chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood creatine phosphokinase increased, Blood lactic acid normal, Borrelia test negative, C-reactive protein normal
Clinical narrative: Patient is a 13 year old female who presents to the clinic today with her mother for a follow up ER visit from 5/30/21. Patients mother reports that patient had received her first Pfizer COVID-19 vaccination on 5/26/21, and developed a headache on Thursday. On Friday, mother and patient report that she had a very active day at school, and in Phy-Ed she did a cardio work out, followed by a 10 minute run and then golf practice after school. Patient reports that she does not frequently go running. Saturday, mom reports that patient was fatigued and rested most of the day. Sunday, she was up at 5am and was working by 6am until noon at the family restaurant. Her mother reports that it was very busy at the restaurant. Later in the afternoon on Sunday, the family went to their lake house in New Auburn, MN. Mother reports that the patient ate a good supper and the patient was asked to take the dog for a walk around 8pm. Patient took the dog for a walk for about 5 minutes, and then came back and went to her room, and her older sister found her lying in her room with her arms flexed and legs extended. Mom reports that she was drooling, staring and her muscles were stiff, and she wouldn't bear weight on her legs. This lasted approximately 10 minutes and she was transferred by ambulance to the Bloomer ER for evaluation. Initial ER workup in Bloomer showed leukocytosis at 11.4, a CK of 333, and an alk phos of 263. Her CBC, Comp, CRP, Lactate, pregnancy, lymes, COVID and UA were all within normal limits. A head CT was negative as well. Given her symptoms, she was transferred from Bloomer ER to St. Mary's in Rochester to the general pediatric floor early Monday morning. Peds neurology consulted and diagnosed her with dissociative (non-epileptic) attack, and discharged her home around 5pm on Monday evening with family. Since discharge, she reports that she is still experiencing fatigue, a mild headache, and her quadricep muscles feel weak and ache. Mom reports that she has been monitored by family since discharge and she has not had another episode since. For pain, she is taking tylenol and ibuprofen with minimal relief. She has started her menses, her onset of menarche was January, 2021, and she did not have a menstrual cycle in February, March or April, and she began her menses on 5/24 through 5/30. Clinic recommends oupatient testing for an EEG, Echo, EKG and MRI and follow up with neurology.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Dissociative disorder, Drooling, Fatigue, Full blood count normal
Clinical narrative: Patient is a 13 year old female who presents to the clinic today with her mother for a follow up ER visit from 5/30/21. Patients mother reports that patient had received her first Pfizer COVID-19 vaccination on 5/26/21, and developed a headache on Thursday. On Friday, mother and patient report that she had a very active day at school, and in Phy-Ed she did a cardio work out, followed by a 10 minute run and then golf practice after school. Patient reports that she does not frequently go running. Saturday, mom reports that patient was fatigued and rested most of the day. Sunday, she was up at 5am and was working by 6am until noon at the family restaurant. Her mother reports that it was very busy at the restaurant. Later in the afternoon on Sunday, the family went to their lake house in New Auburn, MN. Mother reports that the patient ate a good supper and the patient was asked to take the dog for a walk around 8pm. Patient took the dog for a walk for about 5 minutes, and then came back and went to her room, and her older sister found her lying in her room with her arms flexed and legs extended. Mom reports that she was drooling, staring and her muscles were stiff, and she wouldn't bear weight on her legs. This lasted approximately 10 minutes and she was transferred by ambulance to the Bloomer ER for evaluation. Initial ER workup in Bloomer showed leukocytosis at 11.4, a CK of 333, and an alk phos of 263. Her CBC, Comp, CRP, Lactate, pregnancy, lymes, COVID and UA were all within normal limits. A head CT was negative as well. Given her symptoms, she was transferred from Bloomer ER to St. Mary's in Rochester to the general pediatric floor early Monday morning. Peds neurology consulted and diagnosed her with dissociative (non-epileptic) attack, and discharged her home around 5pm on Monday evening with family. Since discharge, she reports that she is still experiencing fatigue, a mild headache, and her quadricep muscles feel weak and ache. Mom reports that she has been monitored by family since discharge and she has not had another episode since. For pain, she is taking tylenol and ibuprofen with minimal relief. She has started her menses, her onset of menarche was January, 2021, and she did not have a menstrual cycle in February, March or April, and she began her menses on 5/24 through 5/30. Clinic recommends oupatient testing for an EEG, Echo, EKG and MRI and follow up with neurology.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Metabolic function test normal, Muscular weakness, Musculoskeletal stiffness, Myalgia
Clinical narrative: Patient is a 13 year old female who presents to the clinic today with her mother for a follow up ER visit from 5/30/21. Patients mother reports that patient had received her first Pfizer COVID-19 vaccination on 5/26/21, and developed a headache on Thursday. On Friday, mother and patient report that she had a very active day at school, and in Phy-Ed she did a cardio work out, followed by a 10 minute run and then golf practice after school. Patient reports that she does not frequently go running. Saturday, mom reports that patient was fatigued and rested most of the day. Sunday, she was up at 5am and was working by 6am until noon at the family restaurant. Her mother reports that it was very busy at the restaurant. Later in the afternoon on Sunday, the family went to their lake house in New Auburn, MN. Mother reports that the patient ate a good supper and the patient was asked to take the dog for a walk around 8pm. Patient took the dog for a walk for about 5 minutes, and then came back and went to her room, and her older sister found her lying in her room with her arms flexed and legs extended. Mom reports that she was drooling, staring and her muscles were stiff, and she wouldn't bear weight on her legs. This lasted approximately 10 minutes and she was transferred by ambulance to the Bloomer ER for evaluation. Initial ER workup in Bloomer showed leukocytosis at 11.4, a CK of 333, and an alk phos of 263. Her CBC, Comp, CRP, Lactate, pregnancy, lymes, COVID and UA were all within normal limits. A head CT was negative as well. Given her symptoms, she was transferred from Bloomer ER to St. Mary's in Rochester to the general pediatric floor early Monday morning. Peds neurology consulted and diagnosed her with dissociative (non-epileptic) attack, and discharged her home around 5pm on Monday evening with family. Since discharge, she reports that she is still experiencing fatigue, a mild headache, and her quadricep muscles feel weak and ache. Mom reports that she has been monitored by family since discharge and she has not had another episode since. For pain, she is taking tylenol and ibuprofen with minimal relief. She has started her menses, her onset of menarche was January, 2021, and she did not have a menstrual cycle in February, March or April, and she began her menses on 5/24 through 5/30. Clinic recommends oupatient testing for an EEG, Echo, EKG and MRI and follow up with neurology.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pregnancy test negative, SARS-CoV-2 test negative, Staring, Urine analysis normal
Clinical narrative: Patient is a 13 year old female who presents to the clinic today with her mother for a follow up ER visit from 5/30/21. Patients mother reports that patient had received her first Pfizer COVID-19 vaccination on 5/26/21, and developed a headache on Thursday. On Friday, mother and patient report that she had a very active day at school, and in Phy-Ed she did a cardio work out, followed by a 10 minute run and then golf practice after school. Patient reports that she does not frequently go running. Saturday, mom reports that patient was fatigued and rested most of the day. Sunday, she was up at 5am and was working by 6am until noon at the family restaurant. Her mother reports that it was very busy at the restaurant. Later in the afternoon on Sunday, the family went to their lake house in New Auburn, MN. Mother reports that the patient ate a good supper and the patient was asked to take the dog for a walk around 8pm. Patient took the dog for a walk for about 5 minutes, and then came back and went to her room, and her older sister found her lying in her room with her arms flexed and legs extended. Mom reports that she was drooling, staring and her muscles were stiff, and she wouldn't bear weight on her legs. This lasted approximately 10 minutes and she was transferred by ambulance to the Bloomer ER for evaluation. Initial ER workup in Bloomer showed leukocytosis at 11.4, a CK of 333, and an alk phos of 263. Her CBC, Comp, CRP, Lactate, pregnancy, lymes, COVID and UA were all within normal limits. A head CT was negative as well. Given her symptoms, she was transferred from Bloomer ER to St. Mary's in Rochester to the general pediatric floor early Monday morning. Peds neurology consulted and diagnosed her with dissociative (non-epileptic) attack, and discharged her home around 5pm on Monday evening with family. Since discharge, she reports that she is still experiencing fatigue, a mild headache, and her quadricep muscles feel weak and ache. Mom reports that she has been monitored by family since discharge and she has not had another episode since. For pain, she is taking tylenol and ibuprofen with minimal relief. She has started her menses, her onset of menarche was January, 2021, and she did not have a menstrual cycle in February, March or April, and she began her menses on 5/24 through 5/30. Clinic recommends oupatient testing for an EEG, Echo, EKG and MRI and follow up with neurology.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Weight bearing difficulty, White blood cell count increased
Clinical narrative: Patient is a 13 year old female who presents to the clinic today with her mother for a follow up ER visit from 5/30/21. Patients mother reports that patient had received her first Pfizer COVID-19 vaccination on 5/26/21, and developed a headache on Thursday. On Friday, mother and patient report that she had a very active day at school, and in Phy-Ed she did a cardio work out, followed by a 10 minute run and then golf practice after school. Patient reports that she does not frequently go running. Saturday, mom reports that patient was fatigued and rested most of the day. Sunday, she was up at 5am and was working by 6am until noon at the family restaurant. Her mother reports that it was very busy at the restaurant. Later in the afternoon on Sunday, the family went to their lake house in New Auburn, MN. Mother reports that the patient ate a good supper and the patient was asked to take the dog for a walk around 8pm. Patient took the dog for a walk for about 5 minutes, and then came back and went to her room, and her older sister found her lying in her room with her arms flexed and legs extended. Mom reports that she was drooling, staring and her muscles were stiff, and she wouldn't bear weight on her legs. This lasted approximately 10 minutes and she was transferred by ambulance to the Bloomer ER for evaluation. Initial ER workup in Bloomer showed leukocytosis at 11.4, a CK of 333, and an alk phos of 263. Her CBC, Comp, CRP, Lactate, pregnancy, lymes, COVID and UA were all within normal limits. A head CT was negative as well. Given her symptoms, she was transferred from Bloomer ER to St. Mary's in Rochester to the general pediatric floor early Monday morning. Peds neurology consulted and diagnosed her with dissociative (non-epileptic) attack, and discharged her home around 5pm on Monday evening with family. Since discharge, she reports that she is still experiencing fatigue, a mild headache, and her quadricep muscles feel weak and ache. Mom reports that she has been monitored by family since discharge and she has not had another episode since. For pain, she is taking tylenol and ibuprofen with minimal relief. She has started her menses, her onset of menarche was January, 2021, and she did not have a menstrual cycle in February, March or April, and she began her menses on 5/24 through 5/30. Clinic recommends oupatient testing for an EEG, Echo, EKG and MRI and follow up with neurology.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: U07.1 - COVID-19
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Ear discomfort, Feeling hot, Ocular hyperaemia
Clinical narrative: Pt called call center her left side of face getting very hot, specially her left ear feels more hot and pressure in it, stated her left eye also getting more red. Denies any itchy or fluids from eyes/ears.  Pt stated these sx getting more started when she got back home after she got her 2nd dose covid vaccine Moderna around 1230pm today. Pt stated feeling anxious d/t possible s/e from covid vaccine she got. Pt's speech clear. ED precautions provided to patient. Urgent care visit scheduled for 4/30/21
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Pain, Pain in extremity
Clinical narrative: Left arm was sore and body aches.  Did not know pregnancy status at the time of the injection
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Symptomatic anemia.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: pruritic papular rash to arms, legs, and painful rash to left palm
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain lower, Diarrhoea
Clinical narrative: Upset stomach, diarrhea, lower abdominal pain. Onset 3 days after vaccine. Worse, then gradually easing after 2 days. Slightly sore arm, days 1-3.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache
Clinical narrative: Severe headache and weakness
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Deep vein thrombosis, Hypoaesthesia, Peripheral swelling
Clinical narrative: Started feeling toes on right foot numb days passed felt pain on knee swollen leg went to hospital have a DVT in leg, started blood thinner .Then I received second dose 5/8/2021 at 12:00 pm same day around 7:00pm I started feeling pain on left leg went to the hospital on 5/10/2021 have another clot on left leg
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: Started feeling toes on right foot numb days passed felt pain on knee swollen leg went to hospital have a DVT in leg, started blood thinner .Then I received second dose 5/8/2021 at 12:00 pm same day around 7:00pm I started feeling pain on left leg went to the hospital on 5/10/2021 have another clot on left leg
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood lactate dehydrogenase, Blood phosphorus normal, Blood thyroid stimulating hormone, Blood uric acid normal
Clinical narrative: L supraclavicular lymph node (mobile, rubbery, tender) noticed 5/7/21. No other lymphadenopathy.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chest X-ray normal, Full blood count normal, Lymphadenopathy, Metabolic function test
Clinical narrative: L supraclavicular lymph node (mobile, rubbery, tender) noticed 5/7/21. No other lymphadenopathy.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal
Clinical narrative: L supraclavicular lymph node (mobile, rubbery, tender) noticed 5/7/21. No other lymphadenopathy.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Pain started a week after about two inches below injection site. Red, hot, swollen. The pain started going away but the heat and itchiness stayed. Disappeared for 1-2 days. Rash is back and splotchy.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Pain started a week after about two inches below injection site. Red, hot, swollen. The pain started going away but the heat and itchiness stayed. Disappeared for 1-2 days. Rash is back and splotchy.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: U07.1 - COVID-19 virus infection U07.1 - Lab test positive for detection of COVID-19 virus
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Pain in extremity
Clinical narrative: It started with a little red area, and then pain in my arm and hand. Went you to internist. they diagnosed me with cellulitis's , I was hospitalized for 6 days on antibiotics. and home health IV antibiotics for 6 days following.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second Moderna vaccine given at 21 days.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: U07.1 - COVID-19 virus infection
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Started getting a weird headache 3 - 4 days after the second shot - the headache is different - its almost like I hit my head hard. It gets better and then it comes back. I still have it today - 6/2/2021  I got a very slight version of this headache after my first shot but didn't realize it was from the vaccine. I haven't called my doctor yet but will do now.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood culture negative, Blood glucose increased, COVID-19, Chest X-ray normal
Clinical narrative: Moderna Dose 1 3/5/21 (029A21A) Moderna Dose 2 4/16/21 (027B21A) COVID Positive 5/20/21  5/20/21: Presented to ED. The patient presents with fever. 61 year old male presents to the emergency department for a fever with an onset of 1 day. Patient was diagnosed with pancreatic cancer in April 2021. Patient states he has had 2 rounds of chemotherapy but states he could not have his 3 round last week because his white count was too low. Patient is also complaining of dull chest pain that is exacerbated with deep breathing, cough, and a headache but denies vomiting, diarrhea, neck pain, dysuria, hematuria, and nausea. Patient was diagnosed with blood clots on 05/09/2021 but states that he is not having similar symptoms to when he was diagnosed with blood clots. Patient is taking Xarelto. He has never had COVID but is vaccinated. Patient sees Dr. (Name) at the UI Oncology clinic.  5/25/21: 61-year-old male on chemotherapy for pancreatic cancer, also recently diagnosed pulmonary embolism on rivaroxaban, presents with 1 day of fever.  Initially, did not have any cough or shortness of breath, was admitted to the hospital, where a chest x-ray, urinalysis and examination failed to reveal an exact source of the fever.  His absolute neutrophil count was less than 500, so he was admitted for neutropenic fever. Cultures were obtained. IV antibiotics started.  COVID-19 was tested and, surprisingly, came back positive.  The patient has actually had both of his COVID-19 vaccines and basically, does not have pneumonia, shortness of breath, or hypoxemia.  We did not use any medications for COVID while in the hospital, watching for any signs of respiratory compromise, but none developed.  Blood cultures were negative.  He was switched from ceftazidime to doxycycline at time of discharge.  Will follow up with Dr. (Name) for his next cycle of chemotherapy.  Because of his COVID-19 positivity, we will not schedule any immediate followup appointments, although the patient will call if he has persistent fever, dyspnea, or signs of hypoxemia.  For the past 2 days, the T- max has been 99.9, and most the time 98.6.  He was seen the day of discharge, doing quite well.  Blood pressure 153/80, pulse 90, regular, oximetry 95% on room air.  Glucose was 210. Discharged on Rivaroxaban 15 mg b.i.d., doxycycline 100 mg b.i.d., Robitussin AC as needed for cough, Lantus 28 units at bedtime, atorvastatin 80 mg daily, aspirin 81 mg daily.  The patient did get 1 dose of Neupogen 480 mcg subcu while in the hospital.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Febrile neutropenia, Headache, Hyperventilation
Clinical narrative: Moderna Dose 1 3/5/21 (029A21A) Moderna Dose 2 4/16/21 (027B21A) COVID Positive 5/20/21  5/20/21: Presented to ED. The patient presents with fever. 61 year old male presents to the emergency department for a fever with an onset of 1 day. Patient was diagnosed with pancreatic cancer in April 2021. Patient states he has had 2 rounds of chemotherapy but states he could not have his 3 round last week because his white count was too low. Patient is also complaining of dull chest pain that is exacerbated with deep breathing, cough, and a headache but denies vomiting, diarrhea, neck pain, dysuria, hematuria, and nausea. Patient was diagnosed with blood clots on 05/09/2021 but states that he is not having similar symptoms to when he was diagnosed with blood clots. Patient is taking Xarelto. He has never had COVID but is vaccinated. Patient sees Dr. (Name) at the UI Oncology clinic.  5/25/21: 61-year-old male on chemotherapy for pancreatic cancer, also recently diagnosed pulmonary embolism on rivaroxaban, presents with 1 day of fever.  Initially, did not have any cough or shortness of breath, was admitted to the hospital, where a chest x-ray, urinalysis and examination failed to reveal an exact source of the fever.  His absolute neutrophil count was less than 500, so he was admitted for neutropenic fever. Cultures were obtained. IV antibiotics started.  COVID-19 was tested and, surprisingly, came back positive.  The patient has actually had both of his COVID-19 vaccines and basically, does not have pneumonia, shortness of breath, or hypoxemia.  We did not use any medications for COVID while in the hospital, watching for any signs of respiratory compromise, but none developed.  Blood cultures were negative.  He was switched from ceftazidime to doxycycline at time of discharge.  Will follow up with Dr. (Name) for his next cycle of chemotherapy.  Because of his COVID-19 positivity, we will not schedule any immediate followup appointments, although the patient will call if he has persistent fever, dyspnea, or signs of hypoxemia.  For the past 2 days, the T- max has been 99.9, and most the time 98.6.  He was seen the day of discharge, doing quite well.  Blood pressure 153/80, pulse 90, regular, oximetry 95% on room air.  Glucose was 210. Discharged on Rivaroxaban 15 mg b.i.d., doxycycline 100 mg b.i.d., Robitussin AC as needed for cough, Lantus 28 units at bedtime, atorvastatin 80 mg daily, aspirin 81 mg daily.  The patient did get 1 dose of Neupogen 480 mcg subcu while in the hospital.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count decreased, Pain, Pancreatic carcinoma, Pulmonary embolism, Pyrexia
Clinical narrative: Moderna Dose 1 3/5/21 (029A21A) Moderna Dose 2 4/16/21 (027B21A) COVID Positive 5/20/21  5/20/21: Presented to ED. The patient presents with fever. 61 year old male presents to the emergency department for a fever with an onset of 1 day. Patient was diagnosed with pancreatic cancer in April 2021. Patient states he has had 2 rounds of chemotherapy but states he could not have his 3 round last week because his white count was too low. Patient is also complaining of dull chest pain that is exacerbated with deep breathing, cough, and a headache but denies vomiting, diarrhea, neck pain, dysuria, hematuria, and nausea. Patient was diagnosed with blood clots on 05/09/2021 but states that he is not having similar symptoms to when he was diagnosed with blood clots. Patient is taking Xarelto. He has never had COVID but is vaccinated. Patient sees Dr. (Name) at the UI Oncology clinic.  5/25/21: 61-year-old male on chemotherapy for pancreatic cancer, also recently diagnosed pulmonary embolism on rivaroxaban, presents with 1 day of fever.  Initially, did not have any cough or shortness of breath, was admitted to the hospital, where a chest x-ray, urinalysis and examination failed to reveal an exact source of the fever.  His absolute neutrophil count was less than 500, so he was admitted for neutropenic fever. Cultures were obtained. IV antibiotics started.  COVID-19 was tested and, surprisingly, came back positive.  The patient has actually had both of his COVID-19 vaccines and basically, does not have pneumonia, shortness of breath, or hypoxemia.  We did not use any medications for COVID while in the hospital, watching for any signs of respiratory compromise, but none developed.  Blood cultures were negative.  He was switched from ceftazidime to doxycycline at time of discharge.  Will follow up with Dr. (Name) for his next cycle of chemotherapy.  Because of his COVID-19 positivity, we will not schedule any immediate followup appointments, although the patient will call if he has persistent fever, dyspnea, or signs of hypoxemia.  For the past 2 days, the T- max has been 99.9, and most the time 98.6.  He was seen the day of discharge, doing quite well.  Blood pressure 153/80, pulse 90, regular, oximetry 95% on room air.  Glucose was 210. Discharged on Rivaroxaban 15 mg b.i.d., doxycycline 100 mg b.i.d., Robitussin AC as needed for cough, Lantus 28 units at bedtime, atorvastatin 80 mg daily, aspirin 81 mg daily.  The patient did get 1 dose of Neupogen 480 mcg subcu while in the hospital.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thrombosis, Urine analysis normal, White blood cell count decreased
Clinical narrative: Moderna Dose 1 3/5/21 (029A21A) Moderna Dose 2 4/16/21 (027B21A) COVID Positive 5/20/21  5/20/21: Presented to ED. The patient presents with fever. 61 year old male presents to the emergency department for a fever with an onset of 1 day. Patient was diagnosed with pancreatic cancer in April 2021. Patient states he has had 2 rounds of chemotherapy but states he could not have his 3 round last week because his white count was too low. Patient is also complaining of dull chest pain that is exacerbated with deep breathing, cough, and a headache but denies vomiting, diarrhea, neck pain, dysuria, hematuria, and nausea. Patient was diagnosed with blood clots on 05/09/2021 but states that he is not having similar symptoms to when he was diagnosed with blood clots. Patient is taking Xarelto. He has never had COVID but is vaccinated. Patient sees Dr. (Name) at the UI Oncology clinic.  5/25/21: 61-year-old male on chemotherapy for pancreatic cancer, also recently diagnosed pulmonary embolism on rivaroxaban, presents with 1 day of fever.  Initially, did not have any cough or shortness of breath, was admitted to the hospital, where a chest x-ray, urinalysis and examination failed to reveal an exact source of the fever.  His absolute neutrophil count was less than 500, so he was admitted for neutropenic fever. Cultures were obtained. IV antibiotics started.  COVID-19 was tested and, surprisingly, came back positive.  The patient has actually had both of his COVID-19 vaccines and basically, does not have pneumonia, shortness of breath, or hypoxemia.  We did not use any medications for COVID while in the hospital, watching for any signs of respiratory compromise, but none developed.  Blood cultures were negative.  He was switched from ceftazidime to doxycycline at time of discharge.  Will follow up with Dr. (Name) for his next cycle of chemotherapy.  Because of his COVID-19 positivity, we will not schedule any immediate followup appointments, although the patient will call if he has persistent fever, dyspnea, or signs of hypoxemia.  For the past 2 days, the T- max has been 99.9, and most the time 98.6.  He was seen the day of discharge, doing quite well.  Blood pressure 153/80, pulse 90, regular, oximetry 95% on room air.  Glucose was 210. Discharged on Rivaroxaban 15 mg b.i.d., doxycycline 100 mg b.i.d., Robitussin AC as needed for cough, Lantus 28 units at bedtime, atorvastatin 80 mg daily, aspirin 81 mg daily.  The patient did get 1 dose of Neupogen 480 mcg subcu while in the hospital.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Lethargy
Clinical narrative: headache, body ache, lethargic, temp of 103.9 peak, chills, joint aches, vomiting
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test, Vomiting
Clinical narrative: headache, body ache, lethargic, temp of 103.9 peak, chills, joint aches, vomiting
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test normal, Depression, Loss of personal independence in daily activities, Tinnitus
Clinical narrative: Two days after shot 1, I experienced very loud, high pitched, bilateral tinnitus. It has significantly decreased my quality of life and I'm now struggling with anxiety and depression due to it. I have never had tinnitus before and am otherwise perfectly healthy - no structural issues to the ear, no hearing loss, etc. The vaccine caused it. I will not be getting a second shot, especially as there is still limited information available.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, Chest X-ray normal, Hypophagia, Mental status changes
Clinical narrative: Admit 5/23. Vaccine 1/16, 2/10. H/O CAD, CHF, previous strokes. Presented to ED from NH with AMS, fever.  COVID+. CXR shows no infiltrates. No supplemental O2. Also found to have acuta CVA. Palliative care consulted, family agreed to hospice. DC'd to Hospice.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Quality of life decreased, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Admit 5/23. Vaccine 1/16, 2/10. H/O CAD, CHF, previous strokes. Presented to ED from NH with AMS, fever.  COVID+. CXR shows no infiltrates. No supplemental O2. Also found to have acuta CVA. Palliative care consulted, family agreed to hospice. DC'd to Hospice.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Pain
Clinical narrative: Chest pain . Deep throbbing pain  with shortness of breath .
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Injection site pain, Pyrexia
Clinical narrative: Pt called call center reporting dizziness and weakness since 4/29/21.Feels like "passing out" Pt stated she had fever,chills,covid vaccine injection side arm pain but resolved these sx with tylenol after couple days. Pt recommended to go to ED for further Evaluation
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: U07.1 - COVID-19
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, COVID-19 pneumonia, Chest X-ray normal, Computerised tomogram abnormal, Inflammatory marker test
Clinical narrative: Admit 5/17. Vaccine 2/10. CHief complaint in ED lower back pain. Hx of Leukemia, degenerative disc disease. Developed high feveral. Admit COVID PNA. Elavated LFT, inflammatory markers. Neg CXR, CT shows lower lobe PNA. Treated w/antibiotics, steroid. Remained asymptomatic respiratory wise, stable on RA. DCd to home
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test increased, Pneumonia, Pyrexia
Clinical narrative: Admit 5/17. Vaccine 2/10. CHief complaint in ED lower back pain. Hx of Leukemia, degenerative disc disease. Developed high feveral. Admit COVID PNA. Elavated LFT, inflammatory markers. Neg CXR, CT shows lower lobe PNA. Treated w/antibiotics, steroid. Remained asymptomatic respiratory wise, stable on RA. DCd to home
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bilevel positive airway pressure, COVID-19 pneumonia, Chest discomfort, Computerised tomogram thorax abnormal, Continuous positive airway pressure
Clinical narrative: Admit 5/22. Vaccine 3/1, 3/26. Admit for chest pressure, SOB, COVID PNA. CT showed mild opacities.Tx w/ antibiotics, zinc, singulair, Vit C. Used CPAP and BIPAP. DC home w/home health. Patient was admitted with COVID-19 pneumonia without respiratory failure.  He was treated with supplemental medications including vitamin-C, zinc, singular.  He did not required steroids.  CT scan of the chest showed mild viral pneumonia patches.  He was ruled out bacterial pneumonia and his antibiotics were discontinued at the time of discharge.  His culture remained all negative till the time of discharge.  He was feeling markedly better.  His chest pressure was presumed from COVID-19 pneumonia and he was ruled out of acute coronary syndrome.  Overall patient was feeling much better and he was discharged home with home health.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Culture negative, Dyspnoea, Lung opacity, Pneumonia viral
Clinical narrative: Admit 5/22. Vaccine 3/1, 3/26. Admit for chest pressure, SOB, COVID PNA. CT showed mild opacities.Tx w/ antibiotics, zinc, singulair, Vit C. Used CPAP and BIPAP. DC home w/home health. Patient was admitted with COVID-19 pneumonia without respiratory failure.  He was treated with supplemental medications including vitamin-C, zinc, singular.  He did not required steroids.  CT scan of the chest showed mild viral pneumonia patches.  He was ruled out bacterial pneumonia and his antibiotics were discontinued at the time of discharge.  His culture remained all negative till the time of discharge.  He was feeling markedly better.  His chest pressure was presumed from COVID-19 pneumonia and he was ruled out of acute coronary syndrome.  Overall patient was feeling much better and he was discharged home with home health.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Second dose given with Peds approval for Moderna despite under age for use.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Joint range of motion decreased, Pain
Clinical narrative: Shortly after the injection my left shoulder (site of injection) remained sore/painful. The pain is a sharp, almost nerve like pain. I have a limited range of motion now and turning my arm, reaching for something can cause the sharp pain to occur. It will go away after about 10 seconds.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Coma, Delusion, Fall, Gait disturbance
Clinical narrative: She started having delusions and hallucinations, body tremors like epileptic seizure, she was falling down and using the bathroom on herself, her walk was a shuffled gate, she didn't remember almost 3 months in hospital, coma for 5 days and had a mini stroke. Her psych doctor thought maybe the vaccine could have triggered this type of reaction. She gained consciousness and was sent to a rehab nursing home where she's learning to walk to feed herself and getting stronger now that she's home. There's a long road to recovery.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Incontinence, Loss of personal independence in daily activities, Memory impairment, Seizure like phenomena
Clinical narrative: She started having delusions and hallucinations, body tremors like epileptic seizure, she was falling down and using the bathroom on herself, her walk was a shuffled gate, she didn't remember almost 3 months in hospital, coma for 5 days and had a mini stroke. Her psych doctor thought maybe the vaccine could have triggered this type of reaction. She gained consciousness and was sent to a rehab nursing home where she's learning to walk to feed herself and getting stronger now that she's home. There's a long road to recovery.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack, Tremor
Clinical narrative: She started having delusions and hallucinations, body tremors like epileptic seizure, she was falling down and using the bathroom on herself, her walk was a shuffled gate, she didn't remember almost 3 months in hospital, coma for 5 days and had a mini stroke. Her psych doctor thought maybe the vaccine could have triggered this type of reaction. She gained consciousness and was sent to a rehab nursing home where she's learning to walk to feed herself and getting stronger now that she's home. There's a long road to recovery.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Nausea, Pain, Pain in extremity
Clinical narrative: NAUSAU SORENESS OF ARM AND BODY ACHES Miscarriage (due date unknown)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: NAUSAU SORENESS OF ARM AND BODY ACHES Miscarriage (due date unknown)
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: U07.1 - COVID-19
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: After I received the vaccine my left arm hurt real bad for about  50 days to lift or move. I went to the ER one day because of the pain and was prescribed pain medication.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Epistaxis, Nasal congestion, Productive cough
Clinical narrative: Sudden, pouring nosebleed, both nostrils. 20 minutes of pressure stemmed most of the bleeding. Major difficulty breathing through nose after clotting occurred. 1 hr after initial nosebleed/partial clotting, pressure on back right nostril was relieved when I snorted and coughed up a dollar coin amount of mucus and blood. Left nostril still "stuffy and till some spotty bleeding 2 hours later.   No prev history of nosebleeds.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin, Eczema, Rash
Clinical narrative: rash with the following pathology, steroid responsive, no other discernible reason for rash:  Final Pathologic Diagnosis  A.  Skin, right upper arm, punch biopsy:  -   Subacute spongiotic dermatitis, see comment.    Comment(s)  Microscopic sections show a spongiotic epidermis with overlying parakeratosis  and serum crust.  There is papillary dermal edema and a superficial perivascular  chronic inflammatory infiltrate that includes occasional eosinophils.  A PAS  stain is negative for fungal organisms.  The findings are consistent with a  spongiotic dermatitis such as atopic dermatitis, allergic contact dermatitis,  nummular dermatitis, or a spongiotic drug eruption.  Clinical correlation is  recommended.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia bacterial
Clinical narrative: J18.9 - Pneumonia of right lower lobe due to infectious organism
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Blood glucose, Blood magnesium, C-reactive protein, Differential white blood cell count
Clinical narrative: 3 weeks post Right deltoid Moderna  Vaccine the patient developed lymphadenitis. Infectious Disease physician was consulted. Patient  to take  naproxen 550mg po bid for 5 days and Prednisone 20mg po daily for 5 days Patient was  instructed that he may proceed to 2nd dose Moderna but would defer administation until lymphadenitis has resolved and he is not taking prednisone
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Glycosylated haemoglobin, Lymphadenitis, Metabolic function test, Procalcitonin
Clinical narrative: 3 weeks post Right deltoid Moderna  Vaccine the patient developed lymphadenitis. Infectious Disease physician was consulted. Patient  to take  naproxen 550mg po bid for 5 days and Prednisone 20mg po daily for 5 days Patient was  instructed that he may proceed to 2nd dose Moderna but would defer administation until lymphadenitis has resolved and he is not taking prednisone
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate
Clinical narrative: 3 weeks post Right deltoid Moderna  Vaccine the patient developed lymphadenitis. Infectious Disease physician was consulted. Patient  to take  naproxen 550mg po bid for 5 days and Prednisone 20mg po daily for 5 days Patient was  instructed that he may proceed to 2nd dose Moderna but would defer administation until lymphadenitis has resolved and he is not taking prednisone
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Electrocardiogram normal, Pain in extremity
Clinical narrative: Pain in arm/shoulder/chest caused fear of heart attack. EKG test run, results negative
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Pain, Pyrexia
Clinical narrative: About 8-24 hours after receiving 2nd dose: Vomiting, body aches, fever, migraine, fatigue, chills; 24-48 hours after 2nd dose: severe body aches, fatigue
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: About 8-24 hours after receiving 2nd dose: Vomiting, body aches, fever, migraine, fatigue, chills; 24-48 hours after 2nd dose: severe body aches, fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Feeling hot
Clinical narrative: Pharmacist discussed dizziness with patient before receiving  2nd dose of Moderna. Received vaccine at 1:23pm. Patient sat after receiving vaccine with pharmacist. Patient felt fine and said she would be ok to sit in post vaccination area. Patient seemed hot and asked to remove her mask. Had patient return to room where vaccine was given because the temperature was cooler. Sat with her in room for a few minutes and she felt better to go back into post vaccination area. About twenty minutes later, patient was still feeling dizzy. Asked patient if she wanted lie down. Patient moved back into immunization room and did not want lie down.  Gave her a cold pack and checked her blood pressure, 140/104. Patient took meclizine 25mg. Patient was talking and said her mouth felt funny.  Offered her benadryl and checked for other symptoms. Patient refused Benadryl. Sat with her awhile longer and patient said she felt ok to leave. Her Mother drove her home. Patient was here about an  hour post vaccination.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nasal congestion, Nausea, Pain in extremity
Clinical narrative: Sore arm Small headache  Exhausted  Nauseous  Fever  Runny nose  Congestion
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: Sore arm Small headache  Exhausted  Nauseous  Fever  Runny nose  Congestion
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient was sitting in the observation area after his vaccine and his companion alerted us that he had fainted. He slumped to the  side for a  few seconds, we held him up and he came to rather quickly. He said he had felt dizzy. He had some water and sat for about 20 more minutes until he felt back to normal.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Stomatitis, Swelling, Swelling face
Clinical narrative: Patient states that within 48 hours of vaccination with 2nd covid vaccine that the rawness on inside of her mouth returned (she experienced this after the first dose as well).  A lot of swelling present in front, back and sides of neck, cheeks and along clavicle bilaterally.  Patient in our office today 6/2/21 and neck still appears swollen but has improved.  States that she did not see the physician until April  when she became worried that swelling may be caused by something else.  Physician ordered an MRI.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Condition aggravated
Clinical narrative: 5/17/21 Pt presented to an urgent care with a one week history of URI symptoms including scratchy sore throat, cough, and congestion. Over that week she develops some chest tightness and wheezing. Because she was fully vaccinated and denied any ill exposures she was not tested for SARS-CoV-2. She was given a Zpack and a Medrol dosepak.  On 5/28 she returned to the urgent care because she was not feeling better. She was transferred to the ED and was admitted overnight. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia.   Pneumonia secondary to COVID-19 Of note, patient was fully vaccinated against COVID-19 in January with the Moderna vaccine.   Question is whether her current viral infection represents a true COVID-19 infection, or if she is an incidental carrier of COVID-19 with a separate viral infection. Maintained O2 saturations on room air therefore remdesivir was held.  Steroids were initiated as part of asthma exacerbation treatment States she is able to quarantine at home. Has a camper she can stay in.  Request to be re-tested - "I think its a false positive"  ADD: second COVID-19 test is negative. Call by infection control nursing staff that her isolation may be discontinued.  Patient did ask for a 3rd COVID test. Infection control states they have been in contact with ID and that any further testing should be completed by infectious disease. Called by nursing staff that patient does not want any further testing at this time and request discharge home.  Rx given course of steroids. She is to follow up with her PCP.    Asthma with acute exacerbation  Cough/deep breathing exercises.  Incentive spirometry.  Nebulized breathing treatments, scheduled.  Steroids.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Nasal congestion
Clinical narrative: 5/17/21 Pt presented to an urgent care with a one week history of URI symptoms including scratchy sore throat, cough, and congestion. Over that week she develops some chest tightness and wheezing. Because she was fully vaccinated and denied any ill exposures she was not tested for SARS-CoV-2. She was given a Zpack and a Medrol dosepak.  On 5/28 she returned to the urgent care because she was not feeling better. She was transferred to the ED and was admitted overnight. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia.   Pneumonia secondary to COVID-19 Of note, patient was fully vaccinated against COVID-19 in January with the Moderna vaccine.   Question is whether her current viral infection represents a true COVID-19 infection, or if she is an incidental carrier of COVID-19 with a separate viral infection. Maintained O2 saturations on room air therefore remdesivir was held.  Steroids were initiated as part of asthma exacerbation treatment States she is able to quarantine at home. Has a camper she can stay in.  Request to be re-tested - "I think its a false positive"  ADD: second COVID-19 test is negative. Call by infection control nursing staff that her isolation may be discontinued.  Patient did ask for a 3rd COVID test. Infection control states they have been in contact with ID and that any further testing should be completed by infectious disease. Called by nursing staff that patient does not want any further testing at this time and request discharge home.  Rx given course of steroids. She is to follow up with her PCP.    Asthma with acute exacerbation  Cough/deep breathing exercises.  Incentive spirometry.  Nebulized breathing treatments, scheduled.  Steroids.