chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Mobility decreased, Pain, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: I was tired and achy, running a fever. Then it progressed to where I was having difficulty breathing and pain in both sides. It got to the point where I could not get out of bed. My granddaughter called the ambulance. I believe I had pneumonia. They did some tests and I had blood clots in both lungs, one in my leg, and one in my aortic valve. Once I was in the ambulance I do not remember much. I do not remember which tests they did but they were a lot. I was admitted to the hospital on 03/06/2021 and discharged 03/09/2021. I was treated by Doctor L. They treated me for pulmonary embolism, acute vein thrombosis of right vein, thrombosis of aorta. They sent me home with some oxygen machines. For one week I had home health care. I do not need the oxygen anymore. Last week my granddaughter tested positive for Covid, so I took the test and it was positive. I was feeling fine just some aches and pains.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Thrombosis, Venous thrombosis limb
Clinical narrative: I was tired and achy, running a fever. Then it progressed to where I was having difficulty breathing and pain in both sides. It got to the point where I could not get out of bed. My granddaughter called the ambulance. I believe I had pneumonia. They did some tests and I had blood clots in both lungs, one in my leg, and one in my aortic valve. Once I was in the ambulance I do not remember much. I do not remember which tests they did but they were a lot. I was admitted to the hospital on 03/06/2021 and discharged 03/09/2021. I was treated by Doctor L. They treated me for pulmonary embolism, acute vein thrombosis of right vein, thrombosis of aorta. They sent me home with some oxygen machines. For one week I had home health care. I do not need the oxygen anymore. Last week my granddaughter tested positive for Covid, so I took the test and it was positive. I was feeling fine just some aches and pains.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Myalgia, Pain
Clinical narrative: My arm muscles and leg muscles was aching all over with sharp pain. I went to my doctor. They did blood work, result they my lymph nodes was high. She is also referred my to a specialist.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule, Swelling face
Clinical narrative: 2 hrs after vax my right jaw swelled up when eating. Swelling subsided upon return to doctor office. Swelling continued to happen every time I eat but would go down afterward leaving a knot under jawbone of right ear. Doctor thought it was only a coincidence and believed it to be a blocked saliva duct and scheduled me for a CT scan at local hospital on 08/12/2021. Upon arrival X-ray Tech advised wrong test ordered and contacted Dr office. Dr in turn contacted Insurance for approval. Insurance placed it in 'Medical Review' and did not approve test. All symptoms were gone by 08/15/2021.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: 8/27/2021, Pt called to report bump at injection site for several days.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cerebral hypoperfusion, Death, Dyspnoea, Hypoxia
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Mental status changes, SARS-CoV-2 test positive, Speech disorder, Unresponsive to stimuli
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Headache, Migraine
Clinical narrative: Tuesday after the vaccine she felt chills, fever and HA in the morning. Wednesday morning after the vaccine she felt heart palpitations, dizziness, chest pain, Vomited X 1 and headache/migraine. Has been having chest pain, dizziness and heart palpitations every since then
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, Vomiting
Clinical narrative: Tuesday after the vaccine she felt chills, fever and HA in the morning. Wednesday morning after the vaccine she felt heart palpitations, dizziness, chest pain, Vomited X 1 and headache/migraine. Has been having chest pain, dizziness and heart palpitations every since then
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Pt seemed fine right after shot, pt then was dizzy and fainted.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Large red rash at injection site but more prominently at underside of injected arm ; goes to crux of elbow- 6 or 7 inches long;  gets quite hot and very itchy.  Started August 23 and is still present August 27th.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Weight decreased
Clinical narrative: Extreme diarrhea for weeks. Over 4. Lost weight.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Muscular weakness, Nausea, Pain
Clinical narrative: Soreness and weakness of affected arm, fatigue, body aches, nausea, diarrhea
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Soreness and weakness of affected arm, fatigue, body aches, nausea, diarrhea
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Myocardial infarction
Clinical narrative: severe chills, chest pains, weak, semi heart attack,
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute psychosis, Acute respiratory failure, Amnesia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Dyspnoea, Encephalitis, Exposure to SARS-CoV-2
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypophagia, Infection, Lung disorder, Magnetic resonance imaging head normal
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Productive cough, Pyrexia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast normal, Sputum discoloured
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chills, Cognitive disorder
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Hypophagia, Laboratory test
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin, Vaccination failure
Clinical narrative: Patient admitted 7/25/2021 for SOB, Vaccinated 4/7/2021, tested positive for covid 7/25/2021 Discharge home 8/8/2021  Description of event/reaction: Breakthrough COVID infection Date of Clinic Visit or Hospitalization: 7/25/2021 Reason for clinic visit or hospitalization: Respiratory failure COVID-19 positive test result: Yes or No; if Yes, date 7/25/2021 Plans to monitor (include medications if prescribed): In hopsital on O2, remdesivir, and dexamethasone.   History Of Present Illness Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.  Of note, patient did get COVID vaccine (unclear which kind but reports it was 1 dose only) in 04/2021  Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative.   Musculoskeletal: Positive for myalgias.   Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07 PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.     # Suspect steroid induced psychosis; resolved # ? h/o TBI # Memory loss/amnesia Given acute psychosis and reported memory loss/amnesia we ordered an MRI of the brain with and without contrast. This was done after some delay and did not show any neurodegenerative process or any lesions (suggestive of covid related encephalitis) and he is discharged to home in stable condition. He is advised to follow up with his PCP regarding his neurocognitive decline (differential considerations include early onset dementia).  Treated with Remdesevir
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Influenza like illness, Pain
Clinical narrative: Aches, flu like symptoms, temp of 100.8 at 1:42 pm on today's dste.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acquired diaphragmatic eventration, Computerised tomogram head, Computerised tomogram thorax, Guillain-Barre syndrome, Magnetic resonance imaging head
Clinical narrative: Guillaine Barre, persistent elevated diaphragm
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Lethargy, Pain, Pyrexia
Clinical narrative: Fever, Body Aches, Headaches, Lack of Appetite, Lethargy. Managed with Ibuprofen.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Influenza like illness, Rash
Clinical narrative: weekend after vaccine started having flu like symptoms, started getting a rash that got worse, went to the doctor and was dx with Shingles
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Client received 1st dose of Moderna on 1/21/21, 2nd dose on 3/1/21 and 3rd was given Pfizer on 8/27/21. Client was monitored for 30 min after Pfizer dose give with no adverse reaction.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler abnormal
Clinical narrative: Patient received their Pfizer COVID-19 booster shot and started having lower extremity pain 1 day later. Patient came to the hospital for evaluation by Dr.  Scans were positive for left lower extremity DVT.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Patient presented to hospital on 8/24/2021 with a 3-day history of worsening shortness of breath, wheezing, and fatigue. She is COVID-19 vaccinated but tested positive for COVID-19 in the ED.   She also has subjective fevers, chills, headache, and change in taste that also started 3 days ago.  Her headache is bifrontal, throbbing which she rates as 10/10, not responsive to acetaminophen. She reports nausea, sore throat, nonproductive cough, diarrhea, and muscle aches that started 3 weeks ago.  Patient was admitted to the hospital for management of  COVID-19 illness.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Patient presented to hospital on 8/24/2021 with a 3-day history of worsening shortness of breath, wheezing, and fatigue. She is COVID-19 vaccinated but tested positive for COVID-19 in the ED.   She also has subjective fevers, chills, headache, and change in taste that also started 3 days ago.  Her headache is bifrontal, throbbing which she rates as 10/10, not responsive to acetaminophen. She reports nausea, sore throat, nonproductive cough, diarrhea, and muscle aches that started 3 weeks ago.  Patient was admitted to the hospital for management of  COVID-19 illness.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Taste disorder, Wheezing
Clinical narrative: Patient presented to hospital on 8/24/2021 with a 3-day history of worsening shortness of breath, wheezing, and fatigue. She is COVID-19 vaccinated but tested positive for COVID-19 in the ED.   She also has subjective fevers, chills, headache, and change in taste that also started 3 days ago.  Her headache is bifrontal, throbbing which she rates as 10/10, not responsive to acetaminophen. She reports nausea, sore throat, nonproductive cough, diarrhea, and muscle aches that started 3 weeks ago.  Patient was admitted to the hospital for management of  COVID-19 illness.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Nausea, Vomiting
Clinical narrative: patient felt nauseated and threw up after receiving the vaccine. patient is 21 weeks pregnant
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Carditis, Chest pain, Hospitalisation
Clinical narrative: Chest pain results in hospital stay diagnosed with heart inflammation
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Intensive care
Clinical narrative: Chest pain results in hospital stay diagnosed with heart inflammation
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Pericarditis, Troponin increased
Clinical narrative: Chest pain results in hospital stay diagnosed with heart inflammation
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Acoustic stimulation tests normal, Blood potassium decreased, Blood test, Body height
Clinical narrative: On 04/02/2021 that night it began with headache, chills, fatigue, on 04/03/2021 body aches, nausea and upset stomach, stuffy nose, sore throat.-those symptoms latest till about the 5th. Headache and fatigue lasted for a couple weeks. I went to the ER on 04/06/2021-only stayed for 6 hours. On 04/09/2021 I woke up and could not hear out of my left ear, that latest for 6/8 hours. I went to an ENT on 04/12 and hearing was normal.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen, Deafness unilateral, Fatigue, Headache
Clinical narrative: On 04/02/2021 that night it began with headache, chills, fatigue, on 04/03/2021 body aches, nausea and upset stomach, stuffy nose, sore throat.-those symptoms latest till about the 5th. Headache and fatigue lasted for a couple weeks. I went to the ER on 04/06/2021-only stayed for 6 hours. On 04/09/2021 I woke up and could not hear out of my left ear, that latest for 6/8 hours. I went to an ENT on 04/12 and hearing was normal.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Oropharyngeal pain
Clinical narrative: On 04/02/2021 that night it began with headache, chills, fatigue, on 04/03/2021 body aches, nausea and upset stomach, stuffy nose, sore throat.-those symptoms latest till about the 5th. Headache and fatigue lasted for a couple weeks. I went to the ER on 04/06/2021-only stayed for 6 hours. On 04/09/2021 I woke up and could not hear out of my left ear, that latest for 6/8 hours. I went to an ENT on 04/12 and hearing was normal.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: She received a COVID vaccine at the conclusion of her appointment.  As she was walking out she felt lightheaded and sat on the ground. The staff who witnessed the episode say she might have loss consciousness. There was no direct impact or true fall.  Vital signs at the time showed no tachycardia, normal blood pressure and good saturations.  Point of care glucose was 117, although this was checked shortly after she was given some orange juice.  She was evaluated by the rapid response team here and remained hemodynamically stable
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Lethargy, Pain, Pyrexia
Clinical narrative: Fever, Body Aches, Headaches, Lack of Appetite, Lethargy. Managed with Ibuprofen.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Seizure
Clinical narrative: Patient began seizing , fell over from chair and hit her head on the floor; right forehead. Patient seized for 1 minute and a half.  Upon patient coming to she was then placed in chair and vitals were taken:  BP 130/80, respiration 21, Pulse 77, O2 98%. Ice pack was placed on her forehead to keep her cool. EMS was called, patient was evaluated and transported.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter
Clinical narrative: Experiencing fluttering heartbeat on and off all day.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram abdomen, Computerised tomogram thorax, Cough, Deep vein thrombosis
Clinical narrative: Pt had symptoms of leg pain starting 03/30/21. Had a negative ultrasound at that time. Pt received vaccine 04/14/21. Then developed severe leg pain/swelling and cough a few days later. Was then subsequently diagnosed with a saddle PE and extensive lower extremity DVT requiring thrombectomy/thrombolysis on 4/30/21. She continues on full dose anticoagulation at this time.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Full blood count, Metabolic function test, Pain in extremity, Peripheral swelling
Clinical narrative: Pt had symptoms of leg pain starting 03/30/21. Had a negative ultrasound at that time. Pt received vaccine 04/14/21. Then developed severe leg pain/swelling and cough a few days later. Was then subsequently diagnosed with a saddle PE and extensive lower extremity DVT requiring thrombectomy/thrombolysis on 4/30/21. She continues on full dose anticoagulation at this time.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Thrombectomy, Thrombolysis, Ultrasound Doppler, Venogram
Clinical narrative: Pt had symptoms of leg pain starting 03/30/21. Had a negative ultrasound at that time. Pt received vaccine 04/14/21. Then developed severe leg pain/swelling and cough a few days later. Was then subsequently diagnosed with a saddle PE and extensive lower extremity DVT requiring thrombectomy/thrombolysis on 4/30/21. She continues on full dose anticoagulation at this time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Influenza like illness, Pyrexia
Clinical narrative: Two days after the shot I felt very light headed. Then a fever rapidly started. I felt like I had the flu but did not have the flu. I was very dizzy for days.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatitis, Nausea, Rash
Clinical narrative: Hives, nausea, rash 1 day after vaccine.  Mild transaminitis and rechecked 8/12/21 and increasing LFTs as below.  hepatitis.  Seen at ED and LFTs increasing so transferred to Hospital and admitted. LFTs improved and patient able to be discharged home. COVID antibodies IgG were checked given recent COVID + infection on July 1, 2021 and IgG was positive.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, Transaminases increased, Urticaria
Clinical narrative: Hives, nausea, rash 1 day after vaccine.  Mild transaminitis and rechecked 8/12/21 and increasing LFTs as below.  hepatitis.  Seen at ED and LFTs increasing so transferred to Hospital and admitted. LFTs improved and patient able to be discharged home. COVID antibodies IgG were checked given recent COVID + infection on July 1, 2021 and IgG was positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient received second Covid vaccine at  4:20pm. @ 4:31pm, patient reported numbness and tingling in her right had from the wrist to the finger tips. Patient had no other complaints (No SOB,Dizziness, blurred vision, headache.) I had see patient @ 4:30pm to assess. Patient's blood pressure was checked at 127/91 and heart rate of 99.   Per Dr. to patient, this is likely a nerve that was irritated during the vaccination process. Patient was given three 200mg Ibuprofen. I offered for patient to wait longer with us to ensure nothing else occurred. Patient said she was ok and felt fine to leave. I did tell patient that if this worsened over the weekend to contact her physician for further advise. Patient voiced understanding and agreed to plan.    Will send this note to sign off on.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Muscular weakness
Clinical narrative: Left arm muscle spasms and weakness, ongoing
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Diagnosed with COVID-19
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac electrophysiologic study abnormal, Fatigue, Laboratory test, Pain, Peripheral sensory neuropathy
Clinical narrative: Patient the with a mild  axonal sensory neuropathy confirmed by electrophysiological evaluation with an onset at the time of her 1st injection with worsening leading to hospitalization at a local hospital after the 2nd dose were symptoms were exaggerated symptoms have since improved but continue.  Her symptomatology  is worsened by onset of chronic fatigue, widespread pain and sleep disturbance.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: Patient the with a mild  axonal sensory neuropathy confirmed by electrophysiological evaluation with an onset at the time of her 1st injection with worsening leading to hospitalization at a local hospital after the 2nd dose were symptoms were exaggerated symptoms have since improved but continue.  Her symptomatology  is worsened by onset of chronic fatigue, widespread pain and sleep disturbance.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Lip swelling, Rash
Clinical narrative: Rash above lip w/ dark, flat spots. Swollen upper lip.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fine motor skill dysfunction, Hypoaesthesia, Neuropathy peripheral
Clinical narrative: Neuropathy in arms and hands. Numbness. tingling. Some loss of dexterity.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Atherosclerotic plaque rupture, Chills, Coronary artery occlusion, Headache, Myocardial infarction
Clinical narrative: Severe headache, chills, and nausea the first night. A month after the second vaccine, on April 19, 2021, I had a heart attack. I was in good health; no family history of heart disease, no high blood pressure, no high cholesterol, not overweight, healthy eater, regular exercise. The healthcare workers are unable to explain what caused the rupture of plaque in my LAD artery that was 99% blocked. I now have a stent in my heart. Since most risk factors were ruled out for me I am being told it was probably due to stress, but it seems like an extreme response to stress. Many people believe it had something to do with the vaccine, but the healthcare workers say it's too soon to say because we don't know enough about the v
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Stent placement, Stress
Clinical narrative: Severe headache, chills, and nausea the first night. A month after the second vaccine, on April 19, 2021, I had a heart attack. I was in good health; no family history of heart disease, no high blood pressure, no high cholesterol, not overweight, healthy eater, regular exercise. The healthcare workers are unable to explain what caused the rupture of plaque in my LAD artery that was 99% blocked. I now have a stent in my heart. Since most risk factors were ruled out for me I am being told it was probably due to stress, but it seems like an extreme response to stress. Many people believe it had something to do with the vaccine, but the healthcare workers say it's too soon to say because we don't know enough about the v