chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Tachypnoea, Troponin increased, Vomiting, White blood cell count normal
Clinical narrative: Pt presented to the ED after suffering a fall, complains of dehydration, nausea, vomiting,high heart rate, and SOB for 2 days.  Daughter whom she lives with had tested positive for COVID,  -EKG on admission showed atrial fibrillation with RVR, independently reviewed.  Troponin 34, BNP 11182.  Chest x-ray showed nonspecific patchy bibasilar interstitial and airspace opacities, independently reviewed.  CT of the abdomen and pelvis without contrast on 01/15/2022 showed no acute abnormality, calcific atherosclerotic disease, severe stenosis at the origin of the superior mesenteric artery unchanged, no evidence of bowel ischemia, diverticulosis, cholelithiasis, ...  -Lasix IV b.i.d. strict intake and output, daily weights, cardiac diet, fluid restriction. will obtain a 2D echo and consult Cardiology.  Aspirin, statin. serial troponins and EKGs.  Lipid panel, TSH, HbA1c.  Morphine and sublingual nitroglycerin as needed for chest pain.    -amiodarone drip for rate control for atrial fibrillation.  Continue with Eliquis for anticoagulation.    -white count is 9, currently afebrile, blood pressure is acceptable, sepsis focused exam performed.  Sirs criteria positive including tachycardia and tachypnea.  Appropriate IV hydration given in the emergency room.  Avoid IV hydration due to volume overload and CHF.  Blood cultures done in the emergency room.  Lactic acid 1.3.  Atrovent inhaler around the clock, Robitussin DM as needed for cough, incentive spirometry, Decadron 6 mg IV daily for 10 days.  Consult pulmonology.  Patient with severe pulmonary hypertension and recurrent admission forearm interstitial lung disease.    -COVID-19 test is positive 1/16/22.   Pt vaccinated with Moderna 3/21/21 & 4/18/21. Patient discharged 1/21/22.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through family contact.  No due for booster
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Nausea, Paraesthesia, Vomiting
Clinical narrative: She got her vaccine, she first started with headaches, nausea and then vomiting.  She then had facial numbness on Saturday.  She did take Phenergren for the nausea and did help.  She went back to bed, and when she woke up Sunday still had numbness in her face, and found that her features were symmetrical and not having a stroke.  She called the advice center and they told her if it did not resolve in a couple of days that she needed to be seen.  On Monday it started to go away and Tuesday better, but has pretty much resolved.  Has occasional numbness and tingling around her eyes and her mouth as well.   They consulted the ER doctor when she called the advice center since she didn't have a way to get in, and they told her to come in if it did not get better.    She has concerns if she has to get further vaccines if it's going to be worse or some other disease process or condition.    She does have an over-active immune system.    Did take Dupixent in the past, but quit when COVID came around.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient received COVID-19 booster vaccine dose on 1/21/2022 at 14:30 at home, due to homebound status, by local Public Health Nurses.  On 1/22/2022 spouse of patient left patient at home alone in the morning to do some routine shopping, and upon returning home that morning, found patient had passed away.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ptatient received pfizer about 1 year ago patient requested to mix vaccine and moderna was patient's choice.  Vaccinator (myself) misunderstood guidelines regarding  mixing covid vaccines and thought a different one could be given at any point in series.  Did not realize until after speaking to a coworker that a mix should only be done on patients booster dose unless they have extenuating circumstance.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Herpes zoster, Hypoaesthesia, Rash
Clinical narrative: I started noticing the numbness on a Friday, 01/14/2022.  The bumps appeared on Monday, 01/17/2022.  On 01/18/2022- I chatted with Dr. over an app. She said it sounded like I had shingles. She prescribed, Valacyclovir.  I picked  it up on 01/18/2022,  I took 3 pills a day,  for 7 days, and the last dose was 01/25/2022. My 1st time having shingles. I never had it before.  No, I have not recovered from the AE, it is not completely cleared up yet, but it's getting better.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Patient presented to clinic for rashes all over body, developed 2 days after 1st dose of Pfizer. Patient had J&J prior. No resp./CV adverse symptoms, NAD, no fever or drainage, c/o itchiness. Symptoms persists ~1wk, not getting better or worse. Did not seek PCP as no insurance. Advised patient to seek higher level of care @ urgent care &/or ER, info provided. Patient agreed with plan.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Autoimmune disorder, Balance disorder, Computerised tomogram, Condition aggravated
Clinical narrative: Auto immune fair-up (Had been in remission 15 year, self managed, no medication). Visual disturbance that five days later progressed to double vison caused by eye muscle not working right. (Diagnosis - Abducens Nerve Palsy. Confirmed by both Primary Care and Optometrist). Low energy. Balance issues. Prescribed Prognozone.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Magnetic resonance imaging, VIth nerve paralysis, Visual impairment
Clinical narrative: Auto immune fair-up (Had been in remission 15 year, self managed, no medication). Visual disturbance that five days later progressed to double vison caused by eye muscle not working right. (Diagnosis - Abducens Nerve Palsy. Confirmed by both Primary Care and Optometrist). Low energy. Balance issues. Prescribed Prognozone.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Administered additional dose of Pfizer vaccine, resident was eligible for additional dose. No negative outcomes observed (no signs or symptoms of adverse event).
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose, Cardio-respiratory arrest, Concussion, Electrocardiogram, Fall
Clinical narrative: Fainted (muscle spasm similar to seizure), concussion, abrasion and bleeding on hand and knee, swelling on hand and knee from fall. Code called along with EMS call for EMTs. Nausea, headache, grey pallor, very tired.   Follow up apptmt 1/28/22 for full check up
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Haemorrhage, Headache, Joint swelling, Muscle spasms
Clinical narrative: Fainted (muscle spasm similar to seizure), concussion, abrasion and bleeding on hand and knee, swelling on hand and knee from fall. Code called along with EMS call for EMTs. Nausea, headache, grey pallor, very tired.   Follow up apptmt 1/28/22 for full check up
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pallor, Peripheral swelling, Skin abrasion, Syncope
Clinical narrative: Fainted (muscle spasm similar to seizure), concussion, abrasion and bleeding on hand and knee, swelling on hand and knee from fall. Code called along with EMS call for EMTs. Nausea, headache, grey pallor, very tired.   Follow up apptmt 1/28/22 for full check up
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nasal congestion, Pain, SARS-CoV-2 test positive
Clinical narrative: BODY ACHES, COUGH, NC
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown. Not due for booster
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Depression, Head titubation, Heart rate irregular, Nausea
Clinical narrative: Extreme depression with suicidal thoughts, irregular heart beat, tremors in head and hands, nausea, changes in vision, and lack of energy.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Suicidal ideation, Tremor, Visual impairment
Clinical narrative: Extreme depression with suicidal thoughts, irregular heart beat, tremors in head and hands, nausea, changes in vision, and lack of energy.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient got the seconf shot on day 16 and not day 26
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Resident tested positive for covid and passed away 2 weeks later  Received Moderna Vaccine in jan and feb of 2021 and then received Moderna booster 11/15/2021
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given .5ml instead of .25ML, denies any problems since vaccine administration, patien called and informed of dosage and letter also sent to patient
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test, Dizziness, Dyspnoea, Echocardiogram
Clinical narrative: on 10/12 starting having a rapid heart beat, shortness of breath and light headed. After numerous testing and doctors was diagnosed with Atrial Fibrillation
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Heart rate increased, Laboratory test abnormal
Clinical narrative: on 10/12 starting having a rapid heart beat, shortness of breath and light headed. After numerous testing and doctors was diagnosed with Atrial Fibrillation
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal wall wound, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Patient received Pfizer COVID vaccine on 3/6/21 and 3/28/21. From 1/15/22-1/20/22, patient was admitted to another hospital for COVID pneumonia. On 1/24/22, patient is admitted to our facility (med/surg unit) with acute hypoxemic respiratory failure (suspect secondary to COVID-19 pneumonia however underlying healthcare associated pneumonia cannot be excluded due to recent past hospital admission), and open abdominal wound (suspect ileus/obstruction s/p hemicolectomy). As of today (1/26/22), patient is still admitted in our med/surg unit.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Ileus, Obstruction, Pneumonia, Post procedural complication, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 3/6/21 and 3/28/21. From 1/15/22-1/20/22, patient was admitted to another hospital for COVID pneumonia. On 1/24/22, patient is admitted to our facility (med/surg unit) with acute hypoxemic respiratory failure (suspect secondary to COVID-19 pneumonia however underlying healthcare associated pneumonia cannot be excluded due to recent past hospital admission), and open abdominal wound (suspect ileus/obstruction s/p hemicolectomy). As of today (1/26/22), patient is still admitted in our med/surg unit.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Occupational exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through work contact.  Not due booster
Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Adrenal insufficiency, Confusional state, Diarrhoea, Nausea, Vomiting
Clinical narrative: Patient was seen in the emergency department with confusion, nausea, vomiting, and diarrhea 1 day after booster. The patient was diagnosed with acute adrenal insufficiency. Endocrinology instructed the patient to triple the dose of chronic steroids for 2 days, followed by a double dose for 2 days, then back to normal, chronic dosing.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Differential white blood cell count normal, Full blood count normal, Loss of personal independence in daily activities, Rhinorrhoea
Clinical narrative: 1st dose PZR rec'd 11/12/21. Within 1-2 weeks she developed tic disorder that consisted of persistent nose sniffing. It has worsened since that time. Rec'd 2nd dose PZR 12/10/21. Tic disorder continued and she was evaluated by her PCP 1/7/22 due to it interfering with daily activities. Alerted PCP to timing of PZR vaccine and onset. He did think that they could possibly be related but other causes were evaluated. Labs ordered to check for viral or bacterial infections. Neurology consult scheduled for 5/22 and behavioral therapy consult pending scheduling. Reported to health checker, contacted by agency and they requested that it be reported through reporting system.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative, Tic
Clinical narrative: 1st dose PZR rec'd 11/12/21. Within 1-2 weeks she developed tic disorder that consisted of persistent nose sniffing. It has worsened since that time. Rec'd 2nd dose PZR 12/10/21. Tic disorder continued and she was evaluated by her PCP 1/7/22 due to it interfering with daily activities. Alerted PCP to timing of PZR vaccine and onset. He did think that they could possibly be related but other causes were evaluated. Labs ordered to check for viral or bacterial infections. Neurology consult scheduled for 5/22 and behavioral therapy consult pending scheduling. Reported to health checker, contacted by agency and they requested that it be reported through reporting system.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid positive through contact in community.  Up to date on booster
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 12 years old and received the Moderna vaccine. Shot should have been Pfizer #2 in series.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid-19 while vaccinated.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Throat irritation, Urticaria
Clinical narrative: Pt reports developing moderate throat irritation and moderate hives with moderate difficulty breathing 3 days s/p receiving  Pfizer COVID vaccine. He was seen at our clinic and was given 10-day course of Prednisone PO and he got better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: COUGH, SOB
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Echocardiogram normal, Electrocardiogram, Exercise tolerance decreased
Clinical narrative: pt stated after getting his 2nd dose of the covid vaccine he started having palpitations, he had shaking and quivering in his chest.  The shooting pain caused him to go to the ER  where they did a EKG and chest X-Ray.  They discharged him to go home where he continued to have these symptoms.  Next day he went back to the ER and they did more test.  He started having a feeling of swelling around his heart, like there was a bubble inside his chest.  He was referred to the Cardiologist where they performed a echocardiogram but could not find anything wrong.  He continues to have these symptoms so was put on betablockers.  He was very athletic before getting vaccinated and now he cannot do anything physical. He went to a second cardiologist which did nothing for him.  He now has a third cardiologist that is trying to treat him and figure out what is going on with him.  He continues to have the same pressure on his chest and quivering of his heart just like he had a few days after getting his second vaccine.  He is not able to train or run and is still in pain daily.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Palpitations, Swelling, Tremor
Clinical narrative: pt stated after getting his 2nd dose of the covid vaccine he started having palpitations, he had shaking and quivering in his chest.  The shooting pain caused him to go to the ER  where they did a EKG and chest X-Ray.  They discharged him to go home where he continued to have these symptoms.  Next day he went back to the ER and they did more test.  He started having a feeling of swelling around his heart, like there was a bubble inside his chest.  He was referred to the Cardiologist where they performed a echocardiogram but could not find anything wrong.  He continues to have these symptoms so was put on betablockers.  He was very athletic before getting vaccinated and now he cannot do anything physical. He went to a second cardiologist which did nothing for him.  He now has a third cardiologist that is trying to treat him and figure out what is going on with him.  He continues to have the same pressure on his chest and quivering of his heart just like he had a few days after getting his second vaccine.  He is not able to train or run and is still in pain daily.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pfizer for 12+ was given to 8 yo.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Fatigue, Flushing, Loss of personal independence in daily activities, Nausea
Clinical narrative: Within hours of vaccination with 2nd dose of Moderna had fever, body aches, fatigue, and nausea. Most symptoms resolved after 4 days but fatigue persisted for 2 weeks. After fully recovering he then developed daily itch/pruritus episodes. Quality: feels like skin is covered in fiberglass shards and itch is intense and uncomfortable at times // Frequency: Daily and occurs several times each day for last 2 months// Duration: each episode last only for several minutes // Location: various; can be localized to one area of body including arms/legs/torso/hands/feet or can be diffuse // Associated features: no hives or visible rash. on a single occasion his face was flushed. // Triggers: none // Alleviating factors: none // Impact: Intense episodes have caused him to pull off the road while driving or leave a supermarket due to intensity of discomfort.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Within hours of vaccination with 2nd dose of Moderna had fever, body aches, fatigue, and nausea. Most symptoms resolved after 4 days but fatigue persisted for 2 weeks. After fully recovering he then developed daily itch/pruritus episodes. Quality: feels like skin is covered in fiberglass shards and itch is intense and uncomfortable at times // Frequency: Daily and occurs several times each day for last 2 months// Duration: each episode last only for several minutes // Location: various; can be localized to one area of body including arms/legs/torso/hands/feet or can be diffuse // Associated features: no hives or visible rash. on a single occasion his face was flushed. // Triggers: none // Alleviating factors: none // Impact: Intense episodes have caused him to pull off the road while driving or leave a supermarket due to intensity of discomfort.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Feeling abnormal, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I WAS VERY CONGESTED & HAD A BAD COUGH I FELT REALLY BAD I WAITED A DAY OR SO & I CALLED MY DR & HAD A VIRTUAL APPT & PER MY SYMPTOMS I WAS REFERRED TO GO GET A COVID TEST & IT CAME BACK POSITIVE.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Varicella
Clinical narrative: I developed chicken pox two months after the second shot.  I was not exposed to chicken pox at all.  When I went to my doctor to get treatment for the chicken pox, they said that many of their patients had developed chicken pox or shingles after getting the covid-19 vaccine and that was possible in my case as well.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Culture urine positive, Dementia, Escherichia infection, Escherichia test positive
Clinical narrative: Patient received Moderna COVID vaccine on 2/9/21 (lot # 013M20A), 3/9/21 (lot # 025A21A), and 11/10/21 (lot # 014F21A). On 1/21/22, patient admitted to our inpatient facility for acute metabolic encephalopathy with underlying dementia and UTI. She was also COVID positive upon admission. As of today (1/26/22), patient is still admitted in the med/surg unit. Urine cultures showed MDR E.Coli (likely contributed to her encephalopathy), and she's having mild COVID infection without hypoxia during this admission so far.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Multiple-drug resistance, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient received Moderna COVID vaccine on 2/9/21 (lot # 013M20A), 3/9/21 (lot # 025A21A), and 11/10/21 (lot # 014F21A). On 1/21/22, patient admitted to our inpatient facility for acute metabolic encephalopathy with underlying dementia and UTI. She was also COVID positive upon admission. As of today (1/26/22), patient is still admitted in the med/surg unit. Urine cultures showed MDR E.Coli (likely contributed to her encephalopathy), and she's having mild COVID infection without hypoxia during this admission so far.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Postmenopausal haemorrhage
Clinical narrative: I have been in menopause for more than 4 years. I had a period the day after I took the 3rd dose. I experienced cramps as well. I thought it was very bizarre. I saw my gynecologist. I am also scheduled for an ultrasound. I am currently experiencing some cramping.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 93.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Nausea, Vomiting
Clinical narrative: I woke up the next morning experiencing dizziness, nausea and vomitting causing me to not be able to do any of my normal activities. Every time I moved, I would get sick. I stayed in bed and tried to rest the rest of the day. The next day I woke up feeling better so I didn't call my PCP yet. I worked for 3 days that week and at the end of the 3rd day I started feeling sick and nauseous, and throwing up at work. I messaged my NP and she ordered me nausea medicine (Zofran) and I remained sick for 3 days and then resolved.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event, only the vaccine was given one month after the 2nd dose of Pfizer. There were no symptoms, signs noted.  The patient waited 15 minutes after the booster.  Another staff checked the timing of the vaccine, and paperwork was forwarded to me,  I then gave the  #3 Booster, not knowing it was too soon.  We were having an Employee Vaccination Event.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 5th dose inadvertently administered too early
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Blood test abnormal, Cardiolipin antibody positive, Complement factor C3 decreased, Complement factor C4 decreased
Clinical narrative: Patient had no symptoms.  Evaluation of the patient for possible organ donation in July, 2021 showed blood test result consistent with systemic lupus erythematosis.  The patient has had no symptoms or signs of disease.  In August, 2021, a Rheumatology consultant prescribed prophylactic treatment with hydroxychloroquine, which is ongoing.  Causative effect of the vaccine in possible, not probable.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Double stranded DNA antibody, Histone antibody positive, Immune complex assay, Laboratory test normal, Systemic lupus erythematosus
Clinical narrative: Patient had no symptoms.  Evaluation of the patient for possible organ donation in July, 2021 showed blood test result consistent with systemic lupus erythematosis.  The patient has had no symptoms or signs of disease.  In August, 2021, a Rheumatology consultant prescribed prophylactic treatment with hydroxychloroquine, which is ongoing.  Causative effect of the vaccine in possible, not probable.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Malaise, Migraine, Pain
Clinical narrative: After the shot I got all the expected side effects, malaise achy, fatigue, which lasted 3 days. Then as soon as they went away, I developed a migraine that lasted the better part of 6 weeks. This was distinctly different from my baseline migraines that were well controlled at the time of my vaccine, which includes location intensity and frequency.  Shortly after migraines resolved I was diagnosed with a sensory neuropathy.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral sensory neuropathy
Clinical narrative: After the shot I got all the expected side effects, malaise achy, fatigue, which lasted 3 days. Then as soon as they went away, I developed a migraine that lasted the better part of 6 weeks. This was distinctly different from my baseline migraines that were well controlled at the time of my vaccine, which includes location intensity and frequency.  Shortly after migraines resolved I was diagnosed with a sensory neuropathy.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Started feeling extremely dizzy, probable vertigo. Was severe for a few days, then subsided a little but she still feels it.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: I noticed around the injection site it was red, hot to the touch, and itchy. I put some anti-itch cream on it. Then I noticed a red, round, baseball sized bumb on the front of my left arm not near the inject site. It stayed there for 4 days then it started to go down after 7 days. I just took some anti-itch medicine, but it didn't help. It eventually went away after about 10 days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Idiopathic urticaria, Mechanical urticaria
Clinical narrative: dermatographia and idiopathic urticaria developed about  3 weeks after Moderna booster. Taking one Zyrtec /day to control symptoms. Advised to up dosage to 4/day if necessary. Will be getting bloodwork. Will see allergist again if symptoms persist after another two weeks.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 0.17
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Blood culture, Body temperature increased, Bradycardia, Full blood count, Lethargy
Clinical narrative: Had to be placed back on oxygen at 0500. HFNC 2Lpm for continued desats. Was on RA since 1/22. Multiple bradycardia episodes. Lethargy. Temp 100.4. Started to nipple poorly.
Age: 0.17
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Oxygen saturation decreased, Poor feeding infant
Clinical narrative: Had to be placed back on oxygen at 0500. HFNC 2Lpm for continued desats. Was on RA since 1/22. Multiple bradycardia episodes. Lethargy. Temp 100.4. Started to nipple poorly.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear pain, Respiratory tract congestion, SARS-CoV-2 RNA
Clinical narrative: CHEST CONGESTION, COUGH, SCRATCHY THROAT, EAR PAIN
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: CHEST CONGESTION, COUGH, SCRATCHY THROAT, EAR PAIN
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms on 11/17/21
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: COUGH, HA, ST
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid positive through work contact. Not due for booster
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Haematuria, Hypertension, IgA nephropathy, Protein urine
Clinical narrative: gross hematuria, protein in urine, high blood pressure, IgA nephropathy, acute kidney damage
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Renal disorder, Urine analysis
Clinical narrative: gross hematuria, protein in urine, high blood pressure, IgA nephropathy, acute kidney damage
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arterial revascularisation, Carotid artery stent insertion, Cerebral artery occlusion, Cerebrovascular accident
Clinical narrative: Right MCA stroke, change in mental status
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Mental status changes, Thrombectomy, Thrombotic cerebral infarction
Clinical narrative: Right MCA stroke, change in mental status
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, COVID-19, Catheterisation cardiac abnormal, Chest X-ray abnormal, Chest pain
Clinical narrative: Patient presented to the ED on 1/16/22 with chest pain - EKG showed a STEMI, patient emergently taken to the cath lab with 2 stents placed.  Patient tested positive for COVID 1/16/22 XR Chest 1V [Auth (Verified)] (01/16 1517): FINAL IMPRESSION: Diffuse prominence of the interstitial markings.  Pt vaccinated with Moderna 2/6/21 & 3/6/21.  Pt discharged 1/22/22
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Interstitial lung disease, SARS-CoV-2 test positive, Stent placement
Clinical narrative: Patient presented to the ED on 1/16/22 with chest pain - EKG showed a STEMI, patient emergently taken to the cath lab with 2 stents placed.  Patient tested positive for COVID 1/16/22 XR Chest 1V [Auth (Verified)] (01/16 1517): FINAL IMPRESSION: Diffuse prominence of the interstitial markings.  Pt vaccinated with Moderna 2/6/21 & 3/6/21.  Pt discharged 1/22/22
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Pain, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: ST, BODY ACHES
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Decreased appetite, Migraine, Muscular weakness, Nausea
Clinical narrative: Throat closing up, nausea, vomiting, anxiety, loss of appetite, migraines, body ache, muscle weakness,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Throat tightness, Vomiting
Clinical narrative: Throat closing up, nausea, vomiting, anxiety, loss of appetite, migraines, body ache, muscle weakness,
Age: 44.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through household contact.  Not due for booster
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administered first dose at age 17 years and 7 months.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dysstasia, Gait disturbance, Headache
Clinical narrative: About 15 hours after receiving the vaccine I woke up to having chills, uncontrollable shaking, fever, headache, muscle and joint pain that was so severe I could hardly walk or stand.  I then started to vomit every 15 minutes for the next two days and could not stop.  I called my doctors office and was told to call 911 immediately and go to the emergency room.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Myalgia, Pyrexia, Tremor, Vomiting
Clinical narrative: About 15 hours after receiving the vaccine I woke up to having chills, uncontrollable shaking, fever, headache, muscle and joint pain that was so severe I could hardly walk or stand.  I then started to vomit every 15 minutes for the next two days and could not stop.  I called my doctors office and was told to call 911 immediately and go to the emergency room.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test negative
Clinical narrative: Not able to smell nor taste since December 7, 2021
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Incorrect dose administered
Clinical narrative: A vial of Pfizer covid vaccine was drawn up incorrectly by mistake by one of the nurses in our practice, RN. In turn, this patient was mistakenly given the incorrect dose of the Pfizer covid vaccine by RN. Patient was administered 0.25ml instead of appropriate 0.3ml dose. After discussing this with the manufacturer, gave patient repeat full dose as soon as possible, as recommended. Patient was notified of error and agreed to receiving additional full dose, given on 1/25/21 at 4:54pm.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Blindness, Eye pain, Headache, Ocular hyperaemia, Photophobia
Clinical narrative: Significant uveitis in the right eye--redness of eye, vision loss, sensitivity to light, eye pain, headache.  Diagnosed on 1/24/22 after intense pain in right eye.  Treated with steroid eye drops.  I remain in treatment.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Uveitis
Clinical narrative: Significant uveitis in the right eye--redness of eye, vision loss, sensitivity to light, eye pain, headache.  Diagnosed on 1/24/22 after intense pain in right eye.  Treated with steroid eye drops.  I remain in treatment.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Ocular hyperaemia
Clinical narrative: Pt administered Pfizer 3 dose primary series and Moderna Booster.  Pt developed itching and redness in the eyes.  Pt carries her own benadryl and Epi.  Pt took benadryl 25mg PO @10:04 Vitals: 148/69, 70, 20, 100% @10:22 pt is feeling much better w/ ice packs applied to eye area.  @10:30 pt contacted husband to meet her at observation area prior to release from vaccination site @10:35 Pt stable and released from the vaccination site accompanied by husband.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Paranasal sinus discomfort, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: SINUS PRESSURE, PND, ST, BODY ACHES
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms on 11/17/2021.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Onset of symptoms on 11/17/2021.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Occupational exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through work contact. Up to date on booster
Age: 63.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Loss of personal independence in daily activities, Mobility decreased, Pain in extremity
Clinical narrative: Her arm was sore starting the night of the injections.  She woke up and said her arm was extremely sore and she could barely move it.  She states that she has difficulty moving it or getting dressed
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Body temperature increased, Decreased appetite, Feeling cold, Feeling of body temperature change
Clinical narrative: At 730pm day of vaccine, I was cold (when I'm usually very hot due to menopause).  Did not sleep well that night.  In the morning and for the next 36 hours, my temp was between 102-103, even with acetaminophen and ibuprofen.  I was nauseous, unbalanced and little appetite.  Varying hot and cold.  Couldn't read, or watch TV,.  Very flu like.  Felt better after 36 hours, but not 100% until after 72 hours.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Nausea, Sleep disorder, Visual impairment
Clinical narrative: At 730pm day of vaccine, I was cold (when I'm usually very hot due to menopause).  Did not sleep well that night.  In the morning and for the next 36 hours, my temp was between 102-103, even with acetaminophen and ibuprofen.  I was nauseous, unbalanced and little appetite.  Varying hot and cold.  Couldn't read, or watch TV,.  Very flu like.  Felt better after 36 hours, but not 100% until after 72 hours.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Carotid artery dissection, Cerebrovascular accident, Imaging procedure
Clinical narrative: stroke caused by dissection in her neck
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 11/28/2021.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through household contact. Not due for booster
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, COVID-19 pneumonia, Dyspnoea, Hepatic steatosis
Clinical narrative: 49 Y  male with history of of gastric bypass surgery, severe obesity (BMI 48), CHF (EF "within normal limits" during rest and exercise at 11/2019 VMC Stress echo), MDD, Gout, OSA, Osteoarthritis, who presented with dyspnea, found to have COVID PNA.    Hypoxic on road test in ED on initial presentation.  CTA chest negative for PE.  Improved with 3 days of steroids and remdesivir.  Passed road test on 1/6/22 without further hypoxia.  Stable for DC.    Had mildly elevated transaminases in setting of known fatty liver disease. Asymptomatic from this standpoint.  Further elevated likely 2/2 active COVID and possibly from remdesivir use.    Will have repeat LFTs in ~ 2 weeks after de-isolation   Completes 20 day isolation on 1/20/22, can de-isolate starting 1/21/22.    Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  CORONAVIRUS COVID-19 DISEASE
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Liver function test abnormal, Oxygen saturation decreased, SARS-CoV-2 test positive, Transaminases increased
Clinical narrative: 49 Y  male with history of of gastric bypass surgery, severe obesity (BMI 48), CHF (EF "within normal limits" during rest and exercise at 11/2019 VMC Stress echo), MDD, Gout, OSA, Osteoarthritis, who presented with dyspnea, found to have COVID PNA.    Hypoxic on road test in ED on initial presentation.  CTA chest negative for PE.  Improved with 3 days of steroids and remdesivir.  Passed road test on 1/6/22 without further hypoxia.  Stable for DC.    Had mildly elevated transaminases in setting of known fatty liver disease. Asymptomatic from this standpoint.  Further elevated likely 2/2 active COVID and possibly from remdesivir use.    Will have repeat LFTs in ~ 2 weeks after de-isolation   Completes 20 day isolation on 1/20/22, can de-isolate starting 1/21/22.    Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  CORONAVIRUS COVID-19 DISEASE
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bicarbonate normal, Blood chloride normal
Clinical narrative: Patient came to the emergency room with COVID-19 and progressive shortness of breath.  He states that he started to have difficulty breathing approximately 1-1/2 hours prior to coming to the ER.  He states is worse when he exerts himself or attempts lie flat.  He has had COVID for the last 12 days has been doing relatively well until today.  Patient had no respiratory symptoms of breathing difficulty and till this evening.  He does not use oxygen at home and he is on an inhaler only if he needs it.  Patient has not been on steroids.  In the emergency room his O2 sat was 76% on arrival.  His pH is 7.3, pCO2 50, PaO2 340 and bicarb 28 after being placed on BiPAP.  WBCs are 7.2, hemoglobin 14, hematocrit 49, platelets 290.  MCV is 88.  Sodium 139, potassium 4.4, chloride 103, bicarb 28, glucose 128, BUN 19 and CREAT 1.09.  Alkaline phosphatase is 152, AST 52 and ALT 61.  Lactic acid is 1.1.  A chest x-ray has not been resulted yet.  Patient has had COVID vaccines and booster    In the emergency room he was given 40 mg of IV Lasix and started on a nitro drip.  He was also placed on BiPAP   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints   Patient discharged 1/22/22.  Pt previously vaccinated 3/3/21 & 3/31/21 with Moderna.  Pt tested Positive for COVID 19 on 1/5/22.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood pH decreased, Blood potassium normal
Clinical narrative: Patient came to the emergency room with COVID-19 and progressive shortness of breath.  He states that he started to have difficulty breathing approximately 1-1/2 hours prior to coming to the ER.  He states is worse when he exerts himself or attempts lie flat.  He has had COVID for the last 12 days has been doing relatively well until today.  Patient had no respiratory symptoms of breathing difficulty and till this evening.  He does not use oxygen at home and he is on an inhaler only if he needs it.  Patient has not been on steroids.  In the emergency room his O2 sat was 76% on arrival.  His pH is 7.3, pCO2 50, PaO2 340 and bicarb 28 after being placed on BiPAP.  WBCs are 7.2, hemoglobin 14, hematocrit 49, platelets 290.  MCV is 88.  Sodium 139, potassium 4.4, chloride 103, bicarb 28, glucose 128, BUN 19 and CREAT 1.09.  Alkaline phosphatase is 152, AST 52 and ALT 61.  Lactic acid is 1.1.  A chest x-ray has not been resulted yet.  Patient has had COVID vaccines and booster    In the emergency room he was given 40 mg of IV Lasix and started on a nitro drip.  He was also placed on BiPAP   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints   Patient discharged 1/22/22.  Pt previously vaccinated 3/3/21 & 3/31/21 with Moderna.  Pt tested Positive for COVID 19 on 1/5/22.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood sodium normal, Blood urea normal, COVID-19, Chest X-ray, Dyspnoea
Clinical narrative: Patient came to the emergency room with COVID-19 and progressive shortness of breath.  He states that he started to have difficulty breathing approximately 1-1/2 hours prior to coming to the ER.  He states is worse when he exerts himself or attempts lie flat.  He has had COVID for the last 12 days has been doing relatively well until today.  Patient had no respiratory symptoms of breathing difficulty and till this evening.  He does not use oxygen at home and he is on an inhaler only if he needs it.  Patient has not been on steroids.  In the emergency room his O2 sat was 76% on arrival.  His pH is 7.3, pCO2 50, PaO2 340 and bicarb 28 after being placed on BiPAP.  WBCs are 7.2, hemoglobin 14, hematocrit 49, platelets 290.  MCV is 88.  Sodium 139, potassium 4.4, chloride 103, bicarb 28, glucose 128, BUN 19 and CREAT 1.09.  Alkaline phosphatase is 152, AST 52 and ALT 61.  Lactic acid is 1.1.  A chest x-ray has not been resulted yet.  Patient has had COVID vaccines and booster    In the emergency room he was given 40 mg of IV Lasix and started on a nitro drip.  He was also placed on BiPAP   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints   Patient discharged 1/22/22.  Pt previously vaccinated 3/3/21 & 3/31/21 with Moderna.  Pt tested Positive for COVID 19 on 1/5/22.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea at rest, Dyspnoea exertional, Haematocrit normal, Haemoglobin normal, Mean cell volume normal
Clinical narrative: Patient came to the emergency room with COVID-19 and progressive shortness of breath.  He states that he started to have difficulty breathing approximately 1-1/2 hours prior to coming to the ER.  He states is worse when he exerts himself or attempts lie flat.  He has had COVID for the last 12 days has been doing relatively well until today.  Patient had no respiratory symptoms of breathing difficulty and till this evening.  He does not use oxygen at home and he is on an inhaler only if he needs it.  Patient has not been on steroids.  In the emergency room his O2 sat was 76% on arrival.  His pH is 7.3, pCO2 50, PaO2 340 and bicarb 28 after being placed on BiPAP.  WBCs are 7.2, hemoglobin 14, hematocrit 49, platelets 290.  MCV is 88.  Sodium 139, potassium 4.4, chloride 103, bicarb 28, glucose 128, BUN 19 and CREAT 1.09.  Alkaline phosphatase is 152, AST 52 and ALT 61.  Lactic acid is 1.1.  A chest x-ray has not been resulted yet.  Patient has had COVID vaccines and booster    In the emergency room he was given 40 mg of IV Lasix and started on a nitro drip.  He was also placed on BiPAP   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints   Patient discharged 1/22/22.  Pt previously vaccinated 3/3/21 & 3/31/21 with Moderna.  Pt tested Positive for COVID 19 on 1/5/22.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: PCO2 increased, PO2 increased, Platelet count normal, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient came to the emergency room with COVID-19 and progressive shortness of breath.  He states that he started to have difficulty breathing approximately 1-1/2 hours prior to coming to the ER.  He states is worse when he exerts himself or attempts lie flat.  He has had COVID for the last 12 days has been doing relatively well until today.  Patient had no respiratory symptoms of breathing difficulty and till this evening.  He does not use oxygen at home and he is on an inhaler only if he needs it.  Patient has not been on steroids.  In the emergency room his O2 sat was 76% on arrival.  His pH is 7.3, pCO2 50, PaO2 340 and bicarb 28 after being placed on BiPAP.  WBCs are 7.2, hemoglobin 14, hematocrit 49, platelets 290.  MCV is 88.  Sodium 139, potassium 4.4, chloride 103, bicarb 28, glucose 128, BUN 19 and CREAT 1.09.  Alkaline phosphatase is 152, AST 52 and ALT 61.  Lactic acid is 1.1.  A chest x-ray has not been resulted yet.  Patient has had COVID vaccines and booster    In the emergency room he was given 40 mg of IV Lasix and started on a nitro drip.  He was also placed on BiPAP   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints   Patient discharged 1/22/22.  Pt previously vaccinated 3/3/21 & 3/31/21 with Moderna.  Pt tested Positive for COVID 19 on 1/5/22.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Patient came to the emergency room with COVID-19 and progressive shortness of breath.  He states that he started to have difficulty breathing approximately 1-1/2 hours prior to coming to the ER.  He states is worse when he exerts himself or attempts lie flat.  He has had COVID for the last 12 days has been doing relatively well until today.  Patient had no respiratory symptoms of breathing difficulty and till this evening.  He does not use oxygen at home and he is on an inhaler only if he needs it.  Patient has not been on steroids.  In the emergency room his O2 sat was 76% on arrival.  His pH is 7.3, pCO2 50, PaO2 340 and bicarb 28 after being placed on BiPAP.  WBCs are 7.2, hemoglobin 14, hematocrit 49, platelets 290.  MCV is 88.  Sodium 139, potassium 4.4, chloride 103, bicarb 28, glucose 128, BUN 19 and CREAT 1.09.  Alkaline phosphatase is 152, AST 52 and ALT 61.  Lactic acid is 1.1.  A chest x-ray has not been resulted yet.  Patient has had COVID vaccines and booster    In the emergency room he was given 40 mg of IV Lasix and started on a nitro drip.  He was also placed on BiPAP   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints   Patient discharged 1/22/22.  Pt previously vaccinated 3/3/21 & 3/31/21 with Moderna.  Pt tested Positive for COVID 19 on 1/5/22.