chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Skin reaction
Clinical narrative: Localized Reaction to left deltoid. Pain scale 7/10, redness, swelling, warmth and pain to move arm. Will be referred to ER for treatment if needed.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: reaction to fluad flut shot on 9/23, arm sore for 3 weeks after
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: Fatigue, brain fogs.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swollen tongue
Clinical narrative: When she was driving home after her vaccination, she started feeling like her lips and tongue were swollen all the way up to her nose. It lasted about 20minutes then it went away and didn?t comeback anymore. Denies any other accompanying symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Glossopharyngeal neuralgia, Magnetic resonance imaging, Metabolic function test, Pain
Clinical narrative: I have been experiencing extreme pain in my face, throat, tongue, and ear. I went to the Emergency Room at Hospital. I was diagnosed with glossopharyngeal neuralgia. I was prescribed with Prednisone, Gabapentin, and Valacyclovir.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Ageusia, Anosmia, COVID-19, Chest discomfort, Chest pain
Clinical narrative: Fever, muscle aches, sore throat, nausea and vomiting, headache, diarrhea, no taste and smell, persistent pain and pressure in chest
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Diarrhoea, Headache, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Fever, muscle aches, sore throat, nausea and vomiting, headache, diarrhea, no taste and smell, persistent pain and pressure in chest
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Fever, muscle aches, sore throat, nausea and vomiting, headache, diarrhea, no taste and smell, persistent pain and pressure in chest
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID -  8L HFNC- dex start 10/13 6mg IV q12h ( on chronic prednisone at home)  Enoxaparin 100mg q12h afib  PPI 40mg daily  Remdesivir 10/14-10/17
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: allergic reaction initially she's doing fine now
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Sleep disorder, Urticaria
Clinical narrative: Broke out in hives. I have never had an allergy so wasn't quite sure what to do.  After some soaking baths and lotion ,which didn't work, I finally thought to take an Allegra about 5:30 Monday morn. (10-18).  I could sleep then and when I woke, itching had stopped.  I still hav some welts, but hopefully it's over. I am going to e-mail my Doctor later.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Spirometry
Clinical narrative: shortness of breath, chest heaviness
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Loss of consciousness, Orthostatic hypertension, Pallor, Tremor
Clinical narrative: Patient was walking around the store shortly after vaccination, when he lost consciousness and began shaking. This lasted approximately 1 minute per store employee whom was present. Patient regained consciousness and sat upright on the floor, he was alert for a short time (less than 1 minute), then again lost consciousness and experienced labored/gurgled breathing. Employee laid patient on his side and called for pharmacy and EMS> When I arrived at patient side his skin was very pale/grey and he did not appear to be breathing. After checking for responsiveness for a few seconds, patient began breathing again and regained consciousness.  He was sat upright and we checked for alertness, medical history, contact info and stayed with patient until EMS arrived and took over. Per EMS, patient did not have low blood sugar, but was experiencing some orthostatic hypotension.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I was sneezing and had a headache. Very mild sore throat and no fever. Urgent care and did a rapid test COVID 3 weeks after booster from. Regenerome infusion on 10Oct2021.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Dizziness, Hypotension
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: PT fainted for 1 second and regaine consciousness right away. he declined 911/paramedics and asked for water and something to fan himself with. pts bp taken was 92/68 , pusle 69. pt stated his level of uncomfortability was 10 (worse) to 2,4, then 1. dad/sis came pick him up after monitoring him for 30 mins
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: PT fainted for 1 second and regaine consciousness right away. he declined 911/paramedics and asked for water and something to fan himself with. pts bp taken was 92/68 , pusle 69. pt stated his level of uncomfortability was 10 (worse) to 2,4, then 1. dad/sis came pick him up after monitoring him for 30 mins
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Cough, Fatigue, Pain
Clinical narrative: positive covid test on 10/12.  fever, body ache, headache, cough, congestion, fatigue, loss of sense of smell
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: positive covid test on 10/12.  fever, body ache, headache, cough, congestion, fatigue, loss of sense of smell
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood test, Electrocardiogram, Feeling cold, Gait disturbance
Clinical narrative: 15 minutes after getting the vaccine the patient stated she was feeling a tingling sensation in her mouth. I told her to wait a few more minutes just in case. Then she stated her mouth was  numb. I gave her a dose of benadryl. A couple of minutes later she fainted and was paled and lethargic. She stated her tongue was numb and swelling. A shot of Epipen was given due to tongue swelling. 9-1-1 was called. Few minutes after Epipen she said her tongue was feeling better, but she was feeling cold. Paramedics checked her vitals and said they were within normal levels (including blood sugar). She had difficulty walking so, they brought her to the hospital. At the hospital she was diagnosed with Syncope.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Lethargy, Pallor, Paraesthesia oral, Swollen tongue
Clinical narrative: 15 minutes after getting the vaccine the patient stated she was feeling a tingling sensation in her mouth. I told her to wait a few more minutes just in case. Then she stated her mouth was  numb. I gave her a dose of benadryl. A couple of minutes later she fainted and was paled and lethargic. She stated her tongue was numb and swelling. A shot of Epipen was given due to tongue swelling. 9-1-1 was called. Few minutes after Epipen she said her tongue was feeling better, but she was feeling cold. Paramedics checked her vitals and said they were within normal levels (including blood sugar). She had difficulty walking so, they brought her to the hospital. At the hospital she was diagnosed with Syncope.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 15 minutes after getting the vaccine the patient stated she was feeling a tingling sensation in her mouth. I told her to wait a few more minutes just in case. Then she stated her mouth was  numb. I gave her a dose of benadryl. A couple of minutes later she fainted and was paled and lethargic. She stated her tongue was numb and swelling. A shot of Epipen was given due to tongue swelling. 9-1-1 was called. Few minutes after Epipen she said her tongue was feeling better, but she was feeling cold. Paramedics checked her vitals and said they were within normal levels (including blood sugar). She had difficulty walking so, they brought her to the hospital. At the hospital she was diagnosed with Syncope.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Injection site mass, Malaise
Clinical narrative: Pt reports - same day "extreme headache began"- stopped up sinuses - next day lump found (same arm as rec'd vaccine) R. Deltoid.  Pt states "felt like coming down with something,  reporting feeling "tired and weak every couple of days" , "but I never got sick".
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Pt reports - same day "extreme headache began"- stopped up sinuses - next day lump found (same arm as rec'd vaccine) R. Deltoid.  Pt states "felt like coming down with something,  reporting feeling "tired and weak every couple of days" , "but I never got sick".
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Sciatic nerve injury
Clinical narrative: 6  months later I had a Pinch sciatic nerve on my Buttocks'.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Patient arrived to ER per physician reccomendation after blood clot found on ultrasound
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Musculoskeletal stiffness, Neck pain
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: pain/stiffness in shoulder and neck-Severe
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine, Neck pain
Clinical narrative: exacerbation of her chronic neck pain and migraine symptoms the day after she got dose 1
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Fatigue
Clinical narrative: In May I had and am currently suffering from severe joint pain and fatigue. I have seen 3 different doctors for this and have been prescribed different meds or treatments. I have had numerous blood tests and antibody tests to check for  what this cause is. I have not felt the same since my second Covid vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Gait disturbance, Mobility decreased, Pyrexia, Rhinorrhoea
Clinical narrative: Runny nose within 48 hours - no infection 5/14 (9 days post injection) - patient got sick enough to not get out of bed, could not walk, loss of muscle strength, and 104 degree fever, vomiting that continued for 7 days. Patient went to doctor and got promethazine after this but did not feel any better. Stopped vomiting though. Couldn't walk more than 10 stairs in patient's home for 3 weeks.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Runny nose within 48 hours - no infection 5/14 (9 days post injection) - patient got sick enough to not get out of bed, could not walk, loss of muscle strength, and 104 degree fever, vomiting that continued for 7 days. Patient went to doctor and got promethazine after this but did not feel any better. Stopped vomiting though. Couldn't walk more than 10 stairs in patient's home for 3 weeks.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Headache and congestion
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling of body temperature change, Headache, Pain
Clinical narrative: Approximately 9 hours after administration, chills and body aches began. Within an hour or so was shivering uncontrollably and entire body was hurting. until approx 33 hrs post admin, fluctuated between chills and burning up all the while body aches including a headache continued. approx 43 hours later all that remains is a headache. (all hours referring to initial injection)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Dyspnoea, Flushing, Tachycardia
Clinical narrative: report of feeling of impending doom, flushing, weakness, tachycardia, and shortness of breath
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Hypoaesthesia, Injection site pain
Clinical narrative: Numbness starting in left forearm, 50% of hand strength in lt hand loss, achy injection site, numbness rt forearm, bottom 2 digits of hand, neve ailment
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test, Injection site pain, Lethargy, Magnetic resonance imaging head, Magnetic resonance imaging neck
Clinical narrative: Numbness starting in left forearm, 50% of hand strength in lt hand loss, achy injection site, numbness rt forearm, bottom 2 digits of hand, neve ailment
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Monoplegia, Muscle atrophy
Clinical narrative: Numbness starting in left forearm, 50% of hand strength in lt hand loss, achy injection site, numbness rt forearm, bottom 2 digits of hand, neve ailment
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Hypoaesthesia, Paraesthesia, Radiculitis brachial
Clinical narrative: Numbness starting in left forearm, 50% of hand strength in lt hand loss, achy injection site, numbness rt forearm, bottom 2 digits of hand, neve ailment
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: Numbness starting in left forearm, 50% of hand strength in lt hand loss, achy injection site, numbness rt forearm, bottom 2 digits of hand, neve ailment
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Extra dose administered, Pain, Rash
Clinical narrative: bone/ joint pain 3 days after getting vaccine for all 3 doses. Pain everywhere. Rash was primarliy on elbows with white coating on it.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Vaccine positive rechallenge
Clinical narrative: bone/ joint pain 3 days after getting vaccine for all 3 doses. Pain everywhere. Rash was primarliy on elbows with white coating on it.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Headache, Pallor
Clinical narrative: Patient oriented in time and place comes to of observation and express that work is forcing him to get vaccinated but he does not want to do it. Patient indicates having multiple conditions which they are not treated because he does not have medical plan he has high pressure and leukemia and it has not been treated for 4 months because he does not have medical plan. Doctor is consulted and indicates to vaccinate patient without a problem. Time is up in the area of observation and patient indicates feeling dizzy and head pain, vitals are taken, we talk to patient and give him water and candy, he did not eat since early today. Patient looked pale since he came into the center. Vitals  BP 130/80, Sat 99, P 67. Dex 88.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error in dose given undiluted 0.3cc dose. Observed for 35 minutes while paper work and information was gathered. denied symptoms
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Diarrhoea, Fatigue, Headache, Impaired work ability
Clinical narrative: Evening after injection, 6:00 pm on 10/14/2021, body aches and headache, 10/15/2021 7:00 a.m. very fatigued, nausea and vomiting and then terrible diarrhea, the nausea, headaches and diarrhea and fatigue  continued on 10/16/2021 and 10/17/2021.  Have taken zofran and over the counter anti-diarrhea meds on each of the days that symptoms were present.  10/18/2021 still fatigued, nauseated and some diarrhea as well as headaches continue but a little less severe at 1:15 p.m.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: Evening after injection, 6:00 pm on 10/14/2021, body aches and headache, 10/15/2021 7:00 a.m. very fatigued, nausea and vomiting and then terrible diarrhea, the nausea, headaches and diarrhea and fatigue  continued on 10/16/2021 and 10/17/2021.  Have taken zofran and over the counter anti-diarrhea meds on each of the days that symptoms were present.  10/18/2021 still fatigued, nauseated and some diarrhea as well as headaches continue but a little less severe at 1:15 p.m.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: About 12 hours later, began with ache and mild fever.  At 24 hour mark, increased ache.  At 27 hour mark, chills and fever.  At 30 hour mark, fever hit 105.2 and then broke.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Maternal exposure during breast feeding, Movement disorder
Clinical narrative: I am breastfeeding and the day after my booster my 3 month old stopped using her right arm. She has had MRIs which were negative. She has not recently been sick, nor had trauma. There is no explanation for the lack of use
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  fully vaccinated    Admission Date: 10/10/2021 Discharge Date: Oct 12, 2021 PRESENTING PROBLEM: Hypoxemia Hypokalemia Acute hypoxemic respiratory failure due to COVID-19  COVID-19  HOSPITAL COURSE: Patient is a 68-year-old female who presented for evaluation of nausea, vomiting and weakness. The patient has a history of Addison's disease, hypothyroid, GERD and recent lumbar lami and spinal fusion. In the ER the patient was found to have a positive UA, no leukocytosis and hypokalemia. She was treated with rocephin. She was also hypoxic and a CXR showed possible edema vs infectious process. Her BNP was normal and she was found to be COVID positive. She was started on dexamethasone and given a dose of IV hydrocortisone and admitted to the hospitalist for further management. She was quickly weaned from oxygen and not treated with further dexamethasone or remdesivir. Her nausea and vomiting resolved however she continued to feel very weak. She was treated with additional stress dose steroids. PT/OT evaluated the patient and felt she was appropriate to return home to resume home health. On the day of discharge she was feeling better. She was encouraged to follow up with her PCP for continued monitoring after discharge and to quarantine for 10 days after symptom onset. She verbalized understanding of these instructions and discharged home in stable condition.   * Pneumonia due to COVID-19 virus Assessment & Plan Symptoms began 1 day before admission Patient is fully vaccinated CXR showing pulmonary edema vs infectious infiltrates BNP normal and COVID positive  Hypoxic in the ER on room air requiring 2L NC initially, weaned to room air today Will stop dexamethasone and remdesivir  Monitor daily CRP, CMP, CBC, D dimer Lovenox for VTE prophylaxis  Supportive care Wean oxygen as tolerated  Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan Resolved Now on room air  Weakness Assessment & Plan Patient feeling weaker than baseline Will continue to monitor today and ask PT/OT to eval Will treat with stress dose steroids given Addison's disease
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Hypokalaemia, Hypoxia, Lung infiltration, Nausea
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  fully vaccinated    Admission Date: 10/10/2021 Discharge Date: Oct 12, 2021 PRESENTING PROBLEM: Hypoxemia Hypokalemia Acute hypoxemic respiratory failure due to COVID-19  COVID-19  HOSPITAL COURSE: Patient is a 68-year-old female who presented for evaluation of nausea, vomiting and weakness. The patient has a history of Addison's disease, hypothyroid, GERD and recent lumbar lami and spinal fusion. In the ER the patient was found to have a positive UA, no leukocytosis and hypokalemia. She was treated with rocephin. She was also hypoxic and a CXR showed possible edema vs infectious process. Her BNP was normal and she was found to be COVID positive. She was started on dexamethasone and given a dose of IV hydrocortisone and admitted to the hospitalist for further management. She was quickly weaned from oxygen and not treated with further dexamethasone or remdesivir. Her nausea and vomiting resolved however she continued to feel very weak. She was treated with additional stress dose steroids. PT/OT evaluated the patient and felt she was appropriate to return home to resume home health. On the day of discharge she was feeling better. She was encouraged to follow up with her PCP for continued monitoring after discharge and to quarantine for 10 days after symptom onset. She verbalized understanding of these instructions and discharged home in stable condition.   * Pneumonia due to COVID-19 virus Assessment & Plan Symptoms began 1 day before admission Patient is fully vaccinated CXR showing pulmonary edema vs infectious infiltrates BNP normal and COVID positive  Hypoxic in the ER on room air requiring 2L NC initially, weaned to room air today Will stop dexamethasone and remdesivir  Monitor daily CRP, CMP, CBC, D dimer Lovenox for VTE prophylaxis  Supportive care Wean oxygen as tolerated  Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan Resolved Now on room air  Weakness Assessment & Plan Patient feeling weaker than baseline Will continue to monitor today and ask PT/OT to eval Will treat with stress dose steroids given Addison's disease
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Spinal fusion surgery, Spinal laminectomy, Urine analysis abnormal
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  fully vaccinated    Admission Date: 10/10/2021 Discharge Date: Oct 12, 2021 PRESENTING PROBLEM: Hypoxemia Hypokalemia Acute hypoxemic respiratory failure due to COVID-19  COVID-19  HOSPITAL COURSE: Patient is a 68-year-old female who presented for evaluation of nausea, vomiting and weakness. The patient has a history of Addison's disease, hypothyroid, GERD and recent lumbar lami and spinal fusion. In the ER the patient was found to have a positive UA, no leukocytosis and hypokalemia. She was treated with rocephin. She was also hypoxic and a CXR showed possible edema vs infectious process. Her BNP was normal and she was found to be COVID positive. She was started on dexamethasone and given a dose of IV hydrocortisone and admitted to the hospitalist for further management. She was quickly weaned from oxygen and not treated with further dexamethasone or remdesivir. Her nausea and vomiting resolved however she continued to feel very weak. She was treated with additional stress dose steroids. PT/OT evaluated the patient and felt she was appropriate to return home to resume home health. On the day of discharge she was feeling better. She was encouraged to follow up with her PCP for continued monitoring after discharge and to quarantine for 10 days after symptom onset. She verbalized understanding of these instructions and discharged home in stable condition.   * Pneumonia due to COVID-19 virus Assessment & Plan Symptoms began 1 day before admission Patient is fully vaccinated CXR showing pulmonary edema vs infectious infiltrates BNP normal and COVID positive  Hypoxic in the ER on room air requiring 2L NC initially, weaned to room air today Will stop dexamethasone and remdesivir  Monitor daily CRP, CMP, CBC, D dimer Lovenox for VTE prophylaxis  Supportive care Wean oxygen as tolerated  Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan Resolved Now on room air  Weakness Assessment & Plan Patient feeling weaker than baseline Will continue to monitor today and ask PT/OT to eval Will treat with stress dose steroids given Addison's disease
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  fully vaccinated    Admission Date: 10/10/2021 Discharge Date: Oct 12, 2021 PRESENTING PROBLEM: Hypoxemia Hypokalemia Acute hypoxemic respiratory failure due to COVID-19  COVID-19  HOSPITAL COURSE: Patient is a 68-year-old female who presented for evaluation of nausea, vomiting and weakness. The patient has a history of Addison's disease, hypothyroid, GERD and recent lumbar lami and spinal fusion. In the ER the patient was found to have a positive UA, no leukocytosis and hypokalemia. She was treated with rocephin. She was also hypoxic and a CXR showed possible edema vs infectious process. Her BNP was normal and she was found to be COVID positive. She was started on dexamethasone and given a dose of IV hydrocortisone and admitted to the hospitalist for further management. She was quickly weaned from oxygen and not treated with further dexamethasone or remdesivir. Her nausea and vomiting resolved however she continued to feel very weak. She was treated with additional stress dose steroids. PT/OT evaluated the patient and felt she was appropriate to return home to resume home health. On the day of discharge she was feeling better. She was encouraged to follow up with her PCP for continued monitoring after discharge and to quarantine for 10 days after symptom onset. She verbalized understanding of these instructions and discharged home in stable condition.   * Pneumonia due to COVID-19 virus Assessment & Plan Symptoms began 1 day before admission Patient is fully vaccinated CXR showing pulmonary edema vs infectious infiltrates BNP normal and COVID positive  Hypoxic in the ER on room air requiring 2L NC initially, weaned to room air today Will stop dexamethasone and remdesivir  Monitor daily CRP, CMP, CBC, D dimer Lovenox for VTE prophylaxis  Supportive care Wean oxygen as tolerated  Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan Resolved Now on room air  Weakness Assessment & Plan Patient feeling weaker than baseline Will continue to monitor today and ask PT/OT to eval Will treat with stress dose steroids given Addison's disease
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Extra dose administered, Pain in extremity, Sleep disorder
Clinical narrative: Patient called our COVID hotline number and states she was fine for the first 3 days after the booster dose but then on the 3rd day she started having arm pain, shoulder pain and wrist pain.  Patient did say she did some yard work the day before but her  other arm is not bothering her.  States there is not redness or swelling at injection site. Had her vaccine on 10/4/21 and today is 10/18/21.  States she was up last night with pain in her arm.   Referred to call her Primary care doctor for follow-up.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Rash erythematous, Urticaria
Clinical narrative: About 8 days after COVID booster shot patient reported  full body hives.   Patient also reports he  got redness that started on scalp and then migrated to another location. Rash usually lasts 24h then moves.  Patient tried Zyrtec and Benadryl 50mg qhs.  Prednisone 40mg prescribed on 10/15/2021 for 5 days.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Pt. with normal cycles prior to vaccine, had a very heavy cycle right after getting her shot, then did not have a period for 6 weeks, then had a cycle that lasted 22 days, followed by another cycle 6 weeks later. Now had had amenorrhea since August. No cycle in the last 2 months.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram, Fatigue, Malaise, Nausea
Clinical narrative: Passing of a kidney stone - started that Thursday (a week after the shot or so); pain in the lower back area where the kidney is. This particular one made me a little nauseous so I haven't been feeling good. 1st kidney stone I passed was two years ago. I went to ER - they prescribed meds to help with the pain and nausea. The medication helped with the symptoms resolved.  Symptoms after the vaccine: Experienced fatigue and some aches and pains. Nothing to keep me from doing what I needed to do. I am having pain currently because the kidney stone but by the third of October I was fine from the immediate side affects of the vaccine. Will have a follow up tomorrow with my doctor.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrolithiasis, Pain
Clinical narrative: Passing of a kidney stone - started that Thursday (a week after the shot or so); pain in the lower back area where the kidney is. This particular one made me a little nauseous so I haven't been feeling good. 1st kidney stone I passed was two years ago. I went to ER - they prescribed meds to help with the pain and nausea. The medication helped with the symptoms resolved.  Symptoms after the vaccine: Experienced fatigue and some aches and pains. Nothing to keep me from doing what I needed to do. I am having pain currently because the kidney stone but by the third of October I was fine from the immediate side affects of the vaccine. Will have a follow up tomorrow with my doctor.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Injection site erythema, Injection site inflammation
Clinical narrative: The morning after receiving the 1st dose of the Pfizer COVID-19 vaccine, I noticed redness and inflammation at the injection site. The next day (48hrs following the injection) the redness and inflammation grew in diameter on my arm. I am not sure if it is related, but it feels like I am also having troubles regulating my body temperature (hot/cold waves).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Blood test normal, Dizziness, Epistaxis
Clinical narrative: 0n 9/2/2021, within 24 hours I had two nose bleeds that lasted 30 min-1 hour. I went to urgent care both times. They put cotton balls up my nose that were drenched in epinephrine and aspirin and told me not to mess with it for a few days to let it heal. I haven't had one since. A couple days after I felt shaky, dizzy and weak and my blood pressure was up. I asked my doctor to do bloodwork. Everything was normal. I will be following up with an ENT soon.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness
Clinical narrative: 0n 9/2/2021, within 24 hours I had two nose bleeds that lasted 30 min-1 hour. I went to urgent care both times. They put cotton balls up my nose that were drenched in epinephrine and aspirin and told me not to mess with it for a few days to let it heal. I haven't had one since. A couple days after I felt shaky, dizzy and weak and my blood pressure was up. I asked my doctor to do bloodwork. Everything was normal. I will be following up with an ENT soon.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Face injury, Head injury, Headache, Myalgia
Clinical narrative: Received pfizer booster vaccine and experienced chills, myalgias, nausea, and headache 2-3 hours following vaccine administration. Twelve hours following vaccine, pt had a witnessed syncopal episode lasting seconds. She hit her left maxilla as a result of syncope.  She had resolution  of symptoms two days following vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Received pfizer booster vaccine and experienced chills, myalgias, nausea, and headache 2-3 hours following vaccine administration. Twelve hours following vaccine, pt had a witnessed syncopal episode lasting seconds. She hit her left maxilla as a result of syncope.  She had resolution  of symptoms two days following vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Tremor
Clinical narrative: She got her vaccine, had no reaction, basically felt fine.  Then about on 10/10/21, her body started vibrating and woke up with whole body vibration.  She went to the hospital and said that they could not help her.  She went to the doctor to ask him what he can do, and ordered an MRI of the brain, and advised to go to a neurologist.  She has had a frozen shoulder and has a neck issue.   She has neuralgia of her face but takes no medication for that.  They gave her Neurontin and the neuralgia comes and goes.  She has not had any symptoms for a year and a half.    She is trying to see about the vibration.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient received 3rd dose of Pfizer vaccine instead of  Moderna (patient's previous 2 COVID-19 vaccine doses were Moderna). This discovery was made when patient came back with card to get vaccination recorded as he did not have it at the time of vaccination. Patient did not report any adverse effects and had no reaction during his recommended 15 minute waiting period before leaving to get his card. Patient was made aware of the situation and told to contact PCP if any adverse effects arise.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Extra dose administered, Fatigue, Headache
Clinical narrative: exacerbation of joint pain, headache, fatigue, febrile
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: exacerbation of joint pain, headache, fatigue, febrile
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Extra dose administered, Fatigue, Injection site pain, Tremor
Clinical narrative: Late the night of the vaccination I woke up with shaking from an elevated temperature. I am ashamed to say I did not take my temperature. By the next morning my temperature was down to about 1 degree above normal. I felt "wiped out" most of the following day. However, the second night I slept well and felt much better the next morning. Other than this the only other symptom was a fair amount of pain at the injection site. That has alleviated a great deal.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Interchange of vaccine products, Pyrexia
Clinical narrative: Patient had 2 doses of Moderna Covid vaccine from another facility.  Patient came in for a booster shot and Pfizer was given.  Patient says he had fever and dizziness for 2 days after the shot.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Illness, Influenza like illness, Lymphadenopathy, Maternal exposure during breast feeding
Clinical narrative: The patient developed covid flu symptoms included, fever, chills, swollen limbs, achy, coughing up mucus and had swollen lymph nodes under her arms and breast.  Pt was breast feeding and her 2 month old baby developed these same symptoms as well as difficulty breathing due to the congestion.  She took her baby to her Pediatrician and was told to use the nose sucker and saline solution only.  Mother and child were both sick for over 3 weeks.  Pt was forced to get 2nd vax on October 1st, 2021 (IM Right Arm- Lot # 30130B7) were she was sick for about 3 or 4 more days.  Mother states her milk supply dropped to about 1/3 of normal supply and is still not back to normal.  Both Mother and child are better now.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Productive cough, Pyrexia, Suppressed lactation
Clinical narrative: The patient developed covid flu symptoms included, fever, chills, swollen limbs, achy, coughing up mucus and had swollen lymph nodes under her arms and breast.  Pt was breast feeding and her 2 month old baby developed these same symptoms as well as difficulty breathing due to the congestion.  She took her baby to her Pediatrician and was told to use the nose sucker and saline solution only.  Mother and child were both sick for over 3 weeks.  Pt was forced to get 2nd vax on October 1st, 2021 (IM Right Arm- Lot # 30130B7) were she was sick for about 3 or 4 more days.  Mother states her milk supply dropped to about 1/3 of normal supply and is still not back to normal.  Both Mother and child are better now.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Intermenstrual bleeding, Muscle spasms, Pregnancy test negative
Clinical narrative: No period since the first vaccine was administered. She has had severe cramping and spotted for two days, but nothing more. We were advised to follow up with her doctor if no period in 6-8 weeks.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Erythema, Peripheral swelling
Clinical narrative: BEGINNING SUNDAY 10/17/21 PATIENT HAD REDNESS AND SWELLING ON ARM AND DOWN INTO BREAST
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Feeling hot, Hyperhidrosis, Lymphadenopathy
Clinical narrative: Thursday night I started getting a fever of 102. I was chilled to the bone, and I couldn?t stop shaking. That happened to me with the 2nd shot as well. By Friday my left armpit started swelling. The skin was stretched tight. I also kept getting chest pain under my left breast. It was a quick sharp pain and then it was gone. Anywhere between 30 mins to 2 hours. Then I ached from head to toe and then I started getting hot and sweaty and that started about 12:30AM Friday morning. I did not feel well, I was sweating. My armpit was still swelling. Swelling in the armpit also went down to arm and hand. I used ice packs to help them out a little bit. But by Monday it was mostly gone. I was nauseous on and off. And then maybe around 10:00am I wasn?t hot and sweaty anymore but I ached and generally did not feel well. Saturday I still had the sharp jab under my left breast and swelling in the arm pit. Sunday the swelling went down and the sharp pains went away on Sunday and Monday. I went to go see the doctor and I already had this appointment set up. I let her know that I was really tired all the way up until Wednesday (last Wednesday). Also to add, I had a bad headache for about a week and that was it.   also noted that i went to urgent care monday for headaches and possible ear infection.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Thursday night I started getting a fever of 102. I was chilled to the bone, and I couldn?t stop shaking. That happened to me with the 2nd shot as well. By Friday my left armpit started swelling. The skin was stretched tight. I also kept getting chest pain under my left breast. It was a quick sharp pain and then it was gone. Anywhere between 30 mins to 2 hours. Then I ached from head to toe and then I started getting hot and sweaty and that started about 12:30AM Friday morning. I did not feel well, I was sweating. My armpit was still swelling. Swelling in the armpit also went down to arm and hand. I used ice packs to help them out a little bit. But by Monday it was mostly gone. I was nauseous on and off. And then maybe around 10:00am I wasn?t hot and sweaty anymore but I ached and generally did not feel well. Saturday I still had the sharp jab under my left breast and swelling in the arm pit. Sunday the swelling went down and the sharp pains went away on Sunday and Monday. I went to go see the doctor and I already had this appointment set up. I let her know that I was really tired all the way up until Wednesday (last Wednesday). Also to add, I had a bad headache for about a week and that was it.   also noted that i went to urgent care monday for headaches and possible ear infection.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Thursday night I started getting a fever of 102. I was chilled to the bone, and I couldn?t stop shaking. That happened to me with the 2nd shot as well. By Friday my left armpit started swelling. The skin was stretched tight. I also kept getting chest pain under my left breast. It was a quick sharp pain and then it was gone. Anywhere between 30 mins to 2 hours. Then I ached from head to toe and then I started getting hot and sweaty and that started about 12:30AM Friday morning. I did not feel well, I was sweating. My armpit was still swelling. Swelling in the armpit also went down to arm and hand. I used ice packs to help them out a little bit. But by Monday it was mostly gone. I was nauseous on and off. And then maybe around 10:00am I wasn?t hot and sweaty anymore but I ached and generally did not feel well. Saturday I still had the sharp jab under my left breast and swelling in the arm pit. Sunday the swelling went down and the sharp pains went away on Sunday and Monday. I went to go see the doctor and I already had this appointment set up. I let her know that I was really tired all the way up until Wednesday (last Wednesday). Also to add, I had a bad headache for about a week and that was it.   also noted that i went to urgent care monday for headaches and possible ear infection.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Fluarix Quad was administered as opposed to high dose vaccine for patients 65 and older.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Influenza like illness, Pyrexia
Clinical narrative: Racing heart; after first dose my heart raced for about 5 seconds.  After second dose I ran a fever and felt like I had the flu for 24 hours.  My heart has continued to run fast.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat irritation
Clinical narrative: presented to ED following first COVID vaccine dose. CC generalized itching and scratching feeling in throat. Discharged home. was given steroids, benadryl, famotidine, and ketorolac while in ER.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Extra dose administered, Fatigue, Headache
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 10/13/2021, started experiencing symptoms 10/14/2021 of pain at the injection site, inflammation of heart wall (self-diagnosed), fatigue, muscle pain, nausea, joint pain, loose stool, and headache. Symptoms have subsided.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Injection site pain, Myalgia, Nausea
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 10/13/2021, started experiencing symptoms 10/14/2021 of pain at the injection site, inflammation of heart wall (self-diagnosed), fatigue, muscle pain, nausea, joint pain, loose stool, and headache. Symptoms have subsided.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Condition aggravated, Culture urine
Clinical narrative: Hospitalized;  COVID-19 vaccine positive;  fully vaccinated; Admission Date: 10/11/2021 Discharge Date: 10/13/2021; PRESENTING PROBLEM:Urinary tract infection with hematuria, site unspecified [N39.0, R31.9]Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9]Acute hypoxemic respiratory failure due to COVID-19 [U07.1, J96.01]Pneumonia due to COVID-19 virus [U07.1, J12.82]HOSPITAL COURSE: 73 y.o. male who presented with fatigue and found to have Sepsis secondary to UTI with COVID-19 viral pneumonia with 5 days of symptoms prior to admission. The patient has a pmh copd, htn, osa, htn , obesity.  He is fully vaccinated with x2 moderna dosing. The patient was treated with remdesivir x 2 days and decadron while hospitalized. Will discharge home on decadron to complete the 10 day steroid coarse. The patient was also given a prescription for mucinex and metformin due to steroid induced hyperglycemia. An A1C is pending. Recommend outpatient follow-up with PCP for BG monitoring. Acute hypoxic respiratory failure resolved, he had a home oxygen evaluation completed and no oxygen is required. The patient is eager to return home. The patient received 2 days of ceftriaxone and will be transitioned home on keflex to complete the antibiotic course. The urine culture is pending upon discharge. Recommend post-hospitalization follow-up with PCP in 1-week. CT abdomen pelvis recommend outpatient follow-up with dedicated kidney imaging with IV contrast is suggested to exclude presence of mass. Due to finding suggestive of bilateral multilobulated kidneys with presence of cortical thickening overlying the left kidney superior pole and the right kidney middle pole probably representing hypertrophied column.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Glycosylated haemoglobin, Haematuria
Clinical narrative: Hospitalized;  COVID-19 vaccine positive;  fully vaccinated; Admission Date: 10/11/2021 Discharge Date: 10/13/2021; PRESENTING PROBLEM:Urinary tract infection with hematuria, site unspecified [N39.0, R31.9]Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9]Acute hypoxemic respiratory failure due to COVID-19 [U07.1, J96.01]Pneumonia due to COVID-19 virus [U07.1, J12.82]HOSPITAL COURSE: 73 y.o. male who presented with fatigue and found to have Sepsis secondary to UTI with COVID-19 viral pneumonia with 5 days of symptoms prior to admission. The patient has a pmh copd, htn, osa, htn , obesity.  He is fully vaccinated with x2 moderna dosing. The patient was treated with remdesivir x 2 days and decadron while hospitalized. Will discharge home on decadron to complete the 10 day steroid coarse. The patient was also given a prescription for mucinex and metformin due to steroid induced hyperglycemia. An A1C is pending. Recommend outpatient follow-up with PCP for BG monitoring. Acute hypoxic respiratory failure resolved, he had a home oxygen evaluation completed and no oxygen is required. The patient is eager to return home. The patient received 2 days of ceftriaxone and will be transitioned home on keflex to complete the antibiotic course. The urine culture is pending upon discharge. Recommend post-hospitalization follow-up with PCP in 1-week. CT abdomen pelvis recommend outpatient follow-up with dedicated kidney imaging with IV contrast is suggested to exclude presence of mass. Due to finding suggestive of bilateral multilobulated kidneys with presence of cortical thickening overlying the left kidney superior pole and the right kidney middle pole probably representing hypertrophied column.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperglycaemia, Renal disorder, Renal hypertrophy, SARS-CoV-2 test positive
Clinical narrative: Hospitalized;  COVID-19 vaccine positive;  fully vaccinated; Admission Date: 10/11/2021 Discharge Date: 10/13/2021; PRESENTING PROBLEM:Urinary tract infection with hematuria, site unspecified [N39.0, R31.9]Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9]Acute hypoxemic respiratory failure due to COVID-19 [U07.1, J96.01]Pneumonia due to COVID-19 virus [U07.1, J12.82]HOSPITAL COURSE: 73 y.o. male who presented with fatigue and found to have Sepsis secondary to UTI with COVID-19 viral pneumonia with 5 days of symptoms prior to admission. The patient has a pmh copd, htn, osa, htn , obesity.  He is fully vaccinated with x2 moderna dosing. The patient was treated with remdesivir x 2 days and decadron while hospitalized. Will discharge home on decadron to complete the 10 day steroid coarse. The patient was also given a prescription for mucinex and metformin due to steroid induced hyperglycemia. An A1C is pending. Recommend outpatient follow-up with PCP for BG monitoring. Acute hypoxic respiratory failure resolved, he had a home oxygen evaluation completed and no oxygen is required. The patient is eager to return home. The patient received 2 days of ceftriaxone and will be transitioned home on keflex to complete the antibiotic course. The urine culture is pending upon discharge. Recommend post-hospitalization follow-up with PCP in 1-week. CT abdomen pelvis recommend outpatient follow-up with dedicated kidney imaging with IV contrast is suggested to exclude presence of mass. Due to finding suggestive of bilateral multilobulated kidneys with presence of cortical thickening overlying the left kidney superior pole and the right kidney middle pole probably representing hypertrophied column.