chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood pressure increased, Computerised tomogram normal, Dysarthria, Echocardiogram
Clinical narrative: On the day of it was around 3pm and I felt my lips go numb and I had a tingling in my face. Then my whole face dropped and I started slurring, My wife took me to the ER and they thought I was having a stroke because I was showing symptoms. My bp shot up to 157 and they had to get it down. They were going to push stroke medications but the Neurologist there stopped them and asked me some questions. They asked if I had the vaccine and I said yes and they said to not give it to me in case it was a Bells Palsy episode, so they gave me an MRI and found that it was a Bells Palsy episode. So they watched me for a few days and found that I had the antibodies for COVID. They gave me blood pressure medication to bring my bp down which I take daily. My bp is regular if I take it, if I don't it goes up. I have an appointment tomorrow and still have Bells Palsy, when the episode was happening my jaw shifted to the left it locked and snapped and cracked my teeth. I now have 2 crowns and a filling from the episode. The Neurosurgeon advised that I shouldn't have had the vaccine since I already had the antibodies that they have seen a few with the same symptoms after getting the vaccine when they already had antibodies. Still the right side of my face is paralyzed.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia oral, Magnetic resonance imaging abnormal, Paraesthesia, Tooth fracture
Clinical narrative: On the day of it was around 3pm and I felt my lips go numb and I had a tingling in my face. Then my whole face dropped and I started slurring, My wife took me to the ER and they thought I was having a stroke because I was showing symptoms. My bp shot up to 157 and they had to get it down. They were going to push stroke medications but the Neurologist there stopped them and asked me some questions. They asked if I had the vaccine and I said yes and they said to not give it to me in case it was a Bells Palsy episode, so they gave me an MRI and found that it was a Bells Palsy episode. So they watched me for a few days and found that I had the antibodies for COVID. They gave me blood pressure medication to bring my bp down which I take daily. My bp is regular if I take it, if I don't it goes up. I have an appointment tomorrow and still have Bells Palsy, when the episode was happening my jaw shifted to the left it locked and snapped and cracked my teeth. I now have 2 crowns and a filling from the episode. The Neurosurgeon advised that I shouldn't have had the vaccine since I already had the antibodies that they have seen a few with the same symptoms after getting the vaccine when they already had antibodies. Still the right side of my face is paralyzed.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Trismus
Clinical narrative: On the day of it was around 3pm and I felt my lips go numb and I had a tingling in my face. Then my whole face dropped and I started slurring, My wife took me to the ER and they thought I was having a stroke because I was showing symptoms. My bp shot up to 157 and they had to get it down. They were going to push stroke medications but the Neurologist there stopped them and asked me some questions. They asked if I had the vaccine and I said yes and they said to not give it to me in case it was a Bells Palsy episode, so they gave me an MRI and found that it was a Bells Palsy episode. So they watched me for a few days and found that I had the antibodies for COVID. They gave me blood pressure medication to bring my bp down which I take daily. My bp is regular if I take it, if I don't it goes up. I have an appointment tomorrow and still have Bells Palsy, when the episode was happening my jaw shifted to the left it locked and snapped and cracked my teeth. I now have 2 crowns and a filling from the episode. The Neurosurgeon advised that I shouldn't have had the vaccine since I already had the antibodies that they have seen a few with the same symptoms after getting the vaccine when they already had antibodies. Still the right side of my face is paralyzed.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Chest X-ray, Chest pain, Chills
Clinical narrative: Symptoms started with sore arm at injection site 1 hour after shot. Within 12 hours got chills, low fever 100.5~, sore arm, nausea, blurry vision, body pain all over, rash on left forearm that started to spread all over, day 2 rash spreading more around the arm and moving upwards on forearm and itchiness intensified even with Claritin and hydrocortisone. Thursday morning started having difficulty breathing in deeply with chest pain and throat closing up so headed to ER.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Electrocardiogram, Fibrin D dimer increased, Full blood count
Clinical narrative: Symptoms started with sore arm at injection site 1 hour after shot. Within 12 hours got chills, low fever 100.5~, sore arm, nausea, blurry vision, body pain all over, rash on left forearm that started to spread all over, day 2 rash spreading more around the arm and moving upwards on forearm and itchiness intensified even with Claritin and hydrocortisone. Thursday morning started having difficulty breathing in deeply with chest pain and throat closing up so headed to ER.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Metabolic function test, Nausea, Pain, Pain in extremity
Clinical narrative: Symptoms started with sore arm at injection site 1 hour after shot. Within 12 hours got chills, low fever 100.5~, sore arm, nausea, blurry vision, body pain all over, rash on left forearm that started to spread all over, day 2 rash spreading more around the arm and moving upwards on forearm and itchiness intensified even with Claritin and hydrocortisone. Thursday morning started having difficulty breathing in deeply with chest pain and throat closing up so headed to ER.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test, Pruritus, Pyrexia, Rash, Scan with contrast
Clinical narrative: Symptoms started with sore arm at injection site 1 hour after shot. Within 12 hours got chills, low fever 100.5~, sore arm, nausea, blurry vision, body pain all over, rash on left forearm that started to spread all over, day 2 rash spreading more around the arm and moving upwards on forearm and itchiness intensified even with Claritin and hydrocortisone. Thursday morning started having difficulty breathing in deeply with chest pain and throat closing up so headed to ER.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Troponin I, Vision blurred
Clinical narrative: Symptoms started with sore arm at injection site 1 hour after shot. Within 12 hours got chills, low fever 100.5~, sore arm, nausea, blurry vision, body pain all over, rash on left forearm that started to spread all over, day 2 rash spreading more around the arm and moving upwards on forearm and itchiness intensified even with Claritin and hydrocortisone. Thursday morning started having difficulty breathing in deeply with chest pain and throat closing up so headed to ER.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram normal, Electroencephalogram abnormal, Loss of consciousness, Magnetic resonance imaging normal
Clinical narrative: I had three occasions where I had tightness in my head followed by goosebumps. I experienced weakness on a scale 1-10 would be a 2 (quite mild). After Dose 3, it was maybe 2 weeks after I experienced the same symptoms. The morning of November 17, 2021, I went walking a mile as my daily routine. I had a sensation in my head followed by a weakness that lasted 1 min-1 1/2 min. Then later me and wife went to get breakfast. I had a mini sensation in my head and weakness. At that time my wife called the physician and was seen 2 hours later. I explained to him what happened he stated I didn't have a stroke or TIA. He wasn't able to classify what happened. I went home later that evening standing in the kitchen totally blanked out, no weakness. My wife called 911 went to ER had a MRI, CT Scan and EEG. I was hospitalized for 2 days for observation. On November 20,2021 I started taking Keppra 500 mg twice daily haven't experience any more episodes.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Piloerection, Sensory disturbance, Tension headache
Clinical narrative: I had three occasions where I had tightness in my head followed by goosebumps. I experienced weakness on a scale 1-10 would be a 2 (quite mild). After Dose 3, it was maybe 2 weeks after I experienced the same symptoms. The morning of November 17, 2021, I went walking a mile as my daily routine. I had a sensation in my head followed by a weakness that lasted 1 min-1 1/2 min. Then later me and wife went to get breakfast. I had a mini sensation in my head and weakness. At that time my wife called the physician and was seen 2 hours later. I explained to him what happened he stated I didn't have a stroke or TIA. He wasn't able to classify what happened. I went home later that evening standing in the kitchen totally blanked out, no weakness. My wife called 911 went to ER had a MRI, CT Scan and EEG. I was hospitalized for 2 days for observation. On November 20,2021 I started taking Keppra 500 mg twice daily haven't experience any more episodes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood test, Eyelid function disorder, Facial paresis, Muscle twitching
Clinical narrative: Twitching, eye shutting,reduced control of facial muscles and some bdy muscles, low calcium
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Twitching, eye shutting,reduced control of facial muscles and some bdy muscles, low calcium
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Basedow's disease, Blood test abnormal, Blood thyroid stimulating hormone decreased, Hyperthyroidism
Clinical narrative: Graves hyperthyroidism confirmed by bloodwork 21 days after first Pfizer vaccine
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine free increased
Clinical narrative: Graves hyperthyroidism confirmed by bloodwork 21 days after first Pfizer vaccine
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Rash
Clinical narrative: I had a rash appear from the right side of my body up my back which made me go to the ER. It was determined that it was Shingles. I was told to dab Maalox on all of my blisters to dry them up.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid +
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Anxiety, Chest discomfort, Chills, Choking sensation
Clinical narrative: Booster Pfizer 12/02/2021 Fly like symptoms for 3 full days. Fever, chills, aches, nausea, headache 12/08/21 - string asthma like symptoms, tightness in throat, choking feeling, heaviness in chest, ( this comes in huge waves along with rushing nerve pain. I feel breathless when all of this is happening. It?s triggered if I move around too much. Any activity. My digestive system is not acting normal. My food sits in my stomach. All of my insides feel inflamed and tingly.  Severe waves of brain fog. All of my symptoms come in waves and happen 2-3 times per day and then I have times where they calm down. When my symptoms flare it cause panic feelings because of the tightness in my throat. It?s very distressing.  I was treated for possible asthma  due to the  breathing issues. Asthma meds were not relieving my symptoms like they usually would. That?s when I knew something else was going on. My steroid inhaler that she prescribed does seem to calm these odd ?episodes? I?m having and after intake mini breathe better but the tightness is non stop and unrelenting.  I have also had significant bloating in my abdomen that is not normal for me.  On December 23 I developed a rash that turned into blisters. I was diagnosed with shingles. I am 39.  Saw pulmonologist, ENT ( did a scope), and a gastro. Leading up to my shingles diagnoses.  I believe the vaccine brought on shingles for me along with these breathing issues. I feel like I have inflammation in all areas of my body. Even my thinking is effected during the flares.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Gastrointestinal disorder, Gastrooesophageal reflux disease, Headache
Clinical narrative: Booster Pfizer 12/02/2021 Fly like symptoms for 3 full days. Fever, chills, aches, nausea, headache 12/08/21 - string asthma like symptoms, tightness in throat, choking feeling, heaviness in chest, ( this comes in huge waves along with rushing nerve pain. I feel breathless when all of this is happening. It?s triggered if I move around too much. Any activity. My digestive system is not acting normal. My food sits in my stomach. All of my insides feel inflamed and tingly.  Severe waves of brain fog. All of my symptoms come in waves and happen 2-3 times per day and then I have times where they calm down. When my symptoms flare it cause panic feelings because of the tightness in my throat. It?s very distressing.  I was treated for possible asthma  due to the  breathing issues. Asthma meds were not relieving my symptoms like they usually would. That?s when I knew something else was going on. My steroid inhaler that she prescribed does seem to calm these odd ?episodes? I?m having and after intake mini breathe better but the tightness is non stop and unrelenting.  I have also had significant bloating in my abdomen that is not normal for me.  On December 23 I developed a rash that turned into blisters. I was diagnosed with shingles. I am 39.  Saw pulmonologist, ENT ( did a scope), and a gastro. Leading up to my shingles diagnoses.  I believe the vaccine brought on shingles for me along with these breathing issues. I feel like I have inflammation in all areas of my body. Even my thinking is effected during the flares.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Inflammation, Influenza like illness, Laryngoscopy abnormal, Nausea
Clinical narrative: Booster Pfizer 12/02/2021 Fly like symptoms for 3 full days. Fever, chills, aches, nausea, headache 12/08/21 - string asthma like symptoms, tightness in throat, choking feeling, heaviness in chest, ( this comes in huge waves along with rushing nerve pain. I feel breathless when all of this is happening. It?s triggered if I move around too much. Any activity. My digestive system is not acting normal. My food sits in my stomach. All of my insides feel inflamed and tingly.  Severe waves of brain fog. All of my symptoms come in waves and happen 2-3 times per day and then I have times where they calm down. When my symptoms flare it cause panic feelings because of the tightness in my throat. It?s very distressing.  I was treated for possible asthma  due to the  breathing issues. Asthma meds were not relieving my symptoms like they usually would. That?s when I knew something else was going on. My steroid inhaler that she prescribed does seem to calm these odd ?episodes? I?m having and after intake mini breathe better but the tightness is non stop and unrelenting.  I have also had significant bloating in my abdomen that is not normal for me.  On December 23 I developed a rash that turned into blisters. I was diagnosed with shingles. I am 39.  Saw pulmonologist, ENT ( did a scope), and a gastro. Leading up to my shingles diagnoses.  I believe the vaccine brought on shingles for me along with these breathing issues. I feel like I have inflammation in all areas of my body. Even my thinking is effected during the flares.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Paraesthesia, Pyrexia, Rash vesicular
Clinical narrative: Booster Pfizer 12/02/2021 Fly like symptoms for 3 full days. Fever, chills, aches, nausea, headache 12/08/21 - string asthma like symptoms, tightness in throat, choking feeling, heaviness in chest, ( this comes in huge waves along with rushing nerve pain. I feel breathless when all of this is happening. It?s triggered if I move around too much. Any activity. My digestive system is not acting normal. My food sits in my stomach. All of my insides feel inflamed and tingly.  Severe waves of brain fog. All of my symptoms come in waves and happen 2-3 times per day and then I have times where they calm down. When my symptoms flare it cause panic feelings because of the tightness in my throat. It?s very distressing.  I was treated for possible asthma  due to the  breathing issues. Asthma meds were not relieving my symptoms like they usually would. That?s when I knew something else was going on. My steroid inhaler that she prescribed does seem to calm these odd ?episodes? I?m having and after intake mini breathe better but the tightness is non stop and unrelenting.  I have also had significant bloating in my abdomen that is not normal for me.  On December 23 I developed a rash that turned into blisters. I was diagnosed with shingles. I am 39.  Saw pulmonologist, ENT ( did a scope), and a gastro. Leading up to my shingles diagnoses.  I believe the vaccine brought on shingles for me along with these breathing issues. I feel like I have inflammation in all areas of my body. Even my thinking is effected during the flares.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Thinking abnormal, Throat tightness
Clinical narrative: Booster Pfizer 12/02/2021 Fly like symptoms for 3 full days. Fever, chills, aches, nausea, headache 12/08/21 - string asthma like symptoms, tightness in throat, choking feeling, heaviness in chest, ( this comes in huge waves along with rushing nerve pain. I feel breathless when all of this is happening. It?s triggered if I move around too much. Any activity. My digestive system is not acting normal. My food sits in my stomach. All of my insides feel inflamed and tingly.  Severe waves of brain fog. All of my symptoms come in waves and happen 2-3 times per day and then I have times where they calm down. When my symptoms flare it cause panic feelings because of the tightness in my throat. It?s very distressing.  I was treated for possible asthma  due to the  breathing issues. Asthma meds were not relieving my symptoms like they usually would. That?s when I knew something else was going on. My steroid inhaler that she prescribed does seem to calm these odd ?episodes? I?m having and after intake mini breathe better but the tightness is non stop and unrelenting.  I have also had significant bloating in my abdomen that is not normal for me.  On December 23 I developed a rash that turned into blisters. I was diagnosed with shingles. I am 39.  Saw pulmonologist, ENT ( did a scope), and a gastro. Leading up to my shingles diagnoses.  I believe the vaccine brought on shingles for me along with these breathing issues. I feel like I have inflammation in all areas of my body. Even my thinking is effected during the flares.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound scan
Clinical narrative: Developed blood clot with pain in right lower leg. Seen by provider, confirmed with ultrasound. Developed 2nd clot same leg 5 days later totaling 2 clots.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: On the morning of the 23rd, I noticed hives on my right arm and torso. I met with my prescriber, and I started Prednisone on Morning of the 24th. I am also taking Benadryl. The rash is still ongoing. I was diagnosed as hives with itching all over via medical professional. My doctor recommended also taking OTD Zyrtec and is referring me to an Allergist.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Suicidal ideation
Clinical narrative: Pt was admitted for suicidal ideation with history of depression.  He was tested for COVID due to placement on a psychiatric unit and was positive.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Cold sweat, Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Pt experienced an episode of syncope and fainting about 10-15 minutes after administration of his 2nd shingrix vaccine. The patient was instructed to wait for ~15  minutes and was sitting in a chair near the pharmacy consultation room with his wife. In the moment he was getting up to leave after waiting, he started to fall and a customer in line nearby was able to catch him before he fell. The man appeared to be unconscious and unresponsive. I ran out of the pharmacy to come to his aid and had my technician, call  911. After about 20 seconds of being unresponsive the man did 'wake up' and appeared to be alert and told me "I am okay, I am okay."  Medics arrived approximately 6 minutes later. We kept him sitting and upright during this time waiting for medics. The patient presented cold and clammy and i tried to assess his pulse with my finger tips: was normal about ~60 bpm. Medics came to the scene and took the man away in a stretcher. Will follow up with patient and wife today regarding his status.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Aspiration, Atrial fibrillation
Clinical narrative: Hospitalized 12/15/2021-still admitted currently; COVID-19 positive 12/15/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 69 yo M with past medical history of chronic atrial fibrillation (on Xarelto), NICM with recently improved EF to 52%, morbid obesity who presented to BL ED 12/15 due to 3 weeks of progressive dyspnea. He was known to be COVID 19 positive from 12/12. On arrival to ED, the patient was hypoxemic on NRB mask. He was in AF with RVR with rates 180-200. Labs showed lactic acid 9, stable renal function, procal 2.7. CXR showed diffuse bilateral airspace disease. He initially stabilized on HFNC. Sputum (+) for S aureus. DCCV was attempted to x2 without conversion to sinus rhythm. He was given amiodarone bolus and started on infusion. Upon arrival to ICU, the patient was in extremis and was emergently intubated. Following intubation, the patient remained in uncontrolled AF and DCCV was attempted again, that time with conversion to sinus rhythm, but later returned to A fib. Course complicated by shock requiring pressors and AKI requiring CRRT   ASSESSMENT / PLAN:      Assessment and Plan Acute hypoxemic respiratory failure Assessment & Plan Differential includes pulmonary edema in setting of Afib RVR with cardiomyopathy / acute on chronic CHF, COVID-19 pneumonia, CAP, aspiration, or some combination of these.  Unlikely PE in setting of chronic anticoagulation with Xarelto and pulmonary infiltrates on CXR No supplemental oxygen use at baseline Progressive dyspnea for 3 weeks, presenting with HR 180's, respiratory distress, hypoxemia requiring HFNC COVID-19 positive on 12/15 - Moderna vaccine April/May 2021 Limited additional history provided, spouse unaware of details  Intubated 12/15 on arrival to ICU  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Progressive dyspnea x 3 weeks prior to admission - other symptoms unknown. Unclear if dyspnea is related to worsening CHF Temp 38.9 on presentation, Procalcitonin 5.9, WBC 9.3 Test positive on 12/15 in ED Treatment  Remdesivir 12/15 -  Request for monoclonal Ab use, pending 12/24/21 notes:  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Test positive: 12/15 in ED Admission: 12/15 Intubated: 12/15 Remdesivir: 12/15, discontinued due to renal failure Dexamethasone: 12 mg IV daily 12/15 -    - management of respiratory failure as above - continue steroids as respiratory status remains poor (today is day 10) - empiric antibiotics for possible secondary infection, f/u infectious work-up - on therapeutic anticoagulation for afib - continue volume management via CRRT (goal negative) Per daughter, if patient were to have no improvement by ~1/2, family would consider withdrawal of care
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Body temperature increased, COVID-19, COVID-19 pneumonia, Cardiac failure acute
Clinical narrative: Hospitalized 12/15/2021-still admitted currently; COVID-19 positive 12/15/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 69 yo M with past medical history of chronic atrial fibrillation (on Xarelto), NICM with recently improved EF to 52%, morbid obesity who presented to BL ED 12/15 due to 3 weeks of progressive dyspnea. He was known to be COVID 19 positive from 12/12. On arrival to ED, the patient was hypoxemic on NRB mask. He was in AF with RVR with rates 180-200. Labs showed lactic acid 9, stable renal function, procal 2.7. CXR showed diffuse bilateral airspace disease. He initially stabilized on HFNC. Sputum (+) for S aureus. DCCV was attempted to x2 without conversion to sinus rhythm. He was given amiodarone bolus and started on infusion. Upon arrival to ICU, the patient was in extremis and was emergently intubated. Following intubation, the patient remained in uncontrolled AF and DCCV was attempted again, that time with conversion to sinus rhythm, but later returned to A fib. Course complicated by shock requiring pressors and AKI requiring CRRT   ASSESSMENT / PLAN:      Assessment and Plan Acute hypoxemic respiratory failure Assessment & Plan Differential includes pulmonary edema in setting of Afib RVR with cardiomyopathy / acute on chronic CHF, COVID-19 pneumonia, CAP, aspiration, or some combination of these.  Unlikely PE in setting of chronic anticoagulation with Xarelto and pulmonary infiltrates on CXR No supplemental oxygen use at baseline Progressive dyspnea for 3 weeks, presenting with HR 180's, respiratory distress, hypoxemia requiring HFNC COVID-19 positive on 12/15 - Moderna vaccine April/May 2021 Limited additional history provided, spouse unaware of details  Intubated 12/15 on arrival to ICU  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Progressive dyspnea x 3 weeks prior to admission - other symptoms unknown. Unclear if dyspnea is related to worsening CHF Temp 38.9 on presentation, Procalcitonin 5.9, WBC 9.3 Test positive on 12/15 in ED Treatment  Remdesivir 12/15 -  Request for monoclonal Ab use, pending 12/24/21 notes:  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Test positive: 12/15 in ED Admission: 12/15 Intubated: 12/15 Remdesivir: 12/15, discontinued due to renal failure Dexamethasone: 12 mg IV daily 12/15 -    - management of respiratory failure as above - continue steroids as respiratory status remains poor (today is day 10) - empiric antibiotics for possible secondary infection, f/u infectious work-up - on therapeutic anticoagulation for afib - continue volume management via CRRT (goal negative) Per daughter, if patient were to have no improvement by ~1/2, family would consider withdrawal of care
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure congestive, Cardiomyopathy, Cardioversion, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Hospitalized 12/15/2021-still admitted currently; COVID-19 positive 12/15/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 69 yo M with past medical history of chronic atrial fibrillation (on Xarelto), NICM with recently improved EF to 52%, morbid obesity who presented to BL ED 12/15 due to 3 weeks of progressive dyspnea. He was known to be COVID 19 positive from 12/12. On arrival to ED, the patient was hypoxemic on NRB mask. He was in AF with RVR with rates 180-200. Labs showed lactic acid 9, stable renal function, procal 2.7. CXR showed diffuse bilateral airspace disease. He initially stabilized on HFNC. Sputum (+) for S aureus. DCCV was attempted to x2 without conversion to sinus rhythm. He was given amiodarone bolus and started on infusion. Upon arrival to ICU, the patient was in extremis and was emergently intubated. Following intubation, the patient remained in uncontrolled AF and DCCV was attempted again, that time with conversion to sinus rhythm, but later returned to A fib. Course complicated by shock requiring pressors and AKI requiring CRRT   ASSESSMENT / PLAN:      Assessment and Plan Acute hypoxemic respiratory failure Assessment & Plan Differential includes pulmonary edema in setting of Afib RVR with cardiomyopathy / acute on chronic CHF, COVID-19 pneumonia, CAP, aspiration, or some combination of these.  Unlikely PE in setting of chronic anticoagulation with Xarelto and pulmonary infiltrates on CXR No supplemental oxygen use at baseline Progressive dyspnea for 3 weeks, presenting with HR 180's, respiratory distress, hypoxemia requiring HFNC COVID-19 positive on 12/15 - Moderna vaccine April/May 2021 Limited additional history provided, spouse unaware of details  Intubated 12/15 on arrival to ICU  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Progressive dyspnea x 3 weeks prior to admission - other symptoms unknown. Unclear if dyspnea is related to worsening CHF Temp 38.9 on presentation, Procalcitonin 5.9, WBC 9.3 Test positive on 12/15 in ED Treatment  Remdesivir 12/15 -  Request for monoclonal Ab use, pending 12/24/21 notes:  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Test positive: 12/15 in ED Admission: 12/15 Intubated: 12/15 Remdesivir: 12/15, discontinued due to renal failure Dexamethasone: 12 mg IV daily 12/15 -    - management of respiratory failure as above - continue steroids as respiratory status remains poor (today is day 10) - empiric antibiotics for possible secondary infection, f/u infectious work-up - on therapeutic anticoagulation for afib - continue volume management via CRRT (goal negative) Per daughter, if patient were to have no improvement by ~1/2, family would consider withdrawal of care
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Haemofiltration, Hypoxia, Intensive care
Clinical narrative: Hospitalized 12/15/2021-still admitted currently; COVID-19 positive 12/15/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 69 yo M with past medical history of chronic atrial fibrillation (on Xarelto), NICM with recently improved EF to 52%, morbid obesity who presented to BL ED 12/15 due to 3 weeks of progressive dyspnea. He was known to be COVID 19 positive from 12/12. On arrival to ED, the patient was hypoxemic on NRB mask. He was in AF with RVR with rates 180-200. Labs showed lactic acid 9, stable renal function, procal 2.7. CXR showed diffuse bilateral airspace disease. He initially stabilized on HFNC. Sputum (+) for S aureus. DCCV was attempted to x2 without conversion to sinus rhythm. He was given amiodarone bolus and started on infusion. Upon arrival to ICU, the patient was in extremis and was emergently intubated. Following intubation, the patient remained in uncontrolled AF and DCCV was attempted again, that time with conversion to sinus rhythm, but later returned to A fib. Course complicated by shock requiring pressors and AKI requiring CRRT   ASSESSMENT / PLAN:      Assessment and Plan Acute hypoxemic respiratory failure Assessment & Plan Differential includes pulmonary edema in setting of Afib RVR with cardiomyopathy / acute on chronic CHF, COVID-19 pneumonia, CAP, aspiration, or some combination of these.  Unlikely PE in setting of chronic anticoagulation with Xarelto and pulmonary infiltrates on CXR No supplemental oxygen use at baseline Progressive dyspnea for 3 weeks, presenting with HR 180's, respiratory distress, hypoxemia requiring HFNC COVID-19 positive on 12/15 - Moderna vaccine April/May 2021 Limited additional history provided, spouse unaware of details  Intubated 12/15 on arrival to ICU  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Progressive dyspnea x 3 weeks prior to admission - other symptoms unknown. Unclear if dyspnea is related to worsening CHF Temp 38.9 on presentation, Procalcitonin 5.9, WBC 9.3 Test positive on 12/15 in ED Treatment  Remdesivir 12/15 -  Request for monoclonal Ab use, pending 12/24/21 notes:  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Test positive: 12/15 in ED Admission: 12/15 Intubated: 12/15 Remdesivir: 12/15, discontinued due to renal failure Dexamethasone: 12 mg IV daily 12/15 -    - management of respiratory failure as above - continue steroids as respiratory status remains poor (today is day 10) - empiric antibiotics for possible secondary infection, f/u infectious work-up - on therapeutic anticoagulation for afib - continue volume management via CRRT (goal negative) Per daughter, if patient were to have no improvement by ~1/2, family would consider withdrawal of care
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung disorder, Lung infiltration, Pneumonia, Procalcitonin increased, Pulmonary oedema
Clinical narrative: Hospitalized 12/15/2021-still admitted currently; COVID-19 positive 12/15/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 69 yo M with past medical history of chronic atrial fibrillation (on Xarelto), NICM with recently improved EF to 52%, morbid obesity who presented to BL ED 12/15 due to 3 weeks of progressive dyspnea. He was known to be COVID 19 positive from 12/12. On arrival to ED, the patient was hypoxemic on NRB mask. He was in AF with RVR with rates 180-200. Labs showed lactic acid 9, stable renal function, procal 2.7. CXR showed diffuse bilateral airspace disease. He initially stabilized on HFNC. Sputum (+) for S aureus. DCCV was attempted to x2 without conversion to sinus rhythm. He was given amiodarone bolus and started on infusion. Upon arrival to ICU, the patient was in extremis and was emergently intubated. Following intubation, the patient remained in uncontrolled AF and DCCV was attempted again, that time with conversion to sinus rhythm, but later returned to A fib. Course complicated by shock requiring pressors and AKI requiring CRRT   ASSESSMENT / PLAN:      Assessment and Plan Acute hypoxemic respiratory failure Assessment & Plan Differential includes pulmonary edema in setting of Afib RVR with cardiomyopathy / acute on chronic CHF, COVID-19 pneumonia, CAP, aspiration, or some combination of these.  Unlikely PE in setting of chronic anticoagulation with Xarelto and pulmonary infiltrates on CXR No supplemental oxygen use at baseline Progressive dyspnea for 3 weeks, presenting with HR 180's, respiratory distress, hypoxemia requiring HFNC COVID-19 positive on 12/15 - Moderna vaccine April/May 2021 Limited additional history provided, spouse unaware of details  Intubated 12/15 on arrival to ICU  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Progressive dyspnea x 3 weeks prior to admission - other symptoms unknown. Unclear if dyspnea is related to worsening CHF Temp 38.9 on presentation, Procalcitonin 5.9, WBC 9.3 Test positive on 12/15 in ED Treatment  Remdesivir 12/15 -  Request for monoclonal Ab use, pending 12/24/21 notes:  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Test positive: 12/15 in ED Admission: 12/15 Intubated: 12/15 Remdesivir: 12/15, discontinued due to renal failure Dexamethasone: 12 mg IV daily 12/15 -    - management of respiratory failure as above - continue steroids as respiratory status remains poor (today is day 10) - empiric antibiotics for possible secondary infection, f/u infectious work-up - on therapeutic anticoagulation for afib - continue volume management via CRRT (goal negative) Per daughter, if patient were to have no improvement by ~1/2, family would consider withdrawal of care
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Renal function test normal, Respiratory distress, Respiratory failure, SARS-CoV-2 test positive, Shock
Clinical narrative: Hospitalized 12/15/2021-still admitted currently; COVID-19 positive 12/15/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 69 yo M with past medical history of chronic atrial fibrillation (on Xarelto), NICM with recently improved EF to 52%, morbid obesity who presented to BL ED 12/15 due to 3 weeks of progressive dyspnea. He was known to be COVID 19 positive from 12/12. On arrival to ED, the patient was hypoxemic on NRB mask. He was in AF with RVR with rates 180-200. Labs showed lactic acid 9, stable renal function, procal 2.7. CXR showed diffuse bilateral airspace disease. He initially stabilized on HFNC. Sputum (+) for S aureus. DCCV was attempted to x2 without conversion to sinus rhythm. He was given amiodarone bolus and started on infusion. Upon arrival to ICU, the patient was in extremis and was emergently intubated. Following intubation, the patient remained in uncontrolled AF and DCCV was attempted again, that time with conversion to sinus rhythm, but later returned to A fib. Course complicated by shock requiring pressors and AKI requiring CRRT   ASSESSMENT / PLAN:      Assessment and Plan Acute hypoxemic respiratory failure Assessment & Plan Differential includes pulmonary edema in setting of Afib RVR with cardiomyopathy / acute on chronic CHF, COVID-19 pneumonia, CAP, aspiration, or some combination of these.  Unlikely PE in setting of chronic anticoagulation with Xarelto and pulmonary infiltrates on CXR No supplemental oxygen use at baseline Progressive dyspnea for 3 weeks, presenting with HR 180's, respiratory distress, hypoxemia requiring HFNC COVID-19 positive on 12/15 - Moderna vaccine April/May 2021 Limited additional history provided, spouse unaware of details  Intubated 12/15 on arrival to ICU  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Progressive dyspnea x 3 weeks prior to admission - other symptoms unknown. Unclear if dyspnea is related to worsening CHF Temp 38.9 on presentation, Procalcitonin 5.9, WBC 9.3 Test positive on 12/15 in ED Treatment  Remdesivir 12/15 -  Request for monoclonal Ab use, pending 12/24/21 notes:  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Test positive: 12/15 in ED Admission: 12/15 Intubated: 12/15 Remdesivir: 12/15, discontinued due to renal failure Dexamethasone: 12 mg IV daily 12/15 -    - management of respiratory failure as above - continue steroids as respiratory status remains poor (today is day 10) - empiric antibiotics for possible secondary infection, f/u infectious work-up - on therapeutic anticoagulation for afib - continue volume management via CRRT (goal negative) Per daughter, if patient were to have no improvement by ~1/2, family would consider withdrawal of care
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sputum culture positive, Staphylococcus test positive, White blood cell count normal
Clinical narrative: Hospitalized 12/15/2021-still admitted currently; COVID-19 positive 12/15/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 69 yo M with past medical history of chronic atrial fibrillation (on Xarelto), NICM with recently improved EF to 52%, morbid obesity who presented to BL ED 12/15 due to 3 weeks of progressive dyspnea. He was known to be COVID 19 positive from 12/12. On arrival to ED, the patient was hypoxemic on NRB mask. He was in AF with RVR with rates 180-200. Labs showed lactic acid 9, stable renal function, procal 2.7. CXR showed diffuse bilateral airspace disease. He initially stabilized on HFNC. Sputum (+) for S aureus. DCCV was attempted to x2 without conversion to sinus rhythm. He was given amiodarone bolus and started on infusion. Upon arrival to ICU, the patient was in extremis and was emergently intubated. Following intubation, the patient remained in uncontrolled AF and DCCV was attempted again, that time with conversion to sinus rhythm, but later returned to A fib. Course complicated by shock requiring pressors and AKI requiring CRRT   ASSESSMENT / PLAN:      Assessment and Plan Acute hypoxemic respiratory failure Assessment & Plan Differential includes pulmonary edema in setting of Afib RVR with cardiomyopathy / acute on chronic CHF, COVID-19 pneumonia, CAP, aspiration, or some combination of these.  Unlikely PE in setting of chronic anticoagulation with Xarelto and pulmonary infiltrates on CXR No supplemental oxygen use at baseline Progressive dyspnea for 3 weeks, presenting with HR 180's, respiratory distress, hypoxemia requiring HFNC COVID-19 positive on 12/15 - Moderna vaccine April/May 2021 Limited additional history provided, spouse unaware of details  Intubated 12/15 on arrival to ICU  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Progressive dyspnea x 3 weeks prior to admission - other symptoms unknown. Unclear if dyspnea is related to worsening CHF Temp 38.9 on presentation, Procalcitonin 5.9, WBC 9.3 Test positive on 12/15 in ED Treatment  Remdesivir 12/15 -  Request for monoclonal Ab use, pending 12/24/21 notes:  * COVID-19 Assessment & Plan Moderna vaccine April/May 2021 Test positive: 12/15 in ED Admission: 12/15 Intubated: 12/15 Remdesivir: 12/15, discontinued due to renal failure Dexamethasone: 12 mg IV daily 12/15 -    - management of respiratory failure as above - continue steroids as respiratory status remains poor (today is day 10) - empiric antibiotics for possible secondary infection, f/u infectious work-up - on therapeutic anticoagulation for afib - continue volume management via CRRT (goal negative) Per daughter, if patient were to have no improvement by ~1/2, family would consider withdrawal of care
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Syncope, Troponin
Clinical narrative: Child had a vasovagal syncopal event and was evaluated in the Emergency Department.  EKG/Troponin was normal.  At the time of this report (12/27, four days after event) the child's mother reports that she is fully recovered and back at baseline.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: Chronic daily headaches that started after Covid vaccine #1
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypoglycaemia
Clinical narrative: I had a hypoglycemic crisis at about 4 am. Had to crawl to bathroom,  could not stand up. This was a full blown hypoglycemic episode, that lasted 30 minutes. Once it passed, I went into the kitchen to get some juice. I have diet controlled my hypoglycemia for many decades, I had eaten properly that day, only a drug reaction can trigger this in the middle of the night for me. It seems that this booster triggered this although the other 2 shots of Moderna that I received earlier this year did not trigger this.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour
Clinical narrative: Parent reporting that child has bad behavior since vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, Blood test, COVID-19, COVID-19 pneumonia, Electrocardiogram abnormal
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 05/07/2021, started experiencing symptoms 05/08/2021 of extreme fatigue, low Iron Iron Vitamins (8.9 Ferrous-Sulfate 325mg), Vitamin D deficient (prescribed D supplements),  low Blood Pressure, low Heart Rate, abnormal EKG, irregular ?heavy? menstrual, and 06/04/2021 ?Covid Pneumonia?. (Misdiagnosed) Primary visit shortly after ? Covid, Amoxicillin prescribed. Cardiologist visit (cleared with Normal range EKG). OBGYN visit (fibroids), IUD inserted 10/11/2021.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heavy menstrual bleeding, Hypotension, Intrauterine contraception, Menstruation irregular
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 05/07/2021, started experiencing symptoms 05/08/2021 of extreme fatigue, low Iron Iron Vitamins (8.9 Ferrous-Sulfate 325mg), Vitamin D deficient (prescribed D supplements),  low Blood Pressure, low Heart Rate, abnormal EKG, irregular ?heavy? menstrual, and 06/04/2021 ?Covid Pneumonia?. (Misdiagnosed) Primary visit shortly after ? Covid, Amoxicillin prescribed. Cardiologist visit (cleared with Normal range EKG). OBGYN visit (fibroids), IUD inserted 10/11/2021.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine leiomyoma, Vitamin D deficiency
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 05/07/2021, started experiencing symptoms 05/08/2021 of extreme fatigue, low Iron Iron Vitamins (8.9 Ferrous-Sulfate 325mg), Vitamin D deficient (prescribed D supplements),  low Blood Pressure, low Heart Rate, abnormal EKG, irregular ?heavy? menstrual, and 06/04/2021 ?Covid Pneumonia?. (Misdiagnosed) Primary visit shortly after ? Covid, Amoxicillin prescribed. Cardiologist visit (cleared with Normal range EKG). OBGYN visit (fibroids), IUD inserted 10/11/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Mobility decreased, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: From the moment I got my booster shot, I experienced soreness in my arm (and could not use my left arm for anything because of the pain). The next day I had a severe headache which lasted the whole day and sore muscles everywhere and had a fever of 101.8. and it lasted until 12/25/21 in the morning (between 7-7:30 AM) I tried to call the nurse from my health insurance card to connect me to a health professional, but I was told that the wait was for 5 hours - I did not proceed with that instead I took some Tylenol and bedrest and about 1 AM in the morning my fever got back up again to 101 or 102. and I took some Ibuprofen. Overall, my side effects lasted from December 23-25.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral infarction, Disorientation, Dizziness, Hypoaesthesia, Impaired work ability
Clinical narrative: On the evening of 4/20/21, I was sitting on a bench watching a track meet, when I began to experience dizziness, and disorientation.  I went to sleep that night hoping the symptoms would subside.  The next morning,  Iwent to work (as a plumber) but was not able to leave the work truck due to the dizziness.  That afternoon, I went to the ER where tests showed I had a left occipital infarct.   On 8/1/21,  approximately 6pm, I had total numbness on my left side.  I called 911 right away and was admitted to the hospital where they diagnosed an ischemic stroke in the right frontal lobe.    Prior to the vaccine, I have no history of strokes.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, Laboratory test
Clinical narrative: On the evening of 4/20/21, I was sitting on a bench watching a track meet, when I began to experience dizziness, and disorientation.  I went to sleep that night hoping the symptoms would subside.  The next morning,  Iwent to work (as a plumber) but was not able to leave the work truck due to the dizziness.  That afternoon, I went to the ER where tests showed I had a left occipital infarct.   On 8/1/21,  approximately 6pm, I had total numbness on my left side.  I called 911 right away and was admitted to the hospital where they diagnosed an ischemic stroke in the right frontal lobe.    Prior to the vaccine, I have no history of strokes.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was inadvertently given the  Pfizer Ped (5-11 yr) vaccine.  No adverse reactions to the vaccine
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd vaccine dose. Patient was diagnosed of COVID 19
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid +
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Flushing, Injection site pain
Clinical narrative: 10 minutes post injection, sudden of burning sensation at site of injection.  Slowly spread to chest and lower body area.  "Feels similar to taking a shot of whiskey".  Subsided after 10 minutes.  No SOB or other cardiac symptoms.  Improved after lying down and drinking cold water.  Shorter episode of flushing 15 minutes after first episode.  Subsided within 5 minutes.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Candida infection, Glossitis, Glossodynia, Oral mucosal erythema, Oral pain
Clinical narrative: Patient reports the day after receiving his second Pfizer COVID vaccination the inside of his mouth,  including his tongue and cheeks,  was red, raw and sore.  States he saw his MD who prescribed treatment for thrush.  States this treatment made no difference and he stopped using this medication after a couple of days.  Eventually the symptoms resolved.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Stomatitis, Tongue erythema
Clinical narrative: Patient reports the day after receiving his second Pfizer COVID vaccination the inside of his mouth,  including his tongue and cheeks,  was red, raw and sore.  States he saw his MD who prescribed treatment for thrush.  States this treatment made no difference and he stopped using this medication after a couple of days.  Eventually the symptoms resolved.