chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Change in sustained attention, Confusional state, Cough, Decreased appetite
Clinical narrative: I woke up on the 16th with a migraine headache in the back of my head just on one side. It felt like someone was hitting in the head with a hammer. Then over a few hours I started having issues focusing one what I was doing. That night I had a low-grade fever 99.6. Then I was exhausted and then the cough started that same night. I couldn't sleep throughout the night of the 16 or 17. I went to the doctor, and he told me to isolate and treat the symptoms. I was tested for COV-19 in the office, and it was in fact positive.  I had no appetite and couldn't get out of the bed. I was having difficulty's walking down the stairs felt dizzy lightheaded.  I just sat and laid down for two days because I was so tired and confused. I started taking Advil for the migraine, and Delsym Cough Syrup to help with the cough. It actually did help but it didn't go away completely. By day 3 I still felt bad but not as bad. I was able to work some on day five from home but not back to my original self. I felt bad for about a week and the cough lasted for a week and a few days and I also had a runny nose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Gait disturbance, Impaired work ability
Clinical narrative: I woke up on the 16th with a migraine headache in the back of my head just on one side. It felt like someone was hitting in the head with a hammer. Then over a few hours I started having issues focusing one what I was doing. That night I had a low-grade fever 99.6. Then I was exhausted and then the cough started that same night. I couldn't sleep throughout the night of the 16 or 17. I went to the doctor, and he told me to isolate and treat the symptoms. I was tested for COV-19 in the office, and it was in fact positive.  I had no appetite and couldn't get out of the bed. I was having difficulty's walking down the stairs felt dizzy lightheaded.  I just sat and laid down for two days because I was so tired and confused. I started taking Advil for the migraine, and Delsym Cough Syrup to help with the cough. It actually did help but it didn't go away completely. By day 3 I still felt bad but not as bad. I was able to work some on day five from home but not back to my original self. I felt bad for about a week and the cough lasted for a week and a few days and I also had a runny nose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Migraine, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I woke up on the 16th with a migraine headache in the back of my head just on one side. It felt like someone was hitting in the head with a hammer. Then over a few hours I started having issues focusing one what I was doing. That night I had a low-grade fever 99.6. Then I was exhausted and then the cough started that same night. I couldn't sleep throughout the night of the 16 or 17. I went to the doctor, and he told me to isolate and treat the symptoms. I was tested for COV-19 in the office, and it was in fact positive.  I had no appetite and couldn't get out of the bed. I was having difficulty's walking down the stairs felt dizzy lightheaded.  I just sat and laid down for two days because I was so tired and confused. I started taking Advil for the migraine, and Delsym Cough Syrup to help with the cough. It actually did help but it didn't go away completely. By day 3 I still felt bad but not as bad. I was able to work some on day five from home but not back to my original self. I felt bad for about a week and the cough lasted for a week and a few days and I also had a runny nose.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Candida infection, Computerised tomogram, Condition aggravated
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and COVID complications.  Provider d/c note:  "Patient presented to the emergency department on 10/12/2022 with a chief complaint of shortness of breath.  On arrival he was found to be COVID positive as well as be in DKA.  He was intubated, placed on pressors and put in the intensive care unit.  He was treated for septic shock for which infectious workup showed MSSA bacteremia as well as candida urinary tract infection.  He also had MSSA, Klebsiella and Enterobacter in his sputum.  He was seen by infectious disease during the course of his stay and completed a course of micafungin and meropenem in with a transition for an additional 6 weeks of oral antibiotics.  He also developed an AKI during the course of his stay and did require temporary hemodialysis  as well as the ureteral stent exchange with Urology.  He was seen by pulmonology for his pneumonia as there was concern for lung abscess but this was not large enough to require drainage.  His stay was also complicated by encephalopathy which did resolve over time.  He completed his treatment for MSSA bacteremia and had a negative TEE.  He will be discharged on oral Augmentin and Bactrim per Infectious Disease recommendations to complete his antibiotics.  He will need a repeat CT scan outpatient with Infectious Disease.  He was also found to have dysphagia during the course of his stay which resolved with eventual diet modification.  Patient was tolerating diet well on day of discharge.  Due to his persistent hypotension patient was placed on midodrine and blood pressure remained borderline low but stable.  His kidney function eventually returned to baseline.  Patient's symptoms continued to improve over the course of his stay and he will be discharged in stable and improved condition.  He will need to follow-up with Infectious Disease as well as Urology.  He will be discharged to facility.  "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diabetic ketoacidosis, Disease complication, Dysphagia, Dyspnoea, Echocardiogram normal
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and COVID complications.  Provider d/c note:  "Patient presented to the emergency department on 10/12/2022 with a chief complaint of shortness of breath.  On arrival he was found to be COVID positive as well as be in DKA.  He was intubated, placed on pressors and put in the intensive care unit.  He was treated for septic shock for which infectious workup showed MSSA bacteremia as well as candida urinary tract infection.  He also had MSSA, Klebsiella and Enterobacter in his sputum.  He was seen by infectious disease during the course of his stay and completed a course of micafungin and meropenem in with a transition for an additional 6 weeks of oral antibiotics.  He also developed an AKI during the course of his stay and did require temporary hemodialysis  as well as the ureteral stent exchange with Urology.  He was seen by pulmonology for his pneumonia as there was concern for lung abscess but this was not large enough to require drainage.  His stay was also complicated by encephalopathy which did resolve over time.  He completed his treatment for MSSA bacteremia and had a negative TEE.  He will be discharged on oral Augmentin and Bactrim per Infectious Disease recommendations to complete his antibiotics.  He will need a repeat CT scan outpatient with Infectious Disease.  He was also found to have dysphagia during the course of his stay which resolved with eventual diet modification.  Patient was tolerating diet well on day of discharge.  Due to his persistent hypotension patient was placed on midodrine and blood pressure remained borderline low but stable.  His kidney function eventually returned to baseline.  Patient's symptoms continued to improve over the course of his stay and he will be discharged in stable and improved condition.  He will need to follow-up with Infectious Disease as well as Urology.  He will be discharged to facility.  "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Encephalopathy, Endotracheal intubation, Enterobacter test positive, Haemodialysis, Hypotension
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and COVID complications.  Provider d/c note:  "Patient presented to the emergency department on 10/12/2022 with a chief complaint of shortness of breath.  On arrival he was found to be COVID positive as well as be in DKA.  He was intubated, placed on pressors and put in the intensive care unit.  He was treated for septic shock for which infectious workup showed MSSA bacteremia as well as candida urinary tract infection.  He also had MSSA, Klebsiella and Enterobacter in his sputum.  He was seen by infectious disease during the course of his stay and completed a course of micafungin and meropenem in with a transition for an additional 6 weeks of oral antibiotics.  He also developed an AKI during the course of his stay and did require temporary hemodialysis  as well as the ureteral stent exchange with Urology.  He was seen by pulmonology for his pneumonia as there was concern for lung abscess but this was not large enough to require drainage.  His stay was also complicated by encephalopathy which did resolve over time.  He completed his treatment for MSSA bacteremia and had a negative TEE.  He will be discharged on oral Augmentin and Bactrim per Infectious Disease recommendations to complete his antibiotics.  He will need a repeat CT scan outpatient with Infectious Disease.  He was also found to have dysphagia during the course of his stay which resolved with eventual diet modification.  Patient was tolerating diet well on day of discharge.  Due to his persistent hypotension patient was placed on midodrine and blood pressure remained borderline low but stable.  His kidney function eventually returned to baseline.  Patient's symptoms continued to improve over the course of his stay and he will be discharged in stable and improved condition.  He will need to follow-up with Infectious Disease as well as Urology.  He will be discharged to facility.  "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Klebsiella test positive, Laboratory test abnormal, Pneumonia, Renal impairment
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and COVID complications.  Provider d/c note:  "Patient presented to the emergency department on 10/12/2022 with a chief complaint of shortness of breath.  On arrival he was found to be COVID positive as well as be in DKA.  He was intubated, placed on pressors and put in the intensive care unit.  He was treated for septic shock for which infectious workup showed MSSA bacteremia as well as candida urinary tract infection.  He also had MSSA, Klebsiella and Enterobacter in his sputum.  He was seen by infectious disease during the course of his stay and completed a course of micafungin and meropenem in with a transition for an additional 6 weeks of oral antibiotics.  He also developed an AKI during the course of his stay and did require temporary hemodialysis  as well as the ureteral stent exchange with Urology.  He was seen by pulmonology for his pneumonia as there was concern for lung abscess but this was not large enough to require drainage.  His stay was also complicated by encephalopathy which did resolve over time.  He completed his treatment for MSSA bacteremia and had a negative TEE.  He will be discharged on oral Augmentin and Bactrim per Infectious Disease recommendations to complete his antibiotics.  He will need a repeat CT scan outpatient with Infectious Disease.  He was also found to have dysphagia during the course of his stay which resolved with eventual diet modification.  Patient was tolerating diet well on day of discharge.  Due to his persistent hypotension patient was placed on midodrine and blood pressure remained borderline low but stable.  His kidney function eventually returned to baseline.  Patient's symptoms continued to improve over the course of his stay and he will be discharged in stable and improved condition.  He will need to follow-up with Infectious Disease as well as Urology.  He will be discharged to facility.  "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Sputum culture positive, Staphylococcal bacteraemia, Staphylococcus test positive
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and COVID complications.  Provider d/c note:  "Patient presented to the emergency department on 10/12/2022 with a chief complaint of shortness of breath.  On arrival he was found to be COVID positive as well as be in DKA.  He was intubated, placed on pressors and put in the intensive care unit.  He was treated for septic shock for which infectious workup showed MSSA bacteremia as well as candida urinary tract infection.  He also had MSSA, Klebsiella and Enterobacter in his sputum.  He was seen by infectious disease during the course of his stay and completed a course of micafungin and meropenem in with a transition for an additional 6 weeks of oral antibiotics.  He also developed an AKI during the course of his stay and did require temporary hemodialysis  as well as the ureteral stent exchange with Urology.  He was seen by pulmonology for his pneumonia as there was concern for lung abscess but this was not large enough to require drainage.  His stay was also complicated by encephalopathy which did resolve over time.  He completed his treatment for MSSA bacteremia and had a negative TEE.  He will be discharged on oral Augmentin and Bactrim per Infectious Disease recommendations to complete his antibiotics.  He will need a repeat CT scan outpatient with Infectious Disease.  He was also found to have dysphagia during the course of his stay which resolved with eventual diet modification.  Patient was tolerating diet well on day of discharge.  Due to his persistent hypotension patient was placed on midodrine and blood pressure remained borderline low but stable.  His kidney function eventually returned to baseline.  Patient's symptoms continued to improve over the course of his stay and he will be discharged in stable and improved condition.  He will need to follow-up with Infectious Disease as well as Urology.  He will be discharged to facility.  "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Stent placement, Ureteral stent insertion, Urinary tract infection
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and COVID complications.  Provider d/c note:  "Patient presented to the emergency department on 10/12/2022 with a chief complaint of shortness of breath.  On arrival he was found to be COVID positive as well as be in DKA.  He was intubated, placed on pressors and put in the intensive care unit.  He was treated for septic shock for which infectious workup showed MSSA bacteremia as well as candida urinary tract infection.  He also had MSSA, Klebsiella and Enterobacter in his sputum.  He was seen by infectious disease during the course of his stay and completed a course of micafungin and meropenem in with a transition for an additional 6 weeks of oral antibiotics.  He also developed an AKI during the course of his stay and did require temporary hemodialysis  as well as the ureteral stent exchange with Urology.  He was seen by pulmonology for his pneumonia as there was concern for lung abscess but this was not large enough to require drainage.  His stay was also complicated by encephalopathy which did resolve over time.  He completed his treatment for MSSA bacteremia and had a negative TEE.  He will be discharged on oral Augmentin and Bactrim per Infectious Disease recommendations to complete his antibiotics.  He will need a repeat CT scan outpatient with Infectious Disease.  He was also found to have dysphagia during the course of his stay which resolved with eventual diet modification.  Patient was tolerating diet well on day of discharge.  Due to his persistent hypotension patient was placed on midodrine and blood pressure remained borderline low but stable.  His kidney function eventually returned to baseline.  Patient's symptoms continued to improve over the course of his stay and he will be discharged in stable and improved condition.  He will need to follow-up with Infectious Disease as well as Urology.  He will be discharged to facility.  "
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent vaccine administered instead of the Bivalent Booster. No adverse effects. Patient is doing well.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Pain, Pruritus
Clinical narrative: Patient stated symptoms started the day after vaccines; c/o fever, rash, redness at the site, itching, heat at injection site, lump at injection site, and pain
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rash
Clinical narrative: Patient stated symptoms started the day after vaccines; c/o fever, rash, redness at the site, itching, heat at injection site, lump at injection site, and pain
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated x2 (Janssen/Moderna: 03/10/21, 12/09/21) Patient admitted to hospital and tested COVID positive 11/27/22
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Gastrooesophageal reflux disease, Insomnia, Malaise, Nausea
Clinical narrative: Started with symptoms 11/11/2022 contestation; runny nose and sore throat.  Partner tested positive for covid 11/12/2022,  Monday 11/14/2022 began feeling sick; sore throat later that evening experienced acid reflux could not sleep and nausea; dry heaving. Telehealth visit 11/15/2022 .
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Retching, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Started with symptoms 11/11/2022 contestation; runny nose and sore throat.  Partner tested positive for covid 11/12/2022,  Monday 11/14/2022 began feeling sick; sore throat later that evening experienced acid reflux could not sleep and nausea; dry heaving. Telehealth visit 11/15/2022 .
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Cardiac failure, Catheterisation cardiac abnormal, Chest pain
Clinical narrative: Patient with COVID vaccines who admitted to hospital with COVID detected test.  Provider d/c note:  " 63 YO female who presented to the hospital with shortness of breath and chest pain. The patient was found to have severe CAD, decompensated severe ischemic cardiomyopathy, and acute on chronic renal failure. Cardiac catheterization revealed 3 vessel CAD with EF of 25%. She was recommended for CABG. After a period of optimal medical management including initiation of hemodialysis, the patient was brought to the operating room and underwent CABG x 4 on 11/14/2022. She tolerated the surgery well. The patient was monitored in the ICU and PCU setting. She continued to undergo hemodialysis. The patient worked with therapy on a daily basis. She was discharged home with HHC and therapies in stable condition on postoperative day 12. The patient has difficult to control DM type I and had adjustments to her insulin regimen throughout the hospital course. She will follow up with endocrinology as a outpatient. "
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Coronary artery bypass, Coronary artery disease, Diabetes mellitus inadequate control, Dyspnoea
Clinical narrative: Patient with COVID vaccines who admitted to hospital with COVID detected test.  Provider d/c note:  " 63 YO female who presented to the hospital with shortness of breath and chest pain. The patient was found to have severe CAD, decompensated severe ischemic cardiomyopathy, and acute on chronic renal failure. Cardiac catheterization revealed 3 vessel CAD with EF of 25%. She was recommended for CABG. After a period of optimal medical management including initiation of hemodialysis, the patient was brought to the operating room and underwent CABG x 4 on 11/14/2022. She tolerated the surgery well. The patient was monitored in the ICU and PCU setting. She continued to undergo hemodialysis. The patient worked with therapy on a daily basis. She was discharged home with HHC and therapies in stable condition on postoperative day 12. The patient has difficult to control DM type I and had adjustments to her insulin regimen throughout the hospital course. She will follow up with endocrinology as a outpatient. "
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Haemodialysis, Intensive care, Ischaemic cardiomyopathy, SARS-CoV-2 test positive
Clinical narrative: Patient with COVID vaccines who admitted to hospital with COVID detected test.  Provider d/c note:  " 63 YO female who presented to the hospital with shortness of breath and chest pain. The patient was found to have severe CAD, decompensated severe ischemic cardiomyopathy, and acute on chronic renal failure. Cardiac catheterization revealed 3 vessel CAD with EF of 25%. She was recommended for CABG. After a period of optimal medical management including initiation of hemodialysis, the patient was brought to the operating room and underwent CABG x 4 on 11/14/2022. She tolerated the surgery well. The patient was monitored in the ICU and PCU setting. She continued to undergo hemodialysis. The patient worked with therapy on a daily basis. She was discharged home with HHC and therapies in stable condition on postoperative day 12. The patient has difficult to control DM type I and had adjustments to her insulin regimen throughout the hospital course. She will follow up with endocrinology as a outpatient. "
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Liver disorder, Renal disorder
Clinical narrative: I experienced high blood pressure, liver and kidney problems.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, RV1, UNK
Symptoms: Death, Laboratory test, Microscopy, Pyrexia
Clinical narrative: High fever was discovered dead
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Body temperature fluctuation, COVID-19, Cold sweat
Clinical narrative: I felt the normal achiness and swollen lymph nodes, fatigue the day of the vaccine. Later in the day my whole left arm locked up, just as it did after the 2nd dose. And I've had this nerve pain ever since, it's almost as a pinched nerve that starts at the point of injection, down my elbow and up to my neck. I was clammy but without a fever, I was given a muscle relaxer when I went to the emergency room.  I'm currently seeing a neurologist as I'm in a local long COVID unit. I have chronic fatigue. I'm unable to do strenuous activities because of flare ups and on 5 medications right now. Flare ups have been entire whole body aches. This happened when I had Omicron in May 2022 where I went to the ER and they discovered I had COVID. Symptoms included heart rate going off and on, unable to regulate body heat, joint and muscle pain, old prior injuries are painful, fingers and toes get numb. These symptoms lasted for 10-14 days and up until today I'm still dealing with long term COVID-19 symptoms. I'm currently having a flare up right now today. And before COVID-19 and any of the COVID-19 vaccines I never had any flareups. I was quite active going to yoga and running, and now I can't do that any of those things.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Electromyogram, Exercise tolerance decreased, Fatigue, Heart rate irregular
Clinical narrative: I felt the normal achiness and swollen lymph nodes, fatigue the day of the vaccine. Later in the day my whole left arm locked up, just as it did after the 2nd dose. And I've had this nerve pain ever since, it's almost as a pinched nerve that starts at the point of injection, down my elbow and up to my neck. I was clammy but without a fever, I was given a muscle relaxer when I went to the emergency room.  I'm currently seeing a neurologist as I'm in a local long COVID unit. I have chronic fatigue. I'm unable to do strenuous activities because of flare ups and on 5 medications right now. Flare ups have been entire whole body aches. This happened when I had Omicron in May 2022 where I went to the ER and they discovered I had COVID. Symptoms included heart rate going off and on, unable to regulate body heat, joint and muscle pain, old prior injuries are painful, fingers and toes get numb. These symptoms lasted for 10-14 days and up until today I'm still dealing with long term COVID-19 symptoms. I'm currently having a flare up right now today. And before COVID-19 and any of the COVID-19 vaccines I never had any flareups. I was quite active going to yoga and running, and now I can't do that any of those things.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immunology test, Injected limb mobility decreased, Loss of personal independence in daily activities, Lymphadenopathy
Clinical narrative: I felt the normal achiness and swollen lymph nodes, fatigue the day of the vaccine. Later in the day my whole left arm locked up, just as it did after the 2nd dose. And I've had this nerve pain ever since, it's almost as a pinched nerve that starts at the point of injection, down my elbow and up to my neck. I was clammy but without a fever, I was given a muscle relaxer when I went to the emergency room.  I'm currently seeing a neurologist as I'm in a local long COVID unit. I have chronic fatigue. I'm unable to do strenuous activities because of flare ups and on 5 medications right now. Flare ups have been entire whole body aches. This happened when I had Omicron in May 2022 where I went to the ER and they discovered I had COVID. Symptoms included heart rate going off and on, unable to regulate body heat, joint and muscle pain, old prior injuries are painful, fingers and toes get numb. These symptoms lasted for 10-14 days and up until today I'm still dealing with long term COVID-19 symptoms. I'm currently having a flare up right now today. And before COVID-19 and any of the COVID-19 vaccines I never had any flareups. I was quite active going to yoga and running, and now I can't do that any of those things.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle disorder, Myalgia, Neuralgia, Pain, Post-acute COVID-19 syndrome
Clinical narrative: I felt the normal achiness and swollen lymph nodes, fatigue the day of the vaccine. Later in the day my whole left arm locked up, just as it did after the 2nd dose. And I've had this nerve pain ever since, it's almost as a pinched nerve that starts at the point of injection, down my elbow and up to my neck. I was clammy but without a fever, I was given a muscle relaxer when I went to the emergency room.  I'm currently seeing a neurologist as I'm in a local long COVID unit. I have chronic fatigue. I'm unable to do strenuous activities because of flare ups and on 5 medications right now. Flare ups have been entire whole body aches. This happened when I had Omicron in May 2022 where I went to the ER and they discovered I had COVID. Symptoms included heart rate going off and on, unable to regulate body heat, joint and muscle pain, old prior injuries are painful, fingers and toes get numb. These symptoms lasted for 10-14 days and up until today I'm still dealing with long term COVID-19 symptoms. I'm currently having a flare up right now today. And before COVID-19 and any of the COVID-19 vaccines I never had any flareups. I was quite active going to yoga and running, and now I can't do that any of those things.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, X-ray
Clinical narrative: I felt the normal achiness and swollen lymph nodes, fatigue the day of the vaccine. Later in the day my whole left arm locked up, just as it did after the 2nd dose. And I've had this nerve pain ever since, it's almost as a pinched nerve that starts at the point of injection, down my elbow and up to my neck. I was clammy but without a fever, I was given a muscle relaxer when I went to the emergency room.  I'm currently seeing a neurologist as I'm in a local long COVID unit. I have chronic fatigue. I'm unable to do strenuous activities because of flare ups and on 5 medications right now. Flare ups have been entire whole body aches. This happened when I had Omicron in May 2022 where I went to the ER and they discovered I had COVID. Symptoms included heart rate going off and on, unable to regulate body heat, joint and muscle pain, old prior injuries are painful, fingers and toes get numb. These symptoms lasted for 10-14 days and up until today I'm still dealing with long term COVID-19 symptoms. I'm currently having a flare up right now today. And before COVID-19 and any of the COVID-19 vaccines I never had any flareups. I was quite active going to yoga and running, and now I can't do that any of those things.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was given a pediatrics 1st dose that was expired. It was 22 days past the 10 weeks of refrigeration date.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Echocardiogram, Electrocardiogram, Pericarditis
Clinical narrative: Pericarditis occurs within days of first Moderna booster in November 2021. Pericarditis recurrence within hours of second Moderna booster on July 15 2022.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: vaccine was given after 12 hour window.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Pain in extremity, Pain in jaw
Clinical narrative: c/o pain in jaw, chest and arms sent to ED where she was dx with covid
Age: 68.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, Product administration error
Clinical narrative: VACCINE ADMINISTRATION ERROR. ALREADY RECIEVED FLU VACCINE ON 10/18/22.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Back pain, Blood lactate dehydrogenase increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 11/18/2022 Discharge Date: Nov 24, 2022 COVID positive Date 11/16/2022   PRESENTING PROBLEM: Empyema (HCC) [J86.9] Acute respiratory failure with hypoxemia, resolved RML and RLL pneumonia with large loculated right-sided complicated parapneumonic pleural effusion status post chest tube placement and subsequent removal COVID-19 infection   HOSPITAL COURSE: Patient is a 71-year-old female with PMH significant for T2DM, HTN, GERD, UC, history of trauma related multiple right-sided rib fractures/pleural effusion thoracentesis (2015) presents to the hospital 11/13 with  11 day symptoms of dyspnea, nonproductive cough and pain between her shoulder blades that wraps around on the right side.  Patient did not have any fevers but did have sweats.  Patient was noted to be hypoxic needing supplemental oxygen, SIRS (tachycardia, leukocytosis and hypoxia).  COVID PCR was negative.  Chest x-ray showed right-sided consolidative pneumonia.  Patient was admitted to Hospital for CAP and started on Rocephin/azithromycin/vancomycin (discontinued with MRSA screen negative).  On third hospital day, patient was noted to feel poorly after initial improvement, diaphoretic,  soft blood pressures and body aches.  CT thorax obtained which showed loculated right-sided pleural effusion and hence was transferred to alternate Hospital for further evaluation. --patient's pneumonia was treated with Rocephin/azithromycin from 11/13, switched to Zosyn on 11/16 and then to Unasyn on 11/21.  Infectious Disease consultation was also obtained.  Patient has RML, RLL community-acquired pneumonia.  SLP evaluation was negative for aspiration. --patient was noted to have complicated right-sided loculated parapneumonic effusion.  She had IR chest tube placement on 11/18, fluid is exudative, with LDH > 1800 increasing suspicion for empyema however cultures remained without growth.  She also finished 6 doses of tPA/dornase on 11/21 with improved outputs.  A follow up limited CT thorax on 11/23 revealed a markedly improved pleural effusion.  Pulmonary and ID are recommended removal of chest tube which was done on 11/2020.  Patient continued to improve with very minimal pain or trouble breathing . Recommended 4 weeks course of Augmentin was closed Pulmonary, and ID follow-up on a follow-up CT scan in 4 weeks. Patient was subsequently weaned off oxygen and was satting well on room air.   The patient was noted to be positive for COVID-19 on a film array however patient was negative and a PCR at admit on 11/13.  This is of unclear significance.   The patient on antihypertensives at baseline, however due to soft/low normal blood pressures are antihypertensives were held.  This was subsequently resected appetite improving blood pressure.  Patient to resume blood pressure medications and renal function remained stable.   She was discharged home in stable condition with plan to follow up with PCP, Pulmonary and Infectious Disease.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest tube insertion, Chest tube removal, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 11/18/2022 Discharge Date: Nov 24, 2022 COVID positive Date 11/16/2022   PRESENTING PROBLEM: Empyema (HCC) [J86.9] Acute respiratory failure with hypoxemia, resolved RML and RLL pneumonia with large loculated right-sided complicated parapneumonic pleural effusion status post chest tube placement and subsequent removal COVID-19 infection   HOSPITAL COURSE: Patient is a 71-year-old female with PMH significant for T2DM, HTN, GERD, UC, history of trauma related multiple right-sided rib fractures/pleural effusion thoracentesis (2015) presents to the hospital 11/13 with  11 day symptoms of dyspnea, nonproductive cough and pain between her shoulder blades that wraps around on the right side.  Patient did not have any fevers but did have sweats.  Patient was noted to be hypoxic needing supplemental oxygen, SIRS (tachycardia, leukocytosis and hypoxia).  COVID PCR was negative.  Chest x-ray showed right-sided consolidative pneumonia.  Patient was admitted to Hospital for CAP and started on Rocephin/azithromycin/vancomycin (discontinued with MRSA screen negative).  On third hospital day, patient was noted to feel poorly after initial improvement, diaphoretic,  soft blood pressures and body aches.  CT thorax obtained which showed loculated right-sided pleural effusion and hence was transferred to alternate Hospital for further evaluation. --patient's pneumonia was treated with Rocephin/azithromycin from 11/13, switched to Zosyn on 11/16 and then to Unasyn on 11/21.  Infectious Disease consultation was also obtained.  Patient has RML, RLL community-acquired pneumonia.  SLP evaluation was negative for aspiration. --patient was noted to have complicated right-sided loculated parapneumonic effusion.  She had IR chest tube placement on 11/18, fluid is exudative, with LDH > 1800 increasing suspicion for empyema however cultures remained without growth.  She also finished 6 doses of tPA/dornase on 11/21 with improved outputs.  A follow up limited CT thorax on 11/23 revealed a markedly improved pleural effusion.  Pulmonary and ID are recommended removal of chest tube which was done on 11/2020.  Patient continued to improve with very minimal pain or trouble breathing . Recommended 4 weeks course of Augmentin was closed Pulmonary, and ID follow-up on a follow-up CT scan in 4 weeks. Patient was subsequently weaned off oxygen and was satting well on room air.   The patient was noted to be positive for COVID-19 on a film array however patient was negative and a PCR at admit on 11/13.  This is of unclear significance.   The patient on antihypertensives at baseline, however due to soft/low normal blood pressures are antihypertensives were held.  This was subsequently resected appetite improving blood pressure.  Patient to resume blood pressure medications and renal function remained stable.   She was discharged home in stable condition with plan to follow up with PCP, Pulmonary and Infectious Disease.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Culture negative, Decreased appetite, Dyspnoea, Empyema, Feeling abnormal
Clinical narrative: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 11/18/2022 Discharge Date: Nov 24, 2022 COVID positive Date 11/16/2022   PRESENTING PROBLEM: Empyema (HCC) [J86.9] Acute respiratory failure with hypoxemia, resolved RML and RLL pneumonia with large loculated right-sided complicated parapneumonic pleural effusion status post chest tube placement and subsequent removal COVID-19 infection   HOSPITAL COURSE: Patient is a 71-year-old female with PMH significant for T2DM, HTN, GERD, UC, history of trauma related multiple right-sided rib fractures/pleural effusion thoracentesis (2015) presents to the hospital 11/13 with  11 day symptoms of dyspnea, nonproductive cough and pain between her shoulder blades that wraps around on the right side.  Patient did not have any fevers but did have sweats.  Patient was noted to be hypoxic needing supplemental oxygen, SIRS (tachycardia, leukocytosis and hypoxia).  COVID PCR was negative.  Chest x-ray showed right-sided consolidative pneumonia.  Patient was admitted to Hospital for CAP and started on Rocephin/azithromycin/vancomycin (discontinued with MRSA screen negative).  On third hospital day, patient was noted to feel poorly after initial improvement, diaphoretic,  soft blood pressures and body aches.  CT thorax obtained which showed loculated right-sided pleural effusion and hence was transferred to alternate Hospital for further evaluation. --patient's pneumonia was treated with Rocephin/azithromycin from 11/13, switched to Zosyn on 11/16 and then to Unasyn on 11/21.  Infectious Disease consultation was also obtained.  Patient has RML, RLL community-acquired pneumonia.  SLP evaluation was negative for aspiration. --patient was noted to have complicated right-sided loculated parapneumonic effusion.  She had IR chest tube placement on 11/18, fluid is exudative, with LDH > 1800 increasing suspicion for empyema however cultures remained without growth.  She also finished 6 doses of tPA/dornase on 11/21 with improved outputs.  A follow up limited CT thorax on 11/23 revealed a markedly improved pleural effusion.  Pulmonary and ID are recommended removal of chest tube which was done on 11/2020.  Patient continued to improve with very minimal pain or trouble breathing . Recommended 4 weeks course of Augmentin was closed Pulmonary, and ID follow-up on a follow-up CT scan in 4 weeks. Patient was subsequently weaned off oxygen and was satting well on room air.   The patient was noted to be positive for COVID-19 on a film array however patient was negative and a PCR at admit on 11/13.  This is of unclear significance.   The patient on antihypertensives at baseline, however due to soft/low normal blood pressures are antihypertensives were held.  This was subsequently resected appetite improving blood pressure.  Patient to resume blood pressure medications and renal function remained stable.   She was discharged home in stable condition with plan to follow up with PCP, Pulmonary and Infectious Disease.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoxia, Infectious pleural effusion, Leukocytosis, Lung consolidation
Clinical narrative: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 11/18/2022 Discharge Date: Nov 24, 2022 COVID positive Date 11/16/2022   PRESENTING PROBLEM: Empyema (HCC) [J86.9] Acute respiratory failure with hypoxemia, resolved RML and RLL pneumonia with large loculated right-sided complicated parapneumonic pleural effusion status post chest tube placement and subsequent removal COVID-19 infection   HOSPITAL COURSE: Patient is a 71-year-old female with PMH significant for T2DM, HTN, GERD, UC, history of trauma related multiple right-sided rib fractures/pleural effusion thoracentesis (2015) presents to the hospital 11/13 with  11 day symptoms of dyspnea, nonproductive cough and pain between her shoulder blades that wraps around on the right side.  Patient did not have any fevers but did have sweats.  Patient was noted to be hypoxic needing supplemental oxygen, SIRS (tachycardia, leukocytosis and hypoxia).  COVID PCR was negative.  Chest x-ray showed right-sided consolidative pneumonia.  Patient was admitted to Hospital for CAP and started on Rocephin/azithromycin/vancomycin (discontinued with MRSA screen negative).  On third hospital day, patient was noted to feel poorly after initial improvement, diaphoretic,  soft blood pressures and body aches.  CT thorax obtained which showed loculated right-sided pleural effusion and hence was transferred to alternate Hospital for further evaluation. --patient's pneumonia was treated with Rocephin/azithromycin from 11/13, switched to Zosyn on 11/16 and then to Unasyn on 11/21.  Infectious Disease consultation was also obtained.  Patient has RML, RLL community-acquired pneumonia.  SLP evaluation was negative for aspiration. --patient was noted to have complicated right-sided loculated parapneumonic effusion.  She had IR chest tube placement on 11/18, fluid is exudative, with LDH > 1800 increasing suspicion for empyema however cultures remained without growth.  She also finished 6 doses of tPA/dornase on 11/21 with improved outputs.  A follow up limited CT thorax on 11/23 revealed a markedly improved pleural effusion.  Pulmonary and ID are recommended removal of chest tube which was done on 11/2020.  Patient continued to improve with very minimal pain or trouble breathing . Recommended 4 weeks course of Augmentin was closed Pulmonary, and ID follow-up on a follow-up CT scan in 4 weeks. Patient was subsequently weaned off oxygen and was satting well on room air.   The patient was noted to be positive for COVID-19 on a film array however patient was negative and a PCR at admit on 11/13.  This is of unclear significance.   The patient on antihypertensives at baseline, however due to soft/low normal blood pressures are antihypertensives were held.  This was subsequently resected appetite improving blood pressure.  Patient to resume blood pressure medications and renal function remained stable.   She was discharged home in stable condition with plan to follow up with PCP, Pulmonary and Infectious Disease.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mediastinal effusion, Oesophageal disorder, Pain, Pleural effusion, Pneumonia
Clinical narrative: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 11/18/2022 Discharge Date: Nov 24, 2022 COVID positive Date 11/16/2022   PRESENTING PROBLEM: Empyema (HCC) [J86.9] Acute respiratory failure with hypoxemia, resolved RML and RLL pneumonia with large loculated right-sided complicated parapneumonic pleural effusion status post chest tube placement and subsequent removal COVID-19 infection   HOSPITAL COURSE: Patient is a 71-year-old female with PMH significant for T2DM, HTN, GERD, UC, history of trauma related multiple right-sided rib fractures/pleural effusion thoracentesis (2015) presents to the hospital 11/13 with  11 day symptoms of dyspnea, nonproductive cough and pain between her shoulder blades that wraps around on the right side.  Patient did not have any fevers but did have sweats.  Patient was noted to be hypoxic needing supplemental oxygen, SIRS (tachycardia, leukocytosis and hypoxia).  COVID PCR was negative.  Chest x-ray showed right-sided consolidative pneumonia.  Patient was admitted to Hospital for CAP and started on Rocephin/azithromycin/vancomycin (discontinued with MRSA screen negative).  On third hospital day, patient was noted to feel poorly after initial improvement, diaphoretic,  soft blood pressures and body aches.  CT thorax obtained which showed loculated right-sided pleural effusion and hence was transferred to alternate Hospital for further evaluation. --patient's pneumonia was treated with Rocephin/azithromycin from 11/13, switched to Zosyn on 11/16 and then to Unasyn on 11/21.  Infectious Disease consultation was also obtained.  Patient has RML, RLL community-acquired pneumonia.  SLP evaluation was negative for aspiration. --patient was noted to have complicated right-sided loculated parapneumonic effusion.  She had IR chest tube placement on 11/18, fluid is exudative, with LDH > 1800 increasing suspicion for empyema however cultures remained without growth.  She also finished 6 doses of tPA/dornase on 11/21 with improved outputs.  A follow up limited CT thorax on 11/23 revealed a markedly improved pleural effusion.  Pulmonary and ID are recommended removal of chest tube which was done on 11/2020.  Patient continued to improve with very minimal pain or trouble breathing . Recommended 4 weeks course of Augmentin was closed Pulmonary, and ID follow-up on a follow-up CT scan in 4 weeks. Patient was subsequently weaned off oxygen and was satting well on room air.   The patient was noted to be positive for COVID-19 on a film array however patient was negative and a PCR at admit on 11/13.  This is of unclear significance.   The patient on antihypertensives at baseline, however due to soft/low normal blood pressures are antihypertensives were held.  This was subsequently resected appetite improving blood pressure.  Patient to resume blood pressure medications and renal function remained stable.   She was discharged home in stable condition with plan to follow up with PCP, Pulmonary and Infectious Disease.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 11/18/2022 Discharge Date: Nov 24, 2022 COVID positive Date 11/16/2022   PRESENTING PROBLEM: Empyema (HCC) [J86.9] Acute respiratory failure with hypoxemia, resolved RML and RLL pneumonia with large loculated right-sided complicated parapneumonic pleural effusion status post chest tube placement and subsequent removal COVID-19 infection   HOSPITAL COURSE: Patient is a 71-year-old female with PMH significant for T2DM, HTN, GERD, UC, history of trauma related multiple right-sided rib fractures/pleural effusion thoracentesis (2015) presents to the hospital 11/13 with  11 day symptoms of dyspnea, nonproductive cough and pain between her shoulder blades that wraps around on the right side.  Patient did not have any fevers but did have sweats.  Patient was noted to be hypoxic needing supplemental oxygen, SIRS (tachycardia, leukocytosis and hypoxia).  COVID PCR was negative.  Chest x-ray showed right-sided consolidative pneumonia.  Patient was admitted to Hospital for CAP and started on Rocephin/azithromycin/vancomycin (discontinued with MRSA screen negative).  On third hospital day, patient was noted to feel poorly after initial improvement, diaphoretic,  soft blood pressures and body aches.  CT thorax obtained which showed loculated right-sided pleural effusion and hence was transferred to alternate Hospital for further evaluation. --patient's pneumonia was treated with Rocephin/azithromycin from 11/13, switched to Zosyn on 11/16 and then to Unasyn on 11/21.  Infectious Disease consultation was also obtained.  Patient has RML, RLL community-acquired pneumonia.  SLP evaluation was negative for aspiration. --patient was noted to have complicated right-sided loculated parapneumonic effusion.  She had IR chest tube placement on 11/18, fluid is exudative, with LDH > 1800 increasing suspicion for empyema however cultures remained without growth.  She also finished 6 doses of tPA/dornase on 11/21 with improved outputs.  A follow up limited CT thorax on 11/23 revealed a markedly improved pleural effusion.  Pulmonary and ID are recommended removal of chest tube which was done on 11/2020.  Patient continued to improve with very minimal pain or trouble breathing . Recommended 4 weeks course of Augmentin was closed Pulmonary, and ID follow-up on a follow-up CT scan in 4 weeks. Patient was subsequently weaned off oxygen and was satting well on room air.   The patient was noted to be positive for COVID-19 on a film array however patient was negative and a PCR at admit on 11/13.  This is of unclear significance.   The patient on antihypertensives at baseline, however due to soft/low normal blood pressures are antihypertensives were held.  This was subsequently resected appetite improving blood pressure.  Patient to resume blood pressure medications and renal function remained stable.   She was discharged home in stable condition with plan to follow up with PCP, Pulmonary and Infectious Disease.