chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Laboratory test abnormal, Musculoskeletal chest pain, Oedema peripheral, Prohormone brain natriuretic peptide increased
Clinical narrative: Patient was Covid + on 10/29/2021. Patient received Moderna with 1st dose 012L20A on 02/08/2021 and 2nd 029L20A 03/09/2021.  Per ED Note:  History of Present Illness     71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.  Patient states that over the past 24 hours he has been feeling weak and has had difficulties standing.  Patient states that he had a fall approximately 5 hours prior to arrival.  Patient states that he went from a seated to standing position and felt weak and fell.  Patient states that he has pain on the left side of his chest wall from the fall. Patient denies any  abdominal pain, vomiting, difficulty breathing, focal paresthesias or weakness, headache, dizziness, fevers or chills, URI symptoms,  change in bowel or bladder habits, leg pain or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors. ED Course/Medical Decision Making:     Evaluation, management, services and procedures as well as the key components of the patient's care described here were performed in the presence of the attending physician.  Clinical records were reviewed. Pulse oximetry interpreted by me: 90% on room air-abnormal.   Initial evaluation: 71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.   Vitals are reviewed and significant for heart rate of 125, respiratory rate of 33 and a temperature of 103.3.  Patient was placed on 2 L nasal cannula and given Tylenol for the fever.   Patient was given 10 mg of Lopressor and ED sepsis diagnostic pathway was triggered.  30 cc/kg was held as patient has lower extremity edema and mild crackles on exam.   Labs: CBC shows no leukocytosis or severe anemia.  Blood chemistry is significant for sodium of 130.  Troponin is negative.  proBNP is 444.  Lactic acid is unremarkable.  Covid is positive.   Imaging:   CXR: Limited study due to low lung volumes. No definite evidence for acute cardiopulmonary disease.   XR 2 view: Bronchial thickening without consolidation   CT head: No evidence for acute intracranial abnormality. Advanced pan-sinus disease.   EKG interpreted by myself and attending physician and demonstrates: Rhythm: A. fib with RVR. Rate: 123. Intervals: QRS: 92, QT/QTc: 314/449. ST elevations: No acute elevations or depressions. T wave changes: T wave inversion aVR. No acute ischemic changes. Prior ECG: No significant change from EKG in October 2018.   Patient's CHADVAS score is low risk at this time and heparin was not started.  Imaging was reviewed and was grossly unremarkable.  EKG showed A. fib RVR and repeat EKG showed normal sinus rhythm at a rate of 78.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinusitis, Total lung capacity decreased
Clinical narrative: Patient was Covid + on 10/29/2021. Patient received Moderna with 1st dose 012L20A on 02/08/2021 and 2nd 029L20A 03/09/2021.  Per ED Note:  History of Present Illness     71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.  Patient states that over the past 24 hours he has been feeling weak and has had difficulties standing.  Patient states that he had a fall approximately 5 hours prior to arrival.  Patient states that he went from a seated to standing position and felt weak and fell.  Patient states that he has pain on the left side of his chest wall from the fall. Patient denies any  abdominal pain, vomiting, difficulty breathing, focal paresthesias or weakness, headache, dizziness, fevers or chills, URI symptoms,  change in bowel or bladder habits, leg pain or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors. ED Course/Medical Decision Making:     Evaluation, management, services and procedures as well as the key components of the patient's care described here were performed in the presence of the attending physician.  Clinical records were reviewed. Pulse oximetry interpreted by me: 90% on room air-abnormal.   Initial evaluation: 71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.   Vitals are reviewed and significant for heart rate of 125, respiratory rate of 33 and a temperature of 103.3.  Patient was placed on 2 L nasal cannula and given Tylenol for the fever.   Patient was given 10 mg of Lopressor and ED sepsis diagnostic pathway was triggered.  30 cc/kg was held as patient has lower extremity edema and mild crackles on exam.   Labs: CBC shows no leukocytosis or severe anemia.  Blood chemistry is significant for sodium of 130.  Troponin is negative.  proBNP is 444.  Lactic acid is unremarkable.  Covid is positive.   Imaging:   CXR: Limited study due to low lung volumes. No definite evidence for acute cardiopulmonary disease.   XR 2 view: Bronchial thickening without consolidation   CT head: No evidence for acute intracranial abnormality. Advanced pan-sinus disease.   EKG interpreted by myself and attending physician and demonstrates: Rhythm: A. fib with RVR. Rate: 123. Intervals: QRS: 92, QT/QTc: 314/449. ST elevations: No acute elevations or depressions. T wave changes: T wave inversion aVR. No acute ischemic changes. Prior ECG: No significant change from EKG in October 2018.   Patient's CHADVAS score is low risk at this time and heparin was not started.  Imaging was reviewed and was grossly unremarkable.  EKG showed A. fib RVR and repeat EKG showed normal sinus rhythm at a rate of 78.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Eye swelling, Feeling abnormal
Clinical narrative: Around 8pm, I started having chills. Around 10pm, I started having body aches, joint pain, and headaches. The next morning had a low-grade fever. On Monday, I was almost symptom free. On Monday night, my symptoms came back. On Tuesday night, I nausea and vomiting. My symptoms continued on Wednesday and Thursday. On Friday, I was symptom free. On Saturday, my symptoms came back. On Sunday, I had difficulty breathing and had brain fog. My eye started swelling.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Around 8pm, I started having chills. Around 10pm, I started having body aches, joint pain, and headaches. The next morning had a low-grade fever. On Monday, I was almost symptom free. On Monday night, my symptoms came back. On Tuesday night, I nausea and vomiting. My symptoms continued on Wednesday and Thursday. On Friday, I was symptom free. On Saturday, my symptoms came back. On Sunday, I had difficulty breathing and had brain fog. My eye started swelling.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: six months after vaccination patient presents to emergency department reporting fatigue, cough, and abdominal cramping. Diagnosed with COVID-19 pneumonia and pneumoperitoneum. Admitted to hospital, administered steroids and remdesvir, anticoagulated,  underwent small bowel resection for perforated small bowel diverticulum. Discharged to home medically stable and on follow-up continues to improve.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Fibrin D dimer increased, Intestinal perforation, Intestinal resection
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: six months after vaccination patient presents to emergency department reporting fatigue, cough, and abdominal cramping. Diagnosed with COVID-19 pneumonia and pneumoperitoneum. Admitted to hospital, administered steroids and remdesvir, anticoagulated,  underwent small bowel resection for perforated small bowel diverticulum. Discharged to home medically stable and on follow-up continues to improve.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Pneumoperitoneum, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: six months after vaccination patient presents to emergency department reporting fatigue, cough, and abdominal cramping. Diagnosed with COVID-19 pneumonia and pneumoperitoneum. Admitted to hospital, administered steroids and remdesvir, anticoagulated,  underwent small bowel resection for perforated small bowel diverticulum. Discharged to home medically stable and on follow-up continues to improve.
Age: 62.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vaccine was stored in lower temperatures than what was recommended. Moderna confirmed, vaccines are viable.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Tenderness
Clinical narrative: Redness and tenderness on left bicep covering all outside of upper arm elbow to shoulder continuing currently.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: GBS 2 weeks afterwards
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Syncope
Clinical narrative: 10/26/21 presents to EC ED after syncope; PMHx most significant for HTN, hypothyroidism, had a recent mild COVID-19 infection on 10/7/21.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Dyspnoea, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: 10/28/21 presents to EC ED as a transfer from OSH for SOB, COVID + and elevated troponin on heparin gtt. PMHx of renal transplant (2005), 2/2 lupus nephritis, Afib, DM II, neuromyelitis optica with paraplegia below the waist, non-Hodgkin's lymphoma.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Migraine, Neck pain
Clinical narrative: First symptom was chills about 9 hours after injection and lasted about 7  hours. Body aches, neck pain, and severe lower back pain started approximately 14 hours after injection and lasted about 12 hours. Extreme fatigue began about 16 hours after injection and lasted about 8 hours, with general fatigue lasting about 24 hours. And the last symptom was a migraine headache that started about the same time as the extreme fatigue, but lasted five days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: First symptom was chills about 9 hours after injection and lasted about 7  hours. Body aches, neck pain, and severe lower back pain started approximately 14 hours after injection and lasted about 12 hours. Extreme fatigue began about 16 hours after injection and lasted about 8 hours, with general fatigue lasting about 24 hours. And the last symptom was a migraine headache that started about the same time as the extreme fatigue, but lasted five days.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Cardiac telemetry
Clinical narrative: 10/19/2021 COUGH,SOB ED to Hosp-Admission Discharged   10/22/2021 - 10/30/2021 (8 days)   MD  Last attending ? Treatment team Acute respiratory failure with hypoxia (CMS/HCC)  Principal problem Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Hypoxemia 3. Type 2 diabetes mellitus with hyperglycemia with insulin use 4. CKD Stage 3 5. Mild cognitive impairment   Plan:   Patient is fully vaccinated but still ill. Will require admission under telemetry and pulse oximetry.    Start decadron 6mg IV daily x 10 days -> obviously will make sugars worse but can work on that as we go forward.    Remdesivir full 5 day IV course.    Procalcitonin level to determine need for antibiotics.    Insulin sliding scale high algorithm for now - monitor sugars closely. Start insulin stat dose now.    Spoke to ED physician personally.    Patient is an 83 y.o. male.       "Patient is a 83 y.o. yo male presenting to the ED with complaints of increasing shortness of breath over the past few weeks.  Patient states recently tested positive for Covid however is fully vaccine against Covid as well.  Patient states increasing shortness of breath as well as fatigue and loss of appetite however not claiming significant fevers, chills, body aches, nausea, vomiting, abdominal pain, dominant changes urination changes.  Patient is also known diabetic and takes insulin.  Patient also has history of hypertension, hyperlipidemia however no previous history of pulmonary disease or any cardiac disease.  Patient not complain of any lower extremity swelling.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Chronic kidney disease, Cognitive disorder, Computerised tomogram
Clinical narrative: 10/19/2021 COUGH,SOB ED to Hosp-Admission Discharged   10/22/2021 - 10/30/2021 (8 days)   MD  Last attending ? Treatment team Acute respiratory failure with hypoxia (CMS/HCC)  Principal problem Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Hypoxemia 3. Type 2 diabetes mellitus with hyperglycemia with insulin use 4. CKD Stage 3 5. Mild cognitive impairment   Plan:   Patient is fully vaccinated but still ill. Will require admission under telemetry and pulse oximetry.    Start decadron 6mg IV daily x 10 days -> obviously will make sugars worse but can work on that as we go forward.    Remdesivir full 5 day IV course.    Procalcitonin level to determine need for antibiotics.    Insulin sliding scale high algorithm for now - monitor sugars closely. Start insulin stat dose now.    Spoke to ED physician personally.    Patient is an 83 y.o. male.       "Patient is a 83 y.o. yo male presenting to the ED with complaints of increasing shortness of breath over the past few weeks.  Patient states recently tested positive for Covid however is fully vaccine against Covid as well.  Patient states increasing shortness of breath as well as fatigue and loss of appetite however not claiming significant fevers, chills, body aches, nausea, vomiting, abdominal pain, dominant changes urination changes.  Patient is also known diabetic and takes insulin.  Patient also has history of hypertension, hyperlipidemia however no previous history of pulmonary disease or any cardiac disease.  Patient not complain of any lower extremity swelling.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Decreased appetite, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: 10/19/2021 COUGH,SOB ED to Hosp-Admission Discharged   10/22/2021 - 10/30/2021 (8 days)   MD  Last attending ? Treatment team Acute respiratory failure with hypoxia (CMS/HCC)  Principal problem Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Hypoxemia 3. Type 2 diabetes mellitus with hyperglycemia with insulin use 4. CKD Stage 3 5. Mild cognitive impairment   Plan:   Patient is fully vaccinated but still ill. Will require admission under telemetry and pulse oximetry.    Start decadron 6mg IV daily x 10 days -> obviously will make sugars worse but can work on that as we go forward.    Remdesivir full 5 day IV course.    Procalcitonin level to determine need for antibiotics.    Insulin sliding scale high algorithm for now - monitor sugars closely. Start insulin stat dose now.    Spoke to ED physician personally.    Patient is an 83 y.o. male.       "Patient is a 83 y.o. yo male presenting to the ED with complaints of increasing shortness of breath over the past few weeks.  Patient states recently tested positive for Covid however is fully vaccine against Covid as well.  Patient states increasing shortness of breath as well as fatigue and loss of appetite however not claiming significant fevers, chills, body aches, nausea, vomiting, abdominal pain, dominant changes urination changes.  Patient is also known diabetic and takes insulin.  Patient also has history of hypertension, hyperlipidemia however no previous history of pulmonary disease or any cardiac disease.  Patient not complain of any lower extremity swelling.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Hyperglycaemia, Hypoxia, Insulin-requiring type 2 diabetes mellitus
Clinical narrative: 10/19/2021 COUGH,SOB ED to Hosp-Admission Discharged   10/22/2021 - 10/30/2021 (8 days)   MD  Last attending ? Treatment team Acute respiratory failure with hypoxia (CMS/HCC)  Principal problem Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Hypoxemia 3. Type 2 diabetes mellitus with hyperglycemia with insulin use 4. CKD Stage 3 5. Mild cognitive impairment   Plan:   Patient is fully vaccinated but still ill. Will require admission under telemetry and pulse oximetry.    Start decadron 6mg IV daily x 10 days -> obviously will make sugars worse but can work on that as we go forward.    Remdesivir full 5 day IV course.    Procalcitonin level to determine need for antibiotics.    Insulin sliding scale high algorithm for now - monitor sugars closely. Start insulin stat dose now.    Spoke to ED physician personally.    Patient is an 83 y.o. male.       "Patient is a 83 y.o. yo male presenting to the ED with complaints of increasing shortness of breath over the past few weeks.  Patient states recently tested positive for Covid however is fully vaccine against Covid as well.  Patient states increasing shortness of breath as well as fatigue and loss of appetite however not claiming significant fevers, chills, body aches, nausea, vomiting, abdominal pain, dominant changes urination changes.  Patient is also known diabetic and takes insulin.  Patient also has history of hypertension, hyperlipidemia however no previous history of pulmonary disease or any cardiac disease.  Patient not complain of any lower extremity swelling.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Interstitial lung disease, Lung infiltration, Lung opacity, Malaise, Osteoarthritis
Clinical narrative: 10/19/2021 COUGH,SOB ED to Hosp-Admission Discharged   10/22/2021 - 10/30/2021 (8 days)   MD  Last attending ? Treatment team Acute respiratory failure with hypoxia (CMS/HCC)  Principal problem Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Hypoxemia 3. Type 2 diabetes mellitus with hyperglycemia with insulin use 4. CKD Stage 3 5. Mild cognitive impairment   Plan:   Patient is fully vaccinated but still ill. Will require admission under telemetry and pulse oximetry.    Start decadron 6mg IV daily x 10 days -> obviously will make sugars worse but can work on that as we go forward.    Remdesivir full 5 day IV course.    Procalcitonin level to determine need for antibiotics.    Insulin sliding scale high algorithm for now - monitor sugars closely. Start insulin stat dose now.    Spoke to ED physician personally.    Patient is an 83 y.o. male.       "Patient is a 83 y.o. yo male presenting to the ED with complaints of increasing shortness of breath over the past few weeks.  Patient states recently tested positive for Covid however is fully vaccine against Covid as well.  Patient states increasing shortness of breath as well as fatigue and loss of appetite however not claiming significant fevers, chills, body aches, nausea, vomiting, abdominal pain, dominant changes urination changes.  Patient is also known diabetic and takes insulin.  Patient also has history of hypertension, hyperlipidemia however no previous history of pulmonary disease or any cardiac disease.  Patient not complain of any lower extremity swelling.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Procalcitonin, SARS-CoV-2 test positive, Scan with contrast abnormal, Spinal osteoarthritis
Clinical narrative: 10/19/2021 COUGH,SOB ED to Hosp-Admission Discharged   10/22/2021 - 10/30/2021 (8 days)   MD  Last attending ? Treatment team Acute respiratory failure with hypoxia (CMS/HCC)  Principal problem Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Hypoxemia 3. Type 2 diabetes mellitus with hyperglycemia with insulin use 4. CKD Stage 3 5. Mild cognitive impairment   Plan:   Patient is fully vaccinated but still ill. Will require admission under telemetry and pulse oximetry.    Start decadron 6mg IV daily x 10 days -> obviously will make sugars worse but can work on that as we go forward.    Remdesivir full 5 day IV course.    Procalcitonin level to determine need for antibiotics.    Insulin sliding scale high algorithm for now - monitor sugars closely. Start insulin stat dose now.    Spoke to ED physician personally.    Patient is an 83 y.o. male.       "Patient is a 83 y.o. yo male presenting to the ED with complaints of increasing shortness of breath over the past few weeks.  Patient states recently tested positive for Covid however is fully vaccine against Covid as well.  Patient states increasing shortness of breath as well as fatigue and loss of appetite however not claiming significant fevers, chills, body aches, nausea, vomiting, abdominal pain, dominant changes urination changes.  Patient is also known diabetic and takes insulin.  Patient also has history of hypertension, hyperlipidemia however no previous history of pulmonary disease or any cardiac disease.  Patient not complain of any lower extremity swelling.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: 10/19/2021 COUGH,SOB ED to Hosp-Admission Discharged   10/22/2021 - 10/30/2021 (8 days)   MD  Last attending ? Treatment team Acute respiratory failure with hypoxia (CMS/HCC)  Principal problem Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Hypoxemia 3. Type 2 diabetes mellitus with hyperglycemia with insulin use 4. CKD Stage 3 5. Mild cognitive impairment   Plan:   Patient is fully vaccinated but still ill. Will require admission under telemetry and pulse oximetry.    Start decadron 6mg IV daily x 10 days -> obviously will make sugars worse but can work on that as we go forward.    Remdesivir full 5 day IV course.    Procalcitonin level to determine need for antibiotics.    Insulin sliding scale high algorithm for now - monitor sugars closely. Start insulin stat dose now.    Spoke to ED physician personally.    Patient is an 83 y.o. male.       "Patient is a 83 y.o. yo male presenting to the ED with complaints of increasing shortness of breath over the past few weeks.  Patient states recently tested positive for Covid however is fully vaccine against Covid as well.  Patient states increasing shortness of breath as well as fatigue and loss of appetite however not claiming significant fevers, chills, body aches, nausea, vomiting, abdominal pain, dominant changes urination changes.  Patient is also known diabetic and takes insulin.  Patient also has history of hypertension, hyperlipidemia however no previous history of pulmonary disease or any cardiac disease.  Patient not complain of any lower extremity swelling.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 11/1/21 after being fully vaccinated.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 10/29/21 patient presents to EC ED with c/o cough and fatigue, tested positive for COVID 3 days prior to admission.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood thyroid stimulating hormone, Chest pain, Dizziness, Dyspnoea
Clinical narrative: The day after my vaccine, I went for a normal walk and my heart rate quickly got up to 180 bpm. For the rest of the walk (~2 hr), I had to walk VERY slowly and take breaks every 20-30 min just to get and keep my heart rate below 160 bpm.  I thought it might be related to the vaccine, so I went easy on my workouts for a few weeks, but it didn't really stop. Over the summer, I stopped walking outside because of the weather, and when I tried to resume the walks in the fall, I found that my heart rate was even worse--getting up to 185 with minimal effort and staying in the "peak" zone (above 170) for 65+% of my walk. In the past month, after a short trip to Bangladesh, where I developed a cough (not COVID) that lasted 4 weeks, it has gotten much worse--my heart rate gets up to 120 bpm and I become short of breath when doing minimal activity (e.g., washing dishes), and I can't walk faster than a 20 min mile without getting dizzy/short of breath. I've also begun feeling chest pains. I've been to the doctor twice and have an appointment with a cardiologist in November.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Heart rate increased, Metabolic function test, Vitamin B12 decreased
Clinical narrative: The day after my vaccine, I went for a normal walk and my heart rate quickly got up to 180 bpm. For the rest of the walk (~2 hr), I had to walk VERY slowly and take breaks every 20-30 min just to get and keep my heart rate below 160 bpm.  I thought it might be related to the vaccine, so I went easy on my workouts for a few weeks, but it didn't really stop. Over the summer, I stopped walking outside because of the weather, and when I tried to resume the walks in the fall, I found that my heart rate was even worse--getting up to 185 with minimal effort and staying in the "peak" zone (above 170) for 65+% of my walk. In the past month, after a short trip to Bangladesh, where I developed a cough (not COVID) that lasted 4 weeks, it has gotten much worse--my heart rate gets up to 120 bpm and I become short of breath when doing minimal activity (e.g., washing dishes), and I can't walk faster than a 20 min mile without getting dizzy/short of breath. I've also begun feeling chest pains. I've been to the doctor twice and have an appointment with a cardiologist in November.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Emotional distress, Feeling abnormal
Clinical narrative: Blood pressure "sky rocketed" about 2 days after vacciantion.  States she felt a little off after vaccination, but then something upset her and it just got pretty high, pretty fast.  Reports blood pressure of 200+ / 100+ for about 2.5 to 3 weeks.    Voices it then went back to her normal of about 106/70 after the 2.5-3 weeks.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Death, Headache, Resuscitation
Clinical narrative: Developed headache within a couple hours of vaccination, put cool cloth on his head and was found dead on his bed a couple hours later. CPR initiated. Resuscitation suspended after approximately 20 mins when EMS arrived (to respect the wishes of his Advance Directive).
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: shoulder pain for 1 month starting day of vaccine, picture of bandaid on shoulder, pt will follow up with shoulder specialist to see if effects will be permanent
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: NO ADVERESE EVENT OCCURED. PATIENT RECEIVED J&J COVID-19 VACCCINE (BOOSTER) ON 10/29/2021 FROM PHARMACY.  WHEN REPORTING THE VACCINE TO SYSTEM IT WAS DISCOVERED THAT THE PATIENT INTIALLY RECEIVED ASTRAZENECA COVID-19 VACCINE 03/29/21 NOT J&J.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Dyspnoea
Clinical narrative: Patient presented with SOB, pain in back, difficulty breathing within minutes after vaccine administered. Called 911 and administered one dose of epipen. Patient had all symptoms resolved after epipen administration and even requested ambulance to be cancelled. Vitals were normal.  Patient had never had any reactions to vaccines in the past. Followed up with patient next day.  No adverse reactions / side effects reported. Patient PCP was notified.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Adnexa uteri pain, Axillary pain, Blood test abnormal, Computerised tomogram kidney normal, Computerised tomogram liver abnormal
Clinical narrative: I started getting a real bad pain - lymph node under my right arm. From my vaccine, I had a sore arm at the injection site. I had headaches for three or four days; pain in my ovaries - both sides; liver or kidneys - seemed to be going crazy - it was hurting around the same spot. I was taking Tylenol to help me but it wasn't helping me at all. I went for a CT scan (kidneys and ovaries looked okay)- no issues but they want me to see a specialist for liver - since I have fatty liver. I still have pain in my ovaries but not as bad as it was. I am waiting for a referral for the time for me to the liver specialist. My arm - right arm lymph node pain comes and goes still. I have a pretty high tolerance to pain but this was severe. I was taking cranberry juice to make sure I didn't get a UTI and lots of water.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram pelvis, Culture cervix, Headache, Hepatic pain, Injection site pain
Clinical narrative: I started getting a real bad pain - lymph node under my right arm. From my vaccine, I had a sore arm at the injection site. I had headaches for three or four days; pain in my ovaries - both sides; liver or kidneys - seemed to be going crazy - it was hurting around the same spot. I was taking Tylenol to help me but it wasn't helping me at all. I went for a CT scan (kidneys and ovaries looked okay)- no issues but they want me to see a specialist for liver - since I have fatty liver. I still have pain in my ovaries but not as bad as it was. I am waiting for a referral for the time for me to the liver specialist. My arm - right arm lymph node pain comes and goes still. I have a pretty high tolerance to pain but this was severe. I was taking cranberry juice to make sure I didn't get a UTI and lots of water.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Renal pain, Urine analysis, White blood cell count abnormal
Clinical narrative: I started getting a real bad pain - lymph node under my right arm. From my vaccine, I had a sore arm at the injection site. I had headaches for three or four days; pain in my ovaries - both sides; liver or kidneys - seemed to be going crazy - it was hurting around the same spot. I was taking Tylenol to help me but it wasn't helping me at all. I went for a CT scan (kidneys and ovaries looked okay)- no issues but they want me to see a specialist for liver - since I have fatty liver. I still have pain in my ovaries but not as bad as it was. I am waiting for a referral for the time for me to the liver specialist. My arm - right arm lymph node pain comes and goes still. I have a pretty high tolerance to pain but this was severe. I was taking cranberry juice to make sure I didn't get a UTI and lots of water.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Periorbital swelling
Clinical narrative: Common symptoms (fever, chills, aches, fatigue, headache) were experienced starting about 7 hours after injection and continued for about 18 hours. Swelling under eyes for about 8 hours, started about 40 hours after injection, applied ice and took Advil, the swelling went down but then flared up again in the morning, washed face, applied ice again and took Advil. The swelling was gone after about 8 hours total. I did apply anti-aging eye cream, under the eyes, which I've used for over a year with no issues, prior to bed the night the swelling occurred.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Symptom recurrence
Clinical narrative: Common symptoms (fever, chills, aches, fatigue, headache) were experienced starting about 7 hours after injection and continued for about 18 hours. Swelling under eyes for about 8 hours, started about 40 hours after injection, applied ice and took Advil, the swelling went down but then flared up again in the morning, washed face, applied ice again and took Advil. The swelling was gone after about 8 hours total. I did apply anti-aging eye cream, under the eyes, which I've used for over a year with no issues, prior to bed the night the swelling occurred.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Chills, Electrocardiogram
Clinical narrative: I had chills, a fever and I had to take Tylenol. I experienced pain in my back and chest, that moved to my shoulder and jaw. I felt like I was hit by a truck. I went to ER. At the ER, they did some testing. They made me stay longer than 3 hours to monitor me. After the test results came back, they told me that I had low platelets, but the tests were not showing any bad results. I did have to follow-up for my gallbladder.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pain in jaw, Pyrexia, White blood cell count abnormal, X-ray
Clinical narrative: I had chills, a fever and I had to take Tylenol. I experienced pain in my back and chest, that moved to my shoulder and jaw. I felt like I was hit by a truck. I went to ER. At the ER, they did some testing. They made me stay longer than 3 hours to monitor me. After the test results came back, they told me that I had low platelets, but the tests were not showing any bad results. I did have to follow-up for my gallbladder.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Cast application, Fall, Gait disturbance, Humerus fracture
Clinical narrative: 4/27/21 visit to clinic: 74yr old female who has had off balance and leaning way to right and stumbling. This lasted short time.  By time sister got to view she was sitting in a chair. Some of these symptoms began 2 days before this visit and have been completely resolved since that time.   Patient has tried No medications.  7/9/21 clinic 75yr old female presents for referral to ortho for fracture of elbow and possible wrist.  Had fallen 6 days ago.  Was seen in ER and pout in posterior cast and told to see ortho when back here.  recommends for her to be seen by Specialist.  She may need a total elbow replacement.    9/12/21 ED Closed displaced fracture of medial epicondyle of right humerus, unspecified fracture morphology, initial encounter Acute  9/17/21 admit to nursing home H/O: CVA (cerebrovascular accident)   Dementia without behavioral disturbance, unspecified dementia type (HCC)   Cognitive safety issue     Plan: She will be admitted to nursing home on Tuesday, 9/21/2021.  We have asked her that the physical therapy would evaluate her for the best cane possible   10/29/21 Patient presents to ED via EMS from nursing home for diaphoresis, altered mental status.  She was 'found like this' by nursing just prior to arrival to ED.  Patient has prior history of CVA, recovered.  Staff believed she may be having 'another stroke'.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Mental status changes, Upper limb fracture
Clinical narrative: 4/27/21 visit to clinic: 74yr old female who has had off balance and leaning way to right and stumbling. This lasted short time.  By time sister got to view she was sitting in a chair. Some of these symptoms began 2 days before this visit and have been completely resolved since that time.   Patient has tried No medications.  7/9/21 clinic 75yr old female presents for referral to ortho for fracture of elbow and possible wrist.  Had fallen 6 days ago.  Was seen in ER and pout in posterior cast and told to see ortho when back here.  recommends for her to be seen by Specialist.  She may need a total elbow replacement.    9/12/21 ED Closed displaced fracture of medial epicondyle of right humerus, unspecified fracture morphology, initial encounter Acute  9/17/21 admit to nursing home H/O: CVA (cerebrovascular accident)   Dementia without behavioral disturbance, unspecified dementia type (HCC)   Cognitive safety issue     Plan: She will be admitted to nursing home on Tuesday, 9/21/2021.  We have asked her that the physical therapy would evaluate her for the best cane possible   10/29/21 Patient presents to ED via EMS from nursing home for diaphoresis, altered mental status.  She was 'found like this' by nursing just prior to arrival to ED.  Patient has prior history of CVA, recovered.  Staff believed she may be having 'another stroke'.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Started feeling dizzy. Dizziness lasted about 3 weeks. Was able to still walk and complete activities of daily living with dizziness.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Erratic, irregular menstrual cycle. Increased cramps, and complete halt of cycle on 3rd day. Cycle continued almost exactly 24 hours after the pause, and was heavier.   Each subsequent period has had a halt on day 3 for almost 24 hours. The most recent cycle in October was even more erratic and would start and stop intermittently throughout the cycle. When cycle would restart, it would be exceptionally heavy. Cramps were worse and started much sooner than typical.   Period has been very regular for over 10 years. No change in medication, diet, habits, exercise, or work apart from 1st vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dreamy state, Electrocardiogram normal, Fall, Feeling hot
Clinical narrative: During the 15 minute observation period post vaccination, the patient was seated in an armed chair and describes feeling like he "was in a dream state". He fell out of his chair, and was disoriented. He was assisted back to a chair. Paramedics were called. Blood pressure was taken 135/87 then 91/67. He was sweating and hot. Cold compresses were applied to the back of his neck. He drank a bottle of water then a bottle of Gatorade. The paramedics arrived and performed an EKG which was normal and his blood pressure was normal as well. The patient was transported to the hospital to be assessed further.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: During the 15 minute observation period post vaccination, the patient was seated in an armed chair and describes feeling like he "was in a dream state". He fell out of his chair, and was disoriented. He was assisted back to a chair. Paramedics were called. Blood pressure was taken 135/87 then 91/67. He was sweating and hot. Cold compresses were applied to the back of his neck. He drank a bottle of water then a bottle of Gatorade. The paramedics arrived and performed an EKG which was normal and his blood pressure was normal as well. The patient was transported to the hospital to be assessed further.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chills, Condition aggravated, Confusional state
Clinical narrative: weak, confused, Temp 102.9, 2 large emesis, decreased SA02, pale, chills
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Oxygen saturation decreased, Pallor, Vomiting
Clinical narrative: weak, confused, Temp 102.9, 2 large emesis, decreased SA02, pale, chills
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Product administration error
Clinical narrative: pt experiencing shoulder pain since date of vaccination, first attept at vaccination hit the bone and vaccine had to be re-inserted, pt will follw up with md to see if effects will be permanent
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lymph node pain, Nausea, Ultrasound abdomen
Clinical narrative: Nausea lasted 6hours. Dizziness 6hours. Fatigue 6hours. I didn't feel the lymph node until the 04/27/2021.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Fatigue, Mobility decreased
Clinical narrative: 05/25/21 in EC pt. presents with progressive weakness and decreased appetite.  Per H&P: "This is a 88y.o. female who lives with son presenting with difficulty getting out of bed.  She was walking her dog 3 weeks ago and now states she cannot get out of bed.  She is denying associated symptoms she states she was vaccinated for COVID-19.  No other sick contacts or recent travel.  She has been warned by physicians she needs to increase PO intake.  She saw her PCP about 3-4 weeks ago and was given lexapro to start.  Pt did have improvement in mood last week, then felt fatigue again."
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 05/25/21 in EC pt. presents with progressive weakness and decreased appetite.  Per H&P: "This is a 88y.o. female who lives with son presenting with difficulty getting out of bed.  She was walking her dog 3 weeks ago and now states she cannot get out of bed.  She is denying associated symptoms she states she was vaccinated for COVID-19.  No other sick contacts or recent travel.  She has been warned by physicians she needs to increase PO intake.  She saw her PCP about 3-4 weeks ago and was given lexapro to start.  Pt did have improvement in mood last week, then felt fatigue again."
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Condition aggravated, Confusional state, Dizziness, Dysphonia
Clinical narrative: Within 5-10 minutes got shortness of breath, felt confused, lips and mouth felt thick, eyes felt puffy, shaky, tingling in left hand and arm, heart pounding, rapid heart beat, hoarseness, dizziness, nausea, overall weakness. It got better after a few hours.  Next day, around 11 am all symptoms hit again, but super unsteady and could not focus. Left work and by the time got home had pins and needles in legs and couldn't sleep. Touching legs was uncomfortable.  Still hurt today which is 4 days later. Is improving. Did not seek medical care.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Gait disturbance, Heart rate increased, Lip swelling, Mouth swelling
Clinical narrative: Within 5-10 minutes got shortness of breath, felt confused, lips and mouth felt thick, eyes felt puffy, shaky, tingling in left hand and arm, heart pounding, rapid heart beat, hoarseness, dizziness, nausea, overall weakness. It got better after a few hours.  Next day, around 11 am all symptoms hit again, but super unsteady and could not focus. Left work and by the time got home had pins and needles in legs and couldn't sleep. Touching legs was uncomfortable.  Still hurt today which is 4 days later. Is improving. Did not seek medical care.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pain, Palpitations, Paraesthesia, Periorbital swelling
Clinical narrative: Within 5-10 minutes got shortness of breath, felt confused, lips and mouth felt thick, eyes felt puffy, shaky, tingling in left hand and arm, heart pounding, rapid heart beat, hoarseness, dizziness, nausea, overall weakness. It got better after a few hours.  Next day, around 11 am all symptoms hit again, but super unsteady and could not focus. Left work and by the time got home had pins and needles in legs and couldn't sleep. Touching legs was uncomfortable.  Still hurt today which is 4 days later. Is improving. Did not seek medical care.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Sleep disorder, Tenderness, Tremor, Vision blurred
Clinical narrative: Within 5-10 minutes got shortness of breath, felt confused, lips and mouth felt thick, eyes felt puffy, shaky, tingling in left hand and arm, heart pounding, rapid heart beat, hoarseness, dizziness, nausea, overall weakness. It got better after a few hours.  Next day, around 11 am all symptoms hit again, but super unsteady and could not focus. Left work and by the time got home had pins and needles in legs and couldn't sleep. Touching legs was uncomfortable.  Still hurt today which is 4 days later. Is improving. Did not seek medical care.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulation drug level above therapeutic, Blood loss anaemia, COVID-19, Cellulitis
Clinical narrative: Patient was Covid + on 10/31/2021. Patient received Pfizer vaccine with 1st dose on 03/19/2021 and 2nd dose on 04/09/2021.  Per H & P:   Assessment/Plan    #GI bleed likely upper GI bleed related to supratherapeutic INR  -Continue PPI  -GI medicine following , endoscopy when patient more stable  -Started on diet   #Acute blood loss anemia secondary to above  S/p transfusion  Monitor for now  #Acute on chronic respiratory failure related to possibly COPD versus Covid  Wean off oxygen as tolerated  Also on empiric antibiotics for possible pneumonia patient clinically appearing well  De-escalate if patient remains stable   #Supratherapeutic INR  S/p reversal with vitamin K   #Prior history of DVT on Coumadin which is currently on hold  -Resume anticoagulation when hemoglobin stable and okay with GI medicine   #COVID-19 positive status  -vaccinated  Patient appears to be doing fairly well up with this  -Continue steroids  -Monitor respiratory status   #Hypertension blood pressure on the lower side  Likely related to above currently improving   #History of chronic venous insufficiency and recent cellulitis   DVT prophylaxis  Active Diagnoses      GI bleed    Chief Complaint   Shortness of breath   History of Present Illness     Patient is a pleasant 63-year-old Caucasian male with past medical history significant for COPD on 3 L, chronic venous insufficiency with lower extremity swelling, history of DVT on Coumadin, diabetes type 2 came into the hospital for dark stools.  Patient was recently admitted to the hospital about 2 weeks ago for COPD exacerbation and did fairly well and went home.  Has been on Coumadin for long time for history of DVTs.  Patient just went back on his old regimen post discharge for Coumadin and started noticing for the last 2 to 3days stools which made him concerned and come to the hospital.  Patient had a critical hemoglobin of 4.4 upon admission.  INR was also critical with more than 24.3.  Patient reversed and was transfused also and last hemoglobin was 7.5.  His last  bowel movement was this morning with persistent dark stools.  He was seen by GI and no plans for endoscopy at this time.  Patient also tested positive for Covid patient had to be placed on BiPAP upon admission and is being weaned off at this time currently being weaned off of at this time .  Breathing well today.  Denies any significant difficulty breathing today.  No nausea vomiting.  No headache no blurry vision no fevers at home.  Patient has been vaccinated with 2 doses.