chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic function test, Muscular weakness, Neck pain, Neuropathy peripheral
Clinical narrative: After receiving Booster shot in September, 3-4 weeks later I started feeling tingling sensations down the backs of my thighs the 3-4 days later had difficulty walking and extreme fatigue.  These resolved within a few days. About a week later, I developed left shoulder and neck pain that extended down into my left arm. I could feel painful raised nodules up the left side of my neck and in my shoulder and knee joints. These symptoms resolved after about a week.  Then I developed internal tremors, feelings of being extremely hot, weakness in arms, extreme sensitivity in my hands, brain fog, feelings of electric shocks flowing through my body.   I also had periods where my heart would beat fast and I would feel short of breath. My PCP did comprehensive lab workup and sent me for a CT of chest and a referral to a Cardiologist.  My lab, CT, and Cardiology workup was normal except my cholesterol was high.   She gave me 2 weeks of steroids and that seemed to help until I completed the course. After that I developed headaches, dizziness, blurred vision, numbness to left face and outer left leg, difficulty remembering words with occasional slurred speech and feelings of de-realization with severe fatigue.  By the end of December 2021 these symptoms had improved but then developed skin rash/eruptions, hair loss, dry eyes/mouth. Currently I still have numbness in left face and left outer extremities, Intermittent headaches and vision problems left eye. I still have fatigue, brain fog, joint pain and stiffness, neuropathy with burning pain in hands and feet, headaches, hair loss.  I just started Accupuncture.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain in extremity, Paraesthesia, Rash, Tremor
Clinical narrative: After receiving Booster shot in September, 3-4 weeks later I started feeling tingling sensations down the backs of my thighs the 3-4 days later had difficulty walking and extreme fatigue.  These resolved within a few days. About a week later, I developed left shoulder and neck pain that extended down into my left arm. I could feel painful raised nodules up the left side of my neck and in my shoulder and knee joints. These symptoms resolved after about a week.  Then I developed internal tremors, feelings of being extremely hot, weakness in arms, extreme sensitivity in my hands, brain fog, feelings of electric shocks flowing through my body.   I also had periods where my heart would beat fast and I would feel short of breath. My PCP did comprehensive lab workup and sent me for a CT of chest and a referral to a Cardiologist.  My lab, CT, and Cardiology workup was normal except my cholesterol was high.   She gave me 2 weeks of steroids and that seemed to help until I completed the course. After that I developed headaches, dizziness, blurred vision, numbness to left face and outer left leg, difficulty remembering words with occasional slurred speech and feelings of de-realization with severe fatigue.  By the end of December 2021 these symptoms had improved but then developed skin rash/eruptions, hair loss, dry eyes/mouth. Currently I still have numbness in left face and left outer extremities, Intermittent headaches and vision problems left eye. I still have fatigue, brain fog, joint pain and stiffness, neuropathy with burning pain in hands and feet, headaches, hair loss.  I just started Accupuncture.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Vision blurred
Clinical narrative: After receiving Booster shot in September, 3-4 weeks later I started feeling tingling sensations down the backs of my thighs the 3-4 days later had difficulty walking and extreme fatigue.  These resolved within a few days. About a week later, I developed left shoulder and neck pain that extended down into my left arm. I could feel painful raised nodules up the left side of my neck and in my shoulder and knee joints. These symptoms resolved after about a week.  Then I developed internal tremors, feelings of being extremely hot, weakness in arms, extreme sensitivity in my hands, brain fog, feelings of electric shocks flowing through my body.   I also had periods where my heart would beat fast and I would feel short of breath. My PCP did comprehensive lab workup and sent me for a CT of chest and a referral to a Cardiologist.  My lab, CT, and Cardiology workup was normal except my cholesterol was high.   She gave me 2 weeks of steroids and that seemed to help until I completed the course. After that I developed headaches, dizziness, blurred vision, numbness to left face and outer left leg, difficulty remembering words with occasional slurred speech and feelings of de-realization with severe fatigue.  By the end of December 2021 these symptoms had improved but then developed skin rash/eruptions, hair loss, dry eyes/mouth. Currently I still have numbness in left face and left outer extremities, Intermittent headaches and vision problems left eye. I still have fatigue, brain fog, joint pain and stiffness, neuropathy with burning pain in hands and feet, headaches, hair loss.  I just started Accupuncture.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash developed all over body and last for 5 days.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Candida infection, Candida test positive, Chest X-ray, Computerised tomogram head
Clinical narrative: started as sinus infection, drainage was extremely thick / tenacious. Coloration was tan/ brown / green. Swollen lymph nodes submaxillary. sore throat. laryngitis for several weeks. SOB in evenings.  Antibiotics were started on telemed conference with my internist using Annamox 875.   Thrush / yeast developed due to all the penicillin. Diflucan and nystatin swish and swallow given.  SSX continued so second round of Annamox given. Drainage became heavier and thicker.  Contacted ENT and started on Leaveqid 500 mg and cultures were run; culture came back Staph and candida yeast. Meds switched to Bactrium DS BID for 10 days; SSX continued so switch over to tetracycline 500 mg TID for 10 days. Second round of tetracycline was prescribed which finally stopped the SSX. Drainage had become thick  tan/yellow near the last week before it stopped coming out in globs. I have never been DX with a staph infection prior this or have had an infection last from mid Oct to almost second week in Feb.  This may not be related to the vaccine, but with being in the study, I wanted to provide the information since it was an atypical drainage and was unusual  for me to be down with an infection for this length of time
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Culture positive, Dyspnoea, Laryngitis, Nasal discharge discolouration, Oropharyngeal pain
Clinical narrative: started as sinus infection, drainage was extremely thick / tenacious. Coloration was tan/ brown / green. Swollen lymph nodes submaxillary. sore throat. laryngitis for several weeks. SOB in evenings.  Antibiotics were started on telemed conference with my internist using Annamox 875.   Thrush / yeast developed due to all the penicillin. Diflucan and nystatin swish and swallow given.  SSX continued so second round of Annamox given. Drainage became heavier and thicker.  Contacted ENT and started on Leaveqid 500 mg and cultures were run; culture came back Staph and candida yeast. Meds switched to Bactrium DS BID for 10 days; SSX continued so switch over to tetracycline 500 mg TID for 10 days. Second round of tetracycline was prescribed which finally stopped the SSX. Drainage had become thick  tan/yellow near the last week before it stopped coming out in globs. I have never been DX with a staph infection prior this or have had an infection last from mid Oct to almost second week in Feb.  This may not be related to the vaccine, but with being in the study, I wanted to provide the information since it was an atypical drainage and was unusual  for me to be down with an infection for this length of time
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Overgrowth fungal, Paranasal sinus hypersecretion, Sinusitis, Staphylococcal infection, Staphylococcus test positive
Clinical narrative: started as sinus infection, drainage was extremely thick / tenacious. Coloration was tan/ brown / green. Swollen lymph nodes submaxillary. sore throat. laryngitis for several weeks. SOB in evenings.  Antibiotics were started on telemed conference with my internist using Annamox 875.   Thrush / yeast developed due to all the penicillin. Diflucan and nystatin swish and swallow given.  SSX continued so second round of Annamox given. Drainage became heavier and thicker.  Contacted ENT and started on Leaveqid 500 mg and cultures were run; culture came back Staph and candida yeast. Meds switched to Bactrium DS BID for 10 days; SSX continued so switch over to tetracycline 500 mg TID for 10 days. Second round of tetracycline was prescribed which finally stopped the SSX. Drainage had become thick  tan/yellow near the last week before it stopped coming out in globs. I have never been DX with a staph infection prior this or have had an infection last from mid Oct to almost second week in Feb.  This may not be related to the vaccine, but with being in the study, I wanted to provide the information since it was an atypical drainage and was unusual  for me to be down with an infection for this length of time
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Submaxillary gland enlargement
Clinical narrative: started as sinus infection, drainage was extremely thick / tenacious. Coloration was tan/ brown / green. Swollen lymph nodes submaxillary. sore throat. laryngitis for several weeks. SOB in evenings.  Antibiotics were started on telemed conference with my internist using Annamox 875.   Thrush / yeast developed due to all the penicillin. Diflucan and nystatin swish and swallow given.  SSX continued so second round of Annamox given. Drainage became heavier and thicker.  Contacted ENT and started on Leaveqid 500 mg and cultures were run; culture came back Staph and candida yeast. Meds switched to Bactrium DS BID for 10 days; SSX continued so switch over to tetracycline 500 mg TID for 10 days. Second round of tetracycline was prescribed which finally stopped the SSX. Drainage had become thick  tan/yellow near the last week before it stopped coming out in globs. I have never been DX with a staph infection prior this or have had an infection last from mid Oct to almost second week in Feb.  This may not be related to the vaccine, but with being in the study, I wanted to provide the information since it was an atypical drainage and was unusual  for me to be down with an infection for this length of time
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Atelectasis, Blood culture, Blood lactic acid, Brain natriuretic peptide
Clinical narrative: Pt arrives after having a priority 1 in internal medicine. Pt was there to be seen for right ear infection. pt has been sob. Apparently pt got syncopal at the clinic but it is not clear that she actually passed out. Specifically there was no fall. pt is awake alert in the ER and complains of some sob. Pt denies cehst pain but has left shoulder pain. pt has no N/V/or ab pain. pt had an EKG done which shows couplets of PVCs. Pt  Associated Symptoms: shortness of breath
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dyspnoea, Ear infection, Electrocardiogram PR shortened
Clinical narrative: Pt arrives after having a priority 1 in internal medicine. Pt was there to be seen for right ear infection. pt has been sob. Apparently pt got syncopal at the clinic but it is not clear that she actually passed out. Specifically there was no fall. pt is awake alert in the ER and complains of some sob. Pt denies cehst pain but has left shoulder pain. pt has no N/V/or ab pain. pt had an EKG done which shows couplets of PVCs. Pt  Associated Symptoms: shortness of breath
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, Full blood count, Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: Pt arrives after having a priority 1 in internal medicine. Pt was there to be seen for right ear infection. pt has been sob. Apparently pt got syncopal at the clinic but it is not clear that she actually passed out. Specifically there was no fall. pt is awake alert in the ER and complains of some sob. Pt denies cehst pain but has left shoulder pain. pt has no N/V/or ab pain. pt had an EKG done which shows couplets of PVCs. Pt  Associated Symptoms: shortness of breath
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus tachycardia, Syncope, Troponin normal, Ventricular extrasystoles, Ventricular pre-excitation
Clinical narrative: Pt arrives after having a priority 1 in internal medicine. Pt was there to be seen for right ear infection. pt has been sob. Apparently pt got syncopal at the clinic but it is not clear that she actually passed out. Specifically there was no fall. pt is awake alert in the ER and complains of some sob. Pt denies cehst pain but has left shoulder pain. pt has no N/V/or ab pain. pt had an EKG done which shows couplets of PVCs. Pt  Associated Symptoms: shortness of breath
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Dyspnoea, Feeling abnormal, Pain in extremity
Clinical narrative: Racing heart. Shortness of breath. Fogginess. Dizziness. Leg pain/cramping. Stomach cramps. Symptoms last about 24 hours then decreased. Racing heart continued for approx. 3 days and fogginess/leg cramping persisted for 10 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Racing heart. Shortness of breath. Fogginess. Dizziness. Leg pain/cramping. Stomach cramps. Symptoms last about 24 hours then decreased. Racing heart continued for approx. 3 days and fogginess/leg cramping persisted for 10 days.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Blood test, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient is a 76-year-old female with history of COPD on 2 L nasal cannula at home presenting to the emergency department for increased shortness of breath with Covid infection.  Patient is vaccinated against Covid.  She came to the hospital today to receive a BAM infusion, however her oxygen was low, so she was evaluated in the ER.  Patient noticed her oxygen to be low at home, so she increased her oxygen to 4 L prior to coming to the ER.  She admits to feeling short of breath, she denies chest pain aside from when she is coughing.  Denies nausea, vomiting or diarrhea.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram, Lung opacity, Oxygen saturation decreased
Clinical narrative: Patient is a 76-year-old female with history of COPD on 2 L nasal cannula at home presenting to the emergency department for increased shortness of breath with Covid infection.  Patient is vaccinated against Covid.  She came to the hospital today to receive a BAM infusion, however her oxygen was low, so she was evaluated in the ER.  Patient noticed her oxygen to be low at home, so she increased her oxygen to 4 L prior to coming to the ER.  She admits to feeling short of breath, she denies chest pain aside from when she is coughing.  Denies nausea, vomiting or diarrhea.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure
Clinical narrative: Patient is a 76-year-old female with history of COPD on 2 L nasal cannula at home presenting to the emergency department for increased shortness of breath with Covid infection.  Patient is vaccinated against Covid.  She came to the hospital today to receive a BAM infusion, however her oxygen was low, so she was evaluated in the ER.  Patient noticed her oxygen to be low at home, so she increased her oxygen to 4 L prior to coming to the ER.  She admits to feeling short of breath, she denies chest pain aside from when she is coughing.  Denies nausea, vomiting or diarrhea.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Rash papular, Swelling face
Clinical narrative: Papular rash on face and arms started 5 days after booster dose some facial swelling  Some intermittent shortness of breath on and off for 3 days after
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pt was transfered from urgent care to Covenant ER on 02/11/2022 with complaints of of breath, cough .  Chest x-ray showing possible developing right lower lobe pneumonia.  Patient admitted to the hospital with right lower lobe pneumonia/acute hypoxic respiratory failure secondary to COVID-19 pneumonia .    Patient treated with Remdesvir, Decadron. Elevated procalcitonin was also empirically treated with IV Rocephin.  CRP procalcitonin trending down. Afebrile. Patient seen by Infectious disease and cleared for discharge on ceftin 250mg BID for 5 days and to complete course of Decadron for 6 more days ( total 10 days). Patient did not qualify for Home o2. Advised RN to give COVID care kit  If Pulse ox less than 88% , recurrent SOB, chest pain fevers greater 101 seek immediate medical attention.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pneumonia, Procalcitonin increased, SARS-CoV-2 test positive
Clinical narrative: Pt was transfered from urgent care to Covenant ER on 02/11/2022 with complaints of of breath, cough .  Chest x-ray showing possible developing right lower lobe pneumonia.  Patient admitted to the hospital with right lower lobe pneumonia/acute hypoxic respiratory failure secondary to COVID-19 pneumonia .    Patient treated with Remdesvir, Decadron. Elevated procalcitonin was also empirically treated with IV Rocephin.  CRP procalcitonin trending down. Afebrile. Patient seen by Infectious disease and cleared for discharge on ceftin 250mg BID for 5 days and to complete course of Decadron for 6 more days ( total 10 days). Patient did not qualify for Home o2. Advised RN to give COVID care kit  If Pulse ox less than 88% , recurrent SOB, chest pain fevers greater 101 seek immediate medical attention.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Vertigo
Clinical narrative: Vertigo, and loss of taste and smell.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram abdomen normal, Computerised tomogram thorax normal, Eye haemorrhage, Inflammatory marker test
Clinical narrative: Retinal Vasculitis - both eyes.  Severe - woke up with hemorrhaging in eyes.  Improved on it's own with time.  Happened again 9 months later 1/31/22.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Neurological examination normal, Retinal vasculitis
Clinical narrative: Retinal Vasculitis - both eyes.  Severe - woke up with hemorrhaging in eyes.  Improved on it's own with time.  Happened again 9 months later 1/31/22.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Swelling in pain in axilla of left arm beginning the day after injection and lasting 3 days
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.  COVID breakthrough infection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Inflammation, Injection site reaction, Interchange of vaccine products, Limb discomfort
Clinical narrative: (Took Pfizer for first two vaccines, then took Moderna for booster. ) Following the Moderna shot, I had a high fever, deep body aches, swollen lymph nodes, and slept all day. Symptoms dissipated after 36 hours but I continued to have extreme tightness around the injected arm and shoulder, including inflammation in my wrist, elbow, shoulder and the left side of my neck. I saw an acupuncture provider and got body work twice to alleviate these symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: (Took Pfizer for first two vaccines, then took Moderna for booster. ) Following the Moderna shot, I had a high fever, deep body aches, swollen lymph nodes, and slept all day. Symptoms dissipated after 36 hours but I continued to have extreme tightness around the injected arm and shoulder, including inflammation in my wrist, elbow, shoulder and the left side of my neck. I saw an acupuncture provider and got body work twice to alleviate these symptoms.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Headache, Hypertension, Lethargy
Clinical narrative: Within 48 hours severe headache and HBP (134/92) even with HBP medication. Lethargy for 4 days. Reduced energy level and "brain fog" continues through today. Physical activity presents muscle cramps and tingling. Extended recovery after physical activity. I typically ride my bike 20-30 miles 3-4 times a week. That activity has been reduced to 12 miles a month.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Paraesthesia
Clinical narrative: Within 48 hours severe headache and HBP (134/92) even with HBP medication. Lethargy for 4 days. Reduced energy level and "brain fog" continues through today. Physical activity presents muscle cramps and tingling. Extended recovery after physical activity. I typically ride my bike 20-30 miles 3-4 times a week. That activity has been reduced to 12 miles a month.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Bell's palsy, Facial paralysis, Fatigue, Nausea, Speech disorder
Clinical narrative: Extremely fatigued, nausea that was increased from first dose on the first evening after administration. On the next day after 2/8/22, was noted that client had facial drooping. Went to local ED was diagnosed with Bell's Palsy. Had a follow up visit with PCP on 2/15/22 having improvement with speech and facial drooping. Continuing with eye drops and facial massage as of 2/16/2022 as per PCP with gradual improvement.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 8/4/21, 8/26/21. Positive on 2/16/22
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/1/21, 3/31/21, 11/17/21. Positive on 2/16/22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood creatinine increased, Blood sodium decreased, Blood urea increased, C-reactive protein increased
Clinical narrative: 81 year old female s/p renal transplant on immuno-suppressants, atrial fibrillation, hx SSS/PPM.    She presented to the ER with complaints of cough and shortness of breath.     In the ER she desaturated to 86% and was placed on supplemental oxygen.  Her COVID-19 PCR screen came back positive..  CBC and CMP were otherwise unremarkable except for low-sodium 130, creatinine of 1.7, UA abnormal.  Chest x-ray shows patchy infiltrates, more on the right.   She was started on Decadron, empiric antibiotics and was admitted to hospitalist service. Remdesivir was declined by family due to her renal transplant status.    January 13, late afternoon patient desaturated and required BiPAP. She was afib/RVR and metoprolol IV 5 mg was given. Morphine and furosemide were also given. Transfer to Moderate Care was requested. Pulmonology was consulted.   january 14, on HF NC 45 L 60%. Added doxycycline 100 mg IV for several days. Changed dexamethasone to IV. Added PRN IV metoprolol for afib/rvr and changed diltiazem to short acting so it may be given via NGT. May need NGT for nutrition and oral meds. WBC 10, BUN/Cr 54/1.2. CRP 10 (rising) and PCT 0.1.    January 15, patient is clinically worse now on BiPAP, renal function is worse with rising BUN/Cr despite IVF.    January 16, patient was pronounced expired at 06:50 hrs.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Condition aggravated, Cough, Death
Clinical narrative: 81 year old female s/p renal transplant on immuno-suppressants, atrial fibrillation, hx SSS/PPM.    She presented to the ER with complaints of cough and shortness of breath.     In the ER she desaturated to 86% and was placed on supplemental oxygen.  Her COVID-19 PCR screen came back positive..  CBC and CMP were otherwise unremarkable except for low-sodium 130, creatinine of 1.7, UA abnormal.  Chest x-ray shows patchy infiltrates, more on the right.   She was started on Decadron, empiric antibiotics and was admitted to hospitalist service. Remdesivir was declined by family due to her renal transplant status.    January 13, late afternoon patient desaturated and required BiPAP. She was afib/RVR and metoprolol IV 5 mg was given. Morphine and furosemide were also given. Transfer to Moderate Care was requested. Pulmonology was consulted.   january 14, on HF NC 45 L 60%. Added doxycycline 100 mg IV for several days. Changed dexamethasone to IV. Added PRN IV metoprolol for afib/rvr and changed diltiazem to short acting so it may be given via NGT. May need NGT for nutrition and oral meds. WBC 10, BUN/Cr 54/1.2. CRP 10 (rising) and PCT 0.1.    January 15, patient is clinically worse now on BiPAP, renal function is worse with rising BUN/Cr despite IVF.    January 16, patient was pronounced expired at 06:50 hrs.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Full blood count, Lung infiltration, Metabolic function test, Oxygen saturation decreased
Clinical narrative: 81 year old female s/p renal transplant on immuno-suppressants, atrial fibrillation, hx SSS/PPM.    She presented to the ER with complaints of cough and shortness of breath.     In the ER she desaturated to 86% and was placed on supplemental oxygen.  Her COVID-19 PCR screen came back positive..  CBC and CMP were otherwise unremarkable except for low-sodium 130, creatinine of 1.7, UA abnormal.  Chest x-ray shows patchy infiltrates, more on the right.   She was started on Decadron, empiric antibiotics and was admitted to hospitalist service. Remdesivir was declined by family due to her renal transplant status.    January 13, late afternoon patient desaturated and required BiPAP. She was afib/RVR and metoprolol IV 5 mg was given. Morphine and furosemide were also given. Transfer to Moderate Care was requested. Pulmonology was consulted.   january 14, on HF NC 45 L 60%. Added doxycycline 100 mg IV for several days. Changed dexamethasone to IV. Added PRN IV metoprolol for afib/rvr and changed diltiazem to short acting so it may be given via NGT. May need NGT for nutrition and oral meds. WBC 10, BUN/Cr 54/1.2. CRP 10 (rising) and PCT 0.1.    January 15, patient is clinically worse now on BiPAP, renal function is worse with rising BUN/Cr despite IVF.    January 16, patient was pronounced expired at 06:50 hrs.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Procalcitonin, Renal impairment, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: 81 year old female s/p renal transplant on immuno-suppressants, atrial fibrillation, hx SSS/PPM.    She presented to the ER with complaints of cough and shortness of breath.     In the ER she desaturated to 86% and was placed on supplemental oxygen.  Her COVID-19 PCR screen came back positive..  CBC and CMP were otherwise unremarkable except for low-sodium 130, creatinine of 1.7, UA abnormal.  Chest x-ray shows patchy infiltrates, more on the right.   She was started on Decadron, empiric antibiotics and was admitted to hospitalist service. Remdesivir was declined by family due to her renal transplant status.    January 13, late afternoon patient desaturated and required BiPAP. She was afib/RVR and metoprolol IV 5 mg was given. Morphine and furosemide were also given. Transfer to Moderate Care was requested. Pulmonology was consulted.   january 14, on HF NC 45 L 60%. Added doxycycline 100 mg IV for several days. Changed dexamethasone to IV. Added PRN IV metoprolol for afib/rvr and changed diltiazem to short acting so it may be given via NGT. May need NGT for nutrition and oral meds. WBC 10, BUN/Cr 54/1.2. CRP 10 (rising) and PCT 0.1.    January 15, patient is clinically worse now on BiPAP, renal function is worse with rising BUN/Cr despite IVF.    January 16, patient was pronounced expired at 06:50 hrs.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: 81 year old female s/p renal transplant on immuno-suppressants, atrial fibrillation, hx SSS/PPM.    She presented to the ER with complaints of cough and shortness of breath.     In the ER she desaturated to 86% and was placed on supplemental oxygen.  Her COVID-19 PCR screen came back positive..  CBC and CMP were otherwise unremarkable except for low-sodium 130, creatinine of 1.7, UA abnormal.  Chest x-ray shows patchy infiltrates, more on the right.   She was started on Decadron, empiric antibiotics and was admitted to hospitalist service. Remdesivir was declined by family due to her renal transplant status.    January 13, late afternoon patient desaturated and required BiPAP. She was afib/RVR and metoprolol IV 5 mg was given. Morphine and furosemide were also given. Transfer to Moderate Care was requested. Pulmonology was consulted.   january 14, on HF NC 45 L 60%. Added doxycycline 100 mg IV for several days. Changed dexamethasone to IV. Added PRN IV metoprolol for afib/rvr and changed diltiazem to short acting so it may be given via NGT. May need NGT for nutrition and oral meds. WBC 10, BUN/Cr 54/1.2. CRP 10 (rising) and PCT 0.1.    January 15, patient is clinically worse now on BiPAP, renal function is worse with rising BUN/Cr despite IVF.    January 16, patient was pronounced expired at 06:50 hrs.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Tremor
Clinical narrative: I became chilled around 11:00 pm on 11/26/2021. During the night, I woke up with uncontrollable shaking and a body temperature of 95 degrees. Took ibuprofen, got another blanket and went back to sleep. Woke up feeling better, but once I was up and moving around I felt lightheaded and faint. Laid down around 11:00 am on 11/27/2021. Slept for 4 hours and woke up feeling fine. No further issues.
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Rib fracture
Clinical narrative: Closed fracture of multiple ribs of right side. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Face and neck rash
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Borrelia test negative, Dizziness, Ear pain, Headache
Clinical narrative: Fever. Large, painful, itchy skin hives all over scalp, forehead, cheeks, chin, neck, shoulders, abdomen and legs. Dizzy. Headaches. Earaches, ringing in the ear. Blurry vison. Difficulty driving. Started 01/17/2022 and still going on today 02/17/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Pain of skin, Pruritus, Pyrexia, Tinnitus
Clinical narrative: Fever. Large, painful, itchy skin hives all over scalp, forehead, cheeks, chin, neck, shoulders, abdomen and legs. Dizzy. Headaches. Earaches, ringing in the ear. Blurry vison. Difficulty driving. Started 01/17/2022 and still going on today 02/17/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vision blurred
Clinical narrative: Fever. Large, painful, itchy skin hives all over scalp, forehead, cheeks, chin, neck, shoulders, abdomen and legs. Dizzy. Headaches. Earaches, ringing in the ear. Blurry vison. Difficulty driving. Started 01/17/2022 and still going on today 02/17/2022.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Angina unstable
Clinical narrative: Unstable angina . ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia, Blood test
Clinical narrative: Extreme loss of hair, also I have no eyebrows or eyelashes.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Dyspnoea exertional, Electrocardiogram
Clinical narrative: After receiving 2nd dose of Pfizer vaccine and around late summer while out walking my dog which I have done everyday, i began to experience some shortness of breath and had to stop and let the episode settle down. A few days later, this happened again. Later around mid October I experienced again shortness of breath when i climbed the stairs of my house. I had to again let the episode settle down by sitting. This became a common occurrence almost daily either walking outside or climbing the stairs so I decided that i would reach out to my PCP to seek his advise. I met with him on 1/07/2022 and he recommended that because of my symptoms that I was experiencing to get blood work done and to schedule a CT scan. I was sceduled to have this blood draw on 1/07/2022 and had fasted the night before. I woke up around 3:30 am to go to the bathroom and found it very difficult to breath even taking a few steps from my bed. I began to sweat all over and had to stop in place to let it settle down. I took another 3 steps and it started up again. I reached out to Dr and he said to go to the ER immediately and that all the tests he had ordered for me would be done including the Ct scan They foud I had blood clots in both lungs and cluster in the right leg.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Hyperhidrosis, Laboratory test, Pulmonary thrombosis, Thrombosis
Clinical narrative: After receiving 2nd dose of Pfizer vaccine and around late summer while out walking my dog which I have done everyday, i began to experience some shortness of breath and had to stop and let the episode settle down. A few days later, this happened again. Later around mid October I experienced again shortness of breath when i climbed the stairs of my house. I had to again let the episode settle down by sitting. This became a common occurrence almost daily either walking outside or climbing the stairs so I decided that i would reach out to my PCP to seek his advise. I met with him on 1/07/2022 and he recommended that because of my symptoms that I was experiencing to get blood work done and to schedule a CT scan. I was sceduled to have this blood draw on 1/07/2022 and had fasted the night before. I woke up around 3:30 am to go to the bathroom and found it very difficult to breath even taking a few steps from my bed. I began to sweat all over and had to stop in place to let it settle down. I took another 3 steps and it started up again. I reached out to Dr and he said to go to the ER immediately and that all the tests he had ordered for me would be done including the Ct scan They foud I had blood clots in both lungs and cluster in the right leg.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Lung opacity
Clinical narrative: Patient presented to the ER with shortness of breath for 1 week, got worse last few days with cough and change in his sense of smell and objective fever.  He came into emergency room on December 7, 2021.  His saturation was 88% on room air.  The patient was placed on oxygen.  Chest x-ray showed bilateral opacities. His O2 saturation was 88% in ER. He was given Decadron, remdesivir.  DVT prophylaxis. Procalcitonin negative.  Chest x-ray, bilateral infiltrate.  Home O2 evaluation upon discharge and COVID kit Care.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, Procalcitonin normal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER with shortness of breath for 1 week, got worse last few days with cough and change in his sense of smell and objective fever.  He came into emergency room on December 7, 2021.  His saturation was 88% on room air.  The patient was placed on oxygen.  Chest x-ray showed bilateral opacities. His O2 saturation was 88% in ER. He was given Decadron, remdesivir.  DVT prophylaxis. Procalcitonin negative.  Chest x-ray, bilateral infiltrate.  Home O2 evaluation upon discharge and COVID kit Care.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Leukopenia, Sepsis
Clinical narrative: Leukopenia, Severe sepsis. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction, vaccine was given before appropriate age. Patient was 4 years 7 months.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic enzyme increased
Clinical narrative: Elevated liver enzymes. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Audiogram abnormal, Carpal tunnel syndrome, Chills, Condition aggravated, Deafness neurosensory
Clinical narrative: The First dose, left arm pain for 3 days.   Prior to 2nd dose, premed with tylenol and claritin.  2nd dose at 11 am.  I awaken at 5 am next day,  In my deep sleep,  I had a dream telling my self to wake up now. I was startled.   I woke up and found my left leg shivering, cold, grab blankets, and put on two layer of winter pajamas. I took a tylenol SR.   I felt zombie.  I felt scared that I may not see the morning.  The brain fog x 3 weeks, and then felt better.   April ( a month later) I started to have exacerbation of all my underlying ailments.  My carpal tunnel flare up so bad that I needed a steroid injection in wrist in May.  In Mid April, I was sitting watching TV and ACUTE ONSET of RIGHT EAR loud high pitch tinnitus and pounding tinnitus.  If I open my jaw, it made it less,.  TEN months later, I still have the tinnitus.  I stopped the  Losartan, and other Amlodipine meds.    I saw the Doctor.  hearing loss at high pitch levels.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fear, Feeling abnormal, Feeling cold, Pain in extremity, Tinnitus
Clinical narrative: The First dose, left arm pain for 3 days.   Prior to 2nd dose, premed with tylenol and claritin.  2nd dose at 11 am.  I awaken at 5 am next day,  In my deep sleep,  I had a dream telling my self to wake up now. I was startled.   I woke up and found my left leg shivering, cold, grab blankets, and put on two layer of winter pajamas. I took a tylenol SR.   I felt zombie.  I felt scared that I may not see the morning.  The brain fog x 3 weeks, and then felt better.   April ( a month later) I started to have exacerbation of all my underlying ailments.  My carpal tunnel flare up so bad that I needed a steroid injection in wrist in May.  In Mid April, I was sitting watching TV and ACUTE ONSET of RIGHT EAR loud high pitch tinnitus and pounding tinnitus.  If I open my jaw, it made it less,.  TEN months later, I still have the tinnitus.  I stopped the  Losartan, and other Amlodipine meds.    I saw the Doctor.  hearing loss at high pitch levels.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tympanic membrane disorder
Clinical narrative: The First dose, left arm pain for 3 days.   Prior to 2nd dose, premed with tylenol and claritin.  2nd dose at 11 am.  I awaken at 5 am next day,  In my deep sleep,  I had a dream telling my self to wake up now. I was startled.   I woke up and found my left leg shivering, cold, grab blankets, and put on two layer of winter pajamas. I took a tylenol SR.   I felt zombie.  I felt scared that I may not see the morning.  The brain fog x 3 weeks, and then felt better.   April ( a month later) I started to have exacerbation of all my underlying ailments.  My carpal tunnel flare up so bad that I needed a steroid injection in wrist in May.  In Mid April, I was sitting watching TV and ACUTE ONSET of RIGHT EAR loud high pitch tinnitus and pounding tinnitus.  If I open my jaw, it made it less,.  TEN months later, I still have the tinnitus.  I stopped the  Losartan, and other Amlodipine meds.    I saw the Doctor.  hearing loss at high pitch levels.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Accident, Dizziness, Hypoaesthesia, Loss of consciousness
Clinical narrative: I received a call from this patients' spouse.  He got the vaccine at 5pm and left the store shortly thereafter.  While driving home, he felt faint then his body became numb all over and then he blacked out.  He woke up in a car accident. He was taken to the hospital and is OK.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Hypoaesthesia, Laboratory test normal, Nausea
Clinical narrative: I received a call from this patients' spouse.  He got the vaccine at 5pm and left the store shortly thereafter.  While driving home, he felt faint then his body became numb all over and then he blacked out.  He woke up in a car accident. He was taken to the hospital and is OK.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Road traffic accident, Syncope, Vomiting
Clinical narrative: I received a call from this patients' spouse.  He got the vaccine at 5pm and left the store shortly thereafter.  While driving home, he felt faint then his body became numb all over and then he blacked out.  He woke up in a car accident. He was taken to the hospital and is OK.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis, Acute respiratory failure, Aspiration, COVID-19, Cardiomegaly
Clinical narrative: Arrived via EMS on 2/14 unresponsive. Intubated on arrival secondary to acute hypoxic respiratory failure. Concerns for GIB due to black tarry stools. CXR representative of interstitial edema versus infection. CT chest chest significant for pneumonia or aspiration, severe emphysema cardiomegaly. COVID +. Given IVF, nexium, vanocomycin, cefepime, and 1 unit PRBCs in the ED. HR in the 180s and cardiology consulted and started amiodarone and heparin drip. No further signs of active GI bleed with H/H stable. Acidodic and given bicarb. Continued to decline and vasopressors x 2 along with increased ventilatory support. Started on flolan. Sedation was turned off and reamined unresponsive to pain. Family decided to abide by his wishes not to be on life support with comfort measures only.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Emphysema, Endotracheal intubation, Faeces discoloured
Clinical narrative: Arrived via EMS on 2/14 unresponsive. Intubated on arrival secondary to acute hypoxic respiratory failure. Concerns for GIB due to black tarry stools. CXR representative of interstitial edema versus infection. CT chest chest significant for pneumonia or aspiration, severe emphysema cardiomegaly. COVID +. Given IVF, nexium, vanocomycin, cefepime, and 1 unit PRBCs in the ED. HR in the 180s and cardiology consulted and started amiodarone and heparin drip. No further signs of active GI bleed with H/H stable. Acidodic and given bicarb. Continued to decline and vasopressors x 2 along with increased ventilatory support. Started on flolan. Sedation was turned off and reamined unresponsive to pain. Family decided to abide by his wishes not to be on life support with comfort measures only.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit, Haemoglobin, Infection, Mechanical ventilation, Melaena
Clinical narrative: Arrived via EMS on 2/14 unresponsive. Intubated on arrival secondary to acute hypoxic respiratory failure. Concerns for GIB due to black tarry stools. CXR representative of interstitial edema versus infection. CT chest chest significant for pneumonia or aspiration, severe emphysema cardiomegaly. COVID +. Given IVF, nexium, vanocomycin, cefepime, and 1 unit PRBCs in the ED. HR in the 180s and cardiology consulted and started amiodarone and heparin drip. No further signs of active GI bleed with H/H stable. Acidodic and given bicarb. Continued to decline and vasopressors x 2 along with increased ventilatory support. Started on flolan. Sedation was turned off and reamined unresponsive to pain. Family decided to abide by his wishes not to be on life support with comfort measures only.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Packed red blood cell transfusion, Pneumonia, Pulmonary oedema, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Arrived via EMS on 2/14 unresponsive. Intubated on arrival secondary to acute hypoxic respiratory failure. Concerns for GIB due to black tarry stools. CXR representative of interstitial edema versus infection. CT chest chest significant for pneumonia or aspiration, severe emphysema cardiomegaly. COVID +. Given IVF, nexium, vanocomycin, cefepime, and 1 unit PRBCs in the ED. HR in the 180s and cardiology consulted and started amiodarone and heparin drip. No further signs of active GI bleed with H/H stable. Acidodic and given bicarb. Continued to decline and vasopressors x 2 along with increased ventilatory support. Started on flolan. Sedation was turned off and reamined unresponsive to pain. Family decided to abide by his wishes not to be on life support with comfort measures only.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Disorientation, Dysarthria, Echocardiogram
Clinical narrative: On 2/12 morning I was reading and began to see blotches in my vision.  During the day, I got a slight headache on my leftside.  At one point my speech became garbled if I could be speak.  It cleared up a bit through the afternoon but later I began to experience disorientation and fatigue.  I went to the hospital on the evening of 2/12 and was told by the Dr that I suffered a stroke.  I didn't leave the hospital until 2/14 evening.  After the test, they determined I had a TIA.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Fatigue, Headache, Magnetic resonance imaging head abnormal, Transient ischaemic attack
Clinical narrative: On 2/12 morning I was reading and began to see blotches in my vision.  During the day, I got a slight headache on my leftside.  At one point my speech became garbled if I could be speak.  It cleared up a bit through the afternoon but later I began to experience disorientation and fatigue.  I went to the hospital on the evening of 2/12 and was told by the Dr that I suffered a stroke.  I didn't leave the hospital until 2/14 evening.  After the test, they determined I had a TIA.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: On 2/12 morning I was reading and began to see blotches in my vision.  During the day, I got a slight headache on my leftside.  At one point my speech became garbled if I could be speak.  It cleared up a bit through the afternoon but later I began to experience disorientation and fatigue.  I went to the hospital on the evening of 2/12 and was told by the Dr that I suffered a stroke.  I didn't leave the hospital until 2/14 evening.  After the test, they determined I had a TIA.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Device loosening, Knee arthroplasty
Clinical narrative: Loosening of prosthesis of right total knee replacement, subsequent encounter. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood 25-hydroxycholecalciferol, Blood test, Cardiac stress test, Echocardiogram, Electrocardiogram
Clinical narrative: I developed high blood pressure of 160/97 on 1/7/22 and went to immediacenter/er.  I received the booster shot on 1/5/22.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Adenocarcinoma, Cellulitis
Clinical narrative: Cellulitis and Mucinous carcinoma. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Gave client booster dose instead of 3rd dose.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccination incorrectly administered to ineligible patient based on age. No adverse effects observed.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive, Spinal compression fracture
Clinical narrative: Pt had a ground level fall and was found to have an L4 superior compression fracture.  The pt was tested for COVID on admission in case of needing operative care, and was found to be positive.