chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The improper diluent (sterile water) was utilized to dilute the vaccine. As per CDC recommendations, the following steps were taken: "Contact the manufacturer for information on the stability of the vaccine. If the manufacturer does not have information to support the stability of the vaccine, repeat the dose immediately (no minimum interval)." Notified mother.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema, Erythema, Food allergy, Hypersensitivity
Clinical narrative: I had a reaction resembling an allergic reaction to food. My eczema patches turned red and began to itch, there was some swelling around the mouth. The reaction seemed to subside 30 minutes after it appeared.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Pruritus
Clinical narrative: I had a reaction resembling an allergic reaction to food. My eczema patches turned red and began to itch, there was some swelling around the mouth. The reaction seemed to subside 30 minutes after it appeared.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Headache, Oedema peripheral, Swelling
Clinical narrative: Having pitted Edema in lower extremities: severe swelling: headaches
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID infection
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Pt has off-site PCP, received 1st dose of Jassen vaccine at our center on 03/17/2021. Pt's roomate called in on 03/18/2021 to report pt had fever max to 104 F and fatigue since 03/17/2021 post vaccination.  Denies respiratory symptoms, rash, muscle aches or GI symptoms.   Did not take any medication due to concern that may affect vaccine efficacy.  Pt's PCP office was closed on 03/18/2021.  Pt's temp was 101F at the moment of talking to provier.  Instructed pt to start antipyretics, tylenol 650mg every 4-6 hours.  monitor s/s.  contact PCP if condition persists or worsen. Pt verbalized understanding.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a sore throat and head congestion so I took a home rapid test on June 26th and it was positive. I went to an urgent care and they did a rapid test which was negative then a PCR test and it was positive. I was not able to get PAXLOVID because I was not at risk. I was advised to take cough medicine over the counter. I took ibuprofen and decongestant. My symptoms became worse. I had fever and feelings of vertigo from the head congestion. I also developed a cough that is not bad. I got worse for 2 days but have been improving since then.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Vertigo
Clinical narrative: I had a sore throat and head congestion so I took a home rapid test on June 26th and it was positive. I went to an urgent care and they did a rapid test which was negative then a PCR test and it was positive. I was not able to get PAXLOVID because I was not at risk. I was advised to take cough medicine over the counter. I took ibuprofen and decongestant. My symptoms became worse. I had fever and feelings of vertigo from the head congestion. I also developed a cough that is not bad. I got worse for 2 days but have been improving since then.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Pyrexia, Vomiting
Clinical narrative: Stomach ache,  fatigue, fever, vomit
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Irritability, Pyrexia, Skin warm
Clinical narrative: He was a little warm Wednesday morning 99F and a little fussy. Thursday his fever had reached 102F, we alternated between Tylenol and Motrin he was good until the medication wore off. On Friday the fever was 102F sometimes up to 103F, some coughing but not a lot. He did not want to eat much at all. We called his Pediatrician who told us what to watch for advised us to take him to the emergency room if his fever got up to 104F or higher. Told us to keep him hydrated and to continue with the Tylenol and Motrin. He started to feel better on Sunday by Monday he was his normal self.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Cerebrovascular accident, Coagulation test abnormal, Laboratory test, NIH stroke scale
Clinical narrative: left thalamocapsular infarct, received TPA, initial score of 11, now with symptoms resolved.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Thalamic infarction
Clinical narrative: left thalamocapsular infarct, received TPA, initial score of 11, now with symptoms resolved.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus, Rash pruritic, Seasonal allergy, Swelling of eyelid
Clinical narrative: woke up on April 11th with itchy scalp. woke up on April 12th with hives on my face, and swollen eye lid. went to doc, told me to take Claritin. hives progressed over next few days to full body, EXTREMELY itchy, dinner plate sized welts. took oatmeal baths everymorning and slathered myself in cortisone cream. it was awful. went to primary care doc in Hospital on April 13th. was prescribed oral steroids. doc thought is was a bad allergic reaction to tree pollen, which was bad at the time, and affects me every year. was still in excruciating state of itchiness that Friday the 15th. doc prescribed Pepcid. along with Allegra. both helped a lot. finally saw an allergist on May 17th. was told it was a heighten immune response to the modern booster. doc- said he had seen 20 patients this spring with same symptoms within 2 weeks of getting the moderna booster. said he also talked with other allergists around the country who were seeing same thing. told me to take 2 Allegra a day and that it would take a few months for it to calm down. I still have hives but they are controlled by the h1 and h2 blockers.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: woke up on April 11th with itchy scalp. woke up on April 12th with hives on my face, and swollen eye lid. went to doc, told me to take Claritin. hives progressed over next few days to full body, EXTREMELY itchy, dinner plate sized welts. took oatmeal baths everymorning and slathered myself in cortisone cream. it was awful. went to primary care doc in Hospital on April 13th. was prescribed oral steroids. doc thought is was a bad allergic reaction to tree pollen, which was bad at the time, and affects me every year. was still in excruciating state of itchiness that Friday the 15th. doc prescribed Pepcid. along with Allegra. both helped a lot. finally saw an allergist on May 17th. was told it was a heighten immune response to the modern booster. doc- said he had seen 20 patients this spring with same symptoms within 2 weeks of getting the moderna booster. said he also talked with other allergists around the country who were seeing same thing. told me to take 2 Allegra a day and that it would take a few months for it to calm down. I still have hives but they are controlled by the h1 and h2 blockers.
Age: 31.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Dizziness, Nausea, Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient given 0.5 mL dose of Hepatitis A pediatric vaccine at approximately 10:00 AM. In 15 minutes, patient report feeling light-headed and weak. In another 15 minutes, nurse at facility reported nausea and vomiting.
Age: 31.0
Sex: M
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: Patient given 0.5 mL dose of Hepatitis A pediatric vaccine at approximately 10:00 AM. In 15 minutes, patient report feeling light-headed and weak. In another 15 minutes, nurse at facility reported nausea and vomiting.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 06/23/2022 I took a home COVID-19 test which was positive because I had severe sore throat, throat pain, cough and runny nose. I called my doctor and started Paxlovid on 06/24/2022. I do not currently have any symptoms.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dysphagia, Fatigue
Clinical narrative: June 11th it began with upper respiratory symptoms; congestion, runny nose, sore throat. I then had a cough but not feeling really sick. The following day I felt crummy and then later had shaking chills and sweats and very fatigued. I also had a severe sore throat almost to the point where I could not swallow. June 13th took the test at home. Contacted doctor and was prescribed PAXLOVID beginning June 13. On June 13th I began taking prednisone for the sore throat. Over the next several days I began to feel better. Yet, as of today, June 30th, I am still unusually fatigued and not 100% yet.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Oropharyngeal pain, Respiratory symptom, Respiratory tract congestion
Clinical narrative: June 11th it began with upper respiratory symptoms; congestion, runny nose, sore throat. I then had a cough but not feeling really sick. The following day I felt crummy and then later had shaking chills and sweats and very fatigued. I also had a severe sore throat almost to the point where I could not swallow. June 13th took the test at home. Contacted doctor and was prescribed PAXLOVID beginning June 13. On June 13th I began taking prednisone for the sore throat. Over the next several days I began to feel better. Yet, as of today, June 30th, I am still unusually fatigued and not 100% yet.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Tremor
Clinical narrative: June 11th it began with upper respiratory symptoms; congestion, runny nose, sore throat. I then had a cough but not feeling really sick. The following day I felt crummy and then later had shaking chills and sweats and very fatigued. I also had a severe sore throat almost to the point where I could not swallow. June 13th took the test at home. Contacted doctor and was prescribed PAXLOVID beginning June 13. On June 13th I began taking prednisone for the sore throat. Over the next several days I began to feel better. Yet, as of today, June 30th, I am still unusually fatigued and not 100% yet.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dehydration, Fatigue, Headache, Malaise
Clinical narrative: On Monday morning, my hairdresser texted me that she had to cancel my appointment on Wednesday because she had COVID-19. I decided to test for COVID because I wasn't feeling well. I was shocked when it was positive. I thought I had a cold or allergies. I was very fatigues and had a sore throat. We thought it was from the heat. Something told me I should test. I had a fever. I had a headache on Sunday, but I attributed it to being out in the heat and being dehydrated.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On Monday morning, my hairdresser texted me that she had to cancel my appointment on Wednesday because she had COVID-19. I decided to test for COVID because I wasn't feeling well. I was shocked when it was positive. I thought I had a cold or allergies. I was very fatigues and had a sore throat. We thought it was from the heat. Something told me I should test. I had a fever. I had a headache on Sunday, but I attributed it to being out in the heat and being dehydrated.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Immediate post-injection reaction, Nausea, Rash, Vomiting
Clinical narrative: Right and left upper arm body part only, with immediate rash after injecting Kinrix and Hepatitis A in Right Arm. Nausea and small vomit with saliva only occurred after ten minutes of all vaccine administration. Break between vaccines given and rash decreased. Child in sitting position to avoid falls.  Promptly evaluated by nurse practitioner, no wheezing or swelling noted. Child talkative and stated feeling better after a few minutes. Observation completed for fifteen minutes. No other reactions noted. Educated mother on signs and symptoms of any other possible reaction.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient received .3 ml of Pediatric Pfizer (orange cap).  No  adverse events noted.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Dyspnoea, Exposure to SARS-CoV-2, Nasal congestion
Clinical narrative: My husband initially tested positive for COVID-19 on 5/30/22. I took COVID-19 tests daily from 5/30/22-6/2/22 and they all came back negative. I woke up in the morning on 6/3/22 with nasal congestion. I thought it was allergies, so I started to gargle with salt water. The next day I woke up with a runny nose and I started to experience chest tightness, and my chest felt heavy as if someone was pushing on it. It was also hard to take in deep breaths. I took my oxygen level, and it was at 88. I took a COVID-19 test and it was positive. My husband called our primary care doctor and they prescribed me PAXLOVID. I took this medication from 6/5/22-6/10/22. My symptoms lasted for about 3 days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My husband initially tested positive for COVID-19 on 5/30/22. I took COVID-19 tests daily from 5/30/22-6/2/22 and they all came back negative. I woke up in the morning on 6/3/22 with nasal congestion. I thought it was allergies, so I started to gargle with salt water. The next day I woke up with a runny nose and I started to experience chest tightness, and my chest felt heavy as if someone was pushing on it. It was also hard to take in deep breaths. I took my oxygen level, and it was at 88. I took a COVID-19 test and it was positive. My husband called our primary care doctor and they prescribed me PAXLOVID. I took this medication from 6/5/22-6/10/22. My symptoms lasted for about 3 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Exposure during pregnancy, Foetal growth abnormality, Laboratory test normal, Scan abnormal
Clinical narrative: First vaccine given at 3 weeks pregnant. Low progestrone through entire first trimester. Baby was growing on par with due date. No genetic abnormalities seen at 12 week NIPT scan. Second vaccine administered at 16 weeks and 2 days. At 20 week anatomy scan, it was noted that growth of baby slowed/stalled at the time of the second vaccine. Grew slow, 2 weeks behind expected growth following second vaccine. Lost the baby to stillbirth at 22 weeks.  Bloodwork during pregnancy showed no risk of infection. Genetic testing came back normal 46 xy. No infections or issues with placenta.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Stillbirth
Clinical narrative: First vaccine given at 3 weeks pregnant. Low progestrone through entire first trimester. Baby was growing on par with due date. No genetic abnormalities seen at 12 week NIPT scan. Second vaccine administered at 16 weeks and 2 days. At 20 week anatomy scan, it was noted that growth of baby slowed/stalled at the time of the second vaccine. Grew slow, 2 weeks behind expected growth following second vaccine. Lost the baby to stillbirth at 22 weeks.  Bloodwork during pregnancy showed no risk of infection. Genetic testing came back normal 46 xy. No infections or issues with placenta.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Feeling abnormal, Malaise, Pyrexia
Clinical narrative: When I caught COVID-19 I had a dry cough. I had a fever of 101 degrees that lasted for 4 days. I had general malaise, and I felt miserable. I received Paxlovid on 6/21/2021. I'm still a little tired, but I feel much better.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: When I caught COVID-19 I had a dry cough. I had a fever of 101 degrees that lasted for 4 days. I had general malaise, and I felt miserable. I received Paxlovid on 6/21/2021. I'm still a little tired, but I feel much better.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID infection
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chills, Cough, Fatigue
Clinical narrative: I am currently having symptoms and the first thing I noticed is a higher than normal temperature. Normally it's 97.5, on Tuesday it was 98.7. I'm coughing and felt a little chilly. I am taking Paxlovid, cough suppressants. I've just been having coughing that brings up small amount of mucus, and I feel wiped out.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: I am currently having symptoms and the first thing I noticed is a higher than normal temperature. Normally it's 97.5, on Tuesday it was 98.7. I'm coughing and felt a little chilly. I am taking Paxlovid, cough suppressants. I've just been having coughing that brings up small amount of mucus, and I feel wiped out.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received .3 ml of Pediatric Pfizer(orange cap).  No adverse events noted.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Feeling cold, Myalgia
Clinical narrative: I started having muscle pain, was tired, very congested, colder than normal. I had a friend and a sister who's household tested positive. I took the home COVID-19 test since I had been around them to be safe. Once my home COVID-19 test came back positive I called the doctor and had a telehealth visit. They advised me to use TYLENOL cold and flu, to use an inhaler to help me breath. I am still testing positive but I no longer have symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I started having muscle pain, was tired, very congested, colder than normal. I had a friend and a sister who's household tested positive. I took the home COVID-19 test since I had been around them to be safe. Once my home COVID-19 test came back positive I called the doctor and had a telehealth visit. They advised me to use TYLENOL cold and flu, to use an inhaler to help me breath. I am still testing positive but I no longer have symptoms.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Thrombosis
Clinical narrative: Pt developed SOB the following 2 days, and on June 9th was admitted to the hospital with multiple blood clots.   He remained in the hospital until June 22nd.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Malaise, Myalgia
Clinical narrative: COVID-19 symptoms started on 06/21/22; tested positive on 06/25/22. We were on vacationand I wore an N95 mask the entire trip up there and we arrived on Saturday around noon and on Tuesday we were in the car traveling and I started to have quite a bit of coughing and nasal drainage and drainage into lungs which is what I think lead to the coughing. That was late morning and I noticed by 6 PM that evening I was tired and I took a nap and felt crummy. I got up the next morning and didn't feel great but after rest I thought I could function and felt like I had a severe cold and commented that I haven't had a cold since pandemic started because I've been careful. I took Ibuprofen for muscle aches and Zyrtec for the drainage and I stayed pretty steady on those medications until we got home. We got home Friday night and on Saturday morning I took a home test and it was positive and I did another one that was a different brand and it was also positive. At that time I also sent info to my PCP and Monday I got a message back from LPN saying I wasn't a candidate for Paxlovid due to shortages and to take Ibuprofen for the aches and Mucinex and to go to the ER if chest pains occur. They didn't want me to come in and do further testing. I continue, even today, having lots of drainage, coughing, and sneezing. It has improved some but not as much as expected. I will do another home test in a couple of days.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started on 06/21/22; tested positive on 06/25/22. We were on vacationand I wore an N95 mask the entire trip up there and we arrived on Saturday around noon and on Tuesday we were in the car traveling and I started to have quite a bit of coughing and nasal drainage and drainage into lungs which is what I think lead to the coughing. That was late morning and I noticed by 6 PM that evening I was tired and I took a nap and felt crummy. I got up the next morning and didn't feel great but after rest I thought I could function and felt like I had a severe cold and commented that I haven't had a cold since pandemic started because I've been careful. I took Ibuprofen for muscle aches and Zyrtec for the drainage and I stayed pretty steady on those medications until we got home. We got home Friday night and on Saturday morning I took a home test and it was positive and I did another one that was a different brand and it was also positive. At that time I also sent info to my PCP and Monday I got a message back from LPN saying I wasn't a candidate for Paxlovid due to shortages and to take Ibuprofen for the aches and Mucinex and to go to the ER if chest pains occur. They didn't want me to come in and do further testing. I continue, even today, having lots of drainage, coughing, and sneezing. It has improved some but not as much as expected. I will do another home test in a couple of days.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: None were expressed or demonstrated by client.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: C/O dizziness, room spinning and nausea.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Starting 06/03/2022 I developed head congestion, fatigue and muscle stiffness which lasted for about 3 days. Also I had a fever of 100 for about 4 days. Then, I had a mild cough and congestion for a few more days after that. I tested positive on 06/04/2022 with an at-home COVID-19 test and a PCR test. When I got the PCR test at urgent care, I asked for Paxlovid but due to my minor symptoms they said it was not necessary. I tested negative for COVID-19 on 06/14/2022.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Starting 06/03/2022 I developed head congestion, fatigue and muscle stiffness which lasted for about 3 days. Also I had a fever of 100 for about 4 days. Then, I had a mild cough and congestion for a few more days after that. I tested positive on 06/04/2022 with an at-home COVID-19 test and a PCR test. When I got the PCR test at urgent care, I asked for Paxlovid but due to my minor symptoms they said it was not necessary. I tested negative for COVID-19 on 06/14/2022.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dysphonia, Fatigue, Headache, Malaise
Clinical narrative: I contracted COVID-19 on 06/14/2022 with symptoms of sore throat, headache, nasal congestion, hoarseness, and extreme fatigue. I was prescribed Paxlovid on 06/15/2022 via a virtual visit. I was ill for 8 days before my symptoms began to resolve. I am fully recovered now with no lingering symptoms.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/14/2022 with symptoms of sore throat, headache, nasal congestion, hoarseness, and extreme fatigue. I was prescribed Paxlovid on 06/15/2022 via a virtual visit. I was ill for 8 days before my symptoms began to resolve. I am fully recovered now with no lingering symptoms.
Age: 59.0
Sex: M
Vaccine: UNK
Symptoms: Blood sodium decreased, COVID-19, Chest pain, Chills, Pneumonia
Clinical narrative: On 6/2/22 chest started to burn so went to county test site and confirmed positive for COVID, then went to prompt care to receive Pfizer antiviral, which cleared burning and restored bi-pap events to normal.  on 6/10/22 developed fevers, chills, etc. took Tylenol; fevers increased to 102 on 6/13. Dr advised not COVID rebound and to go in. Went to ER where they determined I had pneumonia (though previously vaccinated) along with low sodium levels put on Zpack antibiotics; 6/19 back in ER once again with low sodium and pneumonia not cleared so placed on levofloxafin antibiotic for 5 days.
Age: 59.0
Sex: M
Vaccine: UNK
Symptoms: Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 6/2/22 chest started to burn so went to county test site and confirmed positive for COVID, then went to prompt care to receive Pfizer antiviral, which cleared burning and restored bi-pap events to normal.  on 6/10/22 developed fevers, chills, etc. took Tylenol; fevers increased to 102 on 6/13. Dr advised not COVID rebound and to go in. Went to ER where they determined I had pneumonia (though previously vaccinated) along with low sodium levels put on Zpack antibiotics; 6/19 back in ER once again with low sodium and pneumonia not cleared so placed on levofloxafin antibiotic for 5 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Decreased appetite, Fatigue
Clinical narrative: On 06/19/2022 I had a loss of appetite and was very tired, woke up with chills and couldn't get warm.  I woke up around 2 a.m. on 06/20/22 and took a home test and was positive.  On 06/20/2022 I had an appointment for drive thru pcr test that came back positive. I had a virtual appointment on 06/20/2022 and received a prescription for antiviral Molnupiravir started same day. I felt better the next day and was back to normal routine. I started Monday 06/27/2022 feeling like I had a little cold and I am still having a little pressure in my chest like I have a cold.  I have continued to test positive for COVID-19 today.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: On 06/19/2022 I had a loss of appetite and was very tired, woke up with chills and couldn't get warm.  I woke up around 2 a.m. on 06/20/22 and took a home test and was positive.  On 06/20/2022 I had an appointment for drive thru pcr test that came back positive. I had a virtual appointment on 06/20/2022 and received a prescription for antiviral Molnupiravir started same day. I felt better the next day and was back to normal routine. I started Monday 06/27/2022 feeling like I had a little cold and I am still having a little pressure in my chest like I have a cold.  I have continued to test positive for COVID-19 today.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chromaturia, Decreased appetite, Headache, Pain
Clinical narrative: Extremely dark pee.  Feld very achy.  Headache and loss of appetite.  Fever
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Ultrasound scan
Clinical narrative: Extremely dark pee.  Feld very achy.  Headache and loss of appetite.  Fever
Age: 0.17
Sex: M
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Per parents, the patient got his 2 month vaccines yesterday at 1330. The patient started to have a fever around 0100 and they gave him Tylenol. Highest fever at home was 100.6 F.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Alkalosis, Asthenia, Blood creatine phosphokinase increased, Blood gases, Blood lactic acid increased
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 1/27/22  2/2/22: Patient is a pleasant 92-year-old female with past medical history of arthritis, hypercholesterolemia, hypertension, hypothyroidism comes in with chief complaint of weakness malaise.  Patient reports she tested positive for COVID-19 on the 27th of January, antibody infusion "few days back", since that time has been having increasing malaise, fatigue decreased p.o. intake.  She is brought into the emergency department today for further evaluation. Mildly elevated lactic acid, CK 315, blood gases mild alkalosis no hypoxemia, CBC without acute derangement PT without acute derangement.  Chest x-ray was obtained per ED provider sign-out concerns for mild infiltrate official read is pending.  Patient still too weak to ambulate request was made to admit to medical service for further evaluation and possible therapy evaluation.  Bedside patient is sitting comfortably in bed denies lightheadedness, dizziness, chills, does endorse subjective fevers decreased appetite, weakness lower extremities, malaise a known sick contact, no swelling of extremities no chest pain or palpitations.  At rest does not endorse any significant shortness of breath.  She denies tobacco, alcohol, marijuana/recreational drug use.  Otherwise has taken off her medications as prescribed.  It has received COVID vaccination at least 2 doses.  No recent travel outside the area the, lives with son.  Family history otherwise reviewed and noncontributory to presenting finding  2/4/22: Patient is a 92-year-old female who presented to the emergency room with some increasing generalized malaise, fatigue and weakness along with decreased oral intake.  Patient was found to have a mildly elevated lactic acid level, CK level along with a chest x-ray that showed mild bilateral infiltrates.  Patient was found to be COVID positive and was started on appropriate treatment for this. Patient did not require oxygen while admitted to the hospital and was also started on IV antibiotics due to underlying community-acquired pneumonia.  Patient continued to improve and on the morning of 02/04/2022 was feeling well enough to be considered for discharge.  Therapy did see and evaluate the patient who felt the patient would benefit from a skilled referral.  A skilled facility was located who did accept the patient.  I did discuss and review the patient's imaging studies, vital signs, laboratory studies, current medications and plan of care as well as our plan to discharge her to a skilled facility. Patient is in agreement with this approach.  Patient's questions were answered to the best of my abilities.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Decreased appetite, Fatigue, Full blood count normal
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 1/27/22  2/2/22: Patient is a pleasant 92-year-old female with past medical history of arthritis, hypercholesterolemia, hypertension, hypothyroidism comes in with chief complaint of weakness malaise.  Patient reports she tested positive for COVID-19 on the 27th of January, antibody infusion "few days back", since that time has been having increasing malaise, fatigue decreased p.o. intake.  She is brought into the emergency department today for further evaluation. Mildly elevated lactic acid, CK 315, blood gases mild alkalosis no hypoxemia, CBC without acute derangement PT without acute derangement.  Chest x-ray was obtained per ED provider sign-out concerns for mild infiltrate official read is pending.  Patient still too weak to ambulate request was made to admit to medical service for further evaluation and possible therapy evaluation.  Bedside patient is sitting comfortably in bed denies lightheadedness, dizziness, chills, does endorse subjective fevers decreased appetite, weakness lower extremities, malaise a known sick contact, no swelling of extremities no chest pain or palpitations.  At rest does not endorse any significant shortness of breath.  She denies tobacco, alcohol, marijuana/recreational drug use.  Otherwise has taken off her medications as prescribed.  It has received COVID vaccination at least 2 doses.  No recent travel outside the area the, lives with son.  Family history otherwise reviewed and noncontributory to presenting finding  2/4/22: Patient is a 92-year-old female who presented to the emergency room with some increasing generalized malaise, fatigue and weakness along with decreased oral intake.  Patient was found to have a mildly elevated lactic acid level, CK level along with a chest x-ray that showed mild bilateral infiltrates.  Patient was found to be COVID positive and was started on appropriate treatment for this. Patient did not require oxygen while admitted to the hospital and was also started on IV antibiotics due to underlying community-acquired pneumonia.  Patient continued to improve and on the morning of 02/04/2022 was feeling well enough to be considered for discharge.  Therapy did see and evaluate the patient who felt the patient would benefit from a skilled referral.  A skilled facility was located who did accept the patient.  I did discuss and review the patient's imaging studies, vital signs, laboratory studies, current medications and plan of care as well as our plan to discharge her to a skilled facility. Patient is in agreement with this approach.  Patient's questions were answered to the best of my abilities.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Hypophagia, Lung infiltration, Malaise, Muscular weakness
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 1/27/22  2/2/22: Patient is a pleasant 92-year-old female with past medical history of arthritis, hypercholesterolemia, hypertension, hypothyroidism comes in with chief complaint of weakness malaise.  Patient reports she tested positive for COVID-19 on the 27th of January, antibody infusion "few days back", since that time has been having increasing malaise, fatigue decreased p.o. intake.  She is brought into the emergency department today for further evaluation. Mildly elevated lactic acid, CK 315, blood gases mild alkalosis no hypoxemia, CBC without acute derangement PT without acute derangement.  Chest x-ray was obtained per ED provider sign-out concerns for mild infiltrate official read is pending.  Patient still too weak to ambulate request was made to admit to medical service for further evaluation and possible therapy evaluation.  Bedside patient is sitting comfortably in bed denies lightheadedness, dizziness, chills, does endorse subjective fevers decreased appetite, weakness lower extremities, malaise a known sick contact, no swelling of extremities no chest pain or palpitations.  At rest does not endorse any significant shortness of breath.  She denies tobacco, alcohol, marijuana/recreational drug use.  Otherwise has taken off her medications as prescribed.  It has received COVID vaccination at least 2 doses.  No recent travel outside the area the, lives with son.  Family history otherwise reviewed and noncontributory to presenting finding  2/4/22: Patient is a 92-year-old female who presented to the emergency room with some increasing generalized malaise, fatigue and weakness along with decreased oral intake.  Patient was found to have a mildly elevated lactic acid level, CK level along with a chest x-ray that showed mild bilateral infiltrates.  Patient was found to be COVID positive and was started on appropriate treatment for this. Patient did not require oxygen while admitted to the hospital and was also started on IV antibiotics due to underlying community-acquired pneumonia.  Patient continued to improve and on the morning of 02/04/2022 was feeling well enough to be considered for discharge.  Therapy did see and evaluate the patient who felt the patient would benefit from a skilled referral.  A skilled facility was located who did accept the patient.  I did discuss and review the patient's imaging studies, vital signs, laboratory studies, current medications and plan of care as well as our plan to discharge her to a skilled facility. Patient is in agreement with this approach.  Patient's questions were answered to the best of my abilities.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Prothrombin time normal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 1/27/22  2/2/22: Patient is a pleasant 92-year-old female with past medical history of arthritis, hypercholesterolemia, hypertension, hypothyroidism comes in with chief complaint of weakness malaise.  Patient reports she tested positive for COVID-19 on the 27th of January, antibody infusion "few days back", since that time has been having increasing malaise, fatigue decreased p.o. intake.  She is brought into the emergency department today for further evaluation. Mildly elevated lactic acid, CK 315, blood gases mild alkalosis no hypoxemia, CBC without acute derangement PT without acute derangement.  Chest x-ray was obtained per ED provider sign-out concerns for mild infiltrate official read is pending.  Patient still too weak to ambulate request was made to admit to medical service for further evaluation and possible therapy evaluation.  Bedside patient is sitting comfortably in bed denies lightheadedness, dizziness, chills, does endorse subjective fevers decreased appetite, weakness lower extremities, malaise a known sick contact, no swelling of extremities no chest pain or palpitations.  At rest does not endorse any significant shortness of breath.  She denies tobacco, alcohol, marijuana/recreational drug use.  Otherwise has taken off her medications as prescribed.  It has received COVID vaccination at least 2 doses.  No recent travel outside the area the, lives with son.  Family history otherwise reviewed and noncontributory to presenting finding  2/4/22: Patient is a 92-year-old female who presented to the emergency room with some increasing generalized malaise, fatigue and weakness along with decreased oral intake.  Patient was found to have a mildly elevated lactic acid level, CK level along with a chest x-ray that showed mild bilateral infiltrates.  Patient was found to be COVID positive and was started on appropriate treatment for this. Patient did not require oxygen while admitted to the hospital and was also started on IV antibiotics due to underlying community-acquired pneumonia.  Patient continued to improve and on the morning of 02/04/2022 was feeling well enough to be considered for discharge.  Therapy did see and evaluate the patient who felt the patient would benefit from a skilled referral.  A skilled facility was located who did accept the patient.  I did discuss and review the patient's imaging studies, vital signs, laboratory studies, current medications and plan of care as well as our plan to discharge her to a skilled facility. Patient is in agreement with this approach.  Patient's questions were answered to the best of my abilities.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Influenza A virus test positive, Malaise, Pyrexia
Clinical narrative: Became Sick with fever and cough 6/25/22. Tested positive for Covid and flu A on 6/29/22.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Became Sick with fever and cough 6/25/22. Tested positive for Covid and flu A on 6/29/22.
Age: 1.08
Sex: F
Vaccine: UNK
Symptoms: Injection site rash, Rash
Clinical narrative: "This is a 13 month old female complaining of skin rash for 2 days.  Patient had her 1 year vaccines on 6/17/2022.  Patient complains of rash to the right thigh, where she got her vaccines on."
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Dizziness, Dyspnoea, Pruritus
Clinical narrative: Patient received Pfizer booster vaccine and about 5 minutes later she was seen throwing up, complained of itching, hives were seen on her arms bilaterally. She complained of feeling faint and weak and later complained of her throat feeling like it was closing up and difficulty breathing/speaking. Patient was given two separate doses of epinephrine while the nurse called EMS to report the SAE.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria, Vomiting
Clinical narrative: Patient received Pfizer booster vaccine and about 5 minutes later she was seen throwing up, complained of itching, hives were seen on her arms bilaterally. She complained of feeling faint and weak and later complained of her throat feeling like it was closing up and difficulty breathing/speaking. Patient was given two separate doses of epinephrine while the nurse called EMS to report the SAE.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthritis, Blood cortisol, Blood test, Blood thyroid stimulating hormone
Clinical narrative: What I have noticed is that I have swelling and sensitivity along my shoulder line towards the back of my neck. How it shows itself is that I look swollen. I usually have a very fine and slender neck and now it looks like it?s swollen. The other thing that started happening was that bra straps began to irritate me. Before I noticed It, they started to leave marks on my skin. The marks now cut the skin and it?s red and has to heal. I had to start using coco butter to make sure the cuts don?t become permanent. The bras I was using may have been too tight, so I started using sports bras, but now the lines and cuts are everywhere the bras have touched on my shoulders. I mentioned this to another doctor prior, and he gave me a neck x-ray and he told me I had arthritis. I?m not having issues with arthritis. It?s not affecting the skin breaks at my shoulders. I?m not sure what the next step is. I mentioned it to my primary care and I?m not sure if she noted it. She did do some blood work. Hemogram, TSH and Lipid panel, and Cortisol. I have those results, but I haven?t looked at them yet. She said she would recommend some stretching stuff for the neck. She recommended that I cry CBD oil as a calming substance. She mentioned to reduce stress and walk. She gave me some things to help with the anxiety, but she didn?t mention anything about my neck and shoulder because they can only note so much.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Full blood count, Lipids, Sensitive skin, Skin irritation
Clinical narrative: What I have noticed is that I have swelling and sensitivity along my shoulder line towards the back of my neck. How it shows itself is that I look swollen. I usually have a very fine and slender neck and now it looks like it?s swollen. The other thing that started happening was that bra straps began to irritate me. Before I noticed It, they started to leave marks on my skin. The marks now cut the skin and it?s red and has to heal. I had to start using coco butter to make sure the cuts don?t become permanent. The bras I was using may have been too tight, so I started using sports bras, but now the lines and cuts are everywhere the bras have touched on my shoulders. I mentioned this to another doctor prior, and he gave me a neck x-ray and he told me I had arthritis. I?m not having issues with arthritis. It?s not affecting the skin breaks at my shoulders. I?m not sure what the next step is. I mentioned it to my primary care and I?m not sure if she noted it. She did do some blood work. Hemogram, TSH and Lipid panel, and Cortisol. I have those results, but I haven?t looked at them yet. She said she would recommend some stretching stuff for the neck. She recommended that I cry CBD oil as a calming substance. She mentioned to reduce stress and walk. She gave me some things to help with the anxiety, but she didn?t mention anything about my neck and shoulder because they can only note so much.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Wound, X-ray abnormal
Clinical narrative: What I have noticed is that I have swelling and sensitivity along my shoulder line towards the back of my neck. How it shows itself is that I look swollen. I usually have a very fine and slender neck and now it looks like it?s swollen. The other thing that started happening was that bra straps began to irritate me. Before I noticed It, they started to leave marks on my skin. The marks now cut the skin and it?s red and has to heal. I had to start using coco butter to make sure the cuts don?t become permanent. The bras I was using may have been too tight, so I started using sports bras, but now the lines and cuts are everywhere the bras have touched on my shoulders. I mentioned this to another doctor prior, and he gave me a neck x-ray and he told me I had arthritis. I?m not having issues with arthritis. It?s not affecting the skin breaks at my shoulders. I?m not sure what the next step is. I mentioned it to my primary care and I?m not sure if she noted it. She did do some blood work. Hemogram, TSH and Lipid panel, and Cortisol. I have those results, but I haven?t looked at them yet. She said she would recommend some stretching stuff for the neck. She recommended that I cry CBD oil as a calming substance. She mentioned to reduce stress and walk. She gave me some things to help with the anxiety, but she didn?t mention anything about my neck and shoulder because they can only note so much.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: No Reaction to the vaccine itself. Tested positive on June 22, 2022. Symptoms were cough, nasal congestion, slight fatigue.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Aspartate aminotransferase increased, Aspergilloma, Aspergillus test positive
Clinical narrative: Pfizer Dose 1 9/12/21 (lot NA) Pfizer Dose 2 10/29/21 (301308A) COVID Positive 1/17/22  1/24/22: Patient is a 69 male who presented to ED with a chief complaint of generalized weakness.  Patient tested positive for COVID-19 on 01/17.  He has been fully vaccinated against COVID-19 but has not received his booster. He reports insomnia for the past week. Ongoing decreased appetite and oral intake. He has a past medical history of COPD chronically on 2 L NC, anxiety, hypertension, chronic pain, and former tobacco user. He has a LUL cavitary lung nodule that was discovered back in July. He has had multiple hospitalizations since. CT guided biopsy on 11/5 showed necrosis and reactive fibrosis, acute on chronic inflammation but no malignancy.  Sputum cultures on 10/23, 11/4 and 11/6 were positive for aspergillus and the patient was treated with Zosyn, vancomycin and micafungin. He reports significant weight loss over the past months, approximately 40 lb. He has decreased appetite and oral intake. No recent fevers, nausea, vomiting or diarrhea.  He was seen at HC on 1/13, advised to stop IV antibacterials and consider low dose azithromycin and repeating imaging in a few months, if no improvement repeat biopsy. Additional recommendations were to collect more sputa for AFB to exclude missed NTM and repeat blood work for histo AG, galactomannan, and fungal antibodies.   On arrival to ED patient was hypertensive 151/90. Laboratory findings were significant for CKD stage G 3A BUN 39 and creatinine 1.51.  Transaminitis AST 52 in ALP 252. ProBNP 1393. CT chest small thrombus in left upper lobe pulmonary artery.  Slightly increased size of the back wall cavitary lesion in the left upper lobe, most suggestive of aspergilloma.  New multifocal airspace disease most prominent in the lung periphery.  1/28/22: Patient was admitted for shortness of breath, CT pulmonary angiogram showed small PE, also has changes consistent with aspergilloma from before.  Patient was started on anticoagulation with Eliquis.  Patient was hemodynamically stable.  Also patient was diagnosed with COVID before.  Patient was asymptomatic from COVID. Patient was seen by Pulmonary and Infectious Disease specialist. Advised to continue with micafungin till May 22nd as prescribed.  Patient remained hemodynamically stable.  Patient continued on micafungin. On Eliquis which patient is tolerating well.  Patient discharged home today.