chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cough, Eye irritation, Oropharyngeal pain, Pain, Rhinorrhoea
Clinical narrative: The biggest thing I noticed was a burning sensation in my eyes after the vaccination. On January 7, 2022, I started experiencing body aches. My boyfriend tested positive for COVID-19 on January 7, 2022. I felt the burning sensation in my eyes again. I also had a sore throat, runny nose, and a cough. I took a COVID-19 test through the drive-thru on January 7, 2022. My result was negative.
Age: 31.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: SARS-CoV-2 test negative
Clinical narrative: The biggest thing I noticed was a burning sensation in my eyes after the vaccination. On January 7, 2022, I started experiencing body aches. My boyfriend tested positive for COVID-19 on January 7, 2022. I felt the burning sensation in my eyes again. I also had a sore throat, runny nose, and a cough. I took a COVID-19 test through the drive-thru on January 7, 2022. My result was negative.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: At the moment there was no adverse event.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: At the moment there was no adverse event.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Erythema of eyelid, Hypersensitivity, Skin exfoliation
Clinical narrative: A 15 month old patient who was administered 12 month vaccines (MMR/Varicella, Hepatitis A) presented an allergy with erythema of the eyelids and cheeks 60 hours after vaccine and then skin Desquamation.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD . Recommendation is to revaccinate.
Age: 50.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Injection site swelling, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had a raised spot come up on my arm at the injection site. I started having symptoms of congestion and fever on 12/30 and 31. I tested positive for COVID-19 on 01/02/2023 with a home test. The nurse on staff at the urgent care center recommended that I wait a couple of days to see how my symptoms do. I ended up taking Theraflu, Mucinex DM, cough drops and Tylenol to help with my symptoms.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Laboratory test, Pulmonary thrombosis
Clinical narrative: DVT bloodclot in leg.  Then clots in my lungs.  4 day hospitalization.   Released and still on blood thinners.
Age: 49.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Dysgeusia
Clinical narrative: I was having symptoms in the morning when I woke up on Wednesday morning. I was having a headache, with very severe sinus congestion, I was sneezing, coughing, with a runny nose, my eyes had that horrible pain behind them like it was sinus infection. I was exhausted and only wanted to sleep, and then my food started tasting weird. I took a COVID-19 home test Thursday night ad it was positive. I was achy all over, I had shortness of breath, and then I lost my appetite as well. I never had a fever, but I did have chills and severe sweating at night but was so cold that I had to bundle up with extra blankets but would be soaked from sweating all night. I did not get anything from my doctor for treatment and they advised that I keep taking the cold medications to help. I was able to manage the symptoms with the OTC medications. I still have some lingering fatigue, but it was only a few days after I tested positive that I was feeling better other than having to pause when I was talking to catch my breath.
Age: 49.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dyspnoea, Dyspnoea exertional, Eye pain, Fatigue, Feeling cold
Clinical narrative: I was having symptoms in the morning when I woke up on Wednesday morning. I was having a headache, with very severe sinus congestion, I was sneezing, coughing, with a runny nose, my eyes had that horrible pain behind them like it was sinus infection. I was exhausted and only wanted to sleep, and then my food started tasting weird. I took a COVID-19 home test Thursday night ad it was positive. I was achy all over, I had shortness of breath, and then I lost my appetite as well. I never had a fever, but I did have chills and severe sweating at night but was so cold that I had to bundle up with extra blankets but would be soaked from sweating all night. I did not get anything from my doctor for treatment and they advised that I keep taking the cold medications to help. I was able to manage the symptoms with the OTC medications. I still have some lingering fatigue, but it was only a few days after I tested positive that I was feeling better other than having to pause when I was talking to catch my breath.
Age: 49.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Hyperhidrosis, Night sweats, Pain, Rhinorrhoea
Clinical narrative: I was having symptoms in the morning when I woke up on Wednesday morning. I was having a headache, with very severe sinus congestion, I was sneezing, coughing, with a runny nose, my eyes had that horrible pain behind them like it was sinus infection. I was exhausted and only wanted to sleep, and then my food started tasting weird. I took a COVID-19 home test Thursday night ad it was positive. I was achy all over, I had shortness of breath, and then I lost my appetite as well. I never had a fever, but I did have chills and severe sweating at night but was so cold that I had to bundle up with extra blankets but would be soaked from sweating all night. I did not get anything from my doctor for treatment and they advised that I keep taking the cold medications to help. I was able to manage the symptoms with the OTC medications. I still have some lingering fatigue, but it was only a few days after I tested positive that I was feeling better other than having to pause when I was talking to catch my breath.
Age: 49.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive, Sinus congestion, Sneezing, Somnolence
Clinical narrative: I was having symptoms in the morning when I woke up on Wednesday morning. I was having a headache, with very severe sinus congestion, I was sneezing, coughing, with a runny nose, my eyes had that horrible pain behind them like it was sinus infection. I was exhausted and only wanted to sleep, and then my food started tasting weird. I took a COVID-19 home test Thursday night ad it was positive. I was achy all over, I had shortness of breath, and then I lost my appetite as well. I never had a fever, but I did have chills and severe sweating at night but was so cold that I had to bundle up with extra blankets but would be soaked from sweating all night. I did not get anything from my doctor for treatment and they advised that I keep taking the cold medications to help. I was able to manage the symptoms with the OTC medications. I still have some lingering fatigue, but it was only a few days after I tested positive that I was feeling better other than having to pause when I was talking to catch my breath.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Faecal calprotectin abnormal, Hernia repair, Inflammation, Laboratory test
Clinical narrative: Pain of right side of belly button; soreness. Hernia surgery in 2022. Inflammation of elilim. 2022 August soreness began to spread up to rib cage. Since December 2022 began to spread to left side of belly button.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Oesophagogastroduodenoscopy, Pain, X-ray
Clinical narrative: Pain of right side of belly button; soreness. Hernia surgery in 2022. Inflammation of elilim. 2022 August soreness began to spread up to rib cage. Since December 2022 began to spread to left side of belly button.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Left shoulder pain, decreased range of motion, starting the day following vaccination.  Patient presented for primary care evaluation 1/9/23 with 6 weeks of symptoms.  Concern for bursitis, treated with prescription steroids, NSAIDs, and physical therapy referral.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: A dose of moderna bivalent of 0.25 ml was administered, when the correct dose is  0.5 ml..
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I received a Moderna COVID-19 booster on 11/23/2021. On 4/1/2022, in the middle of the night or very early morning, I felt like someone had kicked me in my back. The feeling subsided after a while, and then I went back to sleep. Several hours later, when I woke back up, I had a slight fever, a sore throat, and head and chest congestion. I took a home antigen test that day, and the result was positive. I later took another test that evening to confirm the result, and I again got a positive result. I isolated and treated my symptoms with OTC remedies like TYLENOL and vitamin C. My symptoms lasted for around 5 days. After the first day, the fever was gone, but I still had fatigue and cold-like symptoms. From the first day on, the symptoms just gradually improved. On about 4/5/2022 or 4/6/2022, I took another home test and got a negative result. At that point, I was still pretty fatigued and had to occasionally nap, but I otherwise felt fine.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: I received a Moderna COVID-19 booster on 11/23/2021. On 4/1/2022, in the middle of the night or very early morning, I felt like someone had kicked me in my back. The feeling subsided after a while, and then I went back to sleep. Several hours later, when I woke back up, I had a slight fever, a sore throat, and head and chest congestion. I took a home antigen test that day, and the result was positive. I later took another test that evening to confirm the result, and I again got a positive result. I isolated and treated my symptoms with OTC remedies like TYLENOL and vitamin C. My symptoms lasted for around 5 days. After the first day, the fever was gone, but I still had fatigue and cold-like symptoms. From the first day on, the symptoms just gradually improved. On about 4/5/2022 or 4/6/2022, I took another home test and got a negative result. At that point, I was still pretty fatigued and had to occasionally nap, but I otherwise felt fine.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Facial pain, Fatigue, Feeling abnormal
Clinical narrative: I experienced the side of my face hurting and numb, foggy headed, dizziness, tiredness for 19 months and just started getting better December 2022.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: I experienced the side of my face hurting and numb, foggy headed, dizziness, tiredness for 19 months and just started getting better December 2022.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer COVID vaccine past BUD date. Recommendation is to revaccinate.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abnormal faeces, Nausea
Clinical narrative: Slight stomach nausea around Noon that Sunday(01/08/2023) & pooped Twice(Highly Irregular, usually Every Other Day); Stronger Stomach nausea Monday(01/09/2023, Day3 After Booster) Morning, nausea Begins to Subside After 2pm, No Other side effects so far
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Injected limb mobility decreased, Pain in extremity
Clinical narrative: I could not raise my left arm the next morning (injection site was upper left arm) and it was VERY painful.  Since it wasn't better a week later, I called Dr. (my physician) who gave me 800 mgs of Ibuprofen by phone because he was booked that day.  I got the prescription and then called my nephew that is a chiropractor.  I think it was the next day he worked on my shoulder and gave me exercises to do.  He told me to keep moving it.  It took a whole month before it was better.  I have also had a little trouble breathing.  Not sure but that might be my acid reflux?
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Blood test, Cardiac monitoring, Hypersomnia, Middle insomnia
Clinical narrative: She got her vaccine, she fell asleep.  At around 3:30-4:00 AM they heard knocking and it was her, she was trying to get their attention, she could not talk, her heart was racing, and was throwing up.  They rushed her to the hospital to  Hospital.  At the hospital her heart rate was over 130, fever of 102.  Before they could do anything they had to break her fever, gave her Ibuprofen and fluids.  She could not leave until her heart rate was under 100.  It finally went to 97 after 4-5 hours.  She came home and slept even up until the next day.  She seems to be OK now, but mother is watching her carefully.  She is to see her PCP for FU.   They did a respiratory panel on her, blood work and everything was negative.  She is not running fever and seems to be OK now.  She was told to continue to take the Ibuprofen.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, Respiratory viral panel, Vomiting, X-ray
Clinical narrative: She got her vaccine, she fell asleep.  At around 3:30-4:00 AM they heard knocking and it was her, she was trying to get their attention, she could not talk, her heart was racing, and was throwing up.  They rushed her to the hospital to  Hospital.  At the hospital her heart rate was over 130, fever of 102.  Before they could do anything they had to break her fever, gave her Ibuprofen and fluids.  She could not leave until her heart rate was under 100.  It finally went to 97 after 4-5 hours.  She came home and slept even up until the next day.  She seems to be OK now, but mother is watching her carefully.  She is to see her PCP for FU.   They did a respiratory panel on her, blood work and everything was negative.  She is not running fever and seems to be OK now.  She was told to continue to take the Ibuprofen.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Echocardiogram, Heart rate increased
Clinical narrative: I had my vaccination on 04/27/2022. I had fatigue on 04/28/2022 and it lasted for 7 days. On 05/04/2022 I started to experience an increase in heartrate. This lasted for a couple minutes subside and then continue throughout the day for a couple of weeks. I went to Cardiology. My cardiologist prescribed me metoprolol. I haven't had any more episodes since 05/2022 but I am still taking the medication.
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse situation.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain
Clinical narrative: My symptoms began on the same weekend of dose 4. I was sore because my joints were tender. But over the next several weeks I was having more joint pain that I would normally have. I now have joint pain in two of my fingers on my non-dominant hand. The pain is in my knees and hips. It's not progressively getting worse, but it does have degrees or soreness. My knees are sore every day. I visited with the doctor and X-rays have been ordered.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 11/22/22 presents to EC ED for "fatigue". PMHx of "HTN, CAD, DM2, afib on warfarin, CVA"
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Condition aggravated, Hypoaesthesia, Paraesthesia
Clinical narrative: I was having issues with lower back pain, and it got worse after being vaccinated. I am having numbness, tingling, and pain in my legs that extends to my ankles at times. I contacted my doctor and was prescribed meloxicam and Physical Therapy. I am still dealing with these symptoms at this time.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Arthralgia, Asthenia, Blood creatine phosphokinase increased, COVID-19
Clinical narrative: COVID+ 12/20/22.  Vaccination Status - Pfizer x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 12/20/2022 Discharge Date: 12/24/2022 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 12/20/2022 Yes ? Weakness 12/20/2022 Yes ? Vascular parkinsonism  09/08/2021 Yes ? Elevated blood-pressure reading without diagnosis of hypertension 05/18/2021 Yes ? AF (paroxysmal atrial fibrillation)  02/22/2021 Yes ? Complete heart block     Discharge Disposition:  skilled nursing facility  Active Issues Requiring Follow-up:  COVID-19 pneumonia Acute hypoxic respiratory failure - oxygenation stable on 2 L nasal cannula, wean as able at rehab - continue dexamethasone 6mg daily through 12/30/22 - incentive spirometer - if no improvement would consider trial of low dose oral lasix due to hx of known EF 48%, he is not on this typically Frequent falls Acute left lateral hip pain - continue PT and OT at acute rehab - tylenol, ice, lidocaine patch for left thigh/hip pain DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 90 y.o. male with complex PMH, including prior CVA, HLD, paroxysmal A fib on Eliquis, CHB s/p pacemaker, HLD, and colon cancer who presented 12/20/22 due to weakness, fatigue, and possible fall and/or prolonged time on ground. Patient found to be COVID-19 positive. He was reportedly found down on the ground in his independent living facility and was confused. In the ED, vitals on arrival with T 37.2C, HR 60s, RR low 20s, BP 170s-190s/70s-80s, SpO2 92-94% on room air. Pt appeared dehydrated and was given 1L NS bolus, EKG with paced rhythm, Trp 24->23. CXR with cardiomegaly and retrocardiac opacities. Given use of blood thinners, ordered CT head and C spine, which were negative for any acute intracranial process, fracture or dislocation. Pacemaker was interrogated and did not show any abnormal rhythms. CK notably elevated to 2500 on admission and trended down with fluid resuscitation. Xray of left hip obtained and negative for fracture. PT evaluated recommending acute rehab. PMR evaluated initially recommending SAR but he had improvement in pain and was able to meet criteria for acute rehab. He remained on 2L NC through admission and was started on remdesivir (which he completed 4 days of) and dexamethasone which will be continued on discharge. Patient did have a fall early morning 12/23 landing on his knees.  X-rays without evidence of injury however does demonstrate possible CPPD left knee.  Patient without left knee pain currently so no further workup pursued. CXR repeated day before discharge continuing to show pneumonia. He was discharged to acute rehab in stable condition without new complaints.  Inpt Rehab 12/24/22- 1/4/2023
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram head normal, Computerised tomogram normal
Clinical narrative: COVID+ 12/20/22.  Vaccination Status - Pfizer x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 12/20/2022 Discharge Date: 12/24/2022 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 12/20/2022 Yes ? Weakness 12/20/2022 Yes ? Vascular parkinsonism  09/08/2021 Yes ? Elevated blood-pressure reading without diagnosis of hypertension 05/18/2021 Yes ? AF (paroxysmal atrial fibrillation)  02/22/2021 Yes ? Complete heart block     Discharge Disposition:  skilled nursing facility  Active Issues Requiring Follow-up:  COVID-19 pneumonia Acute hypoxic respiratory failure - oxygenation stable on 2 L nasal cannula, wean as able at rehab - continue dexamethasone 6mg daily through 12/30/22 - incentive spirometer - if no improvement would consider trial of low dose oral lasix due to hx of known EF 48%, he is not on this typically Frequent falls Acute left lateral hip pain - continue PT and OT at acute rehab - tylenol, ice, lidocaine patch for left thigh/hip pain DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 90 y.o. male with complex PMH, including prior CVA, HLD, paroxysmal A fib on Eliquis, CHB s/p pacemaker, HLD, and colon cancer who presented 12/20/22 due to weakness, fatigue, and possible fall and/or prolonged time on ground. Patient found to be COVID-19 positive. He was reportedly found down on the ground in his independent living facility and was confused. In the ED, vitals on arrival with T 37.2C, HR 60s, RR low 20s, BP 170s-190s/70s-80s, SpO2 92-94% on room air. Pt appeared dehydrated and was given 1L NS bolus, EKG with paced rhythm, Trp 24->23. CXR with cardiomegaly and retrocardiac opacities. Given use of blood thinners, ordered CT head and C spine, which were negative for any acute intracranial process, fracture or dislocation. Pacemaker was interrogated and did not show any abnormal rhythms. CK notably elevated to 2500 on admission and trended down with fluid resuscitation. Xray of left hip obtained and negative for fracture. PT evaluated recommending acute rehab. PMR evaluated initially recommending SAR but he had improvement in pain and was able to meet criteria for acute rehab. He remained on 2L NC through admission and was started on remdesivir (which he completed 4 days of) and dexamethasone which will be continued on discharge. Patient did have a fall early morning 12/23 landing on his knees.  X-rays without evidence of injury however does demonstrate possible CPPD left knee.  Patient without left knee pain currently so no further workup pursued. CXR repeated day before discharge continuing to show pneumonia. He was discharged to acute rehab in stable condition without new complaints.  Inpt Rehab 12/24/22- 1/4/2023
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram spine, Condition aggravated, Confusional state, Dehydration, Electrocardiogram
Clinical narrative: COVID+ 12/20/22.  Vaccination Status - Pfizer x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 12/20/2022 Discharge Date: 12/24/2022 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 12/20/2022 Yes ? Weakness 12/20/2022 Yes ? Vascular parkinsonism  09/08/2021 Yes ? Elevated blood-pressure reading without diagnosis of hypertension 05/18/2021 Yes ? AF (paroxysmal atrial fibrillation)  02/22/2021 Yes ? Complete heart block     Discharge Disposition:  skilled nursing facility  Active Issues Requiring Follow-up:  COVID-19 pneumonia Acute hypoxic respiratory failure - oxygenation stable on 2 L nasal cannula, wean as able at rehab - continue dexamethasone 6mg daily through 12/30/22 - incentive spirometer - if no improvement would consider trial of low dose oral lasix due to hx of known EF 48%, he is not on this typically Frequent falls Acute left lateral hip pain - continue PT and OT at acute rehab - tylenol, ice, lidocaine patch for left thigh/hip pain DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 90 y.o. male with complex PMH, including prior CVA, HLD, paroxysmal A fib on Eliquis, CHB s/p pacemaker, HLD, and colon cancer who presented 12/20/22 due to weakness, fatigue, and possible fall and/or prolonged time on ground. Patient found to be COVID-19 positive. He was reportedly found down on the ground in his independent living facility and was confused. In the ED, vitals on arrival with T 37.2C, HR 60s, RR low 20s, BP 170s-190s/70s-80s, SpO2 92-94% on room air. Pt appeared dehydrated and was given 1L NS bolus, EKG with paced rhythm, Trp 24->23. CXR with cardiomegaly and retrocardiac opacities. Given use of blood thinners, ordered CT head and C spine, which were negative for any acute intracranial process, fracture or dislocation. Pacemaker was interrogated and did not show any abnormal rhythms. CK notably elevated to 2500 on admission and trended down with fluid resuscitation. Xray of left hip obtained and negative for fracture. PT evaluated recommending acute rehab. PMR evaluated initially recommending SAR but he had improvement in pain and was able to meet criteria for acute rehab. He remained on 2L NC through admission and was started on remdesivir (which he completed 4 days of) and dexamethasone which will be continued on discharge. Patient did have a fall early morning 12/23 landing on his knees.  X-rays without evidence of injury however does demonstrate possible CPPD left knee.  Patient without left knee pain currently so no further workup pursued. CXR repeated day before discharge continuing to show pneumonia. He was discharged to acute rehab in stable condition without new complaints.  Inpt Rehab 12/24/22- 1/4/2023
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue, SARS-CoV-2 test positive, Troponin, X-ray normal
Clinical narrative: COVID+ 12/20/22.  Vaccination Status - Pfizer x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 12/20/2022 Discharge Date: 12/24/2022 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 12/20/2022 Yes ? Weakness 12/20/2022 Yes ? Vascular parkinsonism  09/08/2021 Yes ? Elevated blood-pressure reading without diagnosis of hypertension 05/18/2021 Yes ? AF (paroxysmal atrial fibrillation)  02/22/2021 Yes ? Complete heart block     Discharge Disposition:  skilled nursing facility  Active Issues Requiring Follow-up:  COVID-19 pneumonia Acute hypoxic respiratory failure - oxygenation stable on 2 L nasal cannula, wean as able at rehab - continue dexamethasone 6mg daily through 12/30/22 - incentive spirometer - if no improvement would consider trial of low dose oral lasix due to hx of known EF 48%, he is not on this typically Frequent falls Acute left lateral hip pain - continue PT and OT at acute rehab - tylenol, ice, lidocaine patch for left thigh/hip pain DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 90 y.o. male with complex PMH, including prior CVA, HLD, paroxysmal A fib on Eliquis, CHB s/p pacemaker, HLD, and colon cancer who presented 12/20/22 due to weakness, fatigue, and possible fall and/or prolonged time on ground. Patient found to be COVID-19 positive. He was reportedly found down on the ground in his independent living facility and was confused. In the ED, vitals on arrival with T 37.2C, HR 60s, RR low 20s, BP 170s-190s/70s-80s, SpO2 92-94% on room air. Pt appeared dehydrated and was given 1L NS bolus, EKG with paced rhythm, Trp 24->23. CXR with cardiomegaly and retrocardiac opacities. Given use of blood thinners, ordered CT head and C spine, which were negative for any acute intracranial process, fracture or dislocation. Pacemaker was interrogated and did not show any abnormal rhythms. CK notably elevated to 2500 on admission and trended down with fluid resuscitation. Xray of left hip obtained and negative for fracture. PT evaluated recommending acute rehab. PMR evaluated initially recommending SAR but he had improvement in pain and was able to meet criteria for acute rehab. He remained on 2L NC through admission and was started on remdesivir (which he completed 4 days of) and dexamethasone which will be continued on discharge. Patient did have a fall early morning 12/23 landing on his knees.  X-rays without evidence of injury however does demonstrate possible CPPD left knee.  Patient without left knee pain currently so no further workup pursued. CXR repeated day before discharge continuing to show pneumonia. He was discharged to acute rehab in stable condition without new complaints.  Inpt Rehab 12/24/22- 1/4/2023
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray of pelvis and hip normal
Clinical narrative: COVID+ 12/20/22.  Vaccination Status - Pfizer x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 12/20/2022 Discharge Date: 12/24/2022 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 12/20/2022 Yes ? Weakness 12/20/2022 Yes ? Vascular parkinsonism  09/08/2021 Yes ? Elevated blood-pressure reading without diagnosis of hypertension 05/18/2021 Yes ? AF (paroxysmal atrial fibrillation)  02/22/2021 Yes ? Complete heart block     Discharge Disposition:  skilled nursing facility  Active Issues Requiring Follow-up:  COVID-19 pneumonia Acute hypoxic respiratory failure - oxygenation stable on 2 L nasal cannula, wean as able at rehab - continue dexamethasone 6mg daily through 12/30/22 - incentive spirometer - if no improvement would consider trial of low dose oral lasix due to hx of known EF 48%, he is not on this typically Frequent falls Acute left lateral hip pain - continue PT and OT at acute rehab - tylenol, ice, lidocaine patch for left thigh/hip pain DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 90 y.o. male with complex PMH, including prior CVA, HLD, paroxysmal A fib on Eliquis, CHB s/p pacemaker, HLD, and colon cancer who presented 12/20/22 due to weakness, fatigue, and possible fall and/or prolonged time on ground. Patient found to be COVID-19 positive. He was reportedly found down on the ground in his independent living facility and was confused. In the ED, vitals on arrival with T 37.2C, HR 60s, RR low 20s, BP 170s-190s/70s-80s, SpO2 92-94% on room air. Pt appeared dehydrated and was given 1L NS bolus, EKG with paced rhythm, Trp 24->23. CXR with cardiomegaly and retrocardiac opacities. Given use of blood thinners, ordered CT head and C spine, which were negative for any acute intracranial process, fracture or dislocation. Pacemaker was interrogated and did not show any abnormal rhythms. CK notably elevated to 2500 on admission and trended down with fluid resuscitation. Xray of left hip obtained and negative for fracture. PT evaluated recommending acute rehab. PMR evaluated initially recommending SAR but he had improvement in pain and was able to meet criteria for acute rehab. He remained on 2L NC through admission and was started on remdesivir (which he completed 4 days of) and dexamethasone which will be continued on discharge. Patient did have a fall early morning 12/23 landing on his knees.  X-rays without evidence of injury however does demonstrate possible CPPD left knee.  Patient without left knee pain currently so no further workup pursued. CXR repeated day before discharge continuing to show pneumonia. He was discharged to acute rehab in stable condition without new complaints.  Inpt Rehab 12/24/22- 1/4/2023
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Patient developed 1 hive on inside of left wrist. She had no other symptoms and the hive resolved with in 2 hours.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Ear congestion, Illness, Nasal congestion
Clinical narrative: About two and a half months after receiving the bivalent Moderna vaccine, I started to show symptoms of sickness. I experienced a sore throat, ear/nasal congestion, a cough and a fever. I tested myself at home on 01/01/2023, but the test came back negative. On 01/02/2023 I had tested positive, and I went to the ER. While at the ER, they prescribed me Paxlovid. I feel that it may have helped me with my symptoms. I have not tested again to see if I have a negative result, but I will be testing tomorrow.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: About two and a half months after receiving the bivalent Moderna vaccine, I started to show symptoms of sickness. I experienced a sore throat, ear/nasal congestion, a cough and a fever. I tested myself at home on 01/01/2023, but the test came back negative. On 01/02/2023 I had tested positive, and I went to the ER. While at the ER, they prescribed me Paxlovid. I feel that it may have helped me with my symptoms. I have not tested again to see if I have a negative result, but I will be testing tomorrow.
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Dizziness, Fatigue
Clinical narrative: My first symptoms were a sore throat and being tired on December 23, 2022. The next day I developed a fever, bad muscle aches, headache, dizziness and being very tired. On the morning of December 25, I tested positive for COVID-19. I reached out to my provider who prescribed PAXLOVID and advised me to take ibuprofen over the counter. I started the medication on the 26th and by the 28th the symptoms started improving. The worst of it was over while on PAXLOVID. I lost sense of taste and smell on the 28th of December. I am totally back to normal since the 6th of January.
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: My first symptoms were a sore throat and being tired on December 23, 2022. The next day I developed a fever, bad muscle aches, headache, dizziness and being very tired. On the morning of December 25, I tested positive for COVID-19. I reached out to my provider who prescribed PAXLOVID and advised me to take ibuprofen over the counter. I started the medication on the 26th and by the 28th the symptoms started improving. The worst of it was over while on PAXLOVID. I lost sense of taste and smell on the 28th of December. I am totally back to normal since the 6th of January.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Rhinorrhoea
Clinical narrative: I started having overwhelming fatigue and a low-grade fever, cough and runny nose. It was very mild compared to other people's issues. After about 3-4 days I got tested at a mobile test site. The COVID-19 test was positive, I reported it to my doctor, and I was told to treat it at home with home remedies. I took cough syrup and TYLENOL overall it helped.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started having overwhelming fatigue and a low-grade fever, cough and runny nose. It was very mild compared to other people's issues. After about 3-4 days I got tested at a mobile test site. The COVID-19 test was positive, I reported it to my doctor, and I was told to treat it at home with home remedies. I took cough syrup and TYLENOL overall it helped.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: COVID booster was given after expiration date.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: She was given half the indicated dose.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: He was given half the indicated dose.
Age: 17.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: The bivalent vaccine (booster) was given as the 1st dose in the primary series
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given wrong vaccine. Our provider, drawn the wrong vaccine, instead of Moderna Bivalent 12+, she administered the primary dose for Pedia Moderna.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Chest discomfort, Discomfort, Electrocardiogram normal
Clinical narrative: injection done 12/17. next day, developed chest pressure radiating to arms. continues to have intermittent chest tightness 5-15 min daily, unrelated to exercise. possible myocarditis.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Induration, Injection site pain, Skin discolouration
Clinical narrative: Got flu shot at facility Saturday 11/12/22 - had redness, firmness, tenderness at site of injection in subsequent days which spread over those days but then eases up at times (mom has pictures); when shot went in he felt a fire-like sensation; after shower and ball practice at night it swells ; less red and swollen this AM (now more of a bruised look) Skin: General: dull purplish-red areas right upper arm - no warmth , mild tenderness (he said 8/10 but was not wincing or pulling his arm away with fairly deep palpation) , no edema. 1. Cellulitis of right upper limb - concern over possible infection in the skin, muscle or even deeper -- xray to rule out bony changes ; start oral clindamycin (plan 4 week course
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Skin warm, Swelling
Clinical narrative: Got flu shot at facility Saturday 11/12/22 - had redness, firmness, tenderness at site of injection in subsequent days which spread over those days but then eases up at times (mom has pictures); when shot went in he felt a fire-like sensation; after shower and ball practice at night it swells ; less red and swollen this AM (now more of a bruised look) Skin: General: dull purplish-red areas right upper arm - no warmth , mild tenderness (he said 8/10 but was not wincing or pulling his arm away with fairly deep palpation) , no edema. 1. Cellulitis of right upper limb - concern over possible infection in the skin, muscle or even deeper -- xray to rule out bony changes ; start oral clindamycin (plan 4 week course
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt diagnosed with covid.  Added to Covid log
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Tinnitus
Clinical narrative: intermittent chest pains and tinnitus
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Cough, Immediate post-injection reaction, Injection site inflammation, Injection site urticaria, Malaise
Clinical narrative: My daughter had a large hive at the site of injection immediately following the injection. She then over the course of the next 2-3weeks had worsening coughing, sneezing and nasal congestion of which I asked the MD if she should receive the vaccines because she was feeling sick. I was advised to have her receive the vaccines. Hive-like inflammation returned to my daughter's right thigh where injections were given on Jan 7, 2023.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Nasal congestion, Sneezing
Clinical narrative: My daughter had a large hive at the site of injection immediately following the injection. She then over the course of the next 2-3weeks had worsening coughing, sneezing and nasal congestion of which I asked the MD if she should receive the vaccines because she was feeling sick. I was advised to have her receive the vaccines. Hive-like inflammation returned to my daughter's right thigh where injections were given on Jan 7, 2023.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 12/18/2021. On 11/04/2022 I started to experience a sore throat and a cough. I tested COVID-19 positive on 11/05/2022 at home. I tested COVID-19 positive on 11/06/2022 at the walk-in clinic. I was not prescribed any medication.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Burning sensation, Groin pain, Pollakiuria, Urine analysis normal
Clinical narrative: 11/11/2022, I went to Dr. for a history of burning while urinating for several weeks. I had groin pain and frequent urination but no blood or discharge in the urine. He did urine and blood tests, negative. Levaquin was prescribed. After 2 weeks, symptoms came back.  I was put on a high dose for 3 weeks. I was referred to a Urologist. I will see the Urologist this week.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Dysphonia, Fatigue, Headache, Hypersensitivity
Clinical narrative: Starting about 30 min after receiving the vaccine, she developed a fever of around 101.6 and felt fatigued and had a headache. I gave her TYLENOL and when it wore off her fever returned to above 102. I gave her MOTRIN right before bedtime. She had a fever all day Saturday and it would be above 102. The highest it went was 102.7. I gave her MOTRIN 2x that day and she had trouble sleeping that night. So, Sunday I started giving her FLONASE to help her nasal congestion so that she would be able to sleep better that night. She woke up on Monday without a fever but due to the continued nasal congestion and cough, I kept her home to rest. I was giving her FLONASE through 12/23. She started developing a hoarse voice on 12/21 and by 12/23 I decided to have her stop the FLONASE which resolved her hoarse voice. On 12/26, she saw her pediatrician and they did a rapid strep test and one they send out to a lab (both came back negative). The doctor noticed she had fluid in her left ear and a swollen lymph node on the left side of her neck. So, she told us to start an antihistamine and to monitor the swollen lymph node. When we got home, she started the ZYRTEC and took an at-home COVID-19 test which was negative. The last day she took the ZYRTEC was 12/29 because I forgot to do it on 12/30. She woke up on 12/31 with a full body rash. We took her to urgent care and the doctor said the lymph node was no longer swollen and the fluid in the ear was resolved. They were not sure what was causing the rash but thought it could either be viral or an allergic reaction. So, they told us to increase her ZYRTEC to 2x daily. They said the allergic reaction could have been from something days prior but due to already being on the ZYRTEC it wasn't visible. The rash progressively got better. I took her to her pediatrician on 01/02/2023 and showed her pictures of the rash that was present on Saturday and she said it was hives. She said it was likely an allergic reaction to something but not sure what. She said to continue the ZYRTEC and to bring her to an allergist. Now, she has very few hives and I stopped giving her ZYRTEC on 01/07/2023.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Insomnia, Lymphadenopathy, Middle ear effusion, Nasal congestion, Pyrexia
Clinical narrative: Starting about 30 min after receiving the vaccine, she developed a fever of around 101.6 and felt fatigued and had a headache. I gave her TYLENOL and when it wore off her fever returned to above 102. I gave her MOTRIN right before bedtime. She had a fever all day Saturday and it would be above 102. The highest it went was 102.7. I gave her MOTRIN 2x that day and she had trouble sleeping that night. So, Sunday I started giving her FLONASE to help her nasal congestion so that she would be able to sleep better that night. She woke up on Monday without a fever but due to the continued nasal congestion and cough, I kept her home to rest. I was giving her FLONASE through 12/23. She started developing a hoarse voice on 12/21 and by 12/23 I decided to have her stop the FLONASE which resolved her hoarse voice. On 12/26, she saw her pediatrician and they did a rapid strep test and one they send out to a lab (both came back negative). The doctor noticed she had fluid in her left ear and a swollen lymph node on the left side of her neck. So, she told us to start an antihistamine and to monitor the swollen lymph node. When we got home, she started the ZYRTEC and took an at-home COVID-19 test which was negative. The last day she took the ZYRTEC was 12/29 because I forgot to do it on 12/30. She woke up on 12/31 with a full body rash. We took her to urgent care and the doctor said the lymph node was no longer swollen and the fluid in the ear was resolved. They were not sure what was causing the rash but thought it could either be viral or an allergic reaction. So, they told us to increase her ZYRTEC to 2x daily. They said the allergic reaction could have been from something days prior but due to already being on the ZYRTEC it wasn't visible. The rash progressively got better. I took her to her pediatrician on 01/02/2023 and showed her pictures of the rash that was present on Saturday and she said it was hives. She said it was likely an allergic reaction to something but not sure what. She said to continue the ZYRTEC and to bring her to an allergist. Now, she has very few hives and I stopped giving her ZYRTEC on 01/07/2023.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, SARS-CoV-2 test negative, Streptococcus test negative, Urticaria
Clinical narrative: Starting about 30 min after receiving the vaccine, she developed a fever of around 101.6 and felt fatigued and had a headache. I gave her TYLENOL and when it wore off her fever returned to above 102. I gave her MOTRIN right before bedtime. She had a fever all day Saturday and it would be above 102. The highest it went was 102.7. I gave her MOTRIN 2x that day and she had trouble sleeping that night. So, Sunday I started giving her FLONASE to help her nasal congestion so that she would be able to sleep better that night. She woke up on Monday without a fever but due to the continued nasal congestion and cough, I kept her home to rest. I was giving her FLONASE through 12/23. She started developing a hoarse voice on 12/21 and by 12/23 I decided to have her stop the FLONASE which resolved her hoarse voice. On 12/26, she saw her pediatrician and they did a rapid strep test and one they send out to a lab (both came back negative). The doctor noticed she had fluid in her left ear and a swollen lymph node on the left side of her neck. So, she told us to start an antihistamine and to monitor the swollen lymph node. When we got home, she started the ZYRTEC and took an at-home COVID-19 test which was negative. The last day she took the ZYRTEC was 12/29 because I forgot to do it on 12/30. She woke up on 12/31 with a full body rash. We took her to urgent care and the doctor said the lymph node was no longer swollen and the fluid in the ear was resolved. They were not sure what was causing the rash but thought it could either be viral or an allergic reaction. So, they told us to increase her ZYRTEC to 2x daily. They said the allergic reaction could have been from something days prior but due to already being on the ZYRTEC it wasn't visible. The rash progressively got better. I took her to her pediatrician on 01/02/2023 and showed her pictures of the rash that was present on Saturday and she said it was hives. She said it was likely an allergic reaction to something but not sure what. She said to continue the ZYRTEC and to bring her to an allergist. Now, she has very few hives and I stopped giving her ZYRTEC on 01/07/2023.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Chills, Condition aggravated, Cough
Clinical narrative: I developed covid in July of 2022. the CDC rep who called after my last V-Safe check in said that since I had 3 covid vaccines and then got covid that I needed to fill this form out as an adverse reaction.  My sx were fever up to 101.7, chills, headache, muscle aches, fatigue, cough, chest congestion, runny nose and lasted for 4 days.  The headache and fatigue lasted weeks longer and it took a good 2 months before I felt back to normal.  I was on a low dose of BP med prior to covid but since covid my BP has been out of control and I am not maxed out on my first med (Lisinopril ) and Amlodipine  has been added.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count normal, Glycosylated haemoglobin normal, Headache, Metabolic function test
Clinical narrative: I developed covid in July of 2022. the CDC rep who called after my last V-Safe check in said that since I had 3 covid vaccines and then got covid that I needed to fill this form out as an adverse reaction.  My sx were fever up to 101.7, chills, headache, muscle aches, fatigue, cough, chest congestion, runny nose and lasted for 4 days.  The headache and fatigue lasted weeks longer and it took a good 2 months before I felt back to normal.  I was on a low dose of BP med prior to covid but since covid my BP has been out of control and I am not maxed out on my first med (Lisinopril ) and Amlodipine  has been added.