chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test positive, Septic shock, Serum ferritin, Troponin, Ultrasound abdomen abnormal
Clinical narrative: 18 y.o. female who was initially admitted to Hospital with concern for retropharyngeal phlegmon/developing abscess whose course was complicated by shock (sepsis vs cardiogenic), now thought to have MIS-C.    Four days prior to hospital admission, patient developed sore throat and high fever. This was managed with tylenol. She continued to have daily fever with a Tmax 103F prompting her to begin alternating tylenol with ibuprofen yesterday. Her symptoms progressively worsened and has been accompanied by frontal HA, decreased appetite, two days of non-bloody diarrhea, abdominal pain (periumbilical), 1x NBNB emesis, and overall lethargy. She also developed pain with neck motion, swallowing, and opening of her mouth.  Diagnosis: Principal Problem: Multisystem inflammatory syndrome associated with COVID-19 Active Problems: Retropharyngeal abscess AKI (acute kidney injury)  Elevated liver enzymes Septic shock  Hypoxemia Cardiogenic shock  Acute respiratory failure  Acute hypoactive delirium due to another medical condition Lactic acidosis Generalized anxiety disorder Decreased cardiac ejection fraction Coronary artery abnormality  Treatment: Supplemental Oxygen: Nasal cannula, High Flow Nasal Cannula, Bipap Vasoactive medications:  Norepinephrine, Epinephrine, Dobutamine Steroids Anakinra Aspirin, Plavix Heparin drip, Lovenox IVIG
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 18 y.o. female who was initially admitted to Hospital with concern for retropharyngeal phlegmon/developing abscess whose course was complicated by shock (sepsis vs cardiogenic), now thought to have MIS-C.    Four days prior to hospital admission, patient developed sore throat and high fever. This was managed with tylenol. She continued to have daily fever with a Tmax 103F prompting her to begin alternating tylenol with ibuprofen yesterday. Her symptoms progressively worsened and has been accompanied by frontal HA, decreased appetite, two days of non-bloody diarrhea, abdominal pain (periumbilical), 1x NBNB emesis, and overall lethargy. She also developed pain with neck motion, swallowing, and opening of her mouth.  Diagnosis: Principal Problem: Multisystem inflammatory syndrome associated with COVID-19 Active Problems: Retropharyngeal abscess AKI (acute kidney injury)  Elevated liver enzymes Septic shock  Hypoxemia Cardiogenic shock  Acute respiratory failure  Acute hypoactive delirium due to another medical condition Lactic acidosis Generalized anxiety disorder Decreased cardiac ejection fraction Coronary artery abnormality  Treatment: Supplemental Oxygen: Nasal cannula, High Flow Nasal Cannula, Bipap Vasoactive medications:  Norepinephrine, Epinephrine, Dobutamine Steroids Anakinra Aspirin, Plavix Heparin drip, Lovenox IVIG
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Death, Dyspnoea, Febrile neutropenia
Clinical narrative: Patient presented to emergency department with shortness of breath on 10/13/2021. He had been diagnosed with COVID-19 on 10/7/2021. He was previously admitted to hospital from 9/8/2021 to 9/13/2021 with neutropenic fever, community acquired pneumonia, and pleural effusion. He was diagnosed with non-hodgkin lymphoma and was undergoing treatment at time of presentation.  He was admitted for further management of COVID-19 infection. Patient continued to deteriorate during his admission and was eventually put on comfort measures only. Patient expired on 10/23/2021.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Pleural effusion, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department with shortness of breath on 10/13/2021. He had been diagnosed with COVID-19 on 10/7/2021. He was previously admitted to hospital from 9/8/2021 to 9/13/2021 with neutropenic fever, community acquired pneumonia, and pleural effusion. He was diagnosed with non-hodgkin lymphoma and was undergoing treatment at time of presentation.  He was admitted for further management of COVID-19 infection. Patient continued to deteriorate during his admission and was eventually put on comfort measures only. Patient expired on 10/23/2021.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Extrasystoles, Palpitations
Clinical narrative: Heart pain on 10/23/21 (that i attributed to a record low pressure front), but following 10/23/21 to now, i have daily heart palpitations and it feels like i have high blood pressure (I don't, but that's what it feels like).  I'm concerned that i may heart inflammation.  My mom reported to me that her doctor told her not to take the vaccine because of her condition (which she seemed to be telling me was heart related).  Anyway, I've never had this before, i'm only 50 and in great shape, don't drink, don't smoke, don't have any underlying conditions....but now this missing heart beat every 10 or so.......
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: There has not been any adverse event at this time. Patient was administered 0.3 ml of undiluted pfizer dose
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Chest pain, Paraesthesia, Peripheral swelling, Pyrexia
Clinical narrative: swelled arm, high fever, arm was warm to touch for 3 days, pt is now experiencing heart problems, tingling down the arm, two weeks ago pt started getting sharp pain in chest, pt was cleared to have no blockages to heart, and blood pressure is under control.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: swelled arm, high fever, arm was warm to touch for 3 days, pt is now experiencing heart problems, tingling down the arm, two weeks ago pt started getting sharp pain in chest, pt was cleared to have no blockages to heart, and blood pressure is under control.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diahrea, 12+ times a day for several days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Dizziness, Dyspnoea, Fatigue
Clinical narrative: The next day after the vaccine I developed severe fatigue so bad I couldn't work for about 2-3 days. Elevated temp, upper respiratory like symptoms. I was dizzy and my body just ached really bad all over. I had a headache, SOB and my lungs were wheezing so I reached out to my PCP and a breathing test was performed. The breathing test showed my exhale was not strong and he prescribed me an inhaler. My BP changed resulting in my heart racing at times and just feeling as if I had COVID-19 all over again. 6 months later, I have Arthritis previously but my joints were so sore so an X-ray was done but did not reveal any auto-immune issues.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Impaired work ability, Pain, Palpitations
Clinical narrative: The next day after the vaccine I developed severe fatigue so bad I couldn't work for about 2-3 days. Elevated temp, upper respiratory like symptoms. I was dizzy and my body just ached really bad all over. I had a headache, SOB and my lungs were wheezing so I reached out to my PCP and a breathing test was performed. The breathing test showed my exhale was not strong and he prescribed me an inhaler. My BP changed resulting in my heart racing at times and just feeling as if I had COVID-19 all over again. 6 months later, I have Arthritis previously but my joints were so sore so an X-ray was done but did not reveal any auto-immune issues.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary function test, Respiratory symptom, Wheezing, X-ray
Clinical narrative: The next day after the vaccine I developed severe fatigue so bad I couldn't work for about 2-3 days. Elevated temp, upper respiratory like symptoms. I was dizzy and my body just ached really bad all over. I had a headache, SOB and my lungs were wheezing so I reached out to my PCP and a breathing test was performed. The breathing test showed my exhale was not strong and he prescribed me an inhaler. My BP changed resulting in my heart racing at times and just feeling as if I had COVID-19 all over again. 6 months later, I have Arthritis previously but my joints were so sore so an X-ray was done but did not reveal any auto-immune issues.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given .5ml instead of the recommended .25ml
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Loss of personal independence in daily activities, Nasal congestion, Pain, SARS-CoV-2 test negative
Clinical narrative: Body aches, Fatigue, Stuffy nose. Had to stay home from school for three days and rest.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood urea increased, COVID-19, Dehydration
Clinical narrative: Patient Covid + on 10/27/2021. Patient received Pfizer with 1st dose on 03/09/2021 and 2nd dose on 03/30/2021. Per H & P:   Active Diagnoses  Intractable diarrhea which is now become chronic?consult gastroenterologist start Rocephin and Flagyl by intravenous line  COVID-19?ID evaluation we will not place on steroids as she has no signs of pneumonia or respiratory distress and probably has had this for at least a few weeks  Severe life-threatening dehydration?IV fluids, serial BMP  Acute renal failure?IV fluids serial BMP consult nephrology  Hypertension?hold Norvasc bisoprolol and hydrochlorothiazide for now with renal failure and normal blood pressure  COPD?updrafts as needed continue Tudorza  Anxiety?continue Klonopin at bedtime as needed anemia of chronic illness-serial hemoglobin transfuse as needed  hx of lung ca Discussed with the patient and/or designated party the plan of care for the patient in the hospital.   I discussed the risk benefits and alternatives to plan treatment care and procedures.   Patient was given adequate time to verbalize questions and I answered them to the best of my ability.  I reviewed the recommendations by consultants and the patient understood these recommendations.  Reviewed the medical record/ patient is presently on  dvt prophylaxis as appropriate.    Reviewed activity level and encourage the patient to participate in therapy service based on the recommendations.   The patient's diet was reviewed -recommended and adjusted appropriately for the patient's recovery and nutritional support..   Chief Complaint  Evaluation management of intractable diarrhea, renal failure, dehydration History of Present Illness  Is an 86-year-old female with past medical history of hypertension COPD and lung cancer.  For the last few weeks she has been having watery diarrhea.  She was sent in with abnormal labs.  Upon presentation her BUN was 40 with a creatinine of 1.82.  She also had nasopharyngeal swab that tested positive for COVID-19.  She admits to being vaccinated already.  She said she had sick contacts in her house.  She denies any fever or chills.  She says her diarrhea is improved since arriving to the hospital.  She denies abdominal pain.  I spoke to the emergency room physician and coordinate care reviewed all chart records and the patient was admitted to my service
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Exposure to SARS-CoV-2, Laboratory test abnormal, Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: Patient Covid + on 10/27/2021. Patient received Pfizer with 1st dose on 03/09/2021 and 2nd dose on 03/30/2021. Per H & P:   Active Diagnoses  Intractable diarrhea which is now become chronic?consult gastroenterologist start Rocephin and Flagyl by intravenous line  COVID-19?ID evaluation we will not place on steroids as she has no signs of pneumonia or respiratory distress and probably has had this for at least a few weeks  Severe life-threatening dehydration?IV fluids, serial BMP  Acute renal failure?IV fluids serial BMP consult nephrology  Hypertension?hold Norvasc bisoprolol and hydrochlorothiazide for now with renal failure and normal blood pressure  COPD?updrafts as needed continue Tudorza  Anxiety?continue Klonopin at bedtime as needed anemia of chronic illness-serial hemoglobin transfuse as needed  hx of lung ca Discussed with the patient and/or designated party the plan of care for the patient in the hospital.   I discussed the risk benefits and alternatives to plan treatment care and procedures.   Patient was given adequate time to verbalize questions and I answered them to the best of my ability.  I reviewed the recommendations by consultants and the patient understood these recommendations.  Reviewed the medical record/ patient is presently on  dvt prophylaxis as appropriate.    Reviewed activity level and encourage the patient to participate in therapy service based on the recommendations.   The patient's diet was reviewed -recommended and adjusted appropriately for the patient's recovery and nutritional support..   Chief Complaint  Evaluation management of intractable diarrhea, renal failure, dehydration History of Present Illness  Is an 86-year-old female with past medical history of hypertension COPD and lung cancer.  For the last few weeks she has been having watery diarrhea.  She was sent in with abnormal labs.  Upon presentation her BUN was 40 with a creatinine of 1.82.  She also had nasopharyngeal swab that tested positive for COVID-19.  She admits to being vaccinated already.  She said she had sick contacts in her house.  She denies any fever or chills.  She says her diarrhea is improved since arriving to the hospital.  She denies abdominal pain.  I spoke to the emergency room physician and coordinate care reviewed all chart records and the patient was admitted to my service
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Fatigue, Headache, Pain
Clinical narrative: 101f temp, sharp stabbing head ache, fatigue, body and joint aches.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site pain, Pain
Clinical narrative: 74 year old male patient refers after getting his second dose he started to experience discomfort in puncture area and pain when he moves his arm. Patient reports still having same symptoms today. Patient has not visited his doctor.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Bladder catheterisation, Blood culture negative, Blood test normal, Bronchial wall thickening
Clinical narrative: a 74 y.o. female who has a pertinent medical history asthma, hypertension, hyperlipidemia, hypothyroid, anxiety, and diabetes mellitus that is diet controlled presented to the emergency department today for a week-long history fatigue, malaise, fever, and chill.  The patient noticed that her roughly 1 week ago she was feeling more fatigued and having chills.  It was not until this morning that her daughter decided to bring her to the ER to get checked out.  The patient is a somewhat poor historian and is unable to describe her exact symptoms that have progressed over the week.  While in the ER the patient was found to be febrile at 101.2 and hypoxic and was started on high-flow nasal cannula which improved her oxygen saturation to 92%.  She subsequently tested positive for COVID-19 while in the ER however her remaining blood work was relatively unremarkable.  Her chest x-ray demonstrated extensive multifocal bilateral airspace disease.  The patient was vaccinated with the Pfizer COVID vaccine on 09/17 and 10/8. The patient was given 1 dose of dexamethasone and was subsequently admitted to the hospital with the hospitalist team.   On exam the patient denies chest pain, fever, chills, nausea, vomiting, diarrhea, dizziness, lightheadedness.  She does endorse shortness of breath especially with activity.  She is a poor historian and cannot recall her specific symptoms and was progressed to lead her to the hospital.  There is no other family member at bedside to confirm her story.  I educated the patient on the plan of care to start steroids, remdesivir, and monitor her oxygen.  She agrees with this plan of care and all questions and concerns were addressed with the patient.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Chills
Clinical narrative: a 74 y.o. female who has a pertinent medical history asthma, hypertension, hyperlipidemia, hypothyroid, anxiety, and diabetes mellitus that is diet controlled presented to the emergency department today for a week-long history fatigue, malaise, fever, and chill.  The patient noticed that her roughly 1 week ago she was feeling more fatigued and having chills.  It was not until this morning that her daughter decided to bring her to the ER to get checked out.  The patient is a somewhat poor historian and is unable to describe her exact symptoms that have progressed over the week.  While in the ER the patient was found to be febrile at 101.2 and hypoxic and was started on high-flow nasal cannula which improved her oxygen saturation to 92%.  She subsequently tested positive for COVID-19 while in the ER however her remaining blood work was relatively unremarkable.  Her chest x-ray demonstrated extensive multifocal bilateral airspace disease.  The patient was vaccinated with the Pfizer COVID vaccine on 09/17 and 10/8. The patient was given 1 dose of dexamethasone and was subsequently admitted to the hospital with the hospitalist team.   On exam the patient denies chest pain, fever, chills, nausea, vomiting, diarrhea, dizziness, lightheadedness.  She does endorse shortness of breath especially with activity.  She is a poor historian and cannot recall her specific symptoms and was progressed to lead her to the hospital.  There is no other family member at bedside to confirm her story.  I educated the patient on the plan of care to start steroids, remdesivir, and monitor her oxygen.  She agrees with this plan of care and all questions and concerns were addressed with the patient.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Deep vein thrombosis, Dyspnoea, Dyspnoea exertional, Endotracheal intubation
Clinical narrative: a 74 y.o. female who has a pertinent medical history asthma, hypertension, hyperlipidemia, hypothyroid, anxiety, and diabetes mellitus that is diet controlled presented to the emergency department today for a week-long history fatigue, malaise, fever, and chill.  The patient noticed that her roughly 1 week ago she was feeling more fatigued and having chills.  It was not until this morning that her daughter decided to bring her to the ER to get checked out.  The patient is a somewhat poor historian and is unable to describe her exact symptoms that have progressed over the week.  While in the ER the patient was found to be febrile at 101.2 and hypoxic and was started on high-flow nasal cannula which improved her oxygen saturation to 92%.  She subsequently tested positive for COVID-19 while in the ER however her remaining blood work was relatively unremarkable.  Her chest x-ray demonstrated extensive multifocal bilateral airspace disease.  The patient was vaccinated with the Pfizer COVID vaccine on 09/17 and 10/8. The patient was given 1 dose of dexamethasone and was subsequently admitted to the hospital with the hospitalist team.   On exam the patient denies chest pain, fever, chills, nausea, vomiting, diarrhea, dizziness, lightheadedness.  She does endorse shortness of breath especially with activity.  She is a poor historian and cannot recall her specific symptoms and was progressed to lead her to the hospital.  There is no other family member at bedside to confirm her story.  I educated the patient on the plan of care to start steroids, remdesivir, and monitor her oxygen.  She agrees with this plan of care and all questions and concerns were addressed with the patient.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal tube insertion, Hypovolaemia, Hypoxia, Legionella test
Clinical narrative: a 74 y.o. female who has a pertinent medical history asthma, hypertension, hyperlipidemia, hypothyroid, anxiety, and diabetes mellitus that is diet controlled presented to the emergency department today for a week-long history fatigue, malaise, fever, and chill.  The patient noticed that her roughly 1 week ago she was feeling more fatigued and having chills.  It was not until this morning that her daughter decided to bring her to the ER to get checked out.  The patient is a somewhat poor historian and is unable to describe her exact symptoms that have progressed over the week.  While in the ER the patient was found to be febrile at 101.2 and hypoxic and was started on high-flow nasal cannula which improved her oxygen saturation to 92%.  She subsequently tested positive for COVID-19 while in the ER however her remaining blood work was relatively unremarkable.  Her chest x-ray demonstrated extensive multifocal bilateral airspace disease.  The patient was vaccinated with the Pfizer COVID vaccine on 09/17 and 10/8. The patient was given 1 dose of dexamethasone and was subsequently admitted to the hospital with the hospitalist team.   On exam the patient denies chest pain, fever, chills, nausea, vomiting, diarrhea, dizziness, lightheadedness.  She does endorse shortness of breath especially with activity.  She is a poor historian and cannot recall her specific symptoms and was progressed to lead her to the hospital.  There is no other family member at bedside to confirm her story.  I educated the patient on the plan of care to start steroids, remdesivir, and monitor her oxygen.  She agrees with this plan of care and all questions and concerns were addressed with the patient.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, Lung opacity, Malaise, Nucleic acid test, Pelvic venous thrombosis
Clinical narrative: a 74 y.o. female who has a pertinent medical history asthma, hypertension, hyperlipidemia, hypothyroid, anxiety, and diabetes mellitus that is diet controlled presented to the emergency department today for a week-long history fatigue, malaise, fever, and chill.  The patient noticed that her roughly 1 week ago she was feeling more fatigued and having chills.  It was not until this morning that her daughter decided to bring her to the ER to get checked out.  The patient is a somewhat poor historian and is unable to describe her exact symptoms that have progressed over the week.  While in the ER the patient was found to be febrile at 101.2 and hypoxic and was started on high-flow nasal cannula which improved her oxygen saturation to 92%.  She subsequently tested positive for COVID-19 while in the ER however her remaining blood work was relatively unremarkable.  Her chest x-ray demonstrated extensive multifocal bilateral airspace disease.  The patient was vaccinated with the Pfizer COVID vaccine on 09/17 and 10/8. The patient was given 1 dose of dexamethasone and was subsequently admitted to the hospital with the hospitalist team.   On exam the patient denies chest pain, fever, chills, nausea, vomiting, diarrhea, dizziness, lightheadedness.  She does endorse shortness of breath especially with activity.  She is a poor historian and cannot recall her specific symptoms and was progressed to lead her to the hospital.  There is no other family member at bedside to confirm her story.  I educated the patient on the plan of care to start steroids, remdesivir, and monitor her oxygen.  She agrees with this plan of care and all questions and concerns were addressed with the patient.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Respiratory failure, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: a 74 y.o. female who has a pertinent medical history asthma, hypertension, hyperlipidemia, hypothyroid, anxiety, and diabetes mellitus that is diet controlled presented to the emergency department today for a week-long history fatigue, malaise, fever, and chill.  The patient noticed that her roughly 1 week ago she was feeling more fatigued and having chills.  It was not until this morning that her daughter decided to bring her to the ER to get checked out.  The patient is a somewhat poor historian and is unable to describe her exact symptoms that have progressed over the week.  While in the ER the patient was found to be febrile at 101.2 and hypoxic and was started on high-flow nasal cannula which improved her oxygen saturation to 92%.  She subsequently tested positive for COVID-19 while in the ER however her remaining blood work was relatively unremarkable.  Her chest x-ray demonstrated extensive multifocal bilateral airspace disease.  The patient was vaccinated with the Pfizer COVID vaccine on 09/17 and 10/8. The patient was given 1 dose of dexamethasone and was subsequently admitted to the hospital with the hospitalist team.   On exam the patient denies chest pain, fever, chills, nausea, vomiting, diarrhea, dizziness, lightheadedness.  She does endorse shortness of breath especially with activity.  She is a poor historian and cannot recall her specific symptoms and was progressed to lead her to the hospital.  There is no other family member at bedside to confirm her story.  I educated the patient on the plan of care to start steroids, remdesivir, and monitor her oxygen.  She agrees with this plan of care and all questions and concerns were addressed with the patient.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Spinal osteoarthritis, Streptococcus test, Ultrasound Doppler, Vertebral osteophyte
Clinical narrative: a 74 y.o. female who has a pertinent medical history asthma, hypertension, hyperlipidemia, hypothyroid, anxiety, and diabetes mellitus that is diet controlled presented to the emergency department today for a week-long history fatigue, malaise, fever, and chill.  The patient noticed that her roughly 1 week ago she was feeling more fatigued and having chills.  It was not until this morning that her daughter decided to bring her to the ER to get checked out.  The patient is a somewhat poor historian and is unable to describe her exact symptoms that have progressed over the week.  While in the ER the patient was found to be febrile at 101.2 and hypoxic and was started on high-flow nasal cannula which improved her oxygen saturation to 92%.  She subsequently tested positive for COVID-19 while in the ER however her remaining blood work was relatively unremarkable.  Her chest x-ray demonstrated extensive multifocal bilateral airspace disease.  The patient was vaccinated with the Pfizer COVID vaccine on 09/17 and 10/8. The patient was given 1 dose of dexamethasone and was subsequently admitted to the hospital with the hospitalist team.   On exam the patient denies chest pain, fever, chills, nausea, vomiting, diarrhea, dizziness, lightheadedness.  She does endorse shortness of breath especially with activity.  She is a poor historian and cannot recall her specific symptoms and was progressed to lead her to the hospital.  There is no other family member at bedside to confirm her story.  I educated the patient on the plan of care to start steroids, remdesivir, and monitor her oxygen.  She agrees with this plan of care and all questions and concerns were addressed with the patient.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Tremor
Clinical narrative: About 10 hours after the vacinne I had shakes similar to coming out of anesthesia.  This lasted one hour.  I thought I was going to chip a tooth, I was shaking so badly.  I had no fever at this time.  About an hour later I had 102 fever which lasted about 12 hours. Body and headache also lasting about 12 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebellar artery thrombosis, Cerebellar stroke, Computerised tomogram head abnormal, Platelet count normal, Vertigo
Clinical narrative: 2 months after J&J vaccination, pt had episode of severe vertigo.  CT scan showed cerebellar stroke with thrombus in vertebral artery.  Pt had normal platelets.   Pt only had one episode of vertigo ( which has had in the past ) and no other neurological symptoms.  Unclear if stroke is related to J&J with normal platelets.  Pt only had mild elevation of cholesterol, prediabetes and occasionally on hormone replacement.   She is 54 year old female, relatively healthy.  Has family history of strokes
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Angioplasty, Anticoagulant therapy, Dyspnoea, Endarterectomy, Fasciotomy
Clinical narrative: PT DROVE SELF TO ER ON 01/04/2021 DUE TO SHORTNESS OF BREATH. WAS SEEN BY HOSPITAL AND SENT HOME STATING TO WAIT RESULTS OF COVID TEST.  SYMPTOMS DID NOT IMPROVE IN NEXT 2 DAYS & COVID TEST WAS NEGATIVE. SHE WOKE UP 1/6/2021 & HAD LOST FEELING IN LEFT LEG.  CALLED 911. THEY TRANSPORTED HER BACK TO medical facility AGAIN. AFTER HOURS OF TESTING AND EXPLAINING SHE COULDN'T FEEL LEFT LEG, FINALLY HAD VASCULAR SURGEON COME IN AND REALIZED IT WAS (3" BLOOD CLOT) IN GROIN ALONG WITH BILATERAL SUBMASSIVE PULMONARY EMBOLI WITH EVIDENCE OF ACUTE PULMONARY HYPERTENSION & AN ACUTELY ISCHEMIC/THREATHENED LOWER LEFT EXTREMITY FROM PARDOXIC EMBOLI TO HER LEFT POPLITEAL ARTERY AND LEFT EXTERNAL ILIAC ARTERY.  SHE WAS ON ACTICOAGUALTED ON ADMISSION AND TAKEN TO THE OR URGENTLY FOR 1: LEFT FEMORAL ARTERY EXPOSURE WITH ILIOFEMORAL BALLOON THROMBECTOMY, 2: LEFT BELOW-KNEE POPLITEAL EXPOSURE WITH LIMITED ENDARTERECTOMY, POPLITEAL AND TIBIAL BALLOON THROMBECTOMY AND PATCH ANGIOPLASTY OF THE POPLITEAL ARTERY AND 3: COMPARTMENT FASCTIOTOMY OF THE LEFT LOWER LEG.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Paradoxical embolism, Pulmonary embolism, Pulmonary hypertension
Clinical narrative: PT DROVE SELF TO ER ON 01/04/2021 DUE TO SHORTNESS OF BREATH. WAS SEEN BY HOSPITAL AND SENT HOME STATING TO WAIT RESULTS OF COVID TEST.  SYMPTOMS DID NOT IMPROVE IN NEXT 2 DAYS & COVID TEST WAS NEGATIVE. SHE WOKE UP 1/6/2021 & HAD LOST FEELING IN LEFT LEG.  CALLED 911. THEY TRANSPORTED HER BACK TO medical facility AGAIN. AFTER HOURS OF TESTING AND EXPLAINING SHE COULDN'T FEEL LEFT LEG, FINALLY HAD VASCULAR SURGEON COME IN AND REALIZED IT WAS (3" BLOOD CLOT) IN GROIN ALONG WITH BILATERAL SUBMASSIVE PULMONARY EMBOLI WITH EVIDENCE OF ACUTE PULMONARY HYPERTENSION & AN ACUTELY ISCHEMIC/THREATHENED LOWER LEFT EXTREMITY FROM PARDOXIC EMBOLI TO HER LEFT POPLITEAL ARTERY AND LEFT EXTERNAL ILIAC ARTERY.  SHE WAS ON ACTICOAGUALTED ON ADMISSION AND TAKEN TO THE OR URGENTLY FOR 1: LEFT FEMORAL ARTERY EXPOSURE WITH ILIOFEMORAL BALLOON THROMBECTOMY, 2: LEFT BELOW-KNEE POPLITEAL EXPOSURE WITH LIMITED ENDARTERECTOMY, POPLITEAL AND TIBIAL BALLOON THROMBECTOMY AND PATCH ANGIOPLASTY OF THE POPLITEAL ARTERY AND 3: COMPARTMENT FASCTIOTOMY OF THE LEFT LOWER LEG.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Thrombectomy, Thrombosis
Clinical narrative: PT DROVE SELF TO ER ON 01/04/2021 DUE TO SHORTNESS OF BREATH. WAS SEEN BY HOSPITAL AND SENT HOME STATING TO WAIT RESULTS OF COVID TEST.  SYMPTOMS DID NOT IMPROVE IN NEXT 2 DAYS & COVID TEST WAS NEGATIVE. SHE WOKE UP 1/6/2021 & HAD LOST FEELING IN LEFT LEG.  CALLED 911. THEY TRANSPORTED HER BACK TO medical facility AGAIN. AFTER HOURS OF TESTING AND EXPLAINING SHE COULDN'T FEEL LEFT LEG, FINALLY HAD VASCULAR SURGEON COME IN AND REALIZED IT WAS (3" BLOOD CLOT) IN GROIN ALONG WITH BILATERAL SUBMASSIVE PULMONARY EMBOLI WITH EVIDENCE OF ACUTE PULMONARY HYPERTENSION & AN ACUTELY ISCHEMIC/THREATHENED LOWER LEFT EXTREMITY FROM PARDOXIC EMBOLI TO HER LEFT POPLITEAL ARTERY AND LEFT EXTERNAL ILIAC ARTERY.  SHE WAS ON ACTICOAGUALTED ON ADMISSION AND TAKEN TO THE OR URGENTLY FOR 1: LEFT FEMORAL ARTERY EXPOSURE WITH ILIOFEMORAL BALLOON THROMBECTOMY, 2: LEFT BELOW-KNEE POPLITEAL EXPOSURE WITH LIMITED ENDARTERECTOMY, POPLITEAL AND TIBIAL BALLOON THROMBECTOMY AND PATCH ANGIOPLASTY OF THE POPLITEAL ARTERY AND 3: COMPARTMENT FASCTIOTOMY OF THE LEFT LOWER LEG.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oedema peripheral, Pain, Pyrexia
Clinical narrative: 2 AM chills, low-grade fever, headache, and body ache that lasted for 24 hours Fatigue lasting over 24 hours. Swelling in left armpit began 36 hours after vaccination
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling cold, Headache, Mobility decreased
Clinical narrative: Patient report around 8:45 pm she stated having a cold sensation all over body... she took a hot shower to warm up... stated around 9 pm she couldn't move body until 12 am... she started having shakes and chills that night and felt nauseous... Next day felt headaches and joint pain with 103.7 fever...
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tremor
Clinical narrative: Patient report around 8:45 pm she stated having a cold sensation all over body... she took a hot shower to warm up... stated around 9 pm she couldn't move body until 12 am... she started having shakes and chills that night and felt nauseous... Next day felt headaches and joint pain with 103.7 fever...
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given .5ml instead of the recommended .25ml of moderna
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vaccine was administered by drawing up 0.3mL directly from the vial that had not been diluted.   Patient was observed for 10 minutes and did not appear to have any adverse effects.  RN will call patient today (10/28) to verify she is not having any issues.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pain, Pruritus, Skin burning sensation
Clinical narrative: I just had the normal sting that you would get from any vaccine. I sat down for a few minutes just to let the sting go away not thinking much about it. I took some Tylenol, but the pain continued hurting through the night. The next morning whenever I woke up it was red around the injection site, and it spread over the next couple days. The redness and rash spread all the way up to the shoulder and to the end of my elbow. I took Benadryl for the next 3 days, but it wasn't helping. My skin felt like I had hives, it was itching and burning. I scheduled an appointment with doctor and she just said I may of had a mild reaction and just advised me to get the 2nd dose of the vaccine and gave me a prescription for an EpiPen. She wasn't much help and didn't explain anything to me.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I just had the normal sting that you would get from any vaccine. I sat down for a few minutes just to let the sting go away not thinking much about it. I took some Tylenol, but the pain continued hurting through the night. The next morning whenever I woke up it was red around the injection site, and it spread over the next couple days. The redness and rash spread all the way up to the shoulder and to the end of my elbow. I took Benadryl for the next 3 days, but it wasn't helping. My skin felt like I had hives, it was itching and burning. I scheduled an appointment with doctor and she just said I may of had a mild reaction and just advised me to get the 2nd dose of the vaccine and gave me a prescription for an EpiPen. She wasn't much help and didn't explain anything to me.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis, Injection site reaction, Injection site warmth, Skin weeping
Clinical narrative: couldnt hear tv even though volume was high, trouble understanding what people talking to him were saying,despite yelling, injection site hot/moist,
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Burning sensation, Headache, Magnetic resonance imaging
Clinical narrative: I started having burning pain in my upper back. The pain travels up to the back of my head.  I had this symptom since my second shot.  I have been to my doctor about this.  They have blood test, MRI, and X-ray.  I am still waiting for the results on these.  These symptoms keep getting worse.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, X-ray
Clinical narrative: I started having burning pain in my upper back. The pain travels up to the back of my head.  I had this symptom since my second shot.  I have been to my doctor about this.  They have blood test, MRI, and X-ray.  I am still waiting for the results on these.  These symptoms keep getting worse.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: cellulitis in arm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone increased, Chills, Full blood count, Haemoglobin decreased, Headache
Clinical narrative: I had a really sore arm (right).  I couldn't move it, I had a fever, chills, body aches, bad headache.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Mean cell haemoglobin concentration, Mobility decreased, Pain, Pain in extremity
Clinical narrative: I had a really sore arm (right).  I couldn't move it, I had a fever, chills, body aches, bad headache.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had a really sore arm (right).  I couldn't move it, I had a fever, chills, body aches, bad headache.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Memory impairment, Pain in extremity
Clinical narrative: CONTINUES HEADACHES , TIREDNESS, FOGGY THINKING, FORGET FULLNESS , LEFT ARM PAIN
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Dyspnoea, Fatigue, Headache
Clinical narrative: Almost immediately after the vaccine I developed SOB, chest pain, headache and severe fatigue just seemed as if the symptoms just continued over from dose 1.  I developed a postnasal drip and my sinuses congested real bad.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Upper-airway cough syndrome
Clinical narrative: Almost immediately after the vaccine I developed SOB, chest pain, headache and severe fatigue just seemed as if the symptoms just continued over from dose 1.  I developed a postnasal drip and my sinuses congested real bad.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood lactic acid, Blood test, Brain natriuretic peptide, C-reactive protein
Clinical narrative: 79yr old female presented to ED with son.  Patient is complaining of lower left back pain and increased shortness of breath.  Patient states that she is receiving chemo for ovarian cancer, however these are not side effects she has experienced.  Last chemo treatment was last Friday.  Patient had booster for covid on 10/15 and has not felt great since.  Patient rates pain in back a 7 on scale of 0-10 has taken ibuprofen for it this morning without much relief.  Patient states that has had chills last night and this morning, currently does not.  Did have 2 emesis this morning.    Son states that patient spouse is home with what appears to be the flu, he has been having emesis for 24-36 hours. ED admitted patient to hospital. In the hospital for 2 days.   Discharged on antibiotics for pyelonephritis.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Computerised tomogram abdomen, Computerised tomogram thorax, Culture urine
Clinical narrative: 79yr old female presented to ED with son.  Patient is complaining of lower left back pain and increased shortness of breath.  Patient states that she is receiving chemo for ovarian cancer, however these are not side effects she has experienced.  Last chemo treatment was last Friday.  Patient had booster for covid on 10/15 and has not felt great since.  Patient rates pain in back a 7 on scale of 0-10 has taken ibuprofen for it this morning without much relief.  Patient states that has had chills last night and this morning, currently does not.  Did have 2 emesis this morning.    Son states that patient spouse is home with what appears to be the flu, he has been having emesis for 24-36 hours. ED admitted patient to hospital. In the hospital for 2 days.   Discharged on antibiotics for pyelonephritis.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Feeling abnormal, Fibrin D dimer, Full blood count
Clinical narrative: 79yr old female presented to ED with son.  Patient is complaining of lower left back pain and increased shortness of breath.  Patient states that she is receiving chemo for ovarian cancer, however these are not side effects she has experienced.  Last chemo treatment was last Friday.  Patient had booster for covid on 10/15 and has not felt great since.  Patient rates pain in back a 7 on scale of 0-10 has taken ibuprofen for it this morning without much relief.  Patient states that has had chills last night and this morning, currently does not.  Did have 2 emesis this morning.    Son states that patient spouse is home with what appears to be the flu, he has been having emesis for 24-36 hours. ED admitted patient to hospital. In the hospital for 2 days.   Discharged on antibiotics for pyelonephritis.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test, Influenza B virus test, Metabolic function test, Procalcitonin, Pyelonephritis
Clinical narrative: 79yr old female presented to ED with son.  Patient is complaining of lower left back pain and increased shortness of breath.  Patient states that she is receiving chemo for ovarian cancer, however these are not side effects she has experienced.  Last chemo treatment was last Friday.  Patient had booster for covid on 10/15 and has not felt great since.  Patient rates pain in back a 7 on scale of 0-10 has taken ibuprofen for it this morning without much relief.  Patient states that has had chills last night and this morning, currently does not.  Did have 2 emesis this morning.    Son states that patient spouse is home with what appears to be the flu, he has been having emesis for 24-36 hours. ED admitted patient to hospital. In the hospital for 2 days.   Discharged on antibiotics for pyelonephritis.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test, SARS-CoV-2 test, Scan with contrast, Sick relative, Urine analysis
Clinical narrative: 79yr old female presented to ED with son.  Patient is complaining of lower left back pain and increased shortness of breath.  Patient states that she is receiving chemo for ovarian cancer, however these are not side effects she has experienced.  Last chemo treatment was last Friday.  Patient had booster for covid on 10/15 and has not felt great since.  Patient rates pain in back a 7 on scale of 0-10 has taken ibuprofen for it this morning without much relief.  Patient states that has had chills last night and this morning, currently does not.  Did have 2 emesis this morning.    Son states that patient spouse is home with what appears to be the flu, he has been having emesis for 24-36 hours. ED admitted patient to hospital. In the hospital for 2 days.   Discharged on antibiotics for pyelonephritis.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 79yr old female presented to ED with son.  Patient is complaining of lower left back pain and increased shortness of breath.  Patient states that she is receiving chemo for ovarian cancer, however these are not side effects she has experienced.  Last chemo treatment was last Friday.  Patient had booster for covid on 10/15 and has not felt great since.  Patient rates pain in back a 7 on scale of 0-10 has taken ibuprofen for it this morning without much relief.  Patient states that has had chills last night and this morning, currently does not.  Did have 2 emesis this morning.    Son states that patient spouse is home with what appears to be the flu, he has been having emesis for 24-36 hours. ED admitted patient to hospital. In the hospital for 2 days.   Discharged on antibiotics for pyelonephritis.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Neuropathy peripheral, Paraesthesia
Clinical narrative: ~ 6 months after my second dose I have developed very mild peripheral neuropathy symptoms.  Primarily right foot numbness, occ L foot tingling, rare fingertips numbness/tingling bilaterally.    Has now lasted ~ 6 weeks, seems stable.  I have not sought medical care.  My husband, also Moderna, vaccines from a different facility, has also developed much more significant peripheral neuropathy in his feet that has been worked up as idiopathic.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Irritable bowel syndrome
Clinical narrative: Irritable bowel systems.  Treatment diet and IB guard. Improving after 2.5 weeks
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Blood creatinine increased, Blood culture, Blood lactic acid, Breath sounds abnormal
Clinical narrative: Covid + on 10/27/2021. Vaccinated with Janssen on 05/25/2021. ED Note: History of Present Illness  65-year-old male with a history of CHF, COPD presents to the ED for difficulty in breathing.  Patient denies ever being intubated in the past.  Patient states that he has been feeling this way for the past few days.  Patient also reports that he has had increased cough as well as decreased appetite.  States that he did get the Covid vaccine.  Patient was most recently discharged here less than a week ago for similar complaint.  Patient has a history of fluid overload and states that he has on a water pill.  Patient does not endorse any chest pain at this time.  Patient denies any nausea, vomiting, fever, chills.    65-year-old male who was recently discharged in the hospital 5 days ago presents ED for shortness of breath.  Per EMS patient was satting in the 80s on his home oxygen.  Patient was immediately placed on nonrebreather.  Upon arrival patient is very tachypneic, speaking short word sentences.  We did give patient a breathing treatment 10 mg albuterol, 1 of Atrovent, 2 of magnesium, 125 Solu-Medrol.  At this time we did also obtain blood cultures, lactic acid, basic labs, chest x-ray, Covid test, proBNP.  On exam patient did have diminished breath sounds.  A bedside ultrasound was performed that did not show any B-lines however patient's lower extremities are very edematous noted abdomen is distended.   X-ray did reveal a left lower lobe pneumonia.  Patient was started on HAP coverage on vancomycin and cefepime.  Patient does not have any leukocytosis.  proBNP is elevated greater than 3000.  Troponins 0.09 however patient creatinine is also elevated.  Not likely NSTEMI.  Patient denies chest pain.  Patient will be admitted to previous provider with ID and pulmonology on consult.   We had received patient's Covid result, it was positive.  This time patient be placed on isolation precautions.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Decreased appetite, Dyspnoea
Clinical narrative: Covid + on 10/27/2021. Vaccinated with Janssen on 05/25/2021. ED Note: History of Present Illness  65-year-old male with a history of CHF, COPD presents to the ED for difficulty in breathing.  Patient denies ever being intubated in the past.  Patient states that he has been feeling this way for the past few days.  Patient also reports that he has had increased cough as well as decreased appetite.  States that he did get the Covid vaccine.  Patient was most recently discharged here less than a week ago for similar complaint.  Patient has a history of fluid overload and states that he has on a water pill.  Patient does not endorse any chest pain at this time.  Patient denies any nausea, vomiting, fever, chills.    65-year-old male who was recently discharged in the hospital 5 days ago presents ED for shortness of breath.  Per EMS patient was satting in the 80s on his home oxygen.  Patient was immediately placed on nonrebreather.  Upon arrival patient is very tachypneic, speaking short word sentences.  We did give patient a breathing treatment 10 mg albuterol, 1 of Atrovent, 2 of magnesium, 125 Solu-Medrol.  At this time we did also obtain blood cultures, lactic acid, basic labs, chest x-ray, Covid test, proBNP.  On exam patient did have diminished breath sounds.  A bedside ultrasound was performed that did not show any B-lines however patient's lower extremities are very edematous noted abdomen is distended.   X-ray did reveal a left lower lobe pneumonia.  Patient was started on HAP coverage on vancomycin and cefepime.  Patient does not have any leukocytosis.  proBNP is elevated greater than 3000.  Troponins 0.09 however patient creatinine is also elevated.  Not likely NSTEMI.  Patient denies chest pain.  Patient will be admitted to previous provider with ID and pulmonology on consult.   We had received patient's Covid result, it was positive.  This time patient be placed on isolation precautions.