chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Fatigue, Nasal congestion
Clinical narrative: fever, loss of taste and smell; fatigue, cough and nasal congestion
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever, loss of taste and smell; fatigue, cough and nasal congestion
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Very sore arm after 24 hours, fever and headache. After 48 hours, patient states that soreness went away , but when she tries   to lift arm above shoulder still has pain. Has not seeked any treatment or otc medication use.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Contusion, Oedema peripheral
Clinical narrative: Swelling and Soreness under arm/armpit. The swelling starting going down after day 3-4. On day 6, I woke up with bruising under arm/side of breast.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain in extremity, Periarthritis, Tremor
Clinical narrative: Persistent worsening pain in shoulder and upper arm. Unable rotate arm at shoulder or lift more than 90° or higher than shoulder.  Feels like a frozen shoulder.  Arm begins to shake if I try to u2se strength.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: I came down with shingles is July
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient came in to get a routine flu shot, and was instead given a third dose of Pfizer's COVID-19 vaccine. Patient did not have any adverse reaction, however we're filling this form out in an abundance of caution.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, abdominal pain, nausea, vomiting and diarrhea.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest X-ray
Clinical narrative: Patient had an anaphylactic reaction and was taken from wellness clinic to ED
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vaccine was diluted with sterile water instead of Normal saline solution. Pt reports no adverse effects post-vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal cord insertion, Blood creatine increased, Blood pressure increased, Blood test, Caesarean section
Clinical narrative: My Estimated due date was 09/04/2021. My sons birth weight was 5lbs 14oz. I was classified as low risk. I had marginal cord insertion, but it was not severe enough to impact my sons development.  My blood pressure was increasing throughout pregnancy. On 08/06/2021, it was over the threshold, so I had blood work completed. At my next appointment on 08/13, my blood pressure was very high again. My creatine levels were above the normal amount as well. I had pre-eclampsia. I was admitted to the hospital and I was told that I would not be released until my son was born. My liver protein levels were high. I was not dilating very fast and I suggested a C-Section, to which the doctors agreed. My son is doing well, but we are keeping an eye on certain things. He has chordee and penile torsion. They are both mild, but they will require corrective surgery when he is 9 months old. He also has an umbilical hernia. I'm hoping that he will not need surgery for his umbilical hernia because it usually corrects itself.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal monitoring, Liver function test abnormal, Pre-eclampsia, Premature delivery
Clinical narrative: My Estimated due date was 09/04/2021. My sons birth weight was 5lbs 14oz. I was classified as low risk. I had marginal cord insertion, but it was not severe enough to impact my sons development.  My blood pressure was increasing throughout pregnancy. On 08/06/2021, it was over the threshold, so I had blood work completed. At my next appointment on 08/13, my blood pressure was very high again. My creatine levels were above the normal amount as well. I had pre-eclampsia. I was admitted to the hospital and I was told that I would not be released until my son was born. My liver protein levels were high. I was not dilating very fast and I suggested a C-Section, to which the doctors agreed. My son is doing well, but we are keeping an eye on certain things. He has chordee and penile torsion. They are both mild, but they will require corrective surgery when he is 9 months old. He also has an umbilical hernia. I'm hoping that he will not need surgery for his umbilical hernia because it usually corrects itself.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Prolonged labour, Protein urine present, Urine analysis
Clinical narrative: My Estimated due date was 09/04/2021. My sons birth weight was 5lbs 14oz. I was classified as low risk. I had marginal cord insertion, but it was not severe enough to impact my sons development.  My blood pressure was increasing throughout pregnancy. On 08/06/2021, it was over the threshold, so I had blood work completed. At my next appointment on 08/13, my blood pressure was very high again. My creatine levels were above the normal amount as well. I had pre-eclampsia. I was admitted to the hospital and I was told that I would not be released until my son was born. My liver protein levels were high. I was not dilating very fast and I suggested a C-Section, to which the doctors agreed. My son is doing well, but we are keeping an eye on certain things. He has chordee and penile torsion. They are both mild, but they will require corrective surgery when he is 9 months old. He also has an umbilical hernia. I'm hoping that he will not need surgery for his umbilical hernia because it usually corrects itself.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin normal, Burning sensation, Laboratory test normal, Pruritus, Skin warm
Clinical narrative: PHN received phone call from client on 10/11/2021 stating that she received her first dose of Pfizer vaccine on 09/04/2021 and that about two days later she began with a hive-like rash on her bilateral legs beginning at the knee and extending to the feet and on bilateral arms beginning at the elbow and extending to the hands. Client reports that over the next few days the rash progressed and spread up toward the trunk of her body. About 8 days after receiving the vaccine she had this hive-like rash covering her entire body. Client reports that the rash was hot to the touch, burned, and itched. Client reports she was seen on 9/10/2021 where she was prescribed 4 days of prednisone and topical triamcinolone cream. Client reports no symptom improvement so she went to a specialist on 9/13/21. Client reports they ran tests and biopsy's which did not show cause for the rash. Client was treated with a longer course of prednisone, topical betamethasone, and hydroxyzine. Client reports the dermatologist told her the rash was from the vaccine, and that she could call the government agency. PHN referred client to her PCP to determine course of action for 2nd dose of vaccine. Client verbalized understanding. Client reports rash improvement, but still experiencing hives on her trunk to date.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: PHN received phone call from client on 10/11/2021 stating that she received her first dose of Pfizer vaccine on 09/04/2021 and that about two days later she began with a hive-like rash on her bilateral legs beginning at the knee and extending to the feet and on bilateral arms beginning at the elbow and extending to the hands. Client reports that over the next few days the rash progressed and spread up toward the trunk of her body. About 8 days after receiving the vaccine she had this hive-like rash covering her entire body. Client reports that the rash was hot to the touch, burned, and itched. Client reports she was seen on 9/10/2021 where she was prescribed 4 days of prednisone and topical triamcinolone cream. Client reports no symptom improvement so she went to a specialist on 9/13/21. Client reports they ran tests and biopsy's which did not show cause for the rash. Client was treated with a longer course of prednisone, topical betamethasone, and hydroxyzine. Client reports the dermatologist told her the rash was from the vaccine, and that she could call the government agency. PHN referred client to her PCP to determine course of action for 2nd dose of vaccine. Client verbalized understanding. Client reports rash improvement, but still experiencing hives on her trunk to date.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain
Clinical narrative: Severe chest pain that lasted (on scale of 1-10 = 8) lasted for 36 hrs then  slowely diminished. Still painful 4 days later - no breathing issues Significant joint pain (on scale of 1-10 = 7) lasted for 24 hours
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Severe chest pain that lasted (on scale of 1-10 = 8) lasted for 36 hrs then  slowely diminished. Still painful 4 days later - no breathing issues Significant joint pain (on scale of 1-10 = 7) lasted for 24 hours
Age: 61.0
Sex: F
Vaccine: FLUA4
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt received FLUAD when AFLURIA was indicated. Pt had no untoward effects. Pt was counseled about the error and will report any issues.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient came in for a routine flu shot, and was inadvertently given the Pfizer COVID-19 vaccine. Patient is not old enough under current authorizations to receive this vaccine, but patient reported absolutely no adverse reactions. We are filling this form out in an abundance of caution and guidance from our superiors.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Cough, Diarrhoea, Headache, Nausea
Clinical narrative: fever, runny nose, headache, cough, nausea, vomiting, diarrhea, abdominal pain
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: fever, runny nose, headache, cough, nausea, vomiting, diarrhea, abdominal pain
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Blood test normal, Chest X-ray normal, Cold sweat
Clinical narrative: My husband fell in the bathroom about 4am. I popped out of bed to see what happened. Within 2 minutes I got extremely dizzy and sick to my stomach.  I broke out in a cold sweat; I sweat through all my night clothes. I sat on the commode to use the bathroom. I put my head between my knees to try to control the dizziness. Next thing I know I am lying on the floor. I got back up; I was still dizzy. I had to put my head down on the vanity. It took several minutes before the dizziness and queazy stomach backed off. At some point I had to use the bathroom again, at which time I had diarrhea.  My husband said he saw me fall off commode. He said my name several times before I responded. I asked my husband (what had happened to him. He said he got dizzy; next thing he knew he was on the floor in extreme pain in his shoulder, arm and ribs. It took us probably another 15 min. to figure out how to get him off the floor. I cannot lift him as he is twice my size. He was finally able to do work his way up off the floor. We got back to the bed. I dozed a couple of hours before getting up at 7. We went to the Hospital ER for treatment about 10am.  I continued to have that slight head rush feeling on and off for the next 3 days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fall, Hand fracture, Hyperhidrosis
Clinical narrative: My husband fell in the bathroom about 4am. I popped out of bed to see what happened. Within 2 minutes I got extremely dizzy and sick to my stomach.  I broke out in a cold sweat; I sweat through all my night clothes. I sat on the commode to use the bathroom. I put my head between my knees to try to control the dizziness. Next thing I know I am lying on the floor. I got back up; I was still dizzy. I had to put my head down on the vanity. It took several minutes before the dizziness and queazy stomach backed off. At some point I had to use the bathroom again, at which time I had diarrhea.  My husband said he saw me fall off commode. He said my name several times before I responded. I asked my husband (what had happened to him. He said he got dizzy; next thing he knew he was on the floor in extreme pain in his shoulder, arm and ribs. It took us probably another 15 min. to figure out how to get him off the floor. I cannot lift him as he is twice my size. He was finally able to do work his way up off the floor. We got back to the bed. I dozed a couple of hours before getting up at 7. We went to the Hospital ER for treatment about 10am.  I continued to have that slight head rush feeling on and off for the next 3 days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Sensory disturbance, Slow response to stimuli, X-ray limb abnormal
Clinical narrative: My husband fell in the bathroom about 4am. I popped out of bed to see what happened. Within 2 minutes I got extremely dizzy and sick to my stomach.  I broke out in a cold sweat; I sweat through all my night clothes. I sat on the commode to use the bathroom. I put my head between my knees to try to control the dizziness. Next thing I know I am lying on the floor. I got back up; I was still dizzy. I had to put my head down on the vanity. It took several minutes before the dizziness and queazy stomach backed off. At some point I had to use the bathroom again, at which time I had diarrhea.  My husband said he saw me fall off commode. He said my name several times before I responded. I asked my husband (what had happened to him. He said he got dizzy; next thing he knew he was on the floor in extreme pain in his shoulder, arm and ribs. It took us probably another 15 min. to figure out how to get him off the floor. I cannot lift him as he is twice my size. He was finally able to do work his way up off the floor. We got back to the bed. I dozed a couple of hours before getting up at 7. We went to the Hospital ER for treatment about 10am.  I continued to have that slight head rush feeling on and off for the next 3 days.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Patient reporting DVT/PE blood clot diagnosed 5/7/21 after receiving 2nd dose of Moderna COVID vaccine, symptoms appear to have started sometime in April but unclear.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood test normal, Computerised tomogram normal, Corrective lens user, Dehydration
Clinical narrative: I had been sick for like 3 days. I had a fever, I felt nauseous, and I had a headache that nothing would touch. On 07/10/2021 I passed out. I had to be taken to the emergency room by an ambulance because my blood pressure dropped so low. I wear glasses and I felt forward, and my glasses cut into my eye. I had to have my eyes stitched. They did blood work, EKG, x-rays, and CT scan. They came back normal. I went to the cardiologist, and he thinks it was just dehydration. He did a heart monitor, and everything was normal.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Eye injury, Headache, Loss of consciousness, Malaise
Clinical narrative: I had been sick for like 3 days. I had a fever, I felt nauseous, and I had a headache that nothing would touch. On 07/10/2021 I passed out. I had to be taken to the emergency room by an ambulance because my blood pressure dropped so low. I wear glasses and I felt forward, and my glasses cut into my eye. I had to have my eyes stitched. They did blood work, EKG, x-rays, and CT scan. They came back normal. I went to the cardiologist, and he thinks it was just dehydration. He did a heart monitor, and everything was normal.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Suture insertion, X-ray normal
Clinical narrative: I had been sick for like 3 days. I had a fever, I felt nauseous, and I had a headache that nothing would touch. On 07/10/2021 I passed out. I had to be taken to the emergency room by an ambulance because my blood pressure dropped so low. I wear glasses and I felt forward, and my glasses cut into my eye. I had to have my eyes stitched. They did blood work, EKG, x-rays, and CT scan. They came back normal. I went to the cardiologist, and he thinks it was just dehydration. He did a heart monitor, and everything was normal.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Brain injury, Cerebrovascular accident, Chills, Computerised tomogram head
Clinical narrative: After the shot I was ill for a few days with body aches and chills. In July I had a stroke, I had left side body numbness from my head to my feet with the loss of feeling. I had damage to the lower lobes of the brain from the stroke. I am not sure if the vaccine was related to the stroke or not but the doctors aren't sure why I had a stroke. I was hospitalized 5 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging head, Malaise, Pain, Sensory loss
Clinical narrative: After the shot I was ill for a few days with body aches and chills. In July I had a stroke, I had left side body numbness from my head to my feet with the loss of feeling. I had damage to the lower lobes of the brain from the stroke. I am not sure if the vaccine was related to the stroke or not but the doctors aren't sure why I had a stroke. I was hospitalized 5 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: After the shot I was ill for a few days with body aches and chills. In July I had a stroke, I had left side body numbness from my head to my feet with the loss of feeling. I had damage to the lower lobes of the brain from the stroke. I am not sure if the vaccine was related to the stroke or not but the doctors aren't sure why I had a stroke. I was hospitalized 5 days.
Age: 10.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Headache, Pyrexia
Clinical narrative: fever, loss of taste and smell, headache, cough
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, COVID-19, Cardiac failure congestive, Chest X-ray abnormal
Clinical narrative: Covid + on 10/09/2021. Received Pfizer vaccine with 1st does on 04/08/2021 and 2nd dose on 04/29/2021.  Per ED Note: History of Present Illness   Patient is a 74-year-old female with past medical history of bronchitis, diabetes mellitus, hypertension and hypothyroidism presenting to the emergency department with chief complaint of cough and shortness of breath.  Patient states that she has been experiencing cough, dizziness and difficulty breathing for approximately 1 week.  She went to her PCP and was prescribed cough medicine with codeine and an unknown antibiotic but has not experienced any significant relief of her symptoms.  She states that the shortness of breath is worse with exertion and alleviated by rest.  She states that the cough is productive of clear sputum.  Patient states that she is received both of her COVID-19 vaccines and denies any known sick contacts.  Patient denies headache, blurry vision, fever, chills, nausea, vomiting, diarrhea, chest pain, abdominal pain, numbness, weakness or tingling her extremities. ED Course/Medical Decision Making:     The evaluation, management, services and procedures as well as the key components of the patient's care described here in were performed in the presence of the attending physician.  Old E-care/clinical records were reviewed.   Pulse oximetry interpreted by me: 89 % room air - normal    Initial vital signs are stable.    ED Course/Reevaluation:   Labs -COVID-19 rapid test is positive. Creatinine 1.3 mg/dL.   Imaging -  Bilateral peripheral predominant airspace disease suspicious for viral pneumonia.  Congestive heart failure changes with diffuse interstitial edema.   EKG -ventricular rate 91 bpm, PR interval 170, QRS 74, QT/QTc 340/418, normal sinus rhythm.   ED Course -patient presents with complaint of shortness of breath for 1 week.  Physical exam significant for a tired appearing patient, clear lungs bilaterally, otherwise unremarkable. Upon arrival patient was hypoxic at 89% and required supplemental oxygen to bring her SPO2 to 93%.  Patient also received an albuterol/Atrovent breathing treatment with some improvement in her shortness of breath.  Basic labs obtained are significant for positive COVID-19 rapid test, acute kidney injury (creatinine 1.3 mg/dL).  CXR demonstrates bilateral peripheral predominant airspace disease suspicious for viral pneumonia and congestive heart failure changes with diffuse interstitial edema.  EKG is normal.  Patient was treated with Lasix 10 mg.  This patient symptoms are most likely related to COVID-19.  I recommended to the patient that she be admitted for her acute hypoxia requiring supplemental oxygen and she agrees.  I contacted this patient's PCP and the on-call physician, and she accepted the admission with request that the patient be evaluated by infectious disease as an inpatient. Patient demonstrates understanding and agrees with the diagnosis and plan. Patient is well appearing with stable vital signs.  Admitted to inpatient. Final Impression:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Dyspnoea exertional, Electrocardiogram normal, Fatigue
Clinical narrative: Covid + on 10/09/2021. Received Pfizer vaccine with 1st does on 04/08/2021 and 2nd dose on 04/29/2021.  Per ED Note: History of Present Illness   Patient is a 74-year-old female with past medical history of bronchitis, diabetes mellitus, hypertension and hypothyroidism presenting to the emergency department with chief complaint of cough and shortness of breath.  Patient states that she has been experiencing cough, dizziness and difficulty breathing for approximately 1 week.  She went to her PCP and was prescribed cough medicine with codeine and an unknown antibiotic but has not experienced any significant relief of her symptoms.  She states that the shortness of breath is worse with exertion and alleviated by rest.  She states that the cough is productive of clear sputum.  Patient states that she is received both of her COVID-19 vaccines and denies any known sick contacts.  Patient denies headache, blurry vision, fever, chills, nausea, vomiting, diarrhea, chest pain, abdominal pain, numbness, weakness or tingling her extremities. ED Course/Medical Decision Making:     The evaluation, management, services and procedures as well as the key components of the patient's care described here in were performed in the presence of the attending physician.  Old E-care/clinical records were reviewed.   Pulse oximetry interpreted by me: 89 % room air - normal    Initial vital signs are stable.    ED Course/Reevaluation:   Labs -COVID-19 rapid test is positive. Creatinine 1.3 mg/dL.   Imaging -  Bilateral peripheral predominant airspace disease suspicious for viral pneumonia.  Congestive heart failure changes with diffuse interstitial edema.   EKG -ventricular rate 91 bpm, PR interval 170, QRS 74, QT/QTc 340/418, normal sinus rhythm.   ED Course -patient presents with complaint of shortness of breath for 1 week.  Physical exam significant for a tired appearing patient, clear lungs bilaterally, otherwise unremarkable. Upon arrival patient was hypoxic at 89% and required supplemental oxygen to bring her SPO2 to 93%.  Patient also received an albuterol/Atrovent breathing treatment with some improvement in her shortness of breath.  Basic labs obtained are significant for positive COVID-19 rapid test, acute kidney injury (creatinine 1.3 mg/dL).  CXR demonstrates bilateral peripheral predominant airspace disease suspicious for viral pneumonia and congestive heart failure changes with diffuse interstitial edema.  EKG is normal.  Patient was treated with Lasix 10 mg.  This patient symptoms are most likely related to COVID-19.  I recommended to the patient that she be admitted for her acute hypoxia requiring supplemental oxygen and she agrees.  I contacted this patient's PCP and the on-call physician, and she accepted the admission with request that the patient be evaluated by infectious disease as an inpatient. Patient demonstrates understanding and agrees with the diagnosis and plan. Patient is well appearing with stable vital signs.  Admitted to inpatient. Final Impression:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung disorder, Pneumonia viral, Productive cough, Pulmonary oedema
Clinical narrative: Covid + on 10/09/2021. Received Pfizer vaccine with 1st does on 04/08/2021 and 2nd dose on 04/29/2021.  Per ED Note: History of Present Illness   Patient is a 74-year-old female with past medical history of bronchitis, diabetes mellitus, hypertension and hypothyroidism presenting to the emergency department with chief complaint of cough and shortness of breath.  Patient states that she has been experiencing cough, dizziness and difficulty breathing for approximately 1 week.  She went to her PCP and was prescribed cough medicine with codeine and an unknown antibiotic but has not experienced any significant relief of her symptoms.  She states that the shortness of breath is worse with exertion and alleviated by rest.  She states that the cough is productive of clear sputum.  Patient states that she is received both of her COVID-19 vaccines and denies any known sick contacts.  Patient denies headache, blurry vision, fever, chills, nausea, vomiting, diarrhea, chest pain, abdominal pain, numbness, weakness or tingling her extremities. ED Course/Medical Decision Making:     The evaluation, management, services and procedures as well as the key components of the patient's care described here in were performed in the presence of the attending physician.  Old E-care/clinical records were reviewed.   Pulse oximetry interpreted by me: 89 % room air - normal    Initial vital signs are stable.    ED Course/Reevaluation:   Labs -COVID-19 rapid test is positive. Creatinine 1.3 mg/dL.   Imaging -  Bilateral peripheral predominant airspace disease suspicious for viral pneumonia.  Congestive heart failure changes with diffuse interstitial edema.   EKG -ventricular rate 91 bpm, PR interval 170, QRS 74, QT/QTc 340/418, normal sinus rhythm.   ED Course -patient presents with complaint of shortness of breath for 1 week.  Physical exam significant for a tired appearing patient, clear lungs bilaterally, otherwise unremarkable. Upon arrival patient was hypoxic at 89% and required supplemental oxygen to bring her SPO2 to 93%.  Patient also received an albuterol/Atrovent breathing treatment with some improvement in her shortness of breath.  Basic labs obtained are significant for positive COVID-19 rapid test, acute kidney injury (creatinine 1.3 mg/dL).  CXR demonstrates bilateral peripheral predominant airspace disease suspicious for viral pneumonia and congestive heart failure changes with diffuse interstitial edema.  EKG is normal.  Patient was treated with Lasix 10 mg.  This patient symptoms are most likely related to COVID-19.  I recommended to the patient that she be admitted for her acute hypoxia requiring supplemental oxygen and she agrees.  I contacted this patient's PCP and the on-call physician, and she accepted the admission with request that the patient be evaluated by infectious disease as an inpatient. Patient demonstrates understanding and agrees with the diagnosis and plan. Patient is well appearing with stable vital signs.  Admitted to inpatient. Final Impression:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Covid + on 10/09/2021. Received Pfizer vaccine with 1st does on 04/08/2021 and 2nd dose on 04/29/2021.  Per ED Note: History of Present Illness   Patient is a 74-year-old female with past medical history of bronchitis, diabetes mellitus, hypertension and hypothyroidism presenting to the emergency department with chief complaint of cough and shortness of breath.  Patient states that she has been experiencing cough, dizziness and difficulty breathing for approximately 1 week.  She went to her PCP and was prescribed cough medicine with codeine and an unknown antibiotic but has not experienced any significant relief of her symptoms.  She states that the shortness of breath is worse with exertion and alleviated by rest.  She states that the cough is productive of clear sputum.  Patient states that she is received both of her COVID-19 vaccines and denies any known sick contacts.  Patient denies headache, blurry vision, fever, chills, nausea, vomiting, diarrhea, chest pain, abdominal pain, numbness, weakness or tingling her extremities. ED Course/Medical Decision Making:     The evaluation, management, services and procedures as well as the key components of the patient's care described here in were performed in the presence of the attending physician.  Old E-care/clinical records were reviewed.   Pulse oximetry interpreted by me: 89 % room air - normal    Initial vital signs are stable.    ED Course/Reevaluation:   Labs -COVID-19 rapid test is positive. Creatinine 1.3 mg/dL.   Imaging -  Bilateral peripheral predominant airspace disease suspicious for viral pneumonia.  Congestive heart failure changes with diffuse interstitial edema.   EKG -ventricular rate 91 bpm, PR interval 170, QRS 74, QT/QTc 340/418, normal sinus rhythm.   ED Course -patient presents with complaint of shortness of breath for 1 week.  Physical exam significant for a tired appearing patient, clear lungs bilaterally, otherwise unremarkable. Upon arrival patient was hypoxic at 89% and required supplemental oxygen to bring her SPO2 to 93%.  Patient also received an albuterol/Atrovent breathing treatment with some improvement in her shortness of breath.  Basic labs obtained are significant for positive COVID-19 rapid test, acute kidney injury (creatinine 1.3 mg/dL).  CXR demonstrates bilateral peripheral predominant airspace disease suspicious for viral pneumonia and congestive heart failure changes with diffuse interstitial edema.  EKG is normal.  Patient was treated with Lasix 10 mg.  This patient symptoms are most likely related to COVID-19.  I recommended to the patient that she be admitted for her acute hypoxia requiring supplemental oxygen and she agrees.  I contacted this patient's PCP and the on-call physician, and she accepted the admission with request that the patient be evaluated by infectious disease as an inpatient. Patient demonstrates understanding and agrees with the diagnosis and plan. Patient is well appearing with stable vital signs.  Admitted to inpatient. Final Impression:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Vaccine was diluted with the sterile water instead of Normal saline. Manufacturer was called and told to not repeat dose of vaccine. Pt reports no adverse effects post-vaccination.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive after both vaccines
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, C-reactive protein, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient is a 85 y.o. female who presents to the ED with shortness of breath on 8/31/2021.  She reported her symptoms began on 8/19. She stated that she has been experiencing symptoms of minimal diarrhea, low grade fever, cough with green to yellow sputum and some chest pain. She stated that she tested positive for COVID-19 1 week ago and received outpatient IV casirivimab-imdevimab  treatment on 8/28. She reported a baseline wearing 2L NC oxygen at night and sometimes during the day if she needs it.   She was admitted to hospital with diagnosis of acute respiratory failure with hypoxia 2/2 to COVID-19 Pneumonia.  -O2 requirements of 2 L NC with baseline of 2 L Q hs and PRN during the day -hypoxia noted on arrival requiring 2 L continuous-- >back to baseline o2 of 2L Q HS  -Rx with dexamethasone -did not qualify for Remdesivir -Rx with Vit C/D/Zinc -day of dc feels well and without chest pain or sob
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Cough, Diarrhoea, Dyspnoea, Fibrin D dimer
Clinical narrative: Patient is a 85 y.o. female who presents to the ED with shortness of breath on 8/31/2021.  She reported her symptoms began on 8/19. She stated that she has been experiencing symptoms of minimal diarrhea, low grade fever, cough with green to yellow sputum and some chest pain. She stated that she tested positive for COVID-19 1 week ago and received outpatient IV casirivimab-imdevimab  treatment on 8/28. She reported a baseline wearing 2L NC oxygen at night and sometimes during the day if she needs it.   She was admitted to hospital with diagnosis of acute respiratory failure with hypoxia 2/2 to COVID-19 Pneumonia.  -O2 requirements of 2 L NC with baseline of 2 L Q hs and PRN during the day -hypoxia noted on arrival requiring 2 L continuous-- >back to baseline o2 of 2L Q HS  -Rx with dexamethasone -did not qualify for Remdesivir -Rx with Vit C/D/Zinc -day of dc feels well and without chest pain or sob
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Pulmonary fibrosis, Pyrexia, SARS-CoV-2 test positive, Serum ferritin normal
Clinical narrative: Patient is a 85 y.o. female who presents to the ED with shortness of breath on 8/31/2021.  She reported her symptoms began on 8/19. She stated that she has been experiencing symptoms of minimal diarrhea, low grade fever, cough with green to yellow sputum and some chest pain. She stated that she tested positive for COVID-19 1 week ago and received outpatient IV casirivimab-imdevimab  treatment on 8/28. She reported a baseline wearing 2L NC oxygen at night and sometimes during the day if she needs it.   She was admitted to hospital with diagnosis of acute respiratory failure with hypoxia 2/2 to COVID-19 Pneumonia.  -O2 requirements of 2 L NC with baseline of 2 L Q hs and PRN during the day -hypoxia noted on arrival requiring 2 L continuous-- >back to baseline o2 of 2L Q HS  -Rx with dexamethasone -did not qualify for Remdesivir -Rx with Vit C/D/Zinc -day of dc feels well and without chest pain or sob
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sputum discoloured
Clinical narrative: Patient is a 85 y.o. female who presents to the ED with shortness of breath on 8/31/2021.  She reported her symptoms began on 8/19. She stated that she has been experiencing symptoms of minimal diarrhea, low grade fever, cough with green to yellow sputum and some chest pain. She stated that she tested positive for COVID-19 1 week ago and received outpatient IV casirivimab-imdevimab  treatment on 8/28. She reported a baseline wearing 2L NC oxygen at night and sometimes during the day if she needs it.   She was admitted to hospital with diagnosis of acute respiratory failure with hypoxia 2/2 to COVID-19 Pneumonia.  -O2 requirements of 2 L NC with baseline of 2 L Q hs and PRN during the day -hypoxia noted on arrival requiring 2 L continuous-- >back to baseline o2 of 2L Q HS  -Rx with dexamethasone -did not qualify for Remdesivir -Rx with Vit C/D/Zinc -day of dc feels well and without chest pain or sob
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Supine position
Clinical narrative: Patient became presyncopal shortly after vaccination.  She was placed in supine position, with legs elevated. Vitals WNL, symptoms completely resolved with position changes.  No other symptoms reported.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Pyrexia
Clinical narrative: fever, headache, cough
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram, Heart rate increased, Sleep disorder
Clinical narrative: Woke up from sleep around 02:00 the morning after the vaccine and was experiencing mild chest pain,  rapid pulse, and a tight chest feeling when breathing. It lasted 30 minutes then I went back to sleep for about an hour. This cycle repeated 3 more times until 08:00 when I checked in to an urgent care.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Injection site bruising, Injection site erythema, Injection site induration
Clinical narrative: When patient removed the band-aid, there was a hard spot and some bruising. The next day she noticed a big red area next to the hard spot. She had a headache, fever, rapid pulse and a sore arm. She went to the ER and was given Benadryl and Tylenol. Today she has a low fever. The area is still red but is not as hard anymore.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: When patient removed the band-aid, there was a hard spot and some bruising. The next day she noticed a big red area next to the hard spot. She had a headache, fever, rapid pulse and a sore arm. She went to the ER and was given Benadryl and Tylenol. Today she has a low fever. The area is still red but is not as hard anymore.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess, Blood test, Culture positive, Ingrown hair, Staphylococcal infection
Clinical narrative: I woke up to what seemed to be an ingrown hair. In the next 3 days grew to size of a mango. Ended up being an abscess that needed to be surgically removed. Once cultures returned it turned out to be MRSA.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Third dose given too soon.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Injection site swelling, Joint range of motion decreased, Muscle spasms, Muscular weakness
Clinical narrative: Hand weakness, swelling at injection site, large hematoma, spasm in arm, neck, and shoulder blade and radiating in head.  Loss of full range of motion in shoulder.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Hand weakness, swelling at injection site, large hematoma, spasm in arm, neck, and shoulder blade and radiating in head.  Loss of full range of motion in shoulder.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Shoulder pains and muscle aches.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Headache, Rhinorrhoea
Clinical narrative: Runny nose, headache, fatigue, cough.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Aspartate aminotransferase increased, C-reactive protein increased, Chest X-ray normal, Chest pain
Clinical narrative: Vaccinated 9/30, onset of symptoms consistent with upper respiratory infection 10/6 pm or 10/7 am: fever, cough, malaise, aches, sore throat. Onset of CHEST PAIN 10/9 PM, resolved with tylenol.  Further chest pain early am 10/10, for which he went to ED.  Reported substernal chest pain 10/10 radiating to arm with shortness of breath, EKG: STEMI.  Taken to cath lab, showing no evidence of coronary artery disease.  No personal hx of cardiac dx, no family hx of early onset cardiac diseases.  DOES have hx of prior COVID infection December 2020 with malaise, myalgias, arthralgias, anosmia, non productive cough, nasal congestion, sore throat, and diarrhea. Managed supportively adn recovered well.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: Vaccinated 9/30, onset of symptoms consistent with upper respiratory infection 10/6 pm or 10/7 am: fever, cough, malaise, aches, sore throat. Onset of CHEST PAIN 10/9 PM, resolved with tylenol.  Further chest pain early am 10/10, for which he went to ED.  Reported substernal chest pain 10/10 radiating to arm with shortness of breath, EKG: STEMI.  Taken to cath lab, showing no evidence of coronary artery disease.  No personal hx of cardiac dx, no family hx of early onset cardiac diseases.  DOES have hx of prior COVID infection December 2020 with malaise, myalgias, arthralgias, anosmia, non productive cough, nasal congestion, sore throat, and diarrhea. Managed supportively adn recovered well.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Vaccinated 9/30, onset of symptoms consistent with upper respiratory infection 10/6 pm or 10/7 am: fever, cough, malaise, aches, sore throat. Onset of CHEST PAIN 10/9 PM, resolved with tylenol.  Further chest pain early am 10/10, for which he went to ED.  Reported substernal chest pain 10/10 radiating to arm with shortness of breath, EKG: STEMI.  Taken to cath lab, showing no evidence of coronary artery disease.  No personal hx of cardiac dx, no family hx of early onset cardiac diseases.  DOES have hx of prior COVID infection December 2020 with malaise, myalgias, arthralgias, anosmia, non productive cough, nasal congestion, sore throat, and diarrhea. Managed supportively adn recovered well.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus tachycardia, Troponin increased, Upper respiratory tract infection
Clinical narrative: Vaccinated 9/30, onset of symptoms consistent with upper respiratory infection 10/6 pm or 10/7 am: fever, cough, malaise, aches, sore throat. Onset of CHEST PAIN 10/9 PM, resolved with tylenol.  Further chest pain early am 10/10, for which he went to ED.  Reported substernal chest pain 10/10 radiating to arm with shortness of breath, EKG: STEMI.  Taken to cath lab, showing no evidence of coronary artery disease.  No personal hx of cardiac dx, no family hx of early onset cardiac diseases.  DOES have hx of prior COVID infection December 2020 with malaise, myalgias, arthralgias, anosmia, non productive cough, nasal congestion, sore throat, and diarrhea. Managed supportively adn recovered well.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Wrong product administered
Clinical narrative: Administered Pfizer instead of Moderna as second dose.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Nausea, Oropharyngeal pain, Vomiting
Clinical narrative: sore throat, headache, cough, nausea and vomiting
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Nausea, Paraesthesia, Vaccine positive rechallenge
Clinical narrative: About 15 minutes after getting the shot, felt numbness and tingling up the right side of face, nausea and light headed ness.  This got gradually worse but was able to drive to emergency room in time to be seen. Gave all the information to emergency room personnel and they gave benedryl and kept under observation.  Symptoms resolved completely 3 days following.  Followed up with primary care provider soon after.  Mixed advice on receiving the second dose. But decided to do it to finish the vaccine. Got second dose in left arm instead and had the same symptoms  but much milder, also on the right side of face. Did not report these after second dose because they were mild.
Age: 64.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Wrong product administered
Clinical narrative: Pt received FLUAD while Afluria was indicated. Pt counseled about the error. All questions were answered and pt will report any untoward effects.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring abnormal, Cardiac stress test normal, Chest X-ray, Dizziness
Clinical narrative: 8/8/21 Thumping heart beat on and off for 40 mins, thirsty/dry mouth, light headed, dizzy. Ambulance to hospital, stayed overnight. 9/8/21 Thumping heart beat, thirsty/dry mouth, light headed/dizzy for a couple of mins and then blacked out.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dry mouth, Electrocardiogram, Loss of consciousness, Palpitations, Thirst
Clinical narrative: 8/8/21 Thumping heart beat on and off for 40 mins, thirsty/dry mouth, light headed, dizzy. Ambulance to hospital, stayed overnight. 9/8/21 Thumping heart beat, thirsty/dry mouth, light headed/dizzy for a couple of mins and then blacked out.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray, Dehydration, Diarrhoea, Dyspnoea
Clinical narrative: She got her vaccine, she just didn't feel good afterwards.  About a week later she had nausea, vomiting and diarrhea for a week.  She went to ER and was dehydrated and received a couple of liters of fluid.  She had all the symptoms of COVID except for loss of taste.  They did a chest X-ray, she desatted a little bit and then they sent her home.   A week later she was at work and all of a sudden she became extremely short of breath, diaphoretic, broke out into a sweat and they sent her to the ER.  They admitted her to CICU, worked her up for a heart attack and PE and could not find anything.  After her work up they found nothing.  A week later the same thing happened and they sent her to the ER again and they found multiple PE's in her right lung. She is now on Eliquis for the PE's.  This was approximately a month ago .  She is still short of breath.  She was referred to a cardiologist and a pulmonologist.  The pulmonologist requested that she have a CT scan in January to FU to see if the PE's are resolving, and her insurance is declining that.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Intensive care, Laboratory test, Malaise
Clinical narrative: She got her vaccine, she just didn't feel good afterwards.  About a week later she had nausea, vomiting and diarrhea for a week.  She went to ER and was dehydrated and received a couple of liters of fluid.  She had all the symptoms of COVID except for loss of taste.  They did a chest X-ray, she desatted a little bit and then they sent her home.   A week later she was at work and all of a sudden she became extremely short of breath, diaphoretic, broke out into a sweat and they sent her to the ER.  They admitted her to CICU, worked her up for a heart attack and PE and could not find anything.  After her work up they found nothing.  A week later the same thing happened and they sent her to the ER again and they found multiple PE's in her right lung. She is now on Eliquis for the PE's.  This was approximately a month ago .  She is still short of breath.  She was referred to a cardiologist and a pulmonologist.  The pulmonologist requested that she have a CT scan in January to FU to see if the PE's are resolving, and her insurance is declining that.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oxygen saturation decreased, Pulmonary embolism, Vomiting
Clinical narrative: She got her vaccine, she just didn't feel good afterwards.  About a week later she had nausea, vomiting and diarrhea for a week.  She went to ER and was dehydrated and received a couple of liters of fluid.  She had all the symptoms of COVID except for loss of taste.  They did a chest X-ray, she desatted a little bit and then they sent her home.   A week later she was at work and all of a sudden she became extremely short of breath, diaphoretic, broke out into a sweat and they sent her to the ER.  They admitted her to CICU, worked her up for a heart attack and PE and could not find anything.  After her work up they found nothing.  A week later the same thing happened and they sent her to the ER again and they found multiple PE's in her right lung. She is now on Eliquis for the PE's.  This was approximately a month ago .  She is still short of breath.  She was referred to a cardiologist and a pulmonologist.  The pulmonologist requested that she have a CT scan in January to FU to see if the PE's are resolving, and her insurance is declining that.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Blood pressure increased, Bundle branch block right, Cardiac stress test, Chest discomfort
Clinical narrative: The patient is diagnosed with a right bundle branch block and an enlarged/dilated right ventricle. The Patient has had constant chest discomfort located over the heart after a month from receiving the vaccine. The patent has also experienced higher levels of exhaustion than normal. One event, while the patent was a rest, he experienced an increase in heart rate, blood pressure, nausea, and difficulty breathing. The patent nearly passed out. The following day the patient experience pain in the heart while running.