chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arteriosclerosis, COVID-19, COVID-19 pneumonia, Deep vein thrombosis, Hypoperfusion
Clinical narrative: Received Moderna vaccines on 3/11/21, 4/8/21 tested positive for COVID by PCR on 3/4/22, diagnosis of COVID pneumonia Admitted to hospital on 3/12/22 w/ toe pain and discoloration, right distal foot ischemia and necrosis, subacute RLE DVT; thought to have bilateral foot hypoperfusion involving the microvascular circulation secondary to most likely embolic sources from aortic plaque or in the setting of COVID, will require amputation of right distal foot. Underlying Type II DM
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Necrosis ischaemic, Pain in extremity, Peripheral ischaemia, SARS-CoV-2 test positive, Skin discolouration
Clinical narrative: Received Moderna vaccines on 3/11/21, 4/8/21 tested positive for COVID by PCR on 3/4/22, diagnosis of COVID pneumonia Admitted to hospital on 3/12/22 w/ toe pain and discoloration, right distal foot ischemia and necrosis, subacute RLE DVT; thought to have bilateral foot hypoperfusion involving the microvascular circulation secondary to most likely embolic sources from aortic plaque or in the setting of COVID, will require amputation of right distal foot. Underlying Type II DM
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Type 2 diabetes mellitus
Clinical narrative: Received Moderna vaccines on 3/11/21, 4/8/21 tested positive for COVID by PCR on 3/4/22, diagnosis of COVID pneumonia Admitted to hospital on 3/12/22 w/ toe pain and discoloration, right distal foot ischemia and necrosis, subacute RLE DVT; thought to have bilateral foot hypoperfusion involving the microvascular circulation secondary to most likely embolic sources from aortic plaque or in the setting of COVID, will require amputation of right distal foot. Underlying Type II DM
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, X-ray
Clinical narrative: Coughing and had to take prednisone.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/Breakthrough Covid
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: On the 3/7 I had a lot of congestion in throat and sinus and 99.5 fever, I still test positive. Like having a cold.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given pediatric dose. No adverse side effects were reported.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: A Moderna Covid-19 vaccine was administered beyond the use date.  Moving forward we have clearly labeled all vaccine boxes to represent expiration date.  Also, have spoke with staff to pay closer attention to these details so this incident do not occur in the future.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Injection, Joint injection, Magnetic resonance imaging, Nerve injury
Clinical narrative: After second shot I could not walk 3 days after. I'm currently walking with a cane. I was using a walker. I have nerve damage in both legs, the left is the worse.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: After second shot I could not walk 3 days after. I'm currently walking with a cane. I was using a walker. I have nerve damage in both legs, the left is the worse.
Age: 7.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dizziness, Electrocardiogram QT prolonged, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  11/18/21, 12/9/21 admitted to hospital on 3/11/22 for workup of "Dizziness" and prolonged QT interval, found to be COVID positive by PCR on 3/11/22.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Chills, Choking sensation
Clinical narrative: Friday, I felt as if I was choking while eating an avocado but didn't think anything of it and thought I was tired. Saturday, I woke up still feeling like I had a swollen throat and then felt as if I had a sore throat and fever. I took my temperature and it read a normal body temperature. I had chills going up my back; I took my temperature again with a different thermometer and it read 104.5 degrees. I took ibuprofen and theraflu to tried to reduce my fever. No medicine aided, and then I started experiencing a cough and body aches. Sunday and Monday it continued, but on Monday I called my job and told them I felt sick to call into work. My supervisor advised me to take a rapid COVID-19 test. It came back positive for COVID-19. I went to the emergency room where they did chest x-ray and bloodwork on me as my case worsened; they discovered that COVID-19 caused a problem in my digestive system and esophagus and prescribed me Prilosec-OTC to help reduce the acid deterioration for the next 2 weeks. I was discharged 2 days later and my fever began to broke and recover.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Gastrointestinal disorder, Impaired work ability, Malaise
Clinical narrative: Friday, I felt as if I was choking while eating an avocado but didn't think anything of it and thought I was tired. Saturday, I woke up still feeling like I had a swollen throat and then felt as if I had a sore throat and fever. I took my temperature and it read a normal body temperature. I had chills going up my back; I took my temperature again with a different thermometer and it read 104.5 degrees. I took ibuprofen and theraflu to tried to reduce my fever. No medicine aided, and then I started experiencing a cough and body aches. Sunday and Monday it continued, but on Monday I called my job and told them I felt sick to call into work. My supervisor advised me to take a rapid COVID-19 test. It came back positive for COVID-19. I went to the emergency room where they did chest x-ray and bloodwork on me as my case worsened; they discovered that COVID-19 caused a problem in my digestive system and esophagus and prescribed me Prilosec-OTC to help reduce the acid deterioration for the next 2 weeks. I was discharged 2 days later and my fever began to broke and recover.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophageal disorder, Oropharyngeal pain, Pain, Pharyngeal swelling, Pyrexia
Clinical narrative: Friday, I felt as if I was choking while eating an avocado but didn't think anything of it and thought I was tired. Saturday, I woke up still feeling like I had a swollen throat and then felt as if I had a sore throat and fever. I took my temperature and it read a normal body temperature. I had chills going up my back; I took my temperature again with a different thermometer and it read 104.5 degrees. I took ibuprofen and theraflu to tried to reduce my fever. No medicine aided, and then I started experiencing a cough and body aches. Sunday and Monday it continued, but on Monday I called my job and told them I felt sick to call into work. My supervisor advised me to take a rapid COVID-19 test. It came back positive for COVID-19. I went to the emergency room where they did chest x-ray and bloodwork on me as my case worsened; they discovered that COVID-19 caused a problem in my digestive system and esophagus and prescribed me Prilosec-OTC to help reduce the acid deterioration for the next 2 weeks. I was discharged 2 days later and my fever began to broke and recover.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Friday, I felt as if I was choking while eating an avocado but didn't think anything of it and thought I was tired. Saturday, I woke up still feeling like I had a swollen throat and then felt as if I had a sore throat and fever. I took my temperature and it read a normal body temperature. I had chills going up my back; I took my temperature again with a different thermometer and it read 104.5 degrees. I took ibuprofen and theraflu to tried to reduce my fever. No medicine aided, and then I started experiencing a cough and body aches. Sunday and Monday it continued, but on Monday I called my job and told them I felt sick to call into work. My supervisor advised me to take a rapid COVID-19 test. It came back positive for COVID-19. I went to the emergency room where they did chest x-ray and bloodwork on me as my case worsened; they discovered that COVID-19 caused a problem in my digestive system and esophagus and prescribed me Prilosec-OTC to help reduce the acid deterioration for the next 2 weeks. I was discharged 2 days later and my fever began to broke and recover.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Headache, Injection site erythema
Clinical narrative: After taking the third dose, I experienced redness, swelling, and itchiness at the injection site of my arm. I developed symptoms for COVID-19 on 01/24/2022. When I had COVID-19, I felt like I had a sinus infection. I had a headache, congestion, coughing, and a stiff neck. I am still experiencing a stiff neck.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Musculoskeletal stiffness, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: After taking the third dose, I experienced redness, swelling, and itchiness at the injection site of my arm. I developed symptoms for COVID-19 on 01/24/2022. When I had COVID-19, I felt like I had a sinus infection. I had a headache, congestion, coughing, and a stiff neck. I am still experiencing a stiff neck.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: After taking the third dose, I experienced redness, swelling, and itchiness at the injection site of my arm. I developed symptoms for COVID-19 on 01/24/2022. When I had COVID-19, I felt like I had a sinus infection. I had a headache, congestion, coughing, and a stiff neck. I am still experiencing a stiff neck.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient given pediatric dose of vaccine without known side effects or adverse reaction
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during pregnancy, Pruritus, Rash, Rash erythematous, Urticaria
Clinical narrative: 21 weeks pregnant at time of Moderna booster with date of delivery estimated to be 7/9/2022. Began diffuse rash on Thursday morning 3/10/2022. Rash includes redness patches and hives that come and go across whole body. Extreme itchiness. Contact with anything on skin causes flare up (example: brushing hair causes whole scalp to flare up).
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: A Moderna Covid-19 vaccine was administered beyond the use date. Moving forward we have clearly labeled all vaccine boxes to represent expiration date. Also, have spoke with staff to pay closer attention to these details so this incident does not occur in the future.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Body temperature increased, Diarrhoea, Fatigue, Headache, Lethargy
Clinical narrative: Starting around 24 hours after the dose, the patient developed body aches and an elevated temperature. Starting 48 hours after the dose, the patient developed a headache, lethargy, fatigue, nausea, vomiting, and diarrhea.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: Starting around 24 hours after the dose, the patient developed body aches and an elevated temperature. Starting 48 hours after the dose, the patient developed a headache, lethargy, fatigue, nausea, vomiting, and diarrhea.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nausea, Pneumonia, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: I had the vaccination on March 11 and got tested on March 15 for COVID. On March 16th. I was advised that I was positive. I did not initially have symptoms. I had severe nausea and ringing in my ears. Both ears were very annoying. It got bad enough that I began checking my side effects on other medications I was taking but was unable to find anything related. I tolerated it as best as I could. It started getting a little better but its not always as intense. Some days it is worse than others. Today is one of the days that I have the bad ringing in my ear. I have a hearing test scheduled but had to cancel because I ended up in the hospital for pneumonia. I rescheduled it for April 4.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Anxiety, Blood thyroid stimulating hormone, Condition aggravated, Depression
Clinical narrative: Onset 12/28/2021 - Extreme fatigue, depression/anxiety, hopelessness, muscle pain, headaches, night sweats, cold extremeties, skin texture change (dry, flaky, itchy), post nasal drip, hairloss, eye redness. Self Treatment: OTC Claritin, Ibuprofen & prenatal vitamins daily. Outcomes: pain relief & post nasal drip relief. Diagnosis: Low WBC, BURR CELLS +1 and OVALCYTES +1 Referral to Cancer Institute 3/28/2022 @ 11:30 am.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Fatigue, Feeling of despair, Full blood count, Glycosylated haemoglobin
Clinical narrative: Onset 12/28/2021 - Extreme fatigue, depression/anxiety, hopelessness, muscle pain, headaches, night sweats, cold extremeties, skin texture change (dry, flaky, itchy), post nasal drip, hairloss, eye redness. Self Treatment: OTC Claritin, Ibuprofen & prenatal vitamins daily. Outcomes: pain relief & post nasal drip relief. Diagnosis: Low WBC, BURR CELLS +1 and OVALCYTES +1 Referral to Cancer Institute 3/28/2022 @ 11:30 am.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hepatitis C antibody, Laboratory test, Lipids, Metabolic function test
Clinical narrative: Onset 12/28/2021 - Extreme fatigue, depression/anxiety, hopelessness, muscle pain, headaches, night sweats, cold extremeties, skin texture change (dry, flaky, itchy), post nasal drip, hairloss, eye redness. Self Treatment: OTC Claritin, Ibuprofen & prenatal vitamins daily. Outcomes: pain relief & post nasal drip relief. Diagnosis: Low WBC, BURR CELLS +1 and OVALCYTES +1 Referral to Cancer Institute 3/28/2022 @ 11:30 am.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Night sweats, Ocular hyperaemia, Peripheral coldness, Pruritus
Clinical narrative: Onset 12/28/2021 - Extreme fatigue, depression/anxiety, hopelessness, muscle pain, headaches, night sweats, cold extremeties, skin texture change (dry, flaky, itchy), post nasal drip, hairloss, eye redness. Self Treatment: OTC Claritin, Ibuprofen & prenatal vitamins daily. Outcomes: pain relief & post nasal drip relief. Diagnosis: Low WBC, BURR CELLS +1 and OVALCYTES +1 Referral to Cancer Institute 3/28/2022 @ 11:30 am.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell burr cells present, Red blood cell morphology abnormal, Skin exfoliation, Upper-airway cough syndrome, White blood cell count decreased
Clinical narrative: Onset 12/28/2021 - Extreme fatigue, depression/anxiety, hopelessness, muscle pain, headaches, night sweats, cold extremeties, skin texture change (dry, flaky, itchy), post nasal drip, hairloss, eye redness. Self Treatment: OTC Claritin, Ibuprofen & prenatal vitamins daily. Outcomes: pain relief & post nasal drip relief. Diagnosis: Low WBC, BURR CELLS +1 and OVALCYTES +1 Referral to Cancer Institute 3/28/2022 @ 11:30 am.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient given pediatric dose of vaccine without known side effects or adverse reaction.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Gave 5th Dtap to child after his 4th birthday. So Vaccine was invalid and given to young.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: After administering dose I visualized incorrect dose was given. Mother notified. Spoke with Management and Pediatric provider of steps to take after incident. Patient is recommended just to follow up on booster dose. Mother notified of instruction had no questions. Incident report will be put in process mother aware of this.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient given pediatric dose of vaccine without known side effects or adverse reaction
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal
Clinical narrative: Pt very weak and does not feel good
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/Breakthrough Covid
Age: 90.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event, Underdose
Clinical narrative: Patient given pediatric dose of vaccine without known side effects or adverse reaction
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Death, Interchange of vaccine products, Sudden death
Clinical narrative: He died suddenly at home on February 1st, 2022. He had gotten his booster shot on 1/20/22. His first 2 shots were in Feb/March of 2021 and those were Moderna. His booster was 1/20/22, and it was Pfizer. I do not know if he had any symptoms between receiving the booster and his death. He didn't complain of anything. I saw him the morning of 2/01/22 and had conversed with him over text that morning as well. He made a phone call to my sister at 2:30 that afternoon and seemed fine. When I arrived home at 6:50 that evening, he was deceased.
Age: 23.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient given pediatric dose of vaccine without known side effects or adverse reaction
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID Test after vaccine
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Covid
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Influenza like illness, Oropharyngeal pain, Pain
Clinical narrative: Nov30,2021, I got my booster on December 28/2021 in the evening around 5:00pm I started with tiredness, I left like a very bad flu. I have fever, body ache, fatigue, sore throat. It lasted a few days. A week after I called my doctor I told him what happened he said had sinus infection. He said I had omicron. He gave me antibiotics for 10 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Sinusitis
Clinical narrative: Nov30,2021, I got my booster on December 28/2021 in the evening around 5:00pm I started with tiredness, I left like a very bad flu. I have fever, body ache, fatigue, sore throat. It lasted a few days. A week after I called my doctor I told him what happened he said had sinus infection. He said I had omicron. He gave me antibiotics for 10 days.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Facial pain, Hypoaesthesia
Clinical narrative: A few days after the vax. I went to shave and couldn't feel the razer on my face. I then experienced intense pain in the right-side of my face and then it just became numb to the touch. A few days after that, I went to the Doctor, they only recommended me to take Advil which helped a little but still experiencing numbness.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia, Condition aggravated, Vaccine positive rechallenge
Clinical narrative: Alopecia flair up--had low levels of alopecia since a teenager.  ~3-4 weeks after second and third Moderna shots, hair loss surged dramatically.  Instead of one spot or maybe 2 at a time, experiencing 8-10 spots with continued hair loss after 45 days.  The second shot affects seemed to fade after 90 days.  Third shot impact is ongoing after 75 days.  Dermatologist treating with steroid injections.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chills, Decreased appetite, Headache
Clinical narrative: headache, chills, chest tightness, weakness, tingling in legs, sweating, decreased appetite.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Paraesthesia
Clinical narrative: headache, chills, chest tightness, weakness, tingling in legs, sweating, decreased appetite.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/Breakthrough Covid
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Lung infiltration
Clinical narrative: Patient Diagnosed with COVID and admitted tot he hospital after receiving vaccine.  Symptoms -difficulty breathing , wheezing and cough
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Wheezing
Clinical narrative: Patient Diagnosed with COVID and admitted tot he hospital after receiving vaccine.  Symptoms -difficulty breathing , wheezing and cough
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Full dose Moderna covid vaccine given in error. Shingrix was supposed to be administered instead. Shingrix was still administered and the patient did not react adversely after both vaccines administered. Shingrix and Moderna vaccines do not have any drug-drug interactions. Both Shingrix and Covid vaccines have high reactogenicity and this was communicated with the patient that the following day they could experience symptoms of this.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/Breakthrough Covid
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None  Just delta variant 12/15/2021
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Pain, limited range of motion in left shoulder. Numbness, pain and tingling radiating from left shoulder down arm to left hand. Pain, numbness to left shin area radiating down to foot on left side only.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Pain, limited range of motion in left shoulder. Numbness, pain and tingling radiating from left shoulder down arm to left hand. Pain, numbness to left shin area radiating down to foot on left side only.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Breakthrough Covid
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Maternal exposure during pregnancy
Clinical narrative: Miscarriage of pregnancy at 7 weeks
Age: 56.0
Sex: M
Vaccine: HEPA
Symptoms: Dizziness, Tinnitus
Clinical narrative: Client speaks a different language. Interpreter stated that patient started having dizziness and ringing in ears on Friday night, 3/11/22.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood alkaline phosphatase increased, Blood creatinine increased, Blood gases, Blood lactic acid, Blood pH normal
Clinical narrative: 75 y.o. male who presents with SOB. PMH of PAD s/p right leg intravascular stent and bilateral femoral endarterectomy, HTN, tobacco use, COPD, OSA, raynaud's, CAD s/p CABGx2 in 2016 s/p stenting , carotid artery stenosis, atrial fibrillation on eliquis, DM2 without long term use of insulin, squamous cell carcinoma of the lung s/p lobectomy, CKD4.Reports he has been feeling malaise for the past few days. He has no known covid exposures. He has been vaccinated and boosted. He states that he was mostly fine until last night when he developed chills, then this progressed to SOB. He felt he couldn't get a full breath in and was also having tachypnea. He also endorsed orthopnea. He has also had a cough for a few days which has been rarely productive of dark phlegm, not bloody.  He endorses chronic right leg pain which has been bothering him for a year from his PAD. He takes lortab twice per day for this. He also takes oxycodone myristate BID.  He denies nausea/vomiting, headaches, changes in vision/hearing. Denies chest pain, abdominal. Endorses constipation, last bowel movement was this morning. He urinated this morning, denies hematuria, dysuria. He does endorse ocasional leg swelling.  On presentation to the ED he was notably tachycardic with HR 120 and Bps 100/61. He was respirating above 90 percent on RA and never became hypoxemic during his time in the ED. He was afebrile at 97.7. While in the ED his BP fell to as low as 71/48. He received 500ml of fluids, but bedside US in the ED showed a dilated IVC and with the elevated BNP pressors were started instead of more fluids with improvement in his blood pressure.   Labs notable for COVID positive, Hgb 9.3, platelet 121, BNP 11,000, procal 3.62, lactate 1.6, creatinine 1.96, sodium 133, normal pH on VBG, alkp 152, baseline troponin 97, two hour 103, no leukocytosis.   Patient admitted as inpatient on 3/10 due to sepsis with acute organ dysfunction and septic shock. Patient was tested for COVID-19 and was positive on 3/10.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure decreased, Blood sodium decreased, Brain natriuretic peptide increased, COVID-19, Chills
Clinical narrative: 75 y.o. male who presents with SOB. PMH of PAD s/p right leg intravascular stent and bilateral femoral endarterectomy, HTN, tobacco use, COPD, OSA, raynaud's, CAD s/p CABGx2 in 2016 s/p stenting , carotid artery stenosis, atrial fibrillation on eliquis, DM2 without long term use of insulin, squamous cell carcinoma of the lung s/p lobectomy, CKD4.Reports he has been feeling malaise for the past few days. He has no known covid exposures. He has been vaccinated and boosted. He states that he was mostly fine until last night when he developed chills, then this progressed to SOB. He felt he couldn't get a full breath in and was also having tachypnea. He also endorsed orthopnea. He has also had a cough for a few days which has been rarely productive of dark phlegm, not bloody.  He endorses chronic right leg pain which has been bothering him for a year from his PAD. He takes lortab twice per day for this. He also takes oxycodone myristate BID.  He denies nausea/vomiting, headaches, changes in vision/hearing. Denies chest pain, abdominal. Endorses constipation, last bowel movement was this morning. He urinated this morning, denies hematuria, dysuria. He does endorse ocasional leg swelling.  On presentation to the ED he was notably tachycardic with HR 120 and Bps 100/61. He was respirating above 90 percent on RA and never became hypoxemic during his time in the ED. He was afebrile at 97.7. While in the ED his BP fell to as low as 71/48. He received 500ml of fluids, but bedside US in the ED showed a dilated IVC and with the elevated BNP pressors were started instead of more fluids with improvement in his blood pressure.   Labs notable for COVID positive, Hgb 9.3, platelet 121, BNP 11,000, procal 3.62, lactate 1.6, creatinine 1.96, sodium 133, normal pH on VBG, alkp 152, baseline troponin 97, two hour 103, no leukocytosis.   Patient admitted as inpatient on 3/10 due to sepsis with acute organ dysfunction and septic shock. Patient was tested for COVID-19 and was positive on 3/10.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Constipation, Dyspnoea, Echocardiogram, Haemoglobin decreased, Inferior vena cava dilatation
Clinical narrative: 75 y.o. male who presents with SOB. PMH of PAD s/p right leg intravascular stent and bilateral femoral endarterectomy, HTN, tobacco use, COPD, OSA, raynaud's, CAD s/p CABGx2 in 2016 s/p stenting , carotid artery stenosis, atrial fibrillation on eliquis, DM2 without long term use of insulin, squamous cell carcinoma of the lung s/p lobectomy, CKD4.Reports he has been feeling malaise for the past few days. He has no known covid exposures. He has been vaccinated and boosted. He states that he was mostly fine until last night when he developed chills, then this progressed to SOB. He felt he couldn't get a full breath in and was also having tachypnea. He also endorsed orthopnea. He has also had a cough for a few days which has been rarely productive of dark phlegm, not bloody.  He endorses chronic right leg pain which has been bothering him for a year from his PAD. He takes lortab twice per day for this. He also takes oxycodone myristate BID.  He denies nausea/vomiting, headaches, changes in vision/hearing. Denies chest pain, abdominal. Endorses constipation, last bowel movement was this morning. He urinated this morning, denies hematuria, dysuria. He does endorse ocasional leg swelling.  On presentation to the ED he was notably tachycardic with HR 120 and Bps 100/61. He was respirating above 90 percent on RA and never became hypoxemic during his time in the ED. He was afebrile at 97.7. While in the ED his BP fell to as low as 71/48. He received 500ml of fluids, but bedside US in the ED showed a dilated IVC and with the elevated BNP pressors were started instead of more fluids with improvement in his blood pressure.   Labs notable for COVID positive, Hgb 9.3, platelet 121, BNP 11,000, procal 3.62, lactate 1.6, creatinine 1.96, sodium 133, normal pH on VBG, alkp 152, baseline troponin 97, two hour 103, no leukocytosis.   Patient admitted as inpatient on 3/10 due to sepsis with acute organ dysfunction and septic shock. Patient was tested for COVID-19 and was positive on 3/10.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Organ failure, Orthopnoea, Pain in extremity, Peripheral swelling
Clinical narrative: 75 y.o. male who presents with SOB. PMH of PAD s/p right leg intravascular stent and bilateral femoral endarterectomy, HTN, tobacco use, COPD, OSA, raynaud's, CAD s/p CABGx2 in 2016 s/p stenting , carotid artery stenosis, atrial fibrillation on eliquis, DM2 without long term use of insulin, squamous cell carcinoma of the lung s/p lobectomy, CKD4.Reports he has been feeling malaise for the past few days. He has no known covid exposures. He has been vaccinated and boosted. He states that he was mostly fine until last night when he developed chills, then this progressed to SOB. He felt he couldn't get a full breath in and was also having tachypnea. He also endorsed orthopnea. He has also had a cough for a few days which has been rarely productive of dark phlegm, not bloody.  He endorses chronic right leg pain which has been bothering him for a year from his PAD. He takes lortab twice per day for this. He also takes oxycodone myristate BID.  He denies nausea/vomiting, headaches, changes in vision/hearing. Denies chest pain, abdominal. Endorses constipation, last bowel movement was this morning. He urinated this morning, denies hematuria, dysuria. He does endorse ocasional leg swelling.  On presentation to the ED he was notably tachycardic with HR 120 and Bps 100/61. He was respirating above 90 percent on RA and never became hypoxemic during his time in the ED. He was afebrile at 97.7. While in the ED his BP fell to as low as 71/48. He received 500ml of fluids, but bedside US in the ED showed a dilated IVC and with the elevated BNP pressors were started instead of more fluids with improvement in his blood pressure.   Labs notable for COVID positive, Hgb 9.3, platelet 121, BNP 11,000, procal 3.62, lactate 1.6, creatinine 1.96, sodium 133, normal pH on VBG, alkp 152, baseline troponin 97, two hour 103, no leukocytosis.   Patient admitted as inpatient on 3/10 due to sepsis with acute organ dysfunction and septic shock. Patient was tested for COVID-19 and was positive on 3/10.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Procalcitonin, Productive cough, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 75 y.o. male who presents with SOB. PMH of PAD s/p right leg intravascular stent and bilateral femoral endarterectomy, HTN, tobacco use, COPD, OSA, raynaud's, CAD s/p CABGx2 in 2016 s/p stenting , carotid artery stenosis, atrial fibrillation on eliquis, DM2 without long term use of insulin, squamous cell carcinoma of the lung s/p lobectomy, CKD4.Reports he has been feeling malaise for the past few days. He has no known covid exposures. He has been vaccinated and boosted. He states that he was mostly fine until last night when he developed chills, then this progressed to SOB. He felt he couldn't get a full breath in and was also having tachypnea. He also endorsed orthopnea. He has also had a cough for a few days which has been rarely productive of dark phlegm, not bloody.  He endorses chronic right leg pain which has been bothering him for a year from his PAD. He takes lortab twice per day for this. He also takes oxycodone myristate BID.  He denies nausea/vomiting, headaches, changes in vision/hearing. Denies chest pain, abdominal. Endorses constipation, last bowel movement was this morning. He urinated this morning, denies hematuria, dysuria. He does endorse ocasional leg swelling.  On presentation to the ED he was notably tachycardic with HR 120 and Bps 100/61. He was respirating above 90 percent on RA and never became hypoxemic during his time in the ED. He was afebrile at 97.7. While in the ED his BP fell to as low as 71/48. He received 500ml of fluids, but bedside US in the ED showed a dilated IVC and with the elevated BNP pressors were started instead of more fluids with improvement in his blood pressure.   Labs notable for COVID positive, Hgb 9.3, platelet 121, BNP 11,000, procal 3.62, lactate 1.6, creatinine 1.96, sodium 133, normal pH on VBG, alkp 152, baseline troponin 97, two hour 103, no leukocytosis.   Patient admitted as inpatient on 3/10 due to sepsis with acute organ dysfunction and septic shock. Patient was tested for COVID-19 and was positive on 3/10.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Septic shock, Sputum discoloured, Tachycardia, Tachypnoea, Troponin
Clinical narrative: 75 y.o. male who presents with SOB. PMH of PAD s/p right leg intravascular stent and bilateral femoral endarterectomy, HTN, tobacco use, COPD, OSA, raynaud's, CAD s/p CABGx2 in 2016 s/p stenting , carotid artery stenosis, atrial fibrillation on eliquis, DM2 without long term use of insulin, squamous cell carcinoma of the lung s/p lobectomy, CKD4.Reports he has been feeling malaise for the past few days. He has no known covid exposures. He has been vaccinated and boosted. He states that he was mostly fine until last night when he developed chills, then this progressed to SOB. He felt he couldn't get a full breath in and was also having tachypnea. He also endorsed orthopnea. He has also had a cough for a few days which has been rarely productive of dark phlegm, not bloody.  He endorses chronic right leg pain which has been bothering him for a year from his PAD. He takes lortab twice per day for this. He also takes oxycodone myristate BID.  He denies nausea/vomiting, headaches, changes in vision/hearing. Denies chest pain, abdominal. Endorses constipation, last bowel movement was this morning. He urinated this morning, denies hematuria, dysuria. He does endorse ocasional leg swelling.  On presentation to the ED he was notably tachycardic with HR 120 and Bps 100/61. He was respirating above 90 percent on RA and never became hypoxemic during his time in the ED. He was afebrile at 97.7. While in the ED his BP fell to as low as 71/48. He received 500ml of fluids, but bedside US in the ED showed a dilated IVC and with the elevated BNP pressors were started instead of more fluids with improvement in his blood pressure.   Labs notable for COVID positive, Hgb 9.3, platelet 121, BNP 11,000, procal 3.62, lactate 1.6, creatinine 1.96, sodium 133, normal pH on VBG, alkp 152, baseline troponin 97, two hour 103, no leukocytosis.   Patient admitted as inpatient on 3/10 due to sepsis with acute organ dysfunction and septic shock. Patient was tested for COVID-19 and was positive on 3/10.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Malaise
Clinical narrative: The following day was not feeling well, took some ibuprofen, later in the day the parents discovered that he had some redness and swelling of the deltoid.  Skin is clear, warm and dry.  Has area of redness of about 10 cm in diameter over the right deltoid, no induration fluctuation.  Symptom care discussed, recommended Claritin, ibuprofen or Tylenol.  Cold packs to affected area, follow-up as needed.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Received COVID vaccine Moderna for 1st injection then COVID vaccine Pfizer for second vaccine
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Pain, Pyrexia, Rash, Urticaria
Clinical narrative: Patient had hives, rash, fever, and body aches. Patient took ibuprofen, tylenol, benedryl, and prednisone that she found at home. The rash and body aches have improved. Patient is still having a fever. Patient has been out of work March 1-4.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Insomnia, Pain, Pain in extremity
Clinical narrative: Excruciating pain in upper arm.  At times it radiates to lower arm.  I have difficulty sleeping and am not able to work my usual hours.  My PCP has ordered an MRI, but a CT scan would be better. I have applied warmth, 3x day, and taken ibuprofen 3 times a day.  I have also tried a lidocaine patch.  Nothing has helped. The area does not appear red or swollen and is not warm to the touch. I would really like to know what type of specialist I shoudl see.   PLEASE HELP!
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I started having a runny nose and a sore throat with post nasal drip. I went since my son had been exposed to COVID as a bartender. I was about to be traveling to take care of my parents so I went and went got tested for COVID and I was. I had symptoms for 3 days and then made a complete recovery.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: I started having a runny nose and a sore throat with post nasal drip. I went since my son had been exposed to COVID as a bartender. I was about to be traveling to take care of my parents so I went and went got tested for COVID and I was. I had symptoms for 3 days and then made a complete recovery.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: 5 days of mild fever, general weakness, overall ache, sore arm.  3 hrs of sore throat.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/Breakthrough Covid
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema of eyelid
Clinical narrative: The morning after the vaccine, I woke up and my eyelids were severely red and almost looked like I had blood clots in my eyelids. The redness is slowly going away but hasn't completely gone away yet. My symptoms are very similar to transient eyelid edema which was seen in 46 other patients after receiving the Pfizer Covid-19 vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Atypical pneumonia, Feeling abnormal, Influenza like illness, Oropharyngeal pain
Clinical narrative: I started having a really bad sore throat on February 22, 2022. I had lost my voice completely. My voice came back about several days after that. I felt really bad. I had flu like symptoms with drainage and coughing. I had no fever. The phlegm was turning into a greenish yucky color. I made an appointment to see Dr. on March 1, 2022. He diagnosed me with walking pneumonia. I was prescribed an antibiotic called Doxycycline 100mg 2xday. I was also prescribed Methylprednisolone for 6 days. I gradually got better after I started taking the medications.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Sputum discoloured
Clinical narrative: I started having a really bad sore throat on February 22, 2022. I had lost my voice completely. My voice came back about several days after that. I felt really bad. I had flu like symptoms with drainage and coughing. I had no fever. The phlegm was turning into a greenish yucky color. I made an appointment to see Dr. on March 1, 2022. He diagnosed me with walking pneumonia. I was prescribed an antibiotic called Doxycycline 100mg 2xday. I was also prescribed Methylprednisolone for 6 days. I gradually got better after I started taking the medications.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Asthma, Bronchitis, Dyspnoea, Echocardiogram abnormal
Clinical narrative: 04/2021 I started to have swollen ankles and bad arthritis. I could hardly walk for about three weeks. I went to the doctor on 05/17/2021. The doctor did test to rule out Lyme Disease. Shortly after I ended up having bronchitis. I went to urgent care and they prescribed prednisone and an inhaler for asthma. Before the vaccine I had some allergies, but never had a full-blown asthma. The bronchitis last 3 weeks. On 07/09/2021 I had shortness of breath. I went to urgent care 07/11/2021 and was diagnosed with severe Bronchitis. They prescribed prednisone. They also tested for COVID which was negative. 09/03/2021 I went to urgent care because I was feeling shaky for a few days. My BP was 165/92 and my heart rates at rest was 90-100. 09/07/2021 I had a follow up visit with my doctor and he ordered an echocardiogram. I had to wear a heart monitor from 09/17/2021- 10/01/2021. The monitor showed abnormal short bursts of fast heart rate. Longest episode was for 10 seconds. 253 nonsustained supraventricular tachycardia with max heart rates of 184. 09/2021 I went to urgent care for bronchitis and was treated with Dexamethasone. Also, in 09/2021 I went to urgent care for bronchitis and was treated with Dexamethasone. After my last round of Steroid treatments my asthma is now stable. I am still taking medication for high blood pressure.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Gait disturbance, Heart rate increased, Hypertension, Joint swelling
Clinical narrative: 04/2021 I started to have swollen ankles and bad arthritis. I could hardly walk for about three weeks. I went to the doctor on 05/17/2021. The doctor did test to rule out Lyme Disease. Shortly after I ended up having bronchitis. I went to urgent care and they prescribed prednisone and an inhaler for asthma. Before the vaccine I had some allergies, but never had a full-blown asthma. The bronchitis last 3 weeks. On 07/09/2021 I had shortness of breath. I went to urgent care 07/11/2021 and was diagnosed with severe Bronchitis. They prescribed prednisone. They also tested for COVID which was negative. 09/03/2021 I went to urgent care because I was feeling shaky for a few days. My BP was 165/92 and my heart rates at rest was 90-100. 09/07/2021 I had a follow up visit with my doctor and he ordered an echocardiogram. I had to wear a heart monitor from 09/17/2021- 10/01/2021. The monitor showed abnormal short bursts of fast heart rate. Longest episode was for 10 seconds. 253 nonsustained supraventricular tachycardia with max heart rates of 184. 09/2021 I went to urgent care for bronchitis and was treated with Dexamethasone. Also, in 09/2021 I went to urgent care for bronchitis and was treated with Dexamethasone. After my last round of Steroid treatments my asthma is now stable. I am still taking medication for high blood pressure.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary function test abnormal, SARS-CoV-2 test negative, Supraventricular tachycardia, Tremor
Clinical narrative: 04/2021 I started to have swollen ankles and bad arthritis. I could hardly walk for about three weeks. I went to the doctor on 05/17/2021. The doctor did test to rule out Lyme Disease. Shortly after I ended up having bronchitis. I went to urgent care and they prescribed prednisone and an inhaler for asthma. Before the vaccine I had some allergies, but never had a full-blown asthma. The bronchitis last 3 weeks. On 07/09/2021 I had shortness of breath. I went to urgent care 07/11/2021 and was diagnosed with severe Bronchitis. They prescribed prednisone. They also tested for COVID which was negative. 09/03/2021 I went to urgent care because I was feeling shaky for a few days. My BP was 165/92 and my heart rates at rest was 90-100. 09/07/2021 I had a follow up visit with my doctor and he ordered an echocardiogram. I had to wear a heart monitor from 09/17/2021- 10/01/2021. The monitor showed abnormal short bursts of fast heart rate. Longest episode was for 10 seconds. 253 nonsustained supraventricular tachycardia with max heart rates of 184. 09/2021 I went to urgent care for bronchitis and was treated with Dexamethasone. Also, in 09/2021 I went to urgent care for bronchitis and was treated with Dexamethasone. After my last round of Steroid treatments my asthma is now stable. I am still taking medication for high blood pressure.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test normal, Chills, Pyrexia
Clinical narrative: I had mild fever and chills after my 2nd dose. March 2022, My blood pressure went sky high, higher than normal. I went to the emergency room and they brought it down and I went home.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Leg pain in both legs.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization of a vaccinated patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain upper, Breast pain, Chronic gastritis
Clinical narrative: The first thing I noticed was a very painful point in my stomach at first in the upper part of my stomach. Very painful, like a burn then a headache. My husband took my blood pressure and I'm usually around 110/70. I felt a lot of pressure in my head and pain in my stomach, so he took my BP and he found out I had 159/90-100 and he said it was very high. I don't think I took anything, but I tried to calm down and relax. He retook my blood pressure, and it was lower 139 and eventually went lower. It was that moment for an hour like that. The pain continued the next day all day and I called the doctor and made an appointment and started the follow up. The first appointments were by phone in March. I was scheduled an endoscopy for May 26, 2021. The rest of the appointments afterwards were by phone until August for pap smear. September 14, 2021, we reviewed the results of the endoscopy, and it had indicated minimal chronic gastritis. I don't feel the episodes anymore. Now I have sensitivity in the upper stomach. I watch what I eat now. The doctor did also ask if I was under any stress and I can't say if I was or not, but that health event stressed me. The days with pain stressed me. He said stress can cause pain, but I'm not sure how this started and the pain continued. The day of the event, the stress started because the pain moved from the upper stomach to the left side of my body and the breast. Something felt like there was something wrong happening to me. Tried to relax that day, but that's when I started stressing. The only thing the doctor checked was my stomach. December 3, 2021 was another follow up for the abdominal pain and he sent me to get lab tests for CBC (WBC were still low at this time) and allergies. Also, between May-September, I had scratchy bumps that took time to heal which was why I was tested for allergies. Started taking Vitamin C after and the bumps resolved. I still feel the pain in the upper stomach, but I try eat different things and change my diet, lower my stress, etc.