, Chest pain, Chronic obstructive pulmonary disease
Clinical narrative: 70 y/o female with history of COPD, hypothyroidism who p/w n/v and body aches. Patient states saw Dr. on Tuesday for covid testing due to n/v/d and her 2 daughters had covid. She tested negative at that time. She has had myalgias, no fever, persistent cough that has caused chest soreness. She states diarrhea has improved, but has not had anything to eat in 2 days due to emesis. She has been covid vaccinated, and had covid last year as well and received monoclonal ab treatment. She has not had a booster.  In the ER, cxr shows only chronic changes of copd, but covid is positive. ER physician wanted to send patient home, but O2 dropped into the mid 80s upon any exertion. Admission requested.  DISCHARGE:  Diagnosed with COVID in ED.  She had mild oxygen desaturations with activity, so admitted overnight.  CTA showed no COVID pneumonia, no PE or other acute process.  She is an active smoker with advanced emphyxema on CT.  This is likely chronic/subacute hypoxemia from progressive COPD and no acute process identified to treat.  No active wheezing.  Discharged home on supplemental oxygen, for which she qualified.  Mildly low WBC and platelets likely from COVID infection.  Recommend CBC in one week to re-assess.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Cough, Decreased appetite, Diarrhoea
Clinical narrative: 70 y/o female with history of COPD, hypothyroidism who p/w n/v and body aches. Patient states saw Dr. on Tuesday for covid testing due to n/v/d and her 2 daughters had covid. She tested negative at that time. She has had myalgias, no fever, persistent cough that has caused chest soreness. She states diarrhea has improved, but has not had anything to eat in 2 days due to emesis. She has been covid vaccinated, and had covid last year as well and received monoclonal ab treatment. She has not had a booster.  In the ER, cxr shows only chronic changes of copd, but covid is positive. ER physician wanted to send patient home, but O2 dropped into the mid 80s upon any exertion. Admission requested.  DISCHARGE:  Diagnosed with COVID in ED.  She had mild oxygen desaturations with activity, so admitted overnight.  CTA showed no COVID pneumonia, no PE or other acute process.  She is an active smoker with advanced emphyxema on CT.  This is likely chronic/subacute hypoxemia from progressive COPD and no acute process identified to treat.  No active wheezing.  Discharged home on supplemental oxygen, for which she qualified.  Mildly low WBC and platelets likely from COVID infection.  Recommend CBC in one week to re-assess.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Exposure to communicable disease, Hypoxia, Myalgia, Nausea
Clinical narrative: 70 y/o female with history of COPD, hypothyroidism who p/w n/v and body aches. Patient states saw Dr. on Tuesday for covid testing due to n/v/d and her 2 daughters had covid. She tested negative at that time. She has had myalgias, no fever, persistent cough that has caused chest soreness. She states diarrhea has improved, but has not had anything to eat in 2 days due to emesis. She has been covid vaccinated, and had covid last year as well and received monoclonal ab treatment. She has not had a booster.  In the ER, cxr shows only chronic changes of copd, but covid is positive. ER physician wanted to send patient home, but O2 dropped into the mid 80s upon any exertion. Admission requested.  DISCHARGE:  Diagnosed with COVID in ED.  She had mild oxygen desaturations with activity, so admitted overnight.  CTA showed no COVID pneumonia, no PE or other acute process.  She is an active smoker with advanced emphyxema on CT.  This is likely chronic/subacute hypoxemia from progressive COPD and no acute process identified to treat.  No active wheezing.  Discharged home on supplemental oxygen, for which she qualified.  Mildly low WBC and platelets likely from COVID infection.  Recommend CBC in one week to re-assess.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pain, Platelet count decreased, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 70 y/o female with history of COPD, hypothyroidism who p/w n/v and body aches. Patient states saw Dr. on Tuesday for covid testing due to n/v/d and her 2 daughters had covid. She tested negative at that time. She has had myalgias, no fever, persistent cough that has caused chest soreness. She states diarrhea has improved, but has not had anything to eat in 2 days due to emesis. She has been covid vaccinated, and had covid last year as well and received monoclonal ab treatment. She has not had a booster.  In the ER, cxr shows only chronic changes of copd, but covid is positive. ER physician wanted to send patient home, but O2 dropped into the mid 80s upon any exertion. Admission requested.  DISCHARGE:  Diagnosed with COVID in ED.  She had mild oxygen desaturations with activity, so admitted overnight.  CTA showed no COVID pneumonia, no PE or other acute process.  She is an active smoker with advanced emphyxema on CT.  This is likely chronic/subacute hypoxemia from progressive COPD and no acute process identified to treat.  No active wheezing.  Discharged home on supplemental oxygen, for which she qualified.  Mildly low WBC and platelets likely from COVID infection.  Recommend CBC in one week to re-assess.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count decreased
Clinical narrative: 70 y/o female with history of COPD, hypothyroidism who p/w n/v and body aches. Patient states saw Dr. on Tuesday for covid testing due to n/v/d and her 2 daughters had covid. She tested negative at that time. She has had myalgias, no fever, persistent cough that has caused chest soreness. She states diarrhea has improved, but has not had anything to eat in 2 days due to emesis. She has been covid vaccinated, and had covid last year as well and received monoclonal ab treatment. She has not had a booster.  In the ER, cxr shows only chronic changes of copd, but covid is positive. ER physician wanted to send patient home, but O2 dropped into the mid 80s upon any exertion. Admission requested.  DISCHARGE:  Diagnosed with COVID in ED.  She had mild oxygen desaturations with activity, so admitted overnight.  CTA showed no COVID pneumonia, no PE or other acute process.  She is an active smoker with advanced emphyxema on CT.  This is likely chronic/subacute hypoxemia from progressive COPD and no acute process identified to treat.  No active wheezing.  Discharged home on supplemental oxygen, for which she qualified.  Mildly low WBC and platelets likely from COVID infection.  Recommend CBC in one week to re-assess.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Chills, Gastrointestinal pain, Pain
Clinical narrative: About 12 hours after receiving the vaccine, I had chills, body aches, and a fever of about 100 degrees. That lasted about 12 hours. The next day my left arm was sore. 5 days after that I developed hives. I had the covid arm with a rash and sore shoulder and arm. It was also itchy. That lasted for about 3 and a half weeks. I called the doctor and asked if I should do anything for it besides taking Zyrtec and he told to take more Zyrtec. After about a week it went away. Then I ended up with upper gastrointestinal pain. By that time the hives were resolving. I went to an urgent care. They thought I had a gastric ulcer. They changed my diet and put me on famotidine. I still have the gastrointestinal pain, but it's  just a little bit better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Rash, Urine analysis normal, Urticaria
Clinical narrative: About 12 hours after receiving the vaccine, I had chills, body aches, and a fever of about 100 degrees. That lasted about 12 hours. The next day my left arm was sore. 5 days after that I developed hives. I had the covid arm with a rash and sore shoulder and arm. It was also itchy. That lasted for about 3 and a half weeks. I called the doctor and asked if I should do anything for it besides taking Zyrtec and he told to take more Zyrtec. After about a week it went away. Then I ended up with upper gastrointestinal pain. By that time the hives were resolving. I went to an urgent care. They thought I had a gastric ulcer. They changed my diet and put me on famotidine. I still have the gastrointestinal pain, but it's  just a little bit better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: About 12 hours after receiving the vaccine, I had chills, body aches, and a fever of about 100 degrees. That lasted about 12 hours. The next day my left arm was sore. 5 days after that I developed hives. I had the covid arm with a rash and sore shoulder and arm. It was also itchy. That lasted for about 3 and a half weeks. I called the doctor and asked if I should do anything for it besides taking Zyrtec and he told to take more Zyrtec. After about a week it went away. Then I ended up with upper gastrointestinal pain. By that time the hives were resolving. I went to an urgent care. They thought I had a gastric ulcer. They changed my diet and put me on famotidine. I still have the gastrointestinal pain, but it's  just a little bit better.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear pain, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Dizzy, nauseous, headache, stiff neck and severe earache
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Dizziness, Exposure during pregnancy
Clinical narrative: I had spotting start on January 27th, 3 days after receiving the booster while pregnant (due 9/24/22). Severe abdominal cramps and pelvic pain ensued. On February 2nd, spotting for a week, I was vomiting with diarrhea, dizziness, nausea, weakness, pain and heavier spotting. I was admitted to the Hospital in with a subchorionic hemorrhage. I continue to be spotting as of February 14th.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pelvic pain, Subchorionic haemorrhage, Ultrasound pelvis abnormal
Clinical narrative: I had spotting start on January 27th, 3 days after receiving the booster while pregnant (due 9/24/22). Severe abdominal cramps and pelvic pain ensued. On February 2nd, spotting for a week, I was vomiting with diarrhea, dizziness, nausea, weakness, pain and heavier spotting. I was admitted to the Hospital in with a subchorionic hemorrhage. I continue to be spotting as of February 14th.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan vagina, Vaginal haemorrhage, Vomiting
Clinical narrative: I had spotting start on January 27th, 3 days after receiving the booster while pregnant (due 9/24/22). Severe abdominal cramps and pelvic pain ensued. On February 2nd, spotting for a week, I was vomiting with diarrhea, dizziness, nausea, weakness, pain and heavier spotting. I was admitted to the Hospital in with a subchorionic hemorrhage. I continue to be spotting as of February 14th.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac stress test normal, Chest discomfort, Dyspnoea, Enzyme activity normal
Clinical narrative: During the night of 15 around 2 still couldn't sleep, having difficulty breathing. Felt tightening around chest tried taking 1 Flexural thought it was muscle issue did nothing tried sitting in chair still couldn't catch breath well told my husband at 6 need to go to ER left shoulder had pain so as a nurse felt I needed to go. Once ER room hooked me up took 4 different doses of nitro to relieve pain did bloodwork and enzymes were normal. I couldn't do stress test on Sunday, so was hospitalized for one day. On Monday had to do stress test and it was fine. At that time no pain but I had problems still catching my breath and was wheezy for a couple of months.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Wheezing
Clinical narrative: During the night of 15 around 2 still couldn't sleep, having difficulty breathing. Felt tightening around chest tried taking 1 Flexural thought it was muscle issue did nothing tried sitting in chair still couldn't catch breath well told my husband at 6 need to go to ER left shoulder had pain so as a nurse felt I needed to go. Once ER room hooked me up took 4 different doses of nitro to relieve pain did bloodwork and enzymes were normal. I couldn't do stress test on Sunday, so was hospitalized for one day. On Monday had to do stress test and it was fine. At that time no pain but I had problems still catching my breath and was wheezy for a couple of months.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder dysfunction, Dysphagia, Dyspnoea, Mobility decreased, Muscular weakness
Clinical narrative: Trouble swallowing, tight  airway, shortness of breath, loss of bladder function, loss of leg function (falls), continued arm pain and limited movement (still doing physical therapy)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive airways disorder, Pain in extremity
Clinical narrative: Trouble swallowing, tight  airway, shortness of breath, loss of bladder function, loss of leg function (falls), continued arm pain and limited movement (still doing physical therapy)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, both ears, daily.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Incorrect dose administered, Product preparation issue
Clinical narrative: Pt received purple cap Pfizer vaccine 0.3 ml undiluted vaccine. Reports feeling more tired than usual, but no other adverse effects currently.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Incorrect product formulation administered, Musculoskeletal stiffness
Clinical narrative: Pt received purple cap Pfizer vaccine 0.3 ml undiluted vaccine. Reports feeling more tired than usual, but no other adverse effects currently.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: Pt received purple cap Pfizer vaccine 0.3 ml undiluted vaccine. Reports feeling more tired than usual, but no other adverse effects currently.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Disturbance in attention, Dyspnoea, Ear pain, Emotional disorder
Clinical narrative: Friday, the day after, I woke up at 6:00am experiencing severe head pain, eye pressure, ear ache, full body ache, fatigue, sore arm. Applied cold wash cloth to forehead for about thirty minutes, took a Tylenol, and eat some yogurt at about 7:45 am. Went to class, felt okay, pain was not severe due to pain medication. Then, at 9:50am I started feeling un-well, shortness of breath, loss of concentration, nausea. Then, blacked-out, hit the floor face-down, bruised knee, broke glasses. Unsure of how long I was out...not long though.  Woke up shaking, was lucid after and able to answer questions, scared and emotional. Ambulance called, examined by EMTs, spent the rest of the day in bed at dorm, head and body pain continued throughout Friday treated with ibuprofen. Saturday, woke up feeling good, minimal pain, minor headache...feel good now.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Face injury, Fatigue, Fear, Headache, Joint injury
Clinical narrative: Friday, the day after, I woke up at 6:00am experiencing severe head pain, eye pressure, ear ache, full body ache, fatigue, sore arm. Applied cold wash cloth to forehead for about thirty minutes, took a Tylenol, and eat some yogurt at about 7:45 am. Went to class, felt okay, pain was not severe due to pain medication. Then, at 9:50am I started feeling un-well, shortness of breath, loss of concentration, nausea. Then, blacked-out, hit the floor face-down, bruised knee, broke glasses. Unsure of how long I was out...not long though.  Woke up shaking, was lucid after and able to answer questions, scared and emotional. Ambulance called, examined by EMTs, spent the rest of the day in bed at dorm, head and body pain continued throughout Friday treated with ibuprofen. Saturday, woke up feeling good, minimal pain, minor headache...feel good now.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Nausea, Ocular discomfort, Pain
Clinical narrative: Friday, the day after, I woke up at 6:00am experiencing severe head pain, eye pressure, ear ache, full body ache, fatigue, sore arm. Applied cold wash cloth to forehead for about thirty minutes, took a Tylenol, and eat some yogurt at about 7:45 am. Went to class, felt okay, pain was not severe due to pain medication. Then, at 9:50am I started feeling un-well, shortness of breath, loss of concentration, nausea. Then, blacked-out, hit the floor face-down, bruised knee, broke glasses. Unsure of how long I was out...not long though.  Woke up shaking, was lucid after and able to answer questions, scared and emotional. Ambulance called, examined by EMTs, spent the rest of the day in bed at dorm, head and body pain continued throughout Friday treated with ibuprofen. Saturday, woke up feeling good, minimal pain, minor headache...feel good now.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tremor
Clinical narrative: Friday, the day after, I woke up at 6:00am experiencing severe head pain, eye pressure, ear ache, full body ache, fatigue, sore arm. Applied cold wash cloth to forehead for about thirty minutes, took a Tylenol, and eat some yogurt at about 7:45 am. Went to class, felt okay, pain was not severe due to pain medication. Then, at 9:50am I started feeling un-well, shortness of breath, loss of concentration, nausea. Then, blacked-out, hit the floor face-down, bruised knee, broke glasses. Unsure of how long I was out...not long though.  Woke up shaking, was lucid after and able to answer questions, scared and emotional. Ambulance called, examined by EMTs, spent the rest of the day in bed at dorm, head and body pain continued throughout Friday treated with ibuprofen. Saturday, woke up feeling good, minimal pain, minor headache...feel good now.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac arrest, Cardioversion, Electrocardiogram abnormal, Pulse absent
Clinical narrative: Received vaccine 1/26/22.  no adverse symptoms developed  suffered cardiac arrest with Ventricular fibrillation as presenting arrhythmia.  pulseless non breather  unable to be defibrillated or revived.  no history of cardiac disease or know prodromal symptoms
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory arrest, Ventricular fibrillation
Clinical narrative: Received vaccine 1/26/22.  no adverse symptoms developed  suffered cardiac arrest with Ventricular fibrillation as presenting arrhythmia.  pulseless non breather  unable to be defibrillated or revived.  no history of cardiac disease or know prodromal symptoms
Age: 57.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Pyrexia, Rash, Rash macular
Clinical narrative: patient came in stating that she had experienced fever and light headedness.  pt also stated that she developed a spotty rash on both legs from the ankles to her knees.  the rash happened on saturday, 02/12/22. pt went to er, was looked over at the er and no medicines were prescribed for the pt.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Gait disturbance, Nausea
Clinical narrative: Patient was dizzy, nauseous,  and had trouble walking.  This started Sunday night 2/13/2022, and continued into 2/14/2022 .
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dizziness exertional, Dysstasia, Gait disturbance, Mobility decreased
Clinical narrative: Patient was dizzy, nauseous,  and had trouble walking.  This started Sunday night 2/13/2022, and continued into 2/14/2022 .
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vertigo
Clinical narrative: Patient was dizzy, nauseous,  and had trouble walking.  This started Sunday night 2/13/2022, and continued into 2/14/2022 .
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperhidrosis, Loss of personal independence in daily activities, Vertigo, Vomiting
Clinical narrative: Patient was dizzy, nauseous,  and had trouble walking.  This started Sunday night 2/13/2022, and continued into 2/14/2022 .
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Chest discomfort, Dyspnoea, Erythema, Mechanical urticaria
Clinical narrative: I started to itch on my neck and scalp on 12/14/2021, by the end of my shift I was getting a rash on my chest and hives all over my body. I called emergency virtual visit in my primary care on MyChart (I got my vaccine at my job, but I seek primary care somewhere else. Dr. is my primary care doctor) and they prescribed me a medrol pack and told me to take Benadryl. I took Benadryl, Claritin, and Zyrtec. Zyrtec worked the best for me to take the itching and hives away so I continued with that. I started to get chest tightness, shortness of breath, and itchy throat and I went to the hospital and the ER doctor said I was stable, fortunately. The hives eventually subsided after a day or two, I can?t remember how long exactly, but I stood with dermatographia and itching and redness in random areas. The dermatographia has persisted until this day, but is improving gradually with time. I hope it completely goes away eventually. I?m not anti vax at all, but I do think this reaction was caused by the booster shot as I found a group of thousands of people with similar symptoms to mine in varying severity online. I had cleaned my house up and down as I was having trouble identifying what could have caused my symptoms since the reaction was so delayed until I came across this group. It started to make more sense, but I?m not sure if you guys would even believe me.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Throat irritation, Urticaria
Clinical narrative: I started to itch on my neck and scalp on 12/14/2021, by the end of my shift I was getting a rash on my chest and hives all over my body. I called emergency virtual visit in my primary care on MyChart (I got my vaccine at my job, but I seek primary care somewhere else. Dr. is my primary care doctor) and they prescribed me a medrol pack and told me to take Benadryl. I took Benadryl, Claritin, and Zyrtec. Zyrtec worked the best for me to take the itching and hives away so I continued with that. I started to get chest tightness, shortness of breath, and itchy throat and I went to the hospital and the ER doctor said I was stable, fortunately. The hives eventually subsided after a day or two, I can?t remember how long exactly, but I stood with dermatographia and itching and redness in random areas. The dermatographia has persisted until this day, but is improving gradually with time. I hope it completely goes away eventually. I?m not anti vax at all, but I do think this reaction was caused by the booster shot as I found a group of thousands of people with similar symptoms to mine in varying severity online. I had cleaned my house up and down as I was having trouble identifying what could have caused my symptoms since the reaction was so delayed until I came across this group. It started to make more sense, but I?m not sure if you guys would even believe me.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram normal, Hypoxia, Troponin normal
Clinical narrative: The day after her vaccine she develop acute chest pain and mild hypoxia. Went to the ER on 2/4/22, no heart attack, no elevated troponin levels to suggest myocarditis. POx 88-92%. No wheeze, CT scan negative for PE. Given Duoneb with resolution of her symptoms and improvement of mild hypoxia. For a week after this Pox remained 85-93% unless it was right after using albuterol MDI.  Saw Pulmonology, started on Trelegy and now is fine.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 15yr female patient received first dose of COVID19 Pfizer- Purple Top LOT#FL3198 Exp 2/18 in the left deltoid. LPN notified nursing supervisor LPN the vaccine expired by time. LPN notified Dr. of the possible medication error. LPN notified the patient and mother of the vaccine administration timing and error. Mother and patient understood and will wait for the patient to be monitored and for LPN to advise of next steps. Vaccine expired 22 hours prior to administration. LPN contacted Pfizer Biotech and to determine if the vaccine is viable. Pfizer notified LPN of the following: stored in the refrigerator at temperatures between 2-8c, drawn in an individual syringe, less than 24 hours. The vaccine will not harm the patient. Pfizer is unable to advise if another dose should be administered. Pfizer states, It is at the clinic discretion to provide another dose.?  Monitored the patient for 1 hour after administration. No signs or symptoms of distress. Patient tolerated well. Notified the patient of Pfizer information. Patient and mother understood and left the clinic. LPN notified (RN supervisor) immediately.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pain in extremity, Pyrexia
Clinical narrative: Fever for two days, pain in arm of injection, itching at site of injection
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt. refers to feeling dizzy and is placed on the stretcher in a supine position, after verifying vital signs Pulse 63, B/P 90/60 16 Respirations, Dextro 126. Doctor is notified at 5:51 and recommends monitoring her for 30 minutes.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Uterine cancer, Vaginal haemorrhage
Clinical narrative: Shortly after receiving  her 1st dose of Moderna, pt states she strted to have vaginal bleeding. Pt states she finally got diagnosed with uterine cancer, stage 3, in August of 2021.  Pt states she only had a history of hypertension  and takes one medicine for that. Pt has no family hx of any cancers in her family.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperaesthesia, Injection site pruritus, Pruritus, Rash, Throat tightness
Clinical narrative: One week (12/15/21) after receiving my Moderna Booster I started to feel an itch on my left arm and on my shoulder. I didn't think anything of it. On 12/17/21 I started seeing a rash on different areas of my body but thought it was due to holiday stress. 12/18/21 my whole body was covered in a rash. Not constantly - it seems to come and go and is sensitive to the touch. I took Benadryl that night and it stopped the itching. Same thing happened on 12/19/21; rash on my back for no rhyme or reason. On 12/20/21 I started feeling like my throat was getting tight and wondered if this rash was an allergic reaction. I went to Urgent Care. Between 12/17-12/20 I used topical creams, antihistamine sprays and Benadryl to treat the rash.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: No Adverse event. Patient's mother reports administration error. Says injection was given too low on arm below deltoid.  Mother showed red mark on patient's arm when came back to report was below deltoid about midway between shoulder and elbow.