chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, Asthenia, Blood culture negative, Blood lactic acid increased, COVID-19
Clinical narrative: Hospitalization (9.10.21) --- > patient deceased (9.15.21) due to COVID-19 pneumonia;  COVID-19 positive 9.10.21;  fully vaccinated Date of Death: 9/15/21 Time of Death:  1:29 PM Preliminary Cause of Death: Pneumonia due to COVID-19 virus Discharge Disposition:  expired   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: 74 yo male presented with the complaint of fever and weakness.  He had been admitted on 9/6/21 with fever and weakness and had tested negative for covid.  He had a UTI and was discharged home on the 8th.  He returned 2 days later and was positive for covid and had hypoxia with CXR findings.  He was admitted for the treatment of covid pneumonia dn started on dexamethasone.  Over the course of his stay his baseline dementia was worse with note sun downing and associated agitation. He did not like having oxygen on or pulse ox monitoring.  Family stayed with him which did not help.  They decided to change his goals of care and talked to hospice.  He was changed to comfort care and passed away with his family at bedside. (at admission: HISTORY OF PRESENT ILLNESS: Patient is a 74 y.o. male who presents today with fever and weakness . Recently discharged 9/8/2021 with febrile illness meeting sepsis criteria with elevated lactic, wbc, fever . Started with empiric abx  With zosyn. Infectious work up neg for covid, film array , cxr, blood and urine cultures neg . Op urine culture growing serratia. He improved clinically and was dc to complete x2 more days cipro. Per wife still having low grade fever on dc . He progressively became more generally weak . continued with higher fever and chills taking tylenol for relief. With fever and weakness brought back in to ed where tested pos for covid 19 . In ed lactic elevated initially then trended down . Per wife he has become more and more wean . Still able to stand and walk to bathroom . Notes increasing urine incontinence now utilizing depends. No co chest pain and really has not been sob significantly . Minimally cough. No dysuria other wise . No diarrhea . No co ha vision changes. Notes progressive decline in cognitive function over last several months. occasionally wit hand tremors . No other sz like movements .)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chills, Cognitive disorder, Condition aggravated
Clinical narrative: Hospitalization (9.10.21) --- > patient deceased (9.15.21) due to COVID-19 pneumonia;  COVID-19 positive 9.10.21;  fully vaccinated Date of Death: 9/15/21 Time of Death:  1:29 PM Preliminary Cause of Death: Pneumonia due to COVID-19 virus Discharge Disposition:  expired   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: 74 yo male presented with the complaint of fever and weakness.  He had been admitted on 9/6/21 with fever and weakness and had tested negative for covid.  He had a UTI and was discharged home on the 8th.  He returned 2 days later and was positive for covid and had hypoxia with CXR findings.  He was admitted for the treatment of covid pneumonia dn started on dexamethasone.  Over the course of his stay his baseline dementia was worse with note sun downing and associated agitation. He did not like having oxygen on or pulse ox monitoring.  Family stayed with him which did not help.  They decided to change his goals of care and talked to hospice.  He was changed to comfort care and passed away with his family at bedside. (at admission: HISTORY OF PRESENT ILLNESS: Patient is a 74 y.o. male who presents today with fever and weakness . Recently discharged 9/8/2021 with febrile illness meeting sepsis criteria with elevated lactic, wbc, fever . Started with empiric abx  With zosyn. Infectious work up neg for covid, film array , cxr, blood and urine cultures neg . Op urine culture growing serratia. He improved clinically and was dc to complete x2 more days cipro. Per wife still having low grade fever on dc . He progressively became more generally weak . continued with higher fever and chills taking tylenol for relief. With fever and weakness brought back in to ed where tested pos for covid 19 . In ed lactic elevated initially then trended down . Per wife he has become more and more wean . Still able to stand and walk to bathroom . Notes increasing urine incontinence now utilizing depends. No co chest pain and really has not been sob significantly . Minimally cough. No dysuria other wise . No diarrhea . No co ha vision changes. Notes progressive decline in cognitive function over last several months. occasionally wit hand tremors . No other sz like movements .)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Culture urine negative, Culture urine positive, Death, Delirium
Clinical narrative: Hospitalization (9.10.21) --- > patient deceased (9.15.21) due to COVID-19 pneumonia;  COVID-19 positive 9.10.21;  fully vaccinated Date of Death: 9/15/21 Time of Death:  1:29 PM Preliminary Cause of Death: Pneumonia due to COVID-19 virus Discharge Disposition:  expired   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: 74 yo male presented with the complaint of fever and weakness.  He had been admitted on 9/6/21 with fever and weakness and had tested negative for covid.  He had a UTI and was discharged home on the 8th.  He returned 2 days later and was positive for covid and had hypoxia with CXR findings.  He was admitted for the treatment of covid pneumonia dn started on dexamethasone.  Over the course of his stay his baseline dementia was worse with note sun downing and associated agitation. He did not like having oxygen on or pulse ox monitoring.  Family stayed with him which did not help.  They decided to change his goals of care and talked to hospice.  He was changed to comfort care and passed away with his family at bedside. (at admission: HISTORY OF PRESENT ILLNESS: Patient is a 74 y.o. male who presents today with fever and weakness . Recently discharged 9/8/2021 with febrile illness meeting sepsis criteria with elevated lactic, wbc, fever . Started with empiric abx  With zosyn. Infectious work up neg for covid, film array , cxr, blood and urine cultures neg . Op urine culture growing serratia. He improved clinically and was dc to complete x2 more days cipro. Per wife still having low grade fever on dc . He progressively became more generally weak . continued with higher fever and chills taking tylenol for relief. With fever and weakness brought back in to ed where tested pos for covid 19 . In ed lactic elevated initially then trended down . Per wife he has become more and more wean . Still able to stand and walk to bathroom . Notes increasing urine incontinence now utilizing depends. No co chest pain and really has not been sob significantly . Minimally cough. No dysuria other wise . No diarrhea . No co ha vision changes. Notes progressive decline in cognitive function over last several months. occasionally wit hand tremors . No other sz like movements .)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dementia, Hypomagnesaemia, Hypoxia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Hospitalization (9.10.21) --- > patient deceased (9.15.21) due to COVID-19 pneumonia;  COVID-19 positive 9.10.21;  fully vaccinated Date of Death: 9/15/21 Time of Death:  1:29 PM Preliminary Cause of Death: Pneumonia due to COVID-19 virus Discharge Disposition:  expired   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: 74 yo male presented with the complaint of fever and weakness.  He had been admitted on 9/6/21 with fever and weakness and had tested negative for covid.  He had a UTI and was discharged home on the 8th.  He returned 2 days later and was positive for covid and had hypoxia with CXR findings.  He was admitted for the treatment of covid pneumonia dn started on dexamethasone.  Over the course of his stay his baseline dementia was worse with note sun downing and associated agitation. He did not like having oxygen on or pulse ox monitoring.  Family stayed with him which did not help.  They decided to change his goals of care and talked to hospice.  He was changed to comfort care and passed away with his family at bedside. (at admission: HISTORY OF PRESENT ILLNESS: Patient is a 74 y.o. male who presents today with fever and weakness . Recently discharged 9/8/2021 with febrile illness meeting sepsis criteria with elevated lactic, wbc, fever . Started with empiric abx  With zosyn. Infectious work up neg for covid, film array , cxr, blood and urine cultures neg . Op urine culture growing serratia. He improved clinically and was dc to complete x2 more days cipro. Per wife still having low grade fever on dc . He progressively became more generally weak . continued with higher fever and chills taking tylenol for relief. With fever and weakness brought back in to ed where tested pos for covid 19 . In ed lactic elevated initially then trended down . Per wife he has become more and more wean . Still able to stand and walk to bathroom . Notes increasing urine incontinence now utilizing depends. No co chest pain and really has not been sob significantly . Minimally cough. No dysuria other wise . No diarrhea . No co ha vision changes. Notes progressive decline in cognitive function over last several months. occasionally wit hand tremors . No other sz like movements .)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Systemic inflammatory response syndrome, Tremor, Urinary incontinence
Clinical narrative: Hospitalization (9.10.21) --- > patient deceased (9.15.21) due to COVID-19 pneumonia;  COVID-19 positive 9.10.21;  fully vaccinated Date of Death: 9/15/21 Time of Death:  1:29 PM Preliminary Cause of Death: Pneumonia due to COVID-19 virus Discharge Disposition:  expired   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: 74 yo male presented with the complaint of fever and weakness.  He had been admitted on 9/6/21 with fever and weakness and had tested negative for covid.  He had a UTI and was discharged home on the 8th.  He returned 2 days later and was positive for covid and had hypoxia with CXR findings.  He was admitted for the treatment of covid pneumonia dn started on dexamethasone.  Over the course of his stay his baseline dementia was worse with note sun downing and associated agitation. He did not like having oxygen on or pulse ox monitoring.  Family stayed with him which did not help.  They decided to change his goals of care and talked to hospice.  He was changed to comfort care and passed away with his family at bedside. (at admission: HISTORY OF PRESENT ILLNESS: Patient is a 74 y.o. male who presents today with fever and weakness . Recently discharged 9/8/2021 with febrile illness meeting sepsis criteria with elevated lactic, wbc, fever . Started with empiric abx  With zosyn. Infectious work up neg for covid, film array , cxr, blood and urine cultures neg . Op urine culture growing serratia. He improved clinically and was dc to complete x2 more days cipro. Per wife still having low grade fever on dc . He progressively became more generally weak . continued with higher fever and chills taking tylenol for relief. With fever and weakness brought back in to ed where tested pos for covid 19 . In ed lactic elevated initially then trended down . Per wife he has become more and more wean . Still able to stand and walk to bathroom . Notes increasing urine incontinence now utilizing depends. No co chest pain and really has not been sob significantly . Minimally cough. No dysuria other wise . No diarrhea . No co ha vision changes. Notes progressive decline in cognitive function over last several months. occasionally wit hand tremors . No other sz like movements .)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection, White blood cell count increased
Clinical narrative: Hospitalization (9.10.21) --- > patient deceased (9.15.21) due to COVID-19 pneumonia;  COVID-19 positive 9.10.21;  fully vaccinated Date of Death: 9/15/21 Time of Death:  1:29 PM Preliminary Cause of Death: Pneumonia due to COVID-19 virus Discharge Disposition:  expired   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: 74 yo male presented with the complaint of fever and weakness.  He had been admitted on 9/6/21 with fever and weakness and had tested negative for covid.  He had a UTI and was discharged home on the 8th.  He returned 2 days later and was positive for covid and had hypoxia with CXR findings.  He was admitted for the treatment of covid pneumonia dn started on dexamethasone.  Over the course of his stay his baseline dementia was worse with note sun downing and associated agitation. He did not like having oxygen on or pulse ox monitoring.  Family stayed with him which did not help.  They decided to change his goals of care and talked to hospice.  He was changed to comfort care and passed away with his family at bedside. (at admission: HISTORY OF PRESENT ILLNESS: Patient is a 74 y.o. male who presents today with fever and weakness . Recently discharged 9/8/2021 with febrile illness meeting sepsis criteria with elevated lactic, wbc, fever . Started with empiric abx  With zosyn. Infectious work up neg for covid, film array , cxr, blood and urine cultures neg . Op urine culture growing serratia. He improved clinically and was dc to complete x2 more days cipro. Per wife still having low grade fever on dc . He progressively became more generally weak . continued with higher fever and chills taking tylenol for relief. With fever and weakness brought back in to ed where tested pos for covid 19 . In ed lactic elevated initially then trended down . Per wife he has become more and more wean . Still able to stand and walk to bathroom . Notes increasing urine incontinence now utilizing depends. No co chest pain and really has not been sob significantly . Minimally cough. No dysuria other wise . No diarrhea . No co ha vision changes. Notes progressive decline in cognitive function over last several months. occasionally wit hand tremors . No other sz like movements .)
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: The patient's arm is red and swollen.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypoaesthesia, Paraesthesia
Clinical narrative: onset of facial numbness and tingling with difficulty swallowing.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: Patient stated that she has a history of allergic reactions to acetaminophen. Patient wanted to be monitored for an additional 15 minutes due to concern of possible allergic reaction.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Pain, Pyrexia
Clinical narrative: Body aches, chills and joint and muscle pain started about 12 hours post injection. Fever between 102 and 103 for the next two days. Treated symptoms with ibuprofen.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine was diluted with Normal Saline 0.9% Bacterostatic, which is not recommended. Reported to CDC and Pfizer, recommendation was to repeat affected dose. Patient was notified and all questions answered. Patient has received their repeat dose on 9/15/21.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Interchange of vaccine products, Pyrexia
Clinical narrative: Patient was mistakenly given  Moderna Covid Vaccine. It was noticed by staff when patient was called for scheduling of second dose. Mom informed of med error and stated that patient developed the following symptoms after having received the first dose of the vaccine: fever (102 F), chills, headache, cough, runny nose for a couple of days after administration.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Patient was mistakenly given  Moderna Covid Vaccine. It was noticed by staff when patient was called for scheduling of second dose. Mom informed of med error and stated that patient developed the following symptoms after having received the first dose of the vaccine: fever (102 F), chills, headache, cough, runny nose for a couple of days after administration.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Diagnosed, hospitalized and expired with COVID 19- fully vaccinated
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events noted
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin, Swelling
Clinical narrative: Around chest area on right side swollen knot underneath the skin that is sore.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adenocarcinoma, Biopsy colon abnormal, Colonoscopy abnormal, Inflammation, Pruritus
Clinical narrative: Patient noted swelling and itching around her R abdominal port site in May.  She mentioned this when she presented for surveillance colonoscopy in July. Biopsy of the lump was performed by Dr.  at the time of colonoscopy. Path showed infiltrating adenocarcinoma.  I fully understand that the cells causing this cancer were probably left at the time of the surgery. She had a normal CT surveillance with no sign of metastasis on 12/16/2020.  I am just wondering again if the inflammatory reaction noted with vaccination may be an accelerant  to any residual cancer cells. I haven't seen a port site recurrence since our early days of laparoscopy in the 1990's.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling
Clinical narrative: Patient noted swelling and itching around her R abdominal port site in May.  She mentioned this when she presented for surveillance colonoscopy in July. Biopsy of the lump was performed by Dr.  at the time of colonoscopy. Path showed infiltrating adenocarcinoma.  I fully understand that the cells causing this cancer were probably left at the time of the surgery. She had a normal CT surveillance with no sign of metastasis on 12/16/2020.  I am just wondering again if the inflammatory reaction noted with vaccination may be an accelerant  to any residual cancer cells. I haven't seen a port site recurrence since our early days of laparoscopy in the 1990's.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: Patient states that shes noticed some numbness and less dexterity in 2 fingers on the arm that got the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Loss of personal independence in daily activities, Musculoskeletal stiffness, Neck pain
Clinical narrative: Following morning after receiving covid vaccine I experienced painful/stiff neck that limited neck range of motion significantly.  3 weeks later range of motion has improved however still experiencing neck pain that limits previous normal daily activities.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache
Clinical narrative: 2 am severs chills and head ache that lasted 2 hours
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Palpitations
Clinical narrative: Patient had heart palpitations and lightheadedness 15 minutes after first Covid 19 vaccine, episode lasted 30 minutes. She was monitored for 30 minutes in the supine position. Only reported HA and faintness that lasted a few minutes. Denied heart palpitations, SOA, N/V, etc. Released to leave after 30 minutes.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough positive for Covid no symptoms, did have a high risk exposure with a family member.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with COVID.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: significant right axillary adenopathy, lasting 5 weeks and with intermittent recurrence for 3 weeks
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Urinary tract infection
Clinical narrative: admitted to hospital with UTI/sepsis 9/14/2021
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient had previously received the Janssen (J&J) vaccine at Practice on 4/7/2021.  This violates the EUA for both vaccine parameters.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated as on 02/03/2021 with Pfizer and contracted COVID, tested positive on 9/15/2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction
Clinical narrative: Pt states "this happens a lot", and is certain it is not the vaccine, but her bodies response.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Feeling abnormal, Headache, Lymphadenitis, Malaise
Clinical narrative: Severe arm pain, lymphadenitis x 5 days, severe headache, slurred speech, malaise, and foggiest.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Severe arm pain, lymphadenitis x 5 days, severe headache, slurred speech, malaise, and foggiest.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Called today 9/17 to report redness, raised, and itchiness at injection site. Recommended she follow up with her PCP.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna COVID19 vaccine administered to a 15 y/o.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Asthenia, COVID-19, Condition aggravated, Cough
Clinical narrative: Hospitalized (9.7.21);  COVID-19 positive 9.3 or 9.8.21;  fully vaccinated HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male who presents today with fatigue, cough and congestion. He was admitted for last 35 days. He was getting ECT. He started having nasal congestion and sore throat on Friday. He started feeling weaker and weaker. No new pain. No shortness of breath. He denies chest pain. ER spoke with psych and they recommend he continues treatment. As patient does not have transportation, he is being admitted. Hospital does not have covid beds. # covid -19 infection:    - 5 days of symptoms    - minimal symptoms    - discussed monoclonal antibody treatment. Will give him information to read about and then he will make decision in AM     - holding decadron as only 5 days   # Depression and anxiety:       - admitted       - going through ECT       - psychiatry at Hospital recommended going through it again       - does not have transportation or anyone to drive him for outpatient. In absence of those modality they recommended admission and transfer back. Covid infection 9/3 Vaccinated              On room air, afebrile              S/p monoclonal antibody 9/8 Expected to discharge back to mental health hospital 9.18.21
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Depression, Electroconvulsive therapy, Fatigue, Major depression, Nasal congestion
Clinical narrative: Hospitalized (9.7.21);  COVID-19 positive 9.3 or 9.8.21;  fully vaccinated HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male who presents today with fatigue, cough and congestion. He was admitted for last 35 days. He was getting ECT. He started having nasal congestion and sore throat on Friday. He started feeling weaker and weaker. No new pain. No shortness of breath. He denies chest pain. ER spoke with psych and they recommend he continues treatment. As patient does not have transportation, he is being admitted. Hospital does not have covid beds. # covid -19 infection:    - 5 days of symptoms    - minimal symptoms    - discussed monoclonal antibody treatment. Will give him information to read about and then he will make decision in AM     - holding decadron as only 5 days   # Depression and anxiety:       - admitted       - going through ECT       - psychiatry at Hospital recommended going through it again       - does not have transportation or anyone to drive him for outpatient. In absence of those modality they recommended admission and transfer back. Covid infection 9/3 Vaccinated              On room air, afebrile              S/p monoclonal antibody 9/8 Expected to discharge back to mental health hospital 9.18.21
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (9.7.21);  COVID-19 positive 9.3 or 9.8.21;  fully vaccinated HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male who presents today with fatigue, cough and congestion. He was admitted for last 35 days. He was getting ECT. He started having nasal congestion and sore throat on Friday. He started feeling weaker and weaker. No new pain. No shortness of breath. He denies chest pain. ER spoke with psych and they recommend he continues treatment. As patient does not have transportation, he is being admitted. Hospital does not have covid beds. # covid -19 infection:    - 5 days of symptoms    - minimal symptoms    - discussed monoclonal antibody treatment. Will give him information to read about and then he will make decision in AM     - holding decadron as only 5 days   # Depression and anxiety:       - admitted       - going through ECT       - psychiatry at Hospital recommended going through it again       - does not have transportation or anyone to drive him for outpatient. In absence of those modality they recommended admission and transfer back. Covid infection 9/3 Vaccinated              On room air, afebrile              S/p monoclonal antibody 9/8 Expected to discharge back to mental health hospital 9.18.21
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Insomnia, Tremor
Clinical narrative: cant sleep, shaking, anxiety  dr prescribed sleeping/depression and anxiety meds but pt refused to take them
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Ophthalmological examination normal, Rash, Swelling of eyelid
Clinical narrative: It started with a rash on my face and it went into the scalp and my eyelid was swollen. I had also had to see an opthamologist - but it didn't affect my eye. I went to doctor on Monday, the 29th - my doctor's associate. Diagnosed with Shingles - she gave me an anti-viral. It went away after two weeks (the symptoms).
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT FULLY VACCINATED AND TESTED POSITIVE FOR COVID 9/5/2021 AND ADMITTED TO HOSPITAL 9/5/2021
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Dyspnoea, Fatigue, Headache
Clinical narrative: Woke up the next morning early with the worst headache of my life. Achy sides especially my right side. Significant pain in my joints worsening over 3 days. Shortness of breath, chest pain, and heart speeding up and slowing down. I get a little better but then it returns in waves. After 5 days my pain level in my joints is less but I am stiff. But my chest pain and difficulty breathing has not diminished significantly. Just pain everywhere and extreme tiredness. I am significantly worse than when I had a Covid months prior. I felt perfectly healthy before but have been wrecked since the day after my vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Musculoskeletal stiffness, Pain
Clinical narrative: Woke up the next morning early with the worst headache of my life. Achy sides especially my right side. Significant pain in my joints worsening over 3 days. Shortness of breath, chest pain, and heart speeding up and slowing down. I get a little better but then it returns in waves. After 5 days my pain level in my joints is less but I am stiff. But my chest pain and difficulty breathing has not diminished significantly. Just pain everywhere and extreme tiredness. I am significantly worse than when I had a Covid months prior. I felt perfectly healthy before but have been wrecked since the day after my vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: At 3:09 PM Hives noted to legs and Abdomen. At 3:10 PM 25 mg PO Benadryl given and EMS called. At 3:12 PM vitals were BP 195/108, SPO2 98%, Pulse 127. At 3:15 PM EMS arrived. At 3:17 PM Patient Left office with EMS.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Given Pfizer when Moderna was first dose.
Age: 25.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Anticoagulant therapy, Arthralgia, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Patient presented to the ED for 15 episodes of emesis in the morning of 16 Sep. The patient tested positive for COVID on August 30th.  He was seen in the ED on 1 Sept and had a CT PE that was negative for clots at that time. He states that his main symptom of COVID was loss of appetite and he had lost approximately 15 lb in the past 3 weeks due to loss of appetite. He completed his quarantine and returned to work. On Wednesday 15 Sep 21, he received the first Pfizer vaccine as well as a Fluarix flu shot. He had a Headache and arthralgias after the shot.  On 16 Sep 21 he woke up and vomited numerous times.  He states that he has a mild cough still from Covid, but denies chest pain, shortness of breath dizziness or light headedness. He has been making urine and stooling appropriately though he has felt dehydrated on 16 Sep 21.   In the ED on 16 Sep 21, the patient was found to have an elevated d-dimer of 3.13 and he underwent a new CTPE.  This was positive for multiple pulmonary emboli in the left upper and lower lobar arteries.  His nausea/tachycardia and clinical dehydration resolved with anti-emetics and intravenous fluids.  He was started on heparin and then Xarelto for his pulmonary emboli.  He never had shortness of breath or dyspnea on exertion.  He was discharged home in about 24hrs after ED visit.
Age: 25.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Cough, Dehydration, Fibrin D dimer increased, Headache, Interchange of vaccine products
Clinical narrative: Patient presented to the ED for 15 episodes of emesis in the morning of 16 Sep. The patient tested positive for COVID on August 30th.  He was seen in the ED on 1 Sept and had a CT PE that was negative for clots at that time. He states that his main symptom of COVID was loss of appetite and he had lost approximately 15 lb in the past 3 weeks due to loss of appetite. He completed his quarantine and returned to work. On Wednesday 15 Sep 21, he received the first Pfizer vaccine as well as a Fluarix flu shot. He had a Headache and arthralgias after the shot.  On 16 Sep 21 he woke up and vomited numerous times.  He states that he has a mild cough still from Covid, but denies chest pain, shortness of breath dizziness or light headedness. He has been making urine and stooling appropriately though he has felt dehydrated on 16 Sep 21.   In the ED on 16 Sep 21, the patient was found to have an elevated d-dimer of 3.13 and he underwent a new CTPE.  This was positive for multiple pulmonary emboli in the left upper and lower lobar arteries.  His nausea/tachycardia and clinical dehydration resolved with anti-emetics and intravenous fluids.  He was started on heparin and then Xarelto for his pulmonary emboli.  He never had shortness of breath or dyspnea on exertion.  He was discharged home in about 24hrs after ED visit.
Age: 25.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Lung consolidation, Lung opacity, Nausea, Pulmonary embolism, Tachycardia
Clinical narrative: Patient presented to the ED for 15 episodes of emesis in the morning of 16 Sep. The patient tested positive for COVID on August 30th.  He was seen in the ED on 1 Sept and had a CT PE that was negative for clots at that time. He states that his main symptom of COVID was loss of appetite and he had lost approximately 15 lb in the past 3 weeks due to loss of appetite. He completed his quarantine and returned to work. On Wednesday 15 Sep 21, he received the first Pfizer vaccine as well as a Fluarix flu shot. He had a Headache and arthralgias after the shot.  On 16 Sep 21 he woke up and vomited numerous times.  He states that he has a mild cough still from Covid, but denies chest pain, shortness of breath dizziness or light headedness. He has been making urine and stooling appropriately though he has felt dehydrated on 16 Sep 21.   In the ED on 16 Sep 21, the patient was found to have an elevated d-dimer of 3.13 and he underwent a new CTPE.  This was positive for multiple pulmonary emboli in the left upper and lower lobar arteries.  His nausea/tachycardia and clinical dehydration resolved with anti-emetics and intravenous fluids.  He was started on heparin and then Xarelto for his pulmonary emboli.  He never had shortness of breath or dyspnea on exertion.  He was discharged home in about 24hrs after ED visit.
Age: 25.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Vomiting
Clinical narrative: Patient presented to the ED for 15 episodes of emesis in the morning of 16 Sep. The patient tested positive for COVID on August 30th.  He was seen in the ED on 1 Sept and had a CT PE that was negative for clots at that time. He states that his main symptom of COVID was loss of appetite and he had lost approximately 15 lb in the past 3 weeks due to loss of appetite. He completed his quarantine and returned to work. On Wednesday 15 Sep 21, he received the first Pfizer vaccine as well as a Fluarix flu shot. He had a Headache and arthralgias after the shot.  On 16 Sep 21 he woke up and vomited numerous times.  He states that he has a mild cough still from Covid, but denies chest pain, shortness of breath dizziness or light headedness. He has been making urine and stooling appropriately though he has felt dehydrated on 16 Sep 21.   In the ED on 16 Sep 21, the patient was found to have an elevated d-dimer of 3.13 and he underwent a new CTPE.  This was positive for multiple pulmonary emboli in the left upper and lower lobar arteries.  His nausea/tachycardia and clinical dehydration resolved with anti-emetics and intravenous fluids.  He was started on heparin and then Xarelto for his pulmonary emboli.  He never had shortness of breath or dyspnea on exertion.  He was discharged home in about 24hrs after ED visit.
Age: 31.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Dizziness, Dry skin, Hypotension, Nausea, Pallor
Clinical narrative: Approximately 2 minutes after vaccination, patient began to feel dizzy and lightheaded. Brought back in exam room, made her lay down on bed, BP was 102/62 which patient states is lower than her normal. Skin was pale and dry. She laid for about 10 minutes with no improvement, began having nausea. Propped her legs up with a wedge. This is when patient states, "Do you think this is a vasgovagal reaction? I have had one before when giving blood and have had tilt table tests done." Informed her that based on her symptoms it does appear to be a vasovagal reaction, and that most of the time the feeling passes withint 15-30 minutes. Brought patient a water and powerade and informed her to try to hydrate and rest until it passes. Monitored BP: 12:35 PM: 102/62, 12:50 PM: 98/60, 1:15 PM: 112/68. At 1:15 PM patient felt like sitting up and pink color had returned to her cheeks. Slowly raised the HOB over the course of 10-15 minutes. Pt eventually sat all the way up and skin went pale again, BP dropped to 96/60 at 1:25 PM. Layed patient back down and propped her legs up again. Asked if she had any family members that could come to her and she did not at this time. Pt began to feel more nausea, lightheaded and like passing out. Ambulance services called to the clinic, report given to paramedics, patient transferred to Hospital. Patient was pale, alert/oriented x3 when being trasferred via stretcher.
Age: 31.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Presyncope
Clinical narrative: Approximately 2 minutes after vaccination, patient began to feel dizzy and lightheaded. Brought back in exam room, made her lay down on bed, BP was 102/62 which patient states is lower than her normal. Skin was pale and dry. She laid for about 10 minutes with no improvement, began having nausea. Propped her legs up with a wedge. This is when patient states, "Do you think this is a vasgovagal reaction? I have had one before when giving blood and have had tilt table tests done." Informed her that based on her symptoms it does appear to be a vasovagal reaction, and that most of the time the feeling passes withint 15-30 minutes. Brought patient a water and powerade and informed her to try to hydrate and rest until it passes. Monitored BP: 12:35 PM: 102/62, 12:50 PM: 98/60, 1:15 PM: 112/68. At 1:15 PM patient felt like sitting up and pink color had returned to her cheeks. Slowly raised the HOB over the course of 10-15 minutes. Pt eventually sat all the way up and skin went pale again, BP dropped to 96/60 at 1:25 PM. Layed patient back down and propped her legs up again. Asked if she had any family members that could come to her and she did not at this time. Pt began to feel more nausea, lightheaded and like passing out. Ambulance services called to the clinic, report given to paramedics, patient transferred to Hospital. Patient was pale, alert/oriented x3 when being trasferred via stretcher.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Impaired work ability, Loss of personal independence in daily activities, Metabolic function test, Muscle contractions involuntary
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Tic
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase, Albumin globulin ratio, Albumin globulin ratio increased, Anion gap, Anion gap increased
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aspartate aminotransferase, Bacterial test, Bacterial test positive, Basophil count, Bilirubin urine
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood albumin, Blood alkaline phosphatase, Blood bilirubin, Blood calcium, Blood chloride
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine, Blood creatinine, Blood glucose, Blood lactic acid, Blood potassium
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Blood sodium, Blood test, Blood urea
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea nitrogen/creatinine ratio, Blood urine present, Carbon dioxide, Carbon dioxide decreased, Computerised tomogram
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Drug screen, Dyskinesia, Electric shock sensation, Eosinophil count, Eosinophil count increased
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Globulin, Glomerular filtration rate, Glucose urine, Haematocrit
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin, Haemoglobin urine, Heart rate, Heart rate increased, Hypoaesthesia
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte count, Lymphocyte count increased, Mean cell haemoglobin, Mean cell haemoglobin concentration, Mean cell haemoglobin concentration decreased
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume, Mean platelet volume, Metabolic function test, Monocyte count, Monocyte count increased
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching, Muscular weakness, Myoclonus, Neutrophil count, Nitrite urine
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nucleated red cells, Oxygen saturation, Physical examination, Platelet count, Pregnancy test urine
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Protein total, Protein urine, Protein urine present, Red blood cell count, Red cell distribution width
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Seizure, Specific gravity urine, Specific gravity urine increased, Tonic clonic movements
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Troponin I, Urine abnormality, Urine analysis, Urine ketone body
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urobilinogen urine, Urobilinogen urine increased, White blood cell count, White blood cells urine, pH urine
Clinical narrative: Started as muscle tiks. Now progressing to full blown spasms and yesterday contractions began throughout body. I cannot get in to see a neurologist for months and I?m terrified it will progress into something more extreme. I cannot work or take my children to school.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 08/22/2021, started experiencing symptoms 09/01/2021 of a rash on the left arm, hot to the touch, and itchiness. Primary Telehealth visit recommended Steroid cream. Still continuing to experience symptoms.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Ear pain, Ear, nose and throat examination, Hyperacusis, Pain in jaw
Clinical narrative: Severe tinnitus with jaw pain, ear pain, ear pressure and extreme sensitivity to loud/sharp noises.   My wife has same issues plus headaches with similar onset timing. She was vaccinated 2 minutes before me from same batch.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Physical examination, Tinnitus
Clinical narrative: Severe tinnitus with jaw pain, ear pain, ear pressure and extreme sensitivity to loud/sharp noises.   My wife has same issues plus headaches with similar onset timing. She was vaccinated 2 minutes before me from same batch.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: The nurse vaccintor brought patient to the EMS room after the vaccine was administered. Patient says she felt light headed or nauseated. In EMS room at 1403, patient denies lightheadedness or nausea. Patient states she has a history of feeling faint with vaccines, and she does not have any symptoms now.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient death.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Chills, Cold sweat
Clinical narrative: Immediately: injection given in left arm - rt side - headache & swollen glands. stiff neck. stiff shoulder. pain in head, neck & back.  fever, chills, clammy. dizzy  within 1 day: chills, fever, perfuse sweating. swollen glands & VERY painful under arms, elbows, knees & hips.  facial swelling. PAIN IN EYES, EARS & HEAD. Pain in back, hips. Sinus pressure & severe congestion (maybe inflammation). Unable to clear congestion. Broken blood vessels in arms, chest and across rib cage.  at 1 week: pain in joints & glands. eyes swollen. headache, irritability, unable to concentrate. pain. inflammation.