chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interstitial lung disease, Lung infiltration, Malaise, Mitral valve stenosis, Multiple sclerosis
Clinical narrative: Hospitalized (12.25.21); COVID positive (12.25.21); fully vaccinated  Admission Date: 12/25/2021 Discharge Date: 12/29/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Pneumonia of both lungs due to infectious organism, unspecified part of lung Congestive heart failure, unspecified HF chronicity, unspecified heart failure type (HCC) COVID-19 virus infection  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 64 y.o. female, PMH of Afib on coumadin, Ashtma, COPD, Severe MS, CAD, CVA, DM-2, Moya moya disease, Pharyngeal dysphagia who presented to a local hospital with SOB. Patient  received her Moderna COVID-19 immunizations in March- April of this year.  Onset of symptoms 4 days ago of upper respiratory infection type with nasal congestion, a sore throat, initially a nonproductive cough that is become more productive over the past day.  She has had increasing shortness of breath with the cough with generalized weakness with fevers, chills, malaise myalgias.   On arrival she was hypoxic. CXR noted patchy infiltrates greater on the left consistent with COVID pneumonia.  There is increased interstitial markings consistent with the elevated BNP in congestive heart failure. Procal mildly elevated at 0.27. CRP at 186.6. Patient has h/o CVA with pharyngeal dysphagia. Concern for superimposed bacterial infection. Started on ABx in addition to decadron. Admitted for further care. Patient required 3 L of oxygen to keep her sats above 90%.  Unasyn was continued for possible aspiration pneumonia given her pharyngeal dysphagia.  HCF was consulted and evaluated for swallow dysfunction.  Patient was continued on dexamethasone and remdesivir.  Patient had improvement in her symptoms.  However she was unable to be weaned off of supplemental oxygen.  She was evaluated by respiratory therapy and was found to require 2 L of oxygen to keep her sats above 90% both at rest and on ambulation.  Patient agreed to go home on supplemental oxygen until she could be weaned of a new feature.  Patient was evaluated by PT OT and was recommended home with home health.  She was discharged home in stable condition on supplemental oxygen.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nasal congestion, Oropharyngeal pain, Pneumonia, Procalcitonin increased
Clinical narrative: Hospitalized (12.25.21); COVID positive (12.25.21); fully vaccinated  Admission Date: 12/25/2021 Discharge Date: 12/29/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Pneumonia of both lungs due to infectious organism, unspecified part of lung Congestive heart failure, unspecified HF chronicity, unspecified heart failure type (HCC) COVID-19 virus infection  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 64 y.o. female, PMH of Afib on coumadin, Ashtma, COPD, Severe MS, CAD, CVA, DM-2, Moya moya disease, Pharyngeal dysphagia who presented to a local hospital with SOB. Patient  received her Moderna COVID-19 immunizations in March- April of this year.  Onset of symptoms 4 days ago of upper respiratory infection type with nasal congestion, a sore throat, initially a nonproductive cough that is become more productive over the past day.  She has had increasing shortness of breath with the cough with generalized weakness with fevers, chills, malaise myalgias.   On arrival she was hypoxic. CXR noted patchy infiltrates greater on the left consistent with COVID pneumonia.  There is increased interstitial markings consistent with the elevated BNP in congestive heart failure. Procal mildly elevated at 0.27. CRP at 186.6. Patient has h/o CVA with pharyngeal dysphagia. Concern for superimposed bacterial infection. Started on ABx in addition to decadron. Admitted for further care. Patient required 3 L of oxygen to keep her sats above 90%.  Unasyn was continued for possible aspiration pneumonia given her pharyngeal dysphagia.  HCF was consulted and evaluated for swallow dysfunction.  Patient was continued on dexamethasone and remdesivir.  Patient had improvement in her symptoms.  However she was unable to be weaned off of supplemental oxygen.  She was evaluated by respiratory therapy and was found to require 2 L of oxygen to keep her sats above 90% both at rest and on ambulation.  Patient agreed to go home on supplemental oxygen until she could be weaned of a new feature.  Patient was evaluated by PT OT and was recommended home with home health.  She was discharged home in stable condition on supplemental oxygen.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Swallow study, Upper respiratory tract infection
Clinical narrative: Hospitalized (12.25.21); COVID positive (12.25.21); fully vaccinated  Admission Date: 12/25/2021 Discharge Date: 12/29/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Pneumonia of both lungs due to infectious organism, unspecified part of lung Congestive heart failure, unspecified HF chronicity, unspecified heart failure type (HCC) COVID-19 virus infection  Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 64 y.o. female, PMH of Afib on coumadin, Ashtma, COPD, Severe MS, CAD, CVA, DM-2, Moya moya disease, Pharyngeal dysphagia who presented to a local hospital with SOB. Patient  received her Moderna COVID-19 immunizations in March- April of this year.  Onset of symptoms 4 days ago of upper respiratory infection type with nasal congestion, a sore throat, initially a nonproductive cough that is become more productive over the past day.  She has had increasing shortness of breath with the cough with generalized weakness with fevers, chills, malaise myalgias.   On arrival she was hypoxic. CXR noted patchy infiltrates greater on the left consistent with COVID pneumonia.  There is increased interstitial markings consistent with the elevated BNP in congestive heart failure. Procal mildly elevated at 0.27. CRP at 186.6. Patient has h/o CVA with pharyngeal dysphagia. Concern for superimposed bacterial infection. Started on ABx in addition to decadron. Admitted for further care. Patient required 3 L of oxygen to keep her sats above 90%.  Unasyn was continued for possible aspiration pneumonia given her pharyngeal dysphagia.  HCF was consulted and evaluated for swallow dysfunction.  Patient was continued on dexamethasone and remdesivir.  Patient had improvement in her symptoms.  However she was unable to be weaned off of supplemental oxygen.  She was evaluated by respiratory therapy and was found to require 2 L of oxygen to keep her sats above 90% both at rest and on ambulation.  Patient agreed to go home on supplemental oxygen until she could be weaned of a new feature.  Patient was evaluated by PT OT and was recommended home with home health.  She was discharged home in stable condition on supplemental oxygen.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthritis reactive, Asthenia, Confusional state, Dysstasia, Fatigue
Clinical narrative: Within a month of receiving the second dose I had two menstrual cycles, which has never happened in my life. Exactly one month after the second dose my symptoms began and included: reactive arthritis that was so debilitating I could not walk or stand. Vertigo that was so debilitating I could not work or drive. Confusion, memory problems, and trouble thinking also prevented me from working for 3 months. I also experienced extreme fatigue, which has continued for these past 7 months. The reactive arthritis, neuropathy, and muscle pain has slowly improved, but I am still receiving physical therapy and vestibular therapy for the vertigo. I was in the ER, and have visited at least 5 different doctors including a neurologist. The neurologist ordered an MRI of my brain. None of these doctors have found any evidence of COVID infection (both of my COVID tests were negative on July 4 2021 when I visited an urgent care center) and none of them have provided any answers for my health problems. Dr. has determined it was an adverse reaction to the COVID-19 vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Impaired driving ability, Impaired work ability, Magnetic resonance imaging head, Memory impairment
Clinical narrative: Within a month of receiving the second dose I had two menstrual cycles, which has never happened in my life. Exactly one month after the second dose my symptoms began and included: reactive arthritis that was so debilitating I could not walk or stand. Vertigo that was so debilitating I could not work or drive. Confusion, memory problems, and trouble thinking also prevented me from working for 3 months. I also experienced extreme fatigue, which has continued for these past 7 months. The reactive arthritis, neuropathy, and muscle pain has slowly improved, but I am still receiving physical therapy and vestibular therapy for the vertigo. I was in the ER, and have visited at least 5 different doctors including a neurologist. The neurologist ordered an MRI of my brain. None of these doctors have found any evidence of COVID infection (both of my COVID tests were negative on July 4 2021 when I visited an urgent care center) and none of them have provided any answers for my health problems. Dr. has determined it was an adverse reaction to the COVID-19 vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Mental impairment, Myalgia, Neuropathy peripheral, SARS-CoV-2 test negative
Clinical narrative: Within a month of receiving the second dose I had two menstrual cycles, which has never happened in my life. Exactly one month after the second dose my symptoms began and included: reactive arthritis that was so debilitating I could not walk or stand. Vertigo that was so debilitating I could not work or drive. Confusion, memory problems, and trouble thinking also prevented me from working for 3 months. I also experienced extreme fatigue, which has continued for these past 7 months. The reactive arthritis, neuropathy, and muscle pain has slowly improved, but I am still receiving physical therapy and vestibular therapy for the vertigo. I was in the ER, and have visited at least 5 different doctors including a neurologist. The neurologist ordered an MRI of my brain. None of these doctors have found any evidence of COVID infection (both of my COVID tests were negative on July 4 2021 when I visited an urgent care center) and none of them have provided any answers for my health problems. Dr. has determined it was an adverse reaction to the COVID-19 vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication, Vertigo
Clinical narrative: Within a month of receiving the second dose I had two menstrual cycles, which has never happened in my life. Exactly one month after the second dose my symptoms began and included: reactive arthritis that was so debilitating I could not walk or stand. Vertigo that was so debilitating I could not work or drive. Confusion, memory problems, and trouble thinking also prevented me from working for 3 months. I also experienced extreme fatigue, which has continued for these past 7 months. The reactive arthritis, neuropathy, and muscle pain has slowly improved, but I am still receiving physical therapy and vestibular therapy for the vertigo. I was in the ER, and have visited at least 5 different doctors including a neurologist. The neurologist ordered an MRI of my brain. None of these doctors have found any evidence of COVID infection (both of my COVID tests were negative on July 4 2021 when I visited an urgent care center) and none of them have provided any answers for my health problems. Dr. has determined it was an adverse reaction to the COVID-19 vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received the Moderna Booster 6 days early.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache, Malaise, Pain
Clinical narrative: Headache, pains, shivers, hot then cold, general feeling of malaise.Cannot get warm. Took Tylenol and it had minimal effect.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Severe right arm pain, limited range of motion
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Client did not disclose that she received a Janssen vaccine on 3/20/2021 prior to vaccination.  This dose Pfizer dose was given as a 2nd dose.  After discussing with client, she clearly did not understand the guidance for booster doses.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Bundle branch block right, Chest pain, Electrocardiogram, Laboratory test, Troponin
Clinical narrative: PATIENT DEVELOPED SHARP CHEST PAIN ON THE RIGHT SIDE WITHIN 15 MINUTES OF RECEIVING BOOSTER.  NO SHORTNESS OF BREATH.  PATIENT TRANSFERRED TO THE ED
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Chest X-ray normal, Chills, Condition aggravated
Clinical narrative: On 12/26/2021 I had a headache behind my right eye. My nose felt stuffed up intermittently. I got tested on 12/27/2021 in the morning and it was positive for covid. I had a stuffy nose, chills, and headache. Later in the evening when I breathed in deeply it felt like razor blades were cutting the inside of my lungs, but short breaths didn't hurt as much. 12/28/2021 I had chills, cough, headache, and stuffy nose. 12/29/2021 I had a rapid heartbeat so I went to the hospital. The doctor said I was normal and fine. On new years eve I had a rapid heartbeat again. It lasted for a little while then it stopped. It happened on and off for a few days. I have had chills throughout this time. The last couple of days I've been sneezing, light coughing, mild headache, and chills.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Electrocardiogram normal, Headache, Heart rate increased, Nasal congestion
Clinical narrative: On 12/26/2021 I had a headache behind my right eye. My nose felt stuffed up intermittently. I got tested on 12/27/2021 in the morning and it was positive for covid. I had a stuffy nose, chills, and headache. Later in the evening when I breathed in deeply it felt like razor blades were cutting the inside of my lungs, but short breaths didn't hurt as much. 12/28/2021 I had chills, cough, headache, and stuffy nose. 12/29/2021 I had a rapid heartbeat so I went to the hospital. The doctor said I was normal and fine. On new years eve I had a rapid heartbeat again. It lasted for a little while then it stopped. It happened on and off for a few days. I have had chills throughout this time. The last couple of days I've been sneezing, light coughing, mild headache, and chills.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration, Pulmonary pain, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On 12/26/2021 I had a headache behind my right eye. My nose felt stuffed up intermittently. I got tested on 12/27/2021 in the morning and it was positive for covid. I had a stuffy nose, chills, and headache. Later in the evening when I breathed in deeply it felt like razor blades were cutting the inside of my lungs, but short breaths didn't hurt as much. 12/28/2021 I had chills, cough, headache, and stuffy nose. 12/29/2021 I had a rapid heartbeat so I went to the hospital. The doctor said I was normal and fine. On new years eve I had a rapid heartbeat again. It lasted for a little while then it stopped. It happened on and off for a few days. I have had chills throughout this time. The last couple of days I've been sneezing, light coughing, mild headache, and chills.
Age: 11.0
Sex: M
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: THERE WAS A  TEMPERTURE  EXCURSION A FEW WEEKS PRIOR TO GIVING VACCINE
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Expired product administered, SARS-CoV-2 test positive
Clinical narrative: Patient was erroneously administered an expired dose of J & J (Janssen) vaccine on 12/1/21. Vaccine had expired on 9/30/21. Once this event was detected, Janssen was immediately contacted and given case # 02779710. Their recommendation was to revaccinate the patient in 6 weeks and inform them they would most likely not receive the full dose benefit from this 12/1/21 vaccination. Patient did test positive for Covid 19 on 12/29/21.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Lethargy, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Evening of 12/31, one day after vaccination patient with extreme leg pain, non weight bearing, extreme swelling of limb from hip to knee, fever of 105. Patient responsive but somewhat lethargic per mom. Fever responded minimally to medication and resolved after 9 hours of continuous motrin/tylenol.
Age: 13.0
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Lymphadenopathy, Sinusitis
Clinical narrative: 2-3 days after vaccination, swollen lymph nodes under left arm and L breast was out of proportion to the right. L arm I could barely lift it. Went to the doctor and she said that it would go away and it did. 3-4 weeks after the vaccine, behind the sinuses felt swollen. When I ate food or drank, it felt like it was getting stuck in the wrong area. Went to an ENT and there was no blockage and he gave me steroids that didn't work. 2 days after that, I went to urgent care and the doctor gave me Amoxicillin and that helped. I was doing the Amoxicillin and the Zyrtec. Zyrtec took the swelling down.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of at a local Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash
Clinical narrative: pityriasis rosea, small circular bumps and one large circular ring (resembled ring worm) under arm on left side of her torso. They covered her entire stomach, back and started going down her legs and arms.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Aspiration, C-reactive protein increased, COVID-19, Colon adenoma
Clinical narrative: Hospitalized (12.23.21);  COVID-19 positive (12.23.21); Fully vaccinated plus booster Admission Date: 12/23/2021 Discharge Date: 12/24/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aspiration pneumonia of both lungs due to gastric secretions, unspecified part of lung  COVID-19  Aspiration pneumonia of left lower lobe due to vomit  HOSPITAL COURSE: Patient is a 51 y.o. female who presents today with acute hypoxemia and aspiration pneumonia.  Patient had elective colonoscopy done earlier today.  Following the procedure she was acutely hypoxemic requiring 5 L of oxygen.  She had been totally asymptomatic prior to this procedure in regards to any respiratory symptoms or COVID symptoms.  COVID test was done after procedure and was noted to be positive.  Patient is fully vaccinated and has had booster. In the emergency department it was noted that she had elevated dimer so CT angiogram was done which revealed evidence of left lower lobe pneumonia indicative of likely aspiration pneumonia.  Decision was made to admit patient to inpatient this time.  She is placed on IV Rocephin and oral doxycycline at this time.  Continue supplemental oxygen.  Placed on oral Decadron.  She was not placed on remdesivir at this time. Overnight patient's clinical condition improved.  She was transitioned to room air as maintain adequate oxygen saturations on room air.  Patient has mild increase in white blood cell count overnight but most likely secondary to receiving a dose of Decadron.  Fevers have improved.  Since infection is most likely secondary to aspiration patient will be discharged on a 5 day course of antibiotic.  With elevated D-dimer and markedly elevated CRP patient will complete a full course of Decadron. Patient has been instructed to hold her estrogen replacement therapy in till follows up with primary care physician.  She was also instructed to isolate for 10 days.  Around other people patient should wear a mask.  Patient also instructed if she has worsening shortness of breath especially with activity feels her clinical condition is deteriorating anyway she should return to the emergency department immediately for further evaluation.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Colonoscopy abnormal, Fibrin D dimer increased, Hyperchlorhydria, Hypoxia, Infection
Clinical narrative: Hospitalized (12.23.21);  COVID-19 positive (12.23.21); Fully vaccinated plus booster Admission Date: 12/23/2021 Discharge Date: 12/24/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aspiration pneumonia of both lungs due to gastric secretions, unspecified part of lung  COVID-19  Aspiration pneumonia of left lower lobe due to vomit  HOSPITAL COURSE: Patient is a 51 y.o. female who presents today with acute hypoxemia and aspiration pneumonia.  Patient had elective colonoscopy done earlier today.  Following the procedure she was acutely hypoxemic requiring 5 L of oxygen.  She had been totally asymptomatic prior to this procedure in regards to any respiratory symptoms or COVID symptoms.  COVID test was done after procedure and was noted to be positive.  Patient is fully vaccinated and has had booster. In the emergency department it was noted that she had elevated dimer so CT angiogram was done which revealed evidence of left lower lobe pneumonia indicative of likely aspiration pneumonia.  Decision was made to admit patient to inpatient this time.  She is placed on IV Rocephin and oral doxycycline at this time.  Continue supplemental oxygen.  Placed on oral Decadron.  She was not placed on remdesivir at this time. Overnight patient's clinical condition improved.  She was transitioned to room air as maintain adequate oxygen saturations on room air.  Patient has mild increase in white blood cell count overnight but most likely secondary to receiving a dose of Decadron.  Fevers have improved.  Since infection is most likely secondary to aspiration patient will be discharged on a 5 day course of antibiotic.  With elevated D-dimer and markedly elevated CRP patient will complete a full course of Decadron. Patient has been instructed to hold her estrogen replacement therapy in till follows up with primary care physician.  She was also instructed to isolate for 10 days.  Around other people patient should wear a mask.  Patient also instructed if she has worsening shortness of breath especially with activity feels her clinical condition is deteriorating anyway she should return to the emergency department immediately for further evaluation.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Large intestine polyp, Pneumonia, Pneumonia aspiration, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (12.23.21);  COVID-19 positive (12.23.21); Fully vaccinated plus booster Admission Date: 12/23/2021 Discharge Date: 12/24/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aspiration pneumonia of both lungs due to gastric secretions, unspecified part of lung  COVID-19  Aspiration pneumonia of left lower lobe due to vomit  HOSPITAL COURSE: Patient is a 51 y.o. female who presents today with acute hypoxemia and aspiration pneumonia.  Patient had elective colonoscopy done earlier today.  Following the procedure she was acutely hypoxemic requiring 5 L of oxygen.  She had been totally asymptomatic prior to this procedure in regards to any respiratory symptoms or COVID symptoms.  COVID test was done after procedure and was noted to be positive.  Patient is fully vaccinated and has had booster. In the emergency department it was noted that she had elevated dimer so CT angiogram was done which revealed evidence of left lower lobe pneumonia indicative of likely aspiration pneumonia.  Decision was made to admit patient to inpatient this time.  She is placed on IV Rocephin and oral doxycycline at this time.  Continue supplemental oxygen.  Placed on oral Decadron.  She was not placed on remdesivir at this time. Overnight patient's clinical condition improved.  She was transitioned to room air as maintain adequate oxygen saturations on room air.  Patient has mild increase in white blood cell count overnight but most likely secondary to receiving a dose of Decadron.  Fevers have improved.  Since infection is most likely secondary to aspiration patient will be discharged on a 5 day course of antibiotic.  With elevated D-dimer and markedly elevated CRP patient will complete a full course of Decadron. Patient has been instructed to hold her estrogen replacement therapy in till follows up with primary care physician.  She was also instructed to isolate for 10 days.  Around other people patient should wear a mask.  Patient also instructed if she has worsening shortness of breath especially with activity feels her clinical condition is deteriorating anyway she should return to the emergency department immediately for further evaluation.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Hospitalized (12.23.21);  COVID-19 positive (12.23.21); Fully vaccinated plus booster Admission Date: 12/23/2021 Discharge Date: 12/24/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aspiration pneumonia of both lungs due to gastric secretions, unspecified part of lung  COVID-19  Aspiration pneumonia of left lower lobe due to vomit  HOSPITAL COURSE: Patient is a 51 y.o. female who presents today with acute hypoxemia and aspiration pneumonia.  Patient had elective colonoscopy done earlier today.  Following the procedure she was acutely hypoxemic requiring 5 L of oxygen.  She had been totally asymptomatic prior to this procedure in regards to any respiratory symptoms or COVID symptoms.  COVID test was done after procedure and was noted to be positive.  Patient is fully vaccinated and has had booster. In the emergency department it was noted that she had elevated dimer so CT angiogram was done which revealed evidence of left lower lobe pneumonia indicative of likely aspiration pneumonia.  Decision was made to admit patient to inpatient this time.  She is placed on IV Rocephin and oral doxycycline at this time.  Continue supplemental oxygen.  Placed on oral Decadron.  She was not placed on remdesivir at this time. Overnight patient's clinical condition improved.  She was transitioned to room air as maintain adequate oxygen saturations on room air.  Patient has mild increase in white blood cell count overnight but most likely secondary to receiving a dose of Decadron.  Fevers have improved.  Since infection is most likely secondary to aspiration patient will be discharged on a 5 day course of antibiotic.  With elevated D-dimer and markedly elevated CRP patient will complete a full course of Decadron. Patient has been instructed to hold her estrogen replacement therapy in till follows up with primary care physician.  She was also instructed to isolate for 10 days.  Around other people patient should wear a mask.  Patient also instructed if she has worsening shortness of breath especially with activity feels her clinical condition is deteriorating anyway she should return to the emergency department immediately for further evaluation.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysmenorrhoea, Feeding disorder, Headache, Heavy menstrual bleeding
Clinical narrative: 11 year old child experienced a sudden, severe abnormal onset of her menstrual cycle 2 days post vaccine. She has had light regular cycles before but this one came 2 weeks early. This period has been abnormally heavy in that she is soaking a pad every hour, has severe menstrual cramps, nausea, and difficulty eating. She is also experiencing light headedness and headache. She has been unable to attend school due to the symptoms.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Nausea
Clinical narrative: 11 year old child experienced a sudden, severe abnormal onset of her menstrual cycle 2 days post vaccine. She has had light regular cycles before but this one came 2 weeks early. This period has been abnormally heavy in that she is soaking a pad every hour, has severe menstrual cramps, nausea, and difficulty eating. She is also experiencing light headedness and headache. She has been unable to attend school due to the symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen Painful Lymphnodes.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Pt was 12 years of age at time of vaccine administration, but received Peds Pfizer vaccine rather adult vaccine.  No adverse reaction occurred.  The mistake was realized when the pt returned for the second dose and received the adult vaccine as the second dose.   The situation was explained to the parent and she had no concerns.      Pt received Pfizer adult dose as 2nd vaccine dose 12/28/2021 per protocol.  The situation was explained to the parent and she had no concerns.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, FLU4
Symptoms: Acoustic stimulation tests, Balance disorder, Computerised tomogram, Confusional state, Disorientation
Clinical narrative: Everyday dizziness/vertigo, nausea/vomiting, balance problems, extreme motion sensitivity, disoriented, confused, unsteady, sensitive to light and sound.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, FLU4
Symptoms: Dizziness, Hyperacusis, Laboratory test, Magnetic resonance imaging, Motion sickness
Clinical narrative: Everyday dizziness/vertigo, nausea/vomiting, balance problems, extreme motion sensitivity, disoriented, confused, unsteady, sensitive to light and sound.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, FLU4
Symptoms: Nausea, Photophobia, Vertigo, Vestibular function test, Vomiting
Clinical narrative: Everyday dizziness/vertigo, nausea/vomiting, balance problems, extreme motion sensitivity, disoriented, confused, unsteady, sensitive to light and sound.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None,  Pt stated she had no issues after the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Temperature excursion; vaccine left in freezer (13F to 5F) greater than 2 weeks
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Drug ineffective, Immunisation, Poor quality product administered, Product temperature excursion issue
Clinical narrative: Temperature excursion; vaccine left in freezer (13F to 5F) greater than 2 weeks
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Lymph node pain, Lymphadenopathy, Neck pain
Clinical narrative: Patient experienced swollen lymph nodes on left collar bone and under left arm pit. Nodes could be seen and felt. The node under the arm pit was also painful to the touch. Patient experiences also experienced soreness on the left side of her neck and left side at the base of the neck; however, no swollen lymph nodes could be felt in those last two locations.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Dizziness
Clinical narrative: patient reports having a stroke many days after the vaccine.  Couldn't remember the exact timing.  Said he developed dizziness, and other stroke symptoms and friend had him go to hospital.  P
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Blood test normal, Burning sensation, Dyspnoea, Electrocardiogram normal
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 11/02/2021, started experiencing symptoms 12/13/2021 of Neuropathy throughout the left arm spreading to both legs, extreme shakiness throughout the body, chronic fatigue, and shortness of breath. Primary visit 12/16/2021, recommendation  of Blood Work=Normal, Auto-Immune=Normal, CBC=Normal, Urine Test=Normal. Shaking muscle spasms, burning sensation throughout, body aches Emergency Room visit 12/28/2021 ER, EKG = Normal, Diagnosed with Neuropathy. Still experiencing symptoms along with difficulty with motor skills, Primary visit 12/30/2021 Blood Work preformed again = Normal. Primary statement "Tests Normal, Body Reaction as if Auto-Immune Disease is present".
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count normal, Motor dysfunction, Muscle spasms, Neuropathy peripheral
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 11/02/2021, started experiencing symptoms 12/13/2021 of Neuropathy throughout the left arm spreading to both legs, extreme shakiness throughout the body, chronic fatigue, and shortness of breath. Primary visit 12/16/2021, recommendation  of Blood Work=Normal, Auto-Immune=Normal, CBC=Normal, Urine Test=Normal. Shaking muscle spasms, burning sensation throughout, body aches Emergency Room visit 12/28/2021 ER, EKG = Normal, Diagnosed with Neuropathy. Still experiencing symptoms along with difficulty with motor skills, Primary visit 12/30/2021 Blood Work preformed again = Normal. Primary statement "Tests Normal, Body Reaction as if Auto-Immune Disease is present".
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tremor, Urine analysis normal
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 11/02/2021, started experiencing symptoms 12/13/2021 of Neuropathy throughout the left arm spreading to both legs, extreme shakiness throughout the body, chronic fatigue, and shortness of breath. Primary visit 12/16/2021, recommendation  of Blood Work=Normal, Auto-Immune=Normal, CBC=Normal, Urine Test=Normal. Shaking muscle spasms, burning sensation throughout, body aches Emergency Room visit 12/28/2021 ER, EKG = Normal, Diagnosed with Neuropathy. Still experiencing symptoms along with difficulty with motor skills, Primary visit 12/30/2021 Blood Work preformed again = Normal. Primary statement "Tests Normal, Body Reaction as if Auto-Immune Disease is present".
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Pain, Pyrexia
Clinical narrative: About two days after receiving my booster, I had extreme fatigue with a low grade fever. I had general body aches, but they were not extreme. The extreme fatigue seemed to last about ten days.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, COVID-19, Cough, Dyspnoea
Clinical narrative: 90-year-old male with past medical history of anemia of chronic disease, dementia, TIA, hypothyroidism, hyperlipidemia, who was admitted to the hospital because of fatigue. The patient was having generalized fatigue and generalized body aches with cough and shortness of breath for about 10 days.  The patient's symtpoms were progressively getting worse.  Pt tested + for COVID on 10/25/2021.  Pt is having body myalgias and joint pain.  Elevated troponin.  Treatment inclued Plavix, IV decafton, oxygen, IV remdesivir.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pain, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: 90-year-old male with past medical history of anemia of chronic disease, dementia, TIA, hypothyroidism, hyperlipidemia, who was admitted to the hospital because of fatigue. The patient was having generalized fatigue and generalized body aches with cough and shortness of breath for about 10 days.  The patient's symtpoms were progressively getting worse.  Pt tested + for COVID on 10/25/2021.  Pt is having body myalgias and joint pain.  Elevated troponin.  Treatment inclued Plavix, IV decafton, oxygen, IV remdesivir.
Age: 18.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Chest pain, Chills, Electrocardiogram normal, Fatigue
Clinical narrative: Heart Palpitations, fatigue and chest pain starting after 4 hour stint of severe chills and body aches 3 nights after administration of the 3rd shot (moderna).  Chest pain and heart palpitations have remained constant over the past four weeks.  Seeking follow up with cardiologist next week.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Palpitations, X-ray normal
Clinical narrative: Heart Palpitations, fatigue and chest pain starting after 4 hour stint of severe chills and body aches 3 nights after administration of the 3rd shot (moderna).  Chest pain and heart palpitations have remained constant over the past four weeks.  Seeking follow up with cardiologist next week.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Chills, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: After the first dose, I woke up feeling like I had a cold. I experienced elevated blood sugar for about 3-4 weeks and high temperature for 4-5 days and elevated temperature for 3-4 weeks. My blood sugar was 10-15 points above and my temperature was 1 point above. I am not Prediabetic and I do not have any health issues. I was concerned I was having a systemic reaction. I had muscle aches, pain and swelling at the injection site, fatigue, chills coming and going. No joint pain or swelling of lymph nodes. About 2 weeks later I had a rash on my neck that lasted 3-4 days. My doctor told me to take a test to see if I had any antibodies. I did have antibodies. We decided not to take the second dose right away. Months later I learned that a lot of people will react to any vaccine with elevated blood sugar. I did not know that. After the first dose I was down for about 5 days. I only took Advil for muscle ache, no other treatment. I had my second dose in October. I only had some swelling at the injection site after the second dose, no other symptoms.  I might have had Covid the year before, I had a really weird lung thing. I tested negative for Covid on 09/2020.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Nasopharyngitis, Rash, SARS-CoV-2 antibody test positive
Clinical narrative: After the first dose, I woke up feeling like I had a cold. I experienced elevated blood sugar for about 3-4 weeks and high temperature for 4-5 days and elevated temperature for 3-4 weeks. My blood sugar was 10-15 points above and my temperature was 1 point above. I am not Prediabetic and I do not have any health issues. I was concerned I was having a systemic reaction. I had muscle aches, pain and swelling at the injection site, fatigue, chills coming and going. No joint pain or swelling of lymph nodes. About 2 weeks later I had a rash on my neck that lasted 3-4 days. My doctor told me to take a test to see if I had any antibodies. I did have antibodies. We decided not to take the second dose right away. Months later I learned that a lot of people will react to any vaccine with elevated blood sugar. I did not know that. After the first dose I was down for about 5 days. I only took Advil for muscle ache, no other treatment. I had my second dose in October. I only had some swelling at the injection site after the second dose, no other symptoms.  I might have had Covid the year before, I had a really weird lung thing. I tested negative for Covid on 09/2020.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Meningitis chemical, Pyrexia
Clinical narrative: Within 24 hours, high fever 103.6 lasting more than 12 hours. 2 days out of work to recover. Persistent HA for now nearly 8 weeks. Neurologist suspects mild chemical meningitis.
Age: 41.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID-19 vaccine breakthrough. Dose 1: 3/23/2021; 002B21A. Dose 2:  5/3/2021; 002C21A.
Age: 42.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Blood urine present, Creatinine urine, Metabolic function test, Protein urine, Urine abnormality
Clinical narrative: The morning following my vaccination, I noticed visible blood in my urine. By the third day after vaccination, the color of my urine was dark red (red wine color) when I first urinated in the morning. The color of my urine had returned to normal by the following Saturday (1/1/2022). My urine also became noticeably frothier after my vaccination and has remained so (as of 1/4/2022). I sought treatment from both my primary care doctor and nephrologist. They both did a urinalysis and bloodwork.
Age: 42.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Urine analysis
Clinical narrative: The morning following my vaccination, I noticed visible blood in my urine. By the third day after vaccination, the color of my urine was dark red (red wine color) when I first urinated in the morning. The color of my urine had returned to normal by the following Saturday (1/1/2022). My urine also became noticeably frothier after my vaccination and has remained so (as of 1/4/2022). I sought treatment from both my primary care doctor and nephrologist. They both did a urinalysis and bloodwork.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Urticaria
Clinical narrative: Large red rash and hives on left side of body from upper leg up to mid torso
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring abnormal, Cough, Dyspnoea, Echocardiogram normal
Clinical narrative: On July 17, 2021, I fainted and was told my heart went into AFib. And taken to hospital. Echo cardio gram performed and heart was strong and realeased with no medication added.  Wore a heart monitor for 2 weeks, and 6 heartbeats were in question.  Again, no medication added. Within, one week of that doctors visit, I developed a cough that became chronic and I experienced extreme difficulty in breathing.  I was given antibiotics and an inhaler. After 4 days I progressively got worse. They schedule a breathing treatment and prior to administering the treatment they did an ekg and I was in AFib again. I tribute the vaccine to my AFib since I have had no prior problems. It is my feeling that because AFib is common, it is not being considered vaccine related.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Syncope
Clinical narrative: On July 17, 2021, I fainted and was told my heart went into AFib. And taken to hospital. Echo cardio gram performed and heart was strong and realeased with no medication added.  Wore a heart monitor for 2 weeks, and 6 heartbeats were in question.  Again, no medication added. Within, one week of that doctors visit, I developed a cough that became chronic and I experienced extreme difficulty in breathing.  I was given antibiotics and an inhaler. After 4 days I progressively got worse. They schedule a breathing treatment and prior to administering the treatment they did an ekg and I was in AFib again. I tribute the vaccine to my AFib since I have had no prior problems. It is my feeling that because AFib is common, it is not being considered vaccine related.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Dyspnoea, Electrocardiogram
Clinical narrative: I had chest pain and trouble breathing for about 10 days and I did not receive treatment until I went to the ER where they did a lot of test and gave me antacid in the case it was Acid Reflux. I took Aspirin and rested in bed for 10 days. The only finding was that my pulse was really low and it was suggested that I rest until it get better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate decreased, Mobility decreased
Clinical narrative: I had chest pain and trouble breathing for about 10 days and I did not receive treatment until I went to the ER where they did a lot of test and gave me antacid in the case it was Acid Reflux. I took Aspirin and rested in bed for 10 days. The only finding was that my pulse was really low and it was suggested that I rest until it get better.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive through work contact
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram abnormal, Headache, Magnetic resonance imaging normal, Neuropathy peripheral
Clinical narrative: I received the vaccination in my left arm at a Clinic .  I received next Pfizer vaccine 3/25/21 at a pharmacy  on 3/25/21, Lot No. EP7533.  I received the  Pfizer booster also at a pharmacy.
Age: 11.0
Sex: F
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: THERE WAS A TEMPERATUE EXCURSION 2 WEEKS PRIOR TO GIVING THE VACCINE
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Bed rest, Chest discomfort, Chills, Decreased appetite
Clinical narrative: I had body chills, headache, congestion, chest pressure and felt fatigue. I thought I had heart arrhythmia. I had no appetite. I went to the urgent  care by my house, but they sent me home because I wasn't exhibiting all the symptoms of someone with COVID-19. They told me to go to the emergency room if I felt I couldn't handle it on my own. So I called my doctor and she prescribed me antibiotics Albuterol and Tylenol to take to help reduce my symptoms and body aches. After a couple of weeks of bed rest and antibiotics, I started feeling better.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Respiratory tract congestion
Clinical narrative: I had body chills, headache, congestion, chest pressure and felt fatigue. I thought I had heart arrhythmia. I had no appetite. I went to the urgent  care by my house, but they sent me home because I wasn't exhibiting all the symptoms of someone with COVID-19. They told me to go to the emergency room if I felt I couldn't handle it on my own. So I called my doctor and she prescribed me antibiotics Albuterol and Tylenol to take to help reduce my symptoms and body aches. After a couple of weeks of bed rest and antibiotics, I started feeling better.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Dry skin, Headache, Neck pain
Clinical narrative: Very dry scaly skin from vaccination site to other side, spreading over left breast. Plus, pain in both sides of neck and front of forehead. Funny feeling running down back to bottom of toes. Loss of balance and weakness.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory disturbance, Skin exfoliation
Clinical narrative: Very dry scaly skin from vaccination site to other side, spreading over left breast. Plus, pain in both sides of neck and front of forehead. Funny feeling running down back to bottom of toes. Loss of balance and weakness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case   Dose 1:  6/18/2021  EW0158 Dose 2:  8/3/2021  EW0191