chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Patient got dizzy on the playground and fell down. He said he forgot what happened when he woke up. He ran a 99-100 degree fever for 10 days, had a upper respiratory "barking" cough, headache, sore throat, congestion of paranasal sinus cavity and all around malaise for 15 days. He still complains of a headache.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion, Streptococcus test negative
Clinical narrative: Patient got dizzy on the playground and fell down. He said he forgot what happened when he woke up. He ran a 99-100 degree fever for 10 days, had a upper respiratory "barking" cough, headache, sore throat, congestion of paranasal sinus cavity and all around malaise for 15 days. He still complains of a headache.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Diabetic ketoacidosis, Oropharyngeal pain
Clinical narrative: Pt admitted for DKA, but also has had a sore throat, dry cough, chest discomfort and fevers for 3 days.  Pt found to be COVID positive.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt admitted for DKA, but also has had a sore throat, dry cough, chest discomfort and fevers for 3 days.  Pt found to be COVID positive.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure during pregnancy, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case  **Patient currently pregnant with EDD 02/16/2022 Unknown if pregnant at time of vaccine administration
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Lip swelling, Productive cough, Throat clearing
Clinical narrative: 0928 Patient received Pfizer booster after consulted Dr. because of previous reaction of lips/tongue swelling, rash on face with 1st vaccine and second vaccine tingling of tongue and lips while resolved without treatment. Patient  premedicated at home with Zyrtec 10mg at 0830 1/3/22.  Patient alert oriented x4 talking in full sentences able to swallow. Lungs clear, no stridor, intra oral swelling, wheezing, chest pain or tightness ,   0930 Patient reports feels lips puffy and looks mildly swollen but denies intraoral swelling,drooling, difficulty breathing, wheezing, chest pain/tightness. Talking in full sentences.  Consulted Dr. regarding symptoms and advised may give Benadryl 25mg orally if necessary and continue to monitor symptoms for another 45 minutes.  0935 Vitals  BP 123/76 Temporal Temp. 98.8 Pulse 63 SPO2 98% on room air RR 12  0940 Patient states lips swelling resolved,  0958 Patient reports  mucus in throat and feels need to clear with cough, but no difficulty breathing/throat tightness/ lungs clear with no wheezing  no stridor or intra oral swelling, swelling of face/lips.  1001 Patient given Benadryl 25mg tab orally with water and tolerated well.  1007 Patient states feels mild throat tightness with mild cough, but able to swallow and not drooling, no stridor, lungs clear.Patient sitting up in bed talking in full sentences, and laughing. Has called dad to come to observation area. Bp 112/72 Spo2 98 % on room air  Pulse 75 RR 18  1014 states throat tightness resolved but feels mild cough not related to clearing throat/mucus but clearing chest. Rechecked Lungs and  clear to ascultation, no wheezing, stridor, drooling or difficulty breathing/chest tightness or pain  1020 Consulted Dr. regarding new symptoms and advised may observe until 1030.and if patient symptoms not worse may discharge home with driver. Patient may observe symptoms at home and  may call 911/Ed if necessary and should follow up with primary care Md regarding symptoms.  1030 Vitals Bp 117/70 SPO2 99% on room air Pulse 69 Patient states she feels fine to go home with her dad sitting next to her. Denies throat tightness/facial swelling/wheezing and hasn't coughed in last 5 minutes. Patient states she fine, has vaccine info sheet and verbalized understand regarding 911/Ed precautions.Patient passed the walk test with Rn and father at side.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 0928 Patient received Pfizer booster after consulted Dr. because of previous reaction of lips/tongue swelling, rash on face with 1st vaccine and second vaccine tingling of tongue and lips while resolved without treatment. Patient  premedicated at home with Zyrtec 10mg at 0830 1/3/22.  Patient alert oriented x4 talking in full sentences able to swallow. Lungs clear, no stridor, intra oral swelling, wheezing, chest pain or tightness ,   0930 Patient reports feels lips puffy and looks mildly swollen but denies intraoral swelling,drooling, difficulty breathing, wheezing, chest pain/tightness. Talking in full sentences.  Consulted Dr. regarding symptoms and advised may give Benadryl 25mg orally if necessary and continue to monitor symptoms for another 45 minutes.  0935 Vitals  BP 123/76 Temporal Temp. 98.8 Pulse 63 SPO2 98% on room air RR 12  0940 Patient states lips swelling resolved,  0958 Patient reports  mucus in throat and feels need to clear with cough, but no difficulty breathing/throat tightness/ lungs clear with no wheezing  no stridor or intra oral swelling, swelling of face/lips.  1001 Patient given Benadryl 25mg tab orally with water and tolerated well.  1007 Patient states feels mild throat tightness with mild cough, but able to swallow and not drooling, no stridor, lungs clear.Patient sitting up in bed talking in full sentences, and laughing. Has called dad to come to observation area. Bp 112/72 Spo2 98 % on room air  Pulse 75 RR 18  1014 states throat tightness resolved but feels mild cough not related to clearing throat/mucus but clearing chest. Rechecked Lungs and  clear to ascultation, no wheezing, stridor, drooling or difficulty breathing/chest tightness or pain  1020 Consulted Dr. regarding new symptoms and advised may observe until 1030.and if patient symptoms not worse may discharge home with driver. Patient may observe symptoms at home and  may call 911/Ed if necessary and should follow up with primary care Md regarding symptoms.  1030 Vitals Bp 117/70 SPO2 99% on room air Pulse 69 Patient states she feels fine to go home with her dad sitting next to her. Denies throat tightness/facial swelling/wheezing and hasn't coughed in last 5 minutes. Patient states she fine, has vaccine info sheet and verbalized understand regarding 911/Ed precautions.Patient passed the walk test with Rn and father at side.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Headache, Fever, swelling of lymph nodes under arm under right breast (lots of swelling, felt hot), muscle pain, joint pain, stomach ache and cramping.  Hurts to move arm, pain radiates down arm. Taking Tylenol and Aspirin every 4 hours.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Headache, Fever, swelling of lymph nodes under arm under right breast (lots of swelling, felt hot), muscle pain, joint pain, stomach ache and cramping.  Hurts to move arm, pain radiates down arm. Taking Tylenol and Aspirin every 4 hours.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Asthenia, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: 73-year-old male with a past medical history of AFib on AC, hypertension, CAD wiuth hx of VATS 2018 comes to the hospital today with complaints of weakness, decreased appetite for 4 days now with shortness of breath.   In the ER Patient was hypoxic 85% placed on 4 L nasal cannula. Fever 101.4. chest x-ray Findings suggest COPD with right lower lobe infiltrate consistent with pneumonia. Questionable small right pleural effusion. The patient had elevated markers including a D-dimer. Bumped troponin 0.07 likely due to demand ischemia. Due to this patient's sent for CTA of the chest to rule out a pulmonary embolism. CT resulted small left-sided PE despite patient being on anticoagulation.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Fibrin D dimer increased, Hypoxia, Inflammatory marker increased
Clinical narrative: 73-year-old male with a past medical history of AFib on AC, hypertension, CAD wiuth hx of VATS 2018 comes to the hospital today with complaints of weakness, decreased appetite for 4 days now with shortness of breath.   In the ER Patient was hypoxic 85% placed on 4 L nasal cannula. Fever 101.4. chest x-ray Findings suggest COPD with right lower lobe infiltrate consistent with pneumonia. Questionable small right pleural effusion. The patient had elevated markers including a D-dimer. Bumped troponin 0.07 likely due to demand ischemia. Due to this patient's sent for CTA of the chest to rule out a pulmonary embolism. CT resulted small left-sided PE despite patient being on anticoagulation.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Myocardial ischaemia, Pneumonia, Pulmonary embolism, Pyrexia
Clinical narrative: 73-year-old male with a past medical history of AFib on AC, hypertension, CAD wiuth hx of VATS 2018 comes to the hospital today with complaints of weakness, decreased appetite for 4 days now with shortness of breath.   In the ER Patient was hypoxic 85% placed on 4 L nasal cannula. Fever 101.4. chest x-ray Findings suggest COPD with right lower lobe infiltrate consistent with pneumonia. Questionable small right pleural effusion. The patient had elevated markers including a D-dimer. Bumped troponin 0.07 likely due to demand ischemia. Due to this patient's sent for CTA of the chest to rule out a pulmonary embolism. CT resulted small left-sided PE despite patient being on anticoagulation.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Troponin
Clinical narrative: 73-year-old male with a past medical history of AFib on AC, hypertension, CAD wiuth hx of VATS 2018 comes to the hospital today with complaints of weakness, decreased appetite for 4 days now with shortness of breath.   In the ER Patient was hypoxic 85% placed on 4 L nasal cannula. Fever 101.4. chest x-ray Findings suggest COPD with right lower lobe infiltrate consistent with pneumonia. Questionable small right pleural effusion. The patient had elevated markers including a D-dimer. Bumped troponin 0.07 likely due to demand ischemia. Due to this patient's sent for CTA of the chest to rule out a pulmonary embolism. CT resulted small left-sided PE despite patient being on anticoagulation.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin decreased, Blood calcium decreased
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine decreased, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea decreased, Bronchitis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Cough, Dyspnoea, Echocardiogram
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram PR interval, Electrocardiogram QRS complex, Electrocardiogram QT interval, Electrocardiogram abnormal, Emphysema
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haematocrit normal, Haemoglobin normal, Kyphosis, Lung hyperinflation
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Oxygen saturation decreased, Platelet count normal, Procalcitonin normal, Protein total decreased
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary fibrosis, Pyrexia, Renal function test normal, SARS-CoV-2 test positive, Sinus rhythm
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal deformity, Tachycardia, Ventricular extrasystoles, White blood cell count normal
Clinical narrative: Patient still hospitalized at 10 days admission. Patient is a 64 y.o. female with history of oxygen dependent COPD, chronic pain syndrome on chronic opioids, depression with anxiety, and former tobacco use who presents to the ER with worsening shortness of breath with cough in setting of COVID-19 infection.  The patient lives at home with her daughter and grandson who tested positive for COVID on 12/21.  The patient developed symptoms shortly after in tested positive on 12/22.  She was fully vaccinated with Pfizer vaccine and booster on 10/27/2021.  Patient complains of fevers, chills, generalized weakness with fatigue, worsening cough and shortness of breath.  Patient reports she last had a short course of antibiotics about 1 month ago for bronchitis.  She does has significant chronic obstructive pulmonary disease, on 2 L nasal cannula O2 at baseline, and former tobacco use.  Patient reports chronic steroid use, typically on prednisone 7.5 mg daily, although patient self increased prednisone to 10 mg daily 3 days prior to arrival.  Patient also has chronic pain, follows with pain clinic, and takes methadone 10 mg 4 times daily as well as Norco 10 daily.   In the ER, patient remained afebrile, normotensive, borderline tachycardic, not tachypneic.  Patient did desat to 88% on her baseline 2 L nasal cannula, bumped up to 3 L. chest x-ray showed significant emphysema with superimposed multi focal faint opacities.  Labs unremarkable with normal renal function, no leukocytosis, normal procalcitonin.  Patient received Solu-Medrol and remdesivir in the ER.  The patient was admitted to Internal Medicine for further evaluation and treatment of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Palpitations
Clinical narrative: Heart palpitations, chest pain approximately one week from receiving booster. Made worse when laying down. Sent to ER by Urgent Care clinic
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/16/21 documented to have positive covid. PT received 1st dose Pfizer 2/17/21 Lot EN6200, and 2nd dose Pfizer 3/10/21 Lot EN6204
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging, Periarthritis
Clinical narrative: Within about an hour, I started severe arm pain at the injection site.  That got worst over the next 5 day.  Then it went away.  About 2 weeks later, I wake up the severe shoulder pain.  I could not even move it.  About a week,  my pain in my shoulder got so severe.  I contacted my doctor about this.  He thought that I had rotator tendonitis. He order to start physical therapy.  The physical therapist thought that I might have a freeze should.  So he order a MRI, showed that I had characteristic of a freeze shoulder.  He also though it was due to the vaccine.  He told me that I am looking for about 18 months recovery time.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Headache, Injection site pain, Myalgia, Pruritus
Clinical narrative: 12/28/2021: patient reports feeling muscle pain and soreness in injection site 12/29: fever of 100-103F and headache develops 1/1: fever subsides; blisters and pustules develop on both left and right soles of feet with slight itching and swelling 1/2: no fever; pustules similar to those on soles develop on left thumb 1/3: no change in condition from prior days
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pustule, Pyrexia, Swelling
Clinical narrative: 12/28/2021: patient reports feeling muscle pain and soreness in injection site 12/29: fever of 100-103F and headache develops 1/1: fever subsides; blisters and pustules develop on both left and right soles of feet with slight itching and swelling 1/2: no fever; pustules similar to those on soles develop on left thumb 1/3: no change in condition from prior days
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Body temperature increased, C-reactive protein increased, Chest X-ray normal, Choking sensation
Clinical narrative: Patient is a 60 year old female with PMH of HTN and HLD who presents with c/o cough. As per patient she had a head cold which started on Friday 12/24/21. Patient states that 2 days ago she developed a cough and that increased with any exertion to the extent that she felt as though she was choking. Patient denies chest pain, nausea, vomiting and diarrhea. Patient was vaccinated with Pfizer in February and March.   In the ED, pulse ox is 90% on RA and improved to 98% on O2 at 2L/min, temp is 101.6. Patient's rapid covid is negative. K 3.2, CRP 4.24, Ferritin 537, ESR 38. CXR is negative
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Nasopharyngitis, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Patient is a 60 year old female with PMH of HTN and HLD who presents with c/o cough. As per patient she had a head cold which started on Friday 12/24/21. Patient states that 2 days ago she developed a cough and that increased with any exertion to the extent that she felt as though she was choking. Patient denies chest pain, nausea, vomiting and diarrhea. Patient was vaccinated with Pfizer in February and March.   In the ED, pulse ox is 90% on RA and improved to 98% on O2 at 2L/min, temp is 101.6. Patient's rapid covid is negative. K 3.2, CRP 4.24, Ferritin 537, ESR 38. CXR is negative
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin increased
Clinical narrative: Patient is a 60 year old female with PMH of HTN and HLD who presents with c/o cough. As per patient she had a head cold which started on Friday 12/24/21. Patient states that 2 days ago she developed a cough and that increased with any exertion to the extent that she felt as though she was choking. Patient denies chest pain, nausea, vomiting and diarrhea. Patient was vaccinated with Pfizer in February and March.   In the ED, pulse ox is 90% on RA and improved to 98% on O2 at 2L/min, temp is 101.6. Patient's rapid covid is negative. K 3.2, CRP 4.24, Ferritin 537, ESR 38. CXR is negative
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Mental status changes, Pyrexia
Clinical narrative: Covid19 breakthrough.  1st Vaccine 3/3/2021.  Pt presents with altered mental status, fevers, weakness and dry cough for 2 days.  O2 sat on 4L NC-91%.  Pt treated with IV steroids/abx and Remdesivir.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st Vaccine 3/3/2021.  Pt presents with altered mental status, fevers, weakness and dry cough for 2 days.  O2 sat on 4L NC-91%.  Pt treated with IV steroids/abx and Remdesivir.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case  **Lot number for 2nd dose not found on website  *** 1st vaccine dose was administered at Health Management Group -
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein increased, Chills, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: It started with full body muscle aches, fever, chills, and nauseas. It felt like I was getting stabbed in random body parts. That lasted a couple of days then it resolved, except for the muscle aches and stabbing pains. After that everything was fine for 2 or 3 weeks. Then I started having pain in my shoulders, legs, and hips. I had a low grade fever. That pain went to my whole body and my muscles were weak. It was hard to go upstairs and raise up my arms to do my hair or put on clothes or shoes. I could barely walk my dog outside. My job is physical because I am a nurse. Holding weight while my arm is extended became difficult. I started missing work because I was unable to get dressed. When I went to my doctor's office, they ended up putting me on Prednisone. I had to go up on the dosage. I am still on it now. I started taking it at the end of October of 2021. When they ran test on me they said my C reactive protein and macrophages was high. The Physician Assistant diagnosed me with Fibromyalgia Rheumatica. When I saw the Rheumatologist, they said it could be an inflammatory reaction from the vaccine or giant cell arteritis.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Macrophages increased, Muscular weakness, Myalgia, Nausea, Pain
Clinical narrative: It started with full body muscle aches, fever, chills, and nauseas. It felt like I was getting stabbed in random body parts. That lasted a couple of days then it resolved, except for the muscle aches and stabbing pains. After that everything was fine for 2 or 3 weeks. Then I started having pain in my shoulders, legs, and hips. I had a low grade fever. That pain went to my whole body and my muscles were weak. It was hard to go upstairs and raise up my arms to do my hair or put on clothes or shoes. I could barely walk my dog outside. My job is physical because I am a nurse. Holding weight while my arm is extended became difficult. I started missing work because I was unable to get dressed. When I went to my doctor's office, they ended up putting me on Prednisone. I had to go up on the dosage. I am still on it now. I started taking it at the end of October of 2021. When they ran test on me they said my C reactive protein and macrophages was high. The Physician Assistant diagnosed me with Fibromyalgia Rheumatica. When I saw the Rheumatologist, they said it could be an inflammatory reaction from the vaccine or giant cell arteritis.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Polymyalgia rheumatica, Pyrexia
Clinical narrative: It started with full body muscle aches, fever, chills, and nauseas. It felt like I was getting stabbed in random body parts. That lasted a couple of days then it resolved, except for the muscle aches and stabbing pains. After that everything was fine for 2 or 3 weeks. Then I started having pain in my shoulders, legs, and hips. I had a low grade fever. That pain went to my whole body and my muscles were weak. It was hard to go upstairs and raise up my arms to do my hair or put on clothes or shoes. I could barely walk my dog outside. My job is physical because I am a nurse. Holding weight while my arm is extended became difficult. I started missing work because I was unable to get dressed. When I went to my doctor's office, they ended up putting me on Prednisone. I had to go up on the dosage. I am still on it now. I started taking it at the end of October of 2021. When they ran test on me they said my C reactive protein and macrophages was high. The Physician Assistant diagnosed me with Fibromyalgia Rheumatica. When I saw the Rheumatologist, they said it could be an inflammatory reaction from the vaccine or giant cell arteritis.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Seizure
Clinical narrative: Patient passed out and fell on floor when walking out of the building 2 minutes after vaccine administration. After about 10 seconds he rolled onto his side and started to have convulsion-like movement for 5-10 seconds. He then woke up and asked "what happened" to him. EMS was called and he was treated by EMS. He appeared stable and declined transfer to hospital.
Age: 66.0
Sex: F
Vaccine: UNK, UNK, UNK
Symptoms: Bronchitis
Clinical narrative: Bronchitis  3 bouts within 3 months.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Musculoskeletal chest pain
Clinical narrative: Symptoms: Chest tightness and difficulty breathing deeply. Chest tenderness to the touch Time: started approximately 3 days after vaccination, and has persisted since (over a month)
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node / arm pit on left arm - same side as injection site
Age: 32.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Ovulation disorder
Clinical narrative: I have been tracking my ovulation to try to get pregnant for the past 9 months. My ovulation has come on day 14, 15 or 16 of my cycle. This time my ovulation came on day 22. I initially believed I had perhaps missed it but got a clear positive on day 22.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient given dose 5 days early
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received the booster dose approx. 2 months early. She has had no adverse effects from the early dose.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Concussion, Fall, Myocardial infarction
Clinical narrative: Suffered  a heart attack which resulted in a fall from 3 steps to asphalt.  Concussion/ memory loss, no broken bones
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: She said at the site of injection to the elbow area it started to get hot, rash, burns, and swollen. We talked about adding an antihistamine and tylenol/Ibuprofen to help her be more comfortable. She said she was fine but her work told her to report it so she was following protocol.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: unknown, case was tested upon admission to hospital for conditions unrelated to covid 19
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: COVID-19 Positive on 12/13/2021, death due to COVID-19 on 12/25/2021
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Patient presents with vasovagal syncope
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Presyncope
Clinical narrative: Patient presents with vasovagal syncope
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Patient experienced body aches and fatigue 16-36 hours following the vaccine, then had a headache that lingered each day for at least 4 days following the vaccine. Headache is improved with ibuprofen, but still not completely resolved.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Dyspnoea, Headache
Clinical narrative: He got his vaccine, he had no reaction and then approximately 6 hours later he had a little headache, achy feeling on Friday.  On Saturday around noon he lost muscular control of his legs and arms, couldn't write, couldn't think, affected his thinking process which lasted until Sunday morning, and then started to go away.  By Sunday evening he felt pretty good, but weak from what he had gone through already.  By Monday morning he was pretty much back to normal.  His wife came close to calling an ambulance but due to him not having any difficulty breathing he told her not to.  His wife had to help him put his feet up to get into bed.   He also lost his sense of smell and taste, which has come back somewhat, but believes due to his cancer treatment that it has not fully returned.    Due to him being immunocompromised he got the full dose instead of the 1/2 dose.    He has informed his doctor of his symptoms, and also the Health Dept who gave him our phone #.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Muscular weakness, Pain, Thinking abnormal
Clinical narrative: He got his vaccine, he had no reaction and then approximately 6 hours later he had a little headache, achy feeling on Friday.  On Saturday around noon he lost muscular control of his legs and arms, couldn't write, couldn't think, affected his thinking process which lasted until Sunday morning, and then started to go away.  By Sunday evening he felt pretty good, but weak from what he had gone through already.  By Monday morning he was pretty much back to normal.  His wife came close to calling an ambulance but due to him not having any difficulty breathing he told her not to.  His wife had to help him put his feet up to get into bed.   He also lost his sense of smell and taste, which has come back somewhat, but believes due to his cancer treatment that it has not fully returned.    Due to him being immunocompromised he got the full dose instead of the 1/2 dose.    He has informed his doctor of his symptoms, and also the Health Dept who gave him our phone #.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Mood altered, Superficial vein thrombosis, Ultrasound scan, X-ray limb
Clinical narrative: Patient developed superficial venous thrombosis on palmar aspect of left middle finger. This was noticed today and patient was very upset and anxious, requesting an urgent review. This is highly unusual and patient has now been referred to see a vascular surgeon, for further assessment and treatment
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19, PF, Pfizer (12+ years) 10/29/2021, 4/27/2021 and 4/6/2021. Hospitalized with asymptomatic COVID-19 1/2/2022.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/16/21 documented to have positive covid. PT received 1st dose Janssen 3/15/21 Lot 1805018.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Dizziness, Laboratory test, Magnetic resonance imaging, Vertigo
Clinical narrative: After first JANSSEN vaccine had ongoing vertigo and dizziness for 5 five months.  Was not able to drive, etc. Received the JANSSEN booster shot on 11/11/2021 and 3 days later had a debilitating migraine that lasted for two weeks.  Multiple visits to my primary physician as well as an ENT, emergency care visit resulted in a diagnosis of vestibular migraines.  No history of migraines previously or health issues.  Still having chronic migraines and vestibular issues.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vestibular migraine
Clinical narrative: After first JANSSEN vaccine had ongoing vertigo and dizziness for 5 five months.  Was not able to drive, etc. Received the JANSSEN booster shot on 11/11/2021 and 3 days later had a debilitating migraine that lasted for two weeks.  Multiple visits to my primary physician as well as an ENT, emergency care visit resulted in a diagnosis of vestibular migraines.  No history of migraines previously or health issues.  Still having chronic migraines and vestibular issues.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: SOB, cough
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain, Pain in extremity
Clinical narrative: PAins in neck, shoulders, hip, right foot
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Pain
Clinical narrative: I received the second does of the COVID vaccine on 9/28/2021 and a week later I started having intermittent chest pains. The pain was squeezing in nature and also radiated to the right chest too. I noticed my primary doctors office of this. The pains lasted on/off for a month or so.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Mechanical urticaria, Pain, Pruritus, Urticaria
Clinical narrative: Chronic Spontaneous Uticaria and Dermatograhia- painful, burning, itching, stinging patches and welts. No history of allergic reactions, no history of hives. Come and go quickly only to reappear elsewhere on body. Have occurred daily for 5 weeks now. Saw an Allergist on 12/16/21 who agreed this is from the Moderna Booster Vaccine.  I have incurred out of pocket costs for the OTC antihistimines I now have to take daily, which still do not control the painful outbreaks.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immune-mediated adverse reaction, Mechanical urticaria, Urticaria
Clinical narrative: Chronic Spontaneous Uticaria and Dermatograhia- painful, burning, itching, stinging patches and welts. No history of allergic reactions, no history of hives. Come and go quickly only to reappear elsewhere on body. Have occurred daily for 5 weeks now. Saw an Allergist on 12/16/21 who agreed this is from the Moderna Booster Vaccine.  I have incurred out of pocket costs for the OTC antihistimines I now have to take daily, which still do not control the painful outbreaks.