chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Emphysema, Enterovirus test negative, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Gynaecomastia, Haematocrit decreased, Haemoglobin decreased, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Lung opacity, Lymphadenopathy mediastinal
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Myelopathy, Nausea, Oxygen saturation decreased, Platelet count decreased
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pulmonary arterial hypertension, Respiratory syncytial virus test negative, Respiratory viral panel, Rib deformity
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast abnormal, Secretion discharge, Vomiting, White blood cell count decreased
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expired vial 10/24 - administered on 10/26
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest X-ray, Chest pain, Electrocardiogram abnormal, Myalgia
Clinical narrative: Early July, I started to feel chest pain. It was kind of isolated to where my heart would be. Shortly after that I felt pain in my upper back. I made an appt with doctor. She gave me some NSAIDS - 800 mg of Ibuprofen in case it was muscle pain. That didn't seem to do anything. I got a chest x-ray. Then in EKG. The pain went away. But the pain came back about two weeks ago - experiencing the chest pains again for several days. They have now gone away again. Need another doctor visit for a follow up EKG. October 2, 2021 - I had my booster COVID-19 vaccine - Vaccine Clinic Lot # FF8841 (left arm) ; I also got a flu shot (right arm) that same day. I got the pain after these vaccines.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Case completed her primary Covid vaccine series in March 2021, then was admitted to hospital in October of 2021 for treatment of Covid.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: miscarriage
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Immediate post-injection reaction
Clinical narrative: Headache immediately upon receiving vaccine, Sore arm within 3.5 hours over vaccine, on 11/3 woke with 100.5 degree temp. It is now 101.9. I had the full dose and reacted similarly after first two. I developed POTs symptoms following first dose on 2/27 confirmed by TTT on 6/16 and f/u with neurology, my hips are so painful I can barely walk, head is pounding, severe chills
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Headache immediately upon receiving vaccine, Sore arm within 3.5 hours over vaccine, on 11/3 woke with 100.5 degree temp. It is now 101.9. I had the full dose and reacted similarly after first two. I developed POTs symptoms following first dose on 2/27 confirmed by TTT on 6/16 and f/u with neurology, my hips are so painful I can barely walk, head is pounding, severe chills
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: I have had heavier periods, every two weeks with spotting in between. I have always had periods around the same time for the past 20 years with no spotting
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Nurse prepared to start vaccinating with Pfizer and did not reconstitute the vaccine before  administering second dose vaccine into right arm.  Lead nurse caught error right away.  Patient stayed in observation area 40 minutes and had no reaction.  Supervisor spoke with mother and explained what happened and what to do if symptoms developed.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: "Double" dose of booster administered to patient
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Headache, Lethargy, Pyrexia
Clinical narrative: Extreme headache, 102 degree fever lasting less than 24 hours.  Lethargy and headache lasting 2 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Illness, Immunodeficiency, Nausea
Clinical narrative: 14-16 hours after the shot with severe chills, jackets on, and heated blanket. The shakes, headache, vomiting, and it didn't hit until the 14-15th hour. I saw a doctor and I wanted to make sure if it was part of the COVID-19 shot. I was in bed for the first shot for 2 weeks. I was really sick and nauseous. Symptoms lasted about two weeks. This time it was a few days less. There are still some symptoms that are popping up. I recently had surgery 11/2/2021 and have another surgery coming up on 11/5/2021 from the coma. COVID-19 positive in April 2020, Coma for 5 months from 4/26/2020 - 08/2020. Coded 3 times during coma and was in hospice 3 times.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: 14-16 hours after the shot with severe chills, jackets on, and heated blanket. The shakes, headache, vomiting, and it didn't hit until the 14-15th hour. I saw a doctor and I wanted to make sure if it was part of the COVID-19 shot. I was in bed for the first shot for 2 weeks. I was really sick and nauseous. Symptoms lasted about two weeks. This time it was a few days less. There are still some symptoms that are popping up. I recently had surgery 11/2/2021 and have another surgery coming up on 11/5/2021 from the coma. COVID-19 positive in April 2020, Coma for 5 months from 4/26/2020 - 08/2020. Coded 3 times during coma and was in hospice 3 times.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: pain and swelling in lymph node located in left armpit
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: 10/18/2021 Covid-19 Screening (cough , fever , congestion for 2/3 days)  Patient is a 55 y.o.female who presents as a new patient to our office. She reports 2-3 days history of cough , fever and chest congestion. She is extremely worried of having covid 19. She reports known exposure. She reports history of RA for which she is on leflunomide oral and chronic prednisone.  She reports her husband is 65 years old has just started with symptoms.  She is fully vaccinated for COVID-19.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Tunnel vision
Clinical narrative: lightheaded, tunnel vision, skin was very pale
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: N/A-No adverse event  Client was given 0.5ml dose of Moderna as a booster dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: 7 hours after shot feeling chill , when I found a temp by 4 the Fever 102.9t, chills , headache , body ache , tiredness , nausea . Day Two still have some low grade temp , light headache and tiredness .
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 7 hours after shot feeling chill , when I found a temp by 4 the Fever 102.9t, chills , headache , body ache , tiredness , nausea . Day Two still have some low grade temp , light headache and tiredness .
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, CSF protein increased, Chronic inflammatory demyelinating polyradiculoneuropathy, Computerised tomogram
Clinical narrative: At the end of July, I was experiencing tingling in my hands and feet and some numbness.  I was diagnosed with a B12 deficiency and began receiving B12 shots weekly.  I got my first COVID vaccine on 8/16/21.  Around the first or second week of September, I started feeling different when I walked.  My feet became heavy, and I couldn't run anymore when I was playing tennis with my husband.  Then , around September 11, I noticed that I could not manage stairs without holding on to a rail, and even then, I felt most of my upper body was pulling me up.  I was also experiencing extreme dizziness, especially as I closed my eyes in the shower.  I would have to hold on to something so that I wouldn't fall over. September 12, I felt ill and dizzy at church and a nice lady drove me and my boys home.  From then on, I decided not to drive until we figured out what was going on in my body.  I had a Pap smear with my Dr. on September 13 and I told her that something else must be going on besides B12 deficiency as I was having trouble walking.  She tested my reflexes and found I didn't have any in my knees or feet.  She then referred me to a Neurologist.  I was finally able to get an appointment on September 23.  Nurse Practitioner, Neurological, saw I had no reflexes and was having trouble walking, but that I still had strength in my legs.  She asked Dr. to come and check on me.  He then wanted me to do Nerve tests, shock and needle.  After that he sent me to the ER for more tests (blood tests, spinal tap, MRI and CT scan) and they found I had high levels of protein in my spinal fluid. This confirmed Dr.'s diagnosis that I had either Guillain Barre or CIDP. They began Immune Globulin Infusions (I believe I received 5 bottles worth over the three days in the ER), along with blood thinner shots in my stomach and magnesium IVs.  My breathing became a concern and so I was moved to the Progress care unit and they continued to monitor my breathing every 4 or so hours.  I continued treatment and was released to go home the afternoon of September 26.  I didn't see a huge improvement in the hospital, but have noticed more strength as the weeks have gone on.  The Neurologist was very pleased with my progress at my last visit.  I  will have another visit with my Neurologist in about 3 months.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Exercise tolerance decreased, Feeling abnormal, Gait disturbance
Clinical narrative: At the end of July, I was experiencing tingling in my hands and feet and some numbness.  I was diagnosed with a B12 deficiency and began receiving B12 shots weekly.  I got my first COVID vaccine on 8/16/21.  Around the first or second week of September, I started feeling different when I walked.  My feet became heavy, and I couldn't run anymore when I was playing tennis with my husband.  Then , around September 11, I noticed that I could not manage stairs without holding on to a rail, and even then, I felt most of my upper body was pulling me up.  I was also experiencing extreme dizziness, especially as I closed my eyes in the shower.  I would have to hold on to something so that I wouldn't fall over. September 12, I felt ill and dizzy at church and a nice lady drove me and my boys home.  From then on, I decided not to drive until we figured out what was going on in my body.  I had a Pap smear with my Dr. on September 13 and I told her that something else must be going on besides B12 deficiency as I was having trouble walking.  She tested my reflexes and found I didn't have any in my knees or feet.  She then referred me to a Neurologist.  I was finally able to get an appointment on September 23.  Nurse Practitioner, Neurological, saw I had no reflexes and was having trouble walking, but that I still had strength in my legs.  She asked Dr. to come and check on me.  He then wanted me to do Nerve tests, shock and needle.  After that he sent me to the ER for more tests (blood tests, spinal tap, MRI and CT scan) and they found I had high levels of protein in my spinal fluid. This confirmed Dr.'s diagnosis that I had either Guillain Barre or CIDP. They began Immune Globulin Infusions (I believe I received 5 bottles worth over the three days in the ER), along with blood thinner shots in my stomach and magnesium IVs.  My breathing became a concern and so I was moved to the Progress care unit and they continued to monitor my breathing every 4 or so hours.  I continued treatment and was released to go home the afternoon of September 26.  I didn't see a huge improvement in the hospital, but have noticed more strength as the weeks have gone on.  The Neurologist was very pleased with my progress at my last visit.  I  will have another visit with my Neurologist in about 3 months.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Impaired driving ability, Laboratory test, Limb discomfort
Clinical narrative: At the end of July, I was experiencing tingling in my hands and feet and some numbness.  I was diagnosed with a B12 deficiency and began receiving B12 shots weekly.  I got my first COVID vaccine on 8/16/21.  Around the first or second week of September, I started feeling different when I walked.  My feet became heavy, and I couldn't run anymore when I was playing tennis with my husband.  Then , around September 11, I noticed that I could not manage stairs without holding on to a rail, and even then, I felt most of my upper body was pulling me up.  I was also experiencing extreme dizziness, especially as I closed my eyes in the shower.  I would have to hold on to something so that I wouldn't fall over. September 12, I felt ill and dizzy at church and a nice lady drove me and my boys home.  From then on, I decided not to drive until we figured out what was going on in my body.  I had a Pap smear with my Dr. on September 13 and I told her that something else must be going on besides B12 deficiency as I was having trouble walking.  She tested my reflexes and found I didn't have any in my knees or feet.  She then referred me to a Neurologist.  I was finally able to get an appointment on September 23.  Nurse Practitioner, Neurological, saw I had no reflexes and was having trouble walking, but that I still had strength in my legs.  She asked Dr. to come and check on me.  He then wanted me to do Nerve tests, shock and needle.  After that he sent me to the ER for more tests (blood tests, spinal tap, MRI and CT scan) and they found I had high levels of protein in my spinal fluid. This confirmed Dr.'s diagnosis that I had either Guillain Barre or CIDP. They began Immune Globulin Infusions (I believe I received 5 bottles worth over the three days in the ER), along with blood thinner shots in my stomach and magnesium IVs.  My breathing became a concern and so I was moved to the Progress care unit and they continued to monitor my breathing every 4 or so hours.  I continued treatment and was released to go home the afternoon of September 26.  I didn't see a huge improvement in the hospital, but have noticed more strength as the weeks have gone on.  The Neurologist was very pleased with my progress at my last visit.  I  will have another visit with my Neurologist in about 3 months.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Malaise, Mineral supplementation, Nerve stimulation test
Clinical narrative: At the end of July, I was experiencing tingling in my hands and feet and some numbness.  I was diagnosed with a B12 deficiency and began receiving B12 shots weekly.  I got my first COVID vaccine on 8/16/21.  Around the first or second week of September, I started feeling different when I walked.  My feet became heavy, and I couldn't run anymore when I was playing tennis with my husband.  Then , around September 11, I noticed that I could not manage stairs without holding on to a rail, and even then, I felt most of my upper body was pulling me up.  I was also experiencing extreme dizziness, especially as I closed my eyes in the shower.  I would have to hold on to something so that I wouldn't fall over. September 12, I felt ill and dizzy at church and a nice lady drove me and my boys home.  From then on, I decided not to drive until we figured out what was going on in my body.  I had a Pap smear with my Dr. on September 13 and I told her that something else must be going on besides B12 deficiency as I was having trouble walking.  She tested my reflexes and found I didn't have any in my knees or feet.  She then referred me to a Neurologist.  I was finally able to get an appointment on September 23.  Nurse Practitioner, Neurological, saw I had no reflexes and was having trouble walking, but that I still had strength in my legs.  She asked Dr. to come and check on me.  He then wanted me to do Nerve tests, shock and needle.  After that he sent me to the ER for more tests (blood tests, spinal tap, MRI and CT scan) and they found I had high levels of protein in my spinal fluid. This confirmed Dr.'s diagnosis that I had either Guillain Barre or CIDP. They began Immune Globulin Infusions (I believe I received 5 bottles worth over the three days in the ER), along with blood thinner shots in my stomach and magnesium IVs.  My breathing became a concern and so I was moved to the Progress care unit and they continued to monitor my breathing every 4 or so hours.  I continued treatment and was released to go home the afternoon of September 26.  I didn't see a huge improvement in the hospital, but have noticed more strength as the weeks have gone on.  The Neurologist was very pleased with my progress at my last visit.  I  will have another visit with my Neurologist in about 3 months.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Reflex test abnormal, Smear cervix
Clinical narrative: At the end of July, I was experiencing tingling in my hands and feet and some numbness.  I was diagnosed with a B12 deficiency and began receiving B12 shots weekly.  I got my first COVID vaccine on 8/16/21.  Around the first or second week of September, I started feeling different when I walked.  My feet became heavy, and I couldn't run anymore when I was playing tennis with my husband.  Then , around September 11, I noticed that I could not manage stairs without holding on to a rail, and even then, I felt most of my upper body was pulling me up.  I was also experiencing extreme dizziness, especially as I closed my eyes in the shower.  I would have to hold on to something so that I wouldn't fall over. September 12, I felt ill and dizzy at church and a nice lady drove me and my boys home.  From then on, I decided not to drive until we figured out what was going on in my body.  I had a Pap smear with my Dr. on September 13 and I told her that something else must be going on besides B12 deficiency as I was having trouble walking.  She tested my reflexes and found I didn't have any in my knees or feet.  She then referred me to a Neurologist.  I was finally able to get an appointment on September 23.  Nurse Practitioner, Neurological, saw I had no reflexes and was having trouble walking, but that I still had strength in my legs.  She asked Dr. to come and check on me.  He then wanted me to do Nerve tests, shock and needle.  After that he sent me to the ER for more tests (blood tests, spinal tap, MRI and CT scan) and they found I had high levels of protein in my spinal fluid. This confirmed Dr.'s diagnosis that I had either Guillain Barre or CIDP. They began Immune Globulin Infusions (I believe I received 5 bottles worth over the three days in the ER), along with blood thinner shots in my stomach and magnesium IVs.  My breathing became a concern and so I was moved to the Progress care unit and they continued to monitor my breathing every 4 or so hours.  I continued treatment and was released to go home the afternoon of September 26.  I didn't see a huge improvement in the hospital, but have noticed more strength as the weeks have gone on.  The Neurologist was very pleased with my progress at my last visit.  I  will have another visit with my Neurologist in about 3 months.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Feeling abnormal, Heart rate increased
Clinical narrative: I had a weird feeling. I had a heart attack a few years ago. I got the EMS because I thought I was having a heart issue. When I got to the ER, my heart rate was high. They tried several different medicines to slow it down. But nothing worked. They wound up having to stop my heart and to restart it again. They did an EKG and blood work. It was not a heart attack.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid infx
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Sleep disorder
Clinical narrative: Soreness in and under the armpit (left). Severe enough that it inhibits sleep.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Headache, Impaired work ability
Clinical narrative: 24 hours post vaccine, 10/24/2021 @ 03:00 PM, fever, chills, body aches, severe headache. I had a fever for like 4 days: Started Sunday afternoon, Monday, Tuesday, Wednesday, Thursday, I finally went to a doctor on Thursday, 10/28/2021. I was unable to go to work. I was extremely fatigue. Thursday morning, I had the COVID-19 test - the results were negative. The doctor thought I may have the flu prior to having the vaccine. I felt fine when I had the shot. I was not sick. I did not have the flu. Friday, 10/29/2021 afternoon was the 1st time I did not have the fever. I went back to work, 11/01/2021. All the symptoms have resolved. I can't get over the fatigue. I am still tired, 11/ 03/2021. The 2nd dose, I had the same symptoms happened 24 hours after the vaccine, but they only lasted 6 hours. It's very strange these symptoms to the 3rd vaccine lingered for this long.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 24 hours post vaccine, 10/24/2021 @ 03:00 PM, fever, chills, body aches, severe headache. I had a fever for like 4 days: Started Sunday afternoon, Monday, Tuesday, Wednesday, Thursday, I finally went to a doctor on Thursday, 10/28/2021. I was unable to go to work. I was extremely fatigue. Thursday morning, I had the COVID-19 test - the results were negative. The doctor thought I may have the flu prior to having the vaccine. I felt fine when I had the shot. I was not sick. I did not have the flu. Friday, 10/29/2021 afternoon was the 1st time I did not have the fever. I went back to work, 11/01/2021. All the symptoms have resolved. I can't get over the fatigue. I am still tired, 11/ 03/2021. The 2nd dose, I had the same symptoms happened 24 hours after the vaccine, but they only lasted 6 hours. It's very strange these symptoms to the 3rd vaccine lingered for this long.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Computerised tomogram head, Dyspepsia, Fall, Full blood count
Clinical narrative: Fall, initial encounter     2. Laceration of forehead, initial encounter    3. Abrasion of both knees
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Skin abrasion, Skin laceration, Urine analysis
Clinical narrative: Fall, initial encounter     2. Laceration of forehead, initial encounter    3. Abrasion of both knees
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Fatigue, Hyperhidrosis, Palpitations
Clinical narrative: Heart Palpation Sweats Fatigue
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Heart rate increased
Clinical narrative: Very fast heart rate for 5 hours, I thought I was having a heart attack. Now I have pain in my heart while walking for a long distance at a somewhat accelerated speed.
Age: 61.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and numbness in right arm and right side of face started on drive home from clinic approximately 1 hour after vaccine administration.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administration error
Clinical narrative: Pt presented with card with 2 prior doses on the vaccine card. Pt received Moderna vaccine previously.  Having recently had a stem cell transplant he was encouraged to restart the series from oncologist. Pt presented for his booster vaccine today, giving him a total of 5 doses of this vaccination. Pt received his 4th and 5th doses of this vaccine at this pharmacy. Pt has had no adverse events to date from the administration of this vaccine. This is being reported as an administration error solely. Summary, The patient received 0.5ml Moderna 12/26/21 elsewhere, 0.5ml Moderna 01/21/21 elsewhere, 0.5ml Moderna 05/08/21 at location, 0.5ml Moderna 06/02/21 location and 0.25ml Moderna 11/03/21 location.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient completed Pfizer primary series in April 2021.  But she stated on the consent form  on August 2 that she had not received Covid vaccine.  She received Moderna dose 0.5 ml as a third dose on August 02  before it was approved.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Suspected COVID-19
Clinical narrative: Suspected COVID-19 virus infection  Contact with and (suspected) exposure to covid-19
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia
Clinical narrative: Increasingly losing hair. Started between doses and almost three weeks out from second dose is still happening
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given 0.5ml of Moderna vaccine rather than 0.25
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Chest X-ray normal, Confusional state, Dementia, Fall
Clinical narrative: Patient presented to BWH ED on 10/16/21 with worsening confusion superimposed on dementia and unwitnessed fall. Patient is fully vaccinated.  Patient's covid test came back positive, however asymptomatic. Patient was treated appropriately and was discharged on 10/26/21
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented to BWH ED on 10/16/21 with worsening confusion superimposed on dementia and unwitnessed fall. Patient is fully vaccinated.  Patient's covid test came back positive, however asymptomatic. Patient was treated appropriately and was discharged on 10/26/21
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Cough, Death, Encephalopathy
Clinical narrative: Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vial 10/24/2021 administered 10/26/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received Moderna booster dose (0.25 mL) and was found to have only received one dose in series (Pfizer). Patient was given additional (0.25 mL) Moderna to make full dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain
Clinical narrative: Two days after vaccine, I experienced bilateral breast soreness,  It felt as if I was going to have a menstrual period soon, even though I haven't had one in 25 years!  It continued for about 3 weeks.  I self-medicated with aspirin at home.  And nothing else happened.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to hospital unrelated to Covid-19 symptoms. Covid-19 virus detected Incidental finding, asymptomatic--denies cough, shortness of breath
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Ocular hyperaemia
Clinical narrative: Red right eye (in the emergency room now), headache, nausea
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Headache, Injection site bruising, Injection site pain, Palpitations
Clinical narrative: Bruising and soreness in injection site Increased painful heart palpitations for 72 hours Fever Digestive issues Headache
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Bruising and soreness in injection site Increased painful heart palpitations for 72 hours Fever Digestive issues Headache
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test, Dyspnoea, Electrocardiogram
Clinical narrative: In the middle of August 2021, I started having shortness of breath. I went to see a doctor on 9/20/2021. I was diagnosed with A-Fib. They prescribed me with Metoprolol ER 100mg 1xday, Pradaxa 150mg 2xday, and Amiodarone 200mg 2xday. I am currently still experiencing A-Fib.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid infx
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient had received 1 dose of Johnson and Johnson on 3/24/21 and received a moderna covid dose (0.5ml)on 8/23/21. No adverse outcomes noted. No additional treatment needed.