chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Rash pruritic
Clinical narrative: Rash at left arm near site of injection. Itchy, hurts slightly to the touch
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Headache, Hypoacusis, Tinnitus
Clinical narrative: 1.  I HAVE HEARING DECREASE ON BOTH Ears 2. I HAVE HEADACHE EVER OTHER DAYS 3, I HAVE RINGING NOISE ON BOTH EARS.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Lips went numb for about a week
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Death
Clinical narrative: Patient had a brain hemorrhage on April 20th and died on April 25th.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pyrexia, Syncope
Clinical narrative: Patient reported having a fever of 104, lightheadiness (fainted), blood pressure 90/55
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: After Pt. was given a dose of Moderna Covid-19 vaccine, the nurse was informed by the facility Administrator that Pt. had received his 1st dose of Pfizer Covid-19 vaccine 1 week prior on 4/21/21 at the Hospital.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Spouse reports high fevers, aches, severe fatigue, sweats, chills. Today fevers: 6am: 101F; 7am: 102.8F; 1:30pm: 104.7F temp max Have been taking 800-1000mg of Tylenol and alternating with Advil 600-800mg with fevers still spiking. Pt had COVID back in January of 2021, was hospitalized, treated with monoclonal antibodies, regeneron and had a very slow recovery. Also on immunosupressive Tx-rituxamab, last dose in 10/2020.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Drug ineffective, Immunoglobulin therapy, Platelet count decreased, Thrombocytopenia
Clinical narrative: Pt with history evan's syndrome and chilblain's lupus with stable platelet count x 5 years. 48 hours post vaccination first dose pt had routine platelet count found to be 15k. Since that time he has had three hospitlizations for refractory thrombocytopenia. He has received extended high dose prednisone, rituximab x 4, cellcept, IVIG x 2 and NPlate. Currently still refractory. No other cause identified. Planning for Eltrombopag admin
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Catheter directed thrombolysis, Computerised tomogram, Echocardiogram
Clinical narrative: Heart felt like it was pounding out of my chest on Monday evening on April 26, 2012.  On Wednesday morning, around 8:30, April 28, I collapsed at at kickboxing class and was sent by ambulance to Hospital Emergency Room as my heart rate was very high and my oxygen was low.  In the ER I was diagnosed with blood clots in my lungs, pulmonary embolism, and was sent by ambulance to another facility where I had a procedure to try to break up the clots (catheter directed thrombolysis).  I spent 24 hours in the ICU, and another 24 hours in Cardiac Care.  I was released on Friday, April 30 at around 2:30 pm.  I am now prescribed Eliquis, have a follow up with my PCP on Monday, , May 10, a follow up with cardiology on May 24, and a follow up on June 14 with the Pulmonary Embolism group.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Intensive care, Oxygen saturation decreased, Palpitations, Pulmonary embolism
Clinical narrative: Heart felt like it was pounding out of my chest on Monday evening on April 26, 2012.  On Wednesday morning, around 8:30, April 28, I collapsed at at kickboxing class and was sent by ambulance to Hospital Emergency Room as my heart rate was very high and my oxygen was low.  In the ER I was diagnosed with blood clots in my lungs, pulmonary embolism, and was sent by ambulance to another facility where I had a procedure to try to break up the clots (catheter directed thrombolysis).  I spent 24 hours in the ICU, and another 24 hours in Cardiac Care.  I was released on Friday, April 30 at around 2:30 pm.  I am now prescribed Eliquis, have a follow up with my PCP on Monday, , May 10, a follow up with cardiology on May 24, and a follow up on June 14 with the Pulmonary Embolism group.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Syncope, Troponin increased, Ultrasound scan
Clinical narrative: Heart felt like it was pounding out of my chest on Monday evening on April 26, 2012.  On Wednesday morning, around 8:30, April 28, I collapsed at at kickboxing class and was sent by ambulance to Hospital Emergency Room as my heart rate was very high and my oxygen was low.  In the ER I was diagnosed with blood clots in my lungs, pulmonary embolism, and was sent by ambulance to another facility where I had a procedure to try to break up the clots (catheter directed thrombolysis).  I spent 24 hours in the ICU, and another 24 hours in Cardiac Care.  I was released on Friday, April 30 at around 2:30 pm.  I am now prescribed Eliquis, have a follow up with my PCP on Monday, , May 10, a follow up with cardiology on May 24, and a follow up on June 14 with the Pulmonary Embolism group.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Lip swelling, Pharyngeal swelling, Swelling face
Clinical narrative: 69-year-old female with history of prior anaphylactic reaction to medications and flu vaccine, epilepsy, PTSD and prior stroke without residuals, chronic leukopenia presented with lip swelling, throat swelling following a second Covid vaccine.  Patient had similar reaction following her first for Covid vaccine which was treated with antihistamines and prednisone but did not require hospitalization.  Pt was admitted for care and management.   On admission patient was hemodynamically stable.  She was treated with IV Benadryl, Pepcid and prednisone.  Significant improvement in her symptoms.  Patient was discharged on 4/22/21 on prednisone additional 4 days course.
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Receieved 1ml of vaccine instead of the correct dose of 0.5ml
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Dizziness, Dysgeusia, Paraesthesia, Tension headache
Clinical narrative: While waiting to leave, patient began "feeling head tightness, dizziness and tasting vaccine." She also stated that she had just received Botox to forehead and lips. Patient suddenly  was unable to speak to due to expressive aphasia. Vital signs obtained and were 130/102, HR105 and SpO2 99% on room air. Patient is alert and oriented x3. Patient given gatorade and cool fan to face.  When able to speak, patient started to complain of "tingling" to bilateral hands and arms. EMS notified and patient was escorted to front entrance via wheelchair.   EMS arrived on scene at 0914 and care was transferred to EMS. Vital sign BP 176/104 P88 O2 100% on room air.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Neck pain, Swelling
Clinical narrative: Swollen with grape size lump (lymph node maybe) on right side of neck in between neck and shoulder, feeling of swollen throat on right side. Neck ache. Didnt notice lump until about a week or week and a half after first covid dose. I am only thinking this is from the shot because I had NO previous problems until the shot,no reactions to any shots ever. I do receive a flu shot every year with no problems. I am pretty healthy besides high blood pressure.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dysstasia, Pain in extremity
Clinical narrative: She got the vaccine, and had no problems at first.  Then she left around 7:00 and then the next day her arm started hurting real bad.  Then her back started hurting, lower back/hip area, which is similar to her regular arthritis pain but she had not had any problems until she got the vaccine.  It has migrated from the hip to the back, and is taking home remedies and it's helping.  She feels the pain worse when she tries to stand, but if she's sitting it's not as bad.   She is waiting for her friend to come and take her to the doctor.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Rash
Clinical narrative: Had mild fatigue and developed a rash ( similar to a heat rash) on my torso (back, chest, neck).  The rash cleared up in three days.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Receieved 1ml of vaccine instead of the correct dose of 0.5ml
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received 1 ml injection dose instead of 0.5ml injection dose
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Pruritus, Pyrexia, Urticaria, Vertigo
Clinical narrative: 1st vaccine. Headache, low-grade fever, vertigo for 2 days   2nd vaccine   Beginning day following vaccination severe hives all over body, itching skin entire body
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: As soon as the vaccine was injected, I started feeling unwell.  I felt like I was in a fog, and within 30 minutes, I felt like I had the flu.  I felt some dizziness, and later in the evening, I thought my heart was racing a little.  For almost a week, I would feel fine, and then I wouldn't feel well.  It would come in waves.  I had some nausea, fatigue, muscle/joint pain, headache, and some dizziness.  My second dose is scheduled for 5/12/2021.  I am concerned about taking the second dose.  I do have some sensitivity to medications.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Influenza like illness, Malaise, Myalgia, Nausea
Clinical narrative: As soon as the vaccine was injected, I started feeling unwell.  I felt like I was in a fog, and within 30 minutes, I felt like I had the flu.  I felt some dizziness, and later in the evening, I thought my heart was racing a little.  For almost a week, I would feel fine, and then I wouldn't feel well.  It would come in waves.  I had some nausea, fatigue, muscle/joint pain, headache, and some dizziness.  My second dose is scheduled for 5/12/2021.  I am concerned about taking the second dose.  I do have some sensitivity to medications.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: As soon as the vaccine was injected, I started feeling unwell.  I felt like I was in a fog, and within 30 minutes, I felt like I had the flu.  I felt some dizziness, and later in the evening, I thought my heart was racing a little.  For almost a week, I would feel fine, and then I wouldn't feel well.  It would come in waves.  I had some nausea, fatigue, muscle/joint pain, headache, and some dizziness.  My second dose is scheduled for 5/12/2021.  I am concerned about taking the second dose.  I do have some sensitivity to medications.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Multiple COVID vaccinations
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Multiple COVID vaccinations
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Full blood count, Joint swelling, Laboratory test
Clinical narrative: bilat wrist pain and swelling started ~2 weeks after 1st dose, recurred 1-2 days after second dose with more prominent symptoms in wrists and also pain and swelling in ankles.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 year old minor received Moderna vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling, Superficial vein prominence, Swelling
Clinical narrative: Patient states her arm started becoming really sore 2 hours after injections. Today left arm and left side of neck are swollen. patient rates pain as 9 out of 10 on pain scale. Patient is unable to lift arm. Patient states it looks like a vein in her neck is swollen and it hurts when she palpates it.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vascular pain
Clinical narrative: Patient states her arm started becoming really sore 2 hours after injections. Today left arm and left side of neck are swollen. patient rates pain as 9 out of 10 on pain scale. Patient is unable to lift arm. Patient states it looks like a vein in her neck is swollen and it hurts when she palpates it.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging head, Muscular weakness
Clinical narrative: Approximately 3 days after my 2nd COVID-19 shot on my right hand, my  pinky, ring, and middle finger become numb and forearm become very weak, and has gotten worse since them.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: after 2nd shot felt like throat was closing, (has had reaction before with food allergies)EMT assessed and released
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Brain natriuretic peptide increased, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Hypertension, Hypomagnesaemia, Influenza virus test negative, Mental status changes
Clinical narrative: Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Respiratory distress, Respiratory failure, SARS-CoV-2 test negative, Urinary tract infection
Clinical narrative: Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, White blood cell count increased
Clinical narrative: Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Mass, Oropharyngeal pain, Pain
Clinical narrative: On April 15, I had aches and pains and was very tired. On April 16th, I developed a tennis ball-sized lump under the arm I received the shot in. It is still there to date but has shrunk to the size of a golf ball. On April 30th, I developed a sore throat. May 1st, I threw up several times. I stayed in bed feeling weak with a low-grade fever on and off. I also developed a deep productive cough followed by wheezing on my exhale. It is now May 4th. I am still coughing and have a lot of mucous production. Fever comes and goes. I had a telephone "visit" with my PCP on May 3rd  because both his office and urgent care would not allow me to come in person with possible COVID symptoms. My PCP prescribed an antibiotic, an inhaler and a cough medicine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, Secretion discharge, Vomiting, Wheezing
Clinical narrative: On April 15, I had aches and pains and was very tired. On April 16th, I developed a tennis ball-sized lump under the arm I received the shot in. It is still there to date but has shrunk to the size of a golf ball. On April 30th, I developed a sore throat. May 1st, I threw up several times. I stayed in bed feeling weak with a low-grade fever on and off. I also developed a deep productive cough followed by wheezing on my exhale. It is now May 4th. I am still coughing and have a lot of mucous production. Fever comes and goes. I had a telephone "visit" with my PCP on May 3rd  because both his office and urgent care would not allow me to come in person with possible COVID symptoms. My PCP prescribed an antibiotic, an inhaler and a cough medicine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Induration, Lymphadenopathy, Tension
Clinical narrative: Two lumps above clavicle suspected to be swollen lymph nodes on the left side (same side of vaccine injection). One lump is soft and moveable, and one is pea sized and it is firm and also moveable. Both lumps are painless. Discomfort and tension on the side of the neck where the swollen lymph nodes are. I noticed the lumps about two weeks after the first vaccine dose. The day after the second dose, the lumps swelled a bit more and neck tension increased.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Corrective lens user, Dizziness, Headache, Hypermetropia, Magnetic resonance imaging
Clinical narrative: Headaches,  blurred vision, sensitivity to light,  spots,  farsighted need reading glasses to read and work on the computer,  dizzy at times Saw the doctor on 5/4/2021 and am being evaluated ...Doctor is sending me to an eye specialist
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Vision blurred, Visual impairment
Clinical narrative: Headaches,  blurred vision, sensitivity to light,  spots,  farsighted need reading glasses to read and work on the computer,  dizzy at times Saw the doctor on 5/4/2021 and am being evaluated ...Doctor is sending me to an eye specialist
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral, Hyperacusis, Hypoacusis, Tinnitus
Clinical narrative: I had tinnitus in my right ear for at least 9 days. I still have tinnitus right now but am receiving steroids to alleviate the pain, which is working. Initially, I experienced a little hearing loss as well. It sounded like everyone I spoke with had a cold, like their voices were muddled, or they were congested. Lastly, any high-pierced noise was jarring, like sirens or the timer on our oven. As of now 9 days later, I only hear ringing and the pain with loud noises is gone.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Second dose of Covid vaccine should have been Pfizer and patient received Moderna
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic dissection, Cardiac operation, Cerebrovascular accident, Death, Intensive care
Clinical narrative: At 11:30am on April 6th my dad had a type A Aortic Dissection.  He was rushed in an ambulence to Hospital.  4 hours later, they evaluated him and sent him by medivac to Hospital for emergency open heart surgery.  Dr. performed the surgery which my dad survived.  He continued to have additional complications in the ICU including a right brain stroke which may have happened during surgery.  While in the ICU, he contracted pneumonia and his lungs and kidneys began declining.  20 days after the aortic dissection he died in the hospital.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Pneumonia, Renal impairment
Clinical narrative: At 11:30am on April 6th my dad had a type A Aortic Dissection.  He was rushed in an ambulence to Hospital.  4 hours later, they evaluated him and sent him by medivac to Hospital for emergency open heart surgery.  Dr. performed the surgery which my dad survived.  He continued to have additional complications in the ICU including a right brain stroke which may have happened during surgery.  While in the ICU, he contracted pneumonia and his lungs and kidneys began declining.  20 days after the aortic dissection he died in the hospital.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram normal, Computerised tomogram thorax, Diarrhoea, Dyspnoea
Clinical narrative: In the ED 3/14/21 Patient states yesterday she got the Johnson & Johnson Covid vaccine.  She says that today she started having fevers chills generalized body aches generalized malaise and headache.  She says she is otherwise healthy denies any sick significant medical history.  She endorses some mild shortness of breath associated as well as some nausea and diarrhea but denies vomiting. IV fluid bolus, acetaminophen and ibuprofen
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Headache, Malaise, Nausea, Pain
Clinical narrative: In the ED 3/14/21 Patient states yesterday she got the Johnson & Johnson Covid vaccine.  She says that today she started having fevers chills generalized body aches generalized malaise and headache.  She says she is otherwise healthy denies any sick significant medical history.  She endorses some mild shortness of breath associated as well as some nausea and diarrhea but denies vomiting. IV fluid bolus, acetaminophen and ibuprofen
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sinus tachycardia
Clinical narrative: In the ED 3/14/21 Patient states yesterday she got the Johnson & Johnson Covid vaccine.  She says that today she started having fevers chills generalized body aches generalized malaise and headache.  She says she is otherwise healthy denies any sick significant medical history.  She endorses some mild shortness of breath associated as well as some nausea and diarrhea but denies vomiting. IV fluid bolus, acetaminophen and ibuprofen
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dysphagia
Clinical narrative: within 15 min felt different when swallowing but heart rate and breathing was normal.  patient is sensitive to vaccines and many medications, typically breaks out in a rash. current symptoms did not worsen in the 30 minutes she was here. did mention being anxious about the vaccine. felt comfortable leaving and was advised to seek emergency care if symptoms worsen
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I conceived after my second dose of the vaccine. I was getting tested for hormones because of a previous miscarriage and they were low. I had some bleeding. After Sonogram it was confirmed that I had an Ectopic pregnancy. at seven weeks after low hormone levels. It was five weeks after the second dose of the vaccine. Two doses of Methotrexate were given.   Positive Test early January Due Date-9/21/2021 Pregnancy-two
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Erythema, Feeling abnormal, Muscle fatigue, Rash
Clinical narrative: Red face, rash on chest, shaking hands/arms, chest tightness, muscle fatigue and brain fog began about 15 minutes after injection. Lasted about 4-5 hours. Shaking hands still continues intermittently at 2.5 weeks. While at vaccine clinic, juice and water were given.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Red face, rash on chest, shaking hands/arms, chest tightness, muscle fatigue and brain fog began about 15 minutes after injection. Lasted about 4-5 hours. Shaking hands still continues intermittently at 2.5 weeks. While at vaccine clinic, juice and water were given.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever, febrile seizure 7th day after administration
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 16 - Janssen administered to patient.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient is a 71 y.o. male with past medical history of a-fib on coumadin, ischemic cardiomyopathy s/p ICD, CAD s/p BM stent 2005, and CKD III who initially presented to urgent care per family recommendations d/t persistent cough, SOB and fatigue. CXR was obtained with findings concerning for viral pneumonia vs CHF, rapid COVID was negative at that time with recommendations to come to ED for further evaluation and treatment.  Patient subsequently tested + COVID 19 in ED and was hypoxic with ambulation
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: Patient is a 71 y.o. male with past medical history of a-fib on coumadin, ischemic cardiomyopathy s/p ICD, CAD s/p BM stent 2005, and CKD III who initially presented to urgent care per family recommendations d/t persistent cough, SOB and fatigue. CXR was obtained with findings concerning for viral pneumonia vs CHF, rapid COVID was negative at that time with recommendations to come to ED for further evaluation and treatment.  Patient subsequently tested + COVID 19 in ED and was hypoxic with ambulation
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Muscular weakness, Vision blurred
Clinical narrative: fever of 101.8 , blurry vision , weak in legs
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Hyperhidrosis
Clinical narrative: patient was administered dose.  he was still sitting and he informed his wife and immunization tech  that he was feeling lightheaded.  patient started sweating at which time pharmacist was informed.  Patient could not stand up and 911 was called. patient was checked by emt and released.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Dyspnoea
Clinical narrative: PATIENT EXPERIENCES SHORTNESS OF BREATH AND METALLIC TASTE IN THE MOUTH APPROXIMATELY 10 MINUTES POST VACCINATION.  BASED ON OBSERVATIONS, PATIENT'S PUPILS WERE NORMAL.  THE VITALS ARE AS FOLLOWS:  9:39AM- BP 146/102 PULSE 84 9:49AM- BP 143-93 PULSE 79.  PULSE OX=98%.  AT THIS TIME, THE PATIENT COMPLAINED OF WORSENING OF BREATH, "HEAVY BREATHING".  I ADMINISTERED ONE DOSE OF EPINEPHRINE 0.3MG DOSE INTO THE THIGH AND DISPATCHED 911 EMERGENCY SERVICES.  WHEN THE PARAMEDICS ARRIVED, PATIENT WAS STILL ALERT.  FIRST BP READING BY PARAMEDICS WAS HIGH (ASSOCIATED WITH EPI INJECTION).  DURING THE PARAMEDIC ASSESTMENT, PATIENT SOB AND BP RETURNED TO HIS NORMAL CONDITION.  THE PATIENT REFUSED FURTHER TREATMENT.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Limb injury, Skin warm, Tenderness
Clinical narrative: I woke up Sunday morning with sores on both my elbows. I cleaned them and put antibiotic cream on them. Monday they were very tender to the touch. Monday evening they were both warm to the touch. I messaged my primary care physician photos and asked if there's anything else I should do if they don't clear up.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt reports feeling lightheaded. Denies LOC. Pt Placed in Trendelenburg Position. Pt Reports Relief Of Symptoms After Arrival. Pt offered & Accepted Water/Declined Snack. Orthostatic VS Obtained. No S/S Of Distress Noted. Pt Refused Wheelchair, Ambulated To Exit With staff Escort. VS Are As Follows:  1350: BP 108/78, HR 73, RR 12, O2 Sat 100% On RA 1402: BP 104/72, HR 67, RR 14, )2 Sat 100% On RA 1407 (Lying): BP 110/79, HR 68, RR 12, O2 Sat 100% On RA 1412 (Standing): BP 112/78, HR &0, RR 12, O2 Sat 99% On RA
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Pyelonephritis
Clinical narrative: Pyelonephritis affecting pregnancy in second trimester
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose given 1 week early.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Lymph node pain
Clinical narrative: lymph node swelling and pain joint pain muscle pain severe fatigue headache chills
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia
Clinical narrative: lymph node swelling and pain joint pain muscle pain severe fatigue headache chills
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea
Clinical narrative: Chills for 14 hours  Severe Headaches for 14 days,     Nauseated 4 days,    Dizzy spells   12 days, Mild headaches off and on now - 17 days after 2nd dose
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Pt has DVT/PE 3 days post vaccination. Pt is being treated with Eliquis.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Felt nauseous and light headed immediately after the shot, that faded when i ate 40 minutes later. Got a headache and fever (101) that started 3 hours after the shot and lasted 30 hours.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Skin warm
Clinical narrative: The patient received the Janssen vaccine lot #1808980 exp 06/20/2021 at0930am in the left arm.  Patient has a history of asthma, high blood pressure, anxiety, and hearing voices.  He takes lisinopril and zyprexa. He was in the hospital recently due to hearing voices but can not remember how long ago.  He is living at a recuperative care shelter.  Patient denied drug use, denies prior vaccine reactions, and said he was allergic to Geodon which makes him brake out in a rash.  The patient was  sitting in the observation area after receiving his vaccine.  At 09:35am he said he had 8/10 "sharp chest pain" that started after receiving the vaccine.  He was warm to touch, non diaphoretics, no dizziness or nausea, and color was appropriate for race.  He was AOx4.  BP 139/90, RR 18, HR 91 and regular per palpation, Spo2 95% and no respiratory distress noted.  At 0935 the patient said the pain "went away" and said it was now a 0 out of 10.  He said he has had that sharp pain the past and has seen a doctor but he doesn't know what causes it. Vitals were rechecked.  BP 130/92, RR 18, SpO2 95%, HR94.  Patient remained alert and oriented.  Patient remained with RN in observation area until 10am and continued to deny pain or any other symptoms.  At 10am patient stood up.  He denied dizziness or pain and walked away with a steady gait. The patient was educated to see his primary care physician about the periodic chest pain.  Patient says he smokes 1 pack of cigarettes per day.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: I63.9 - Acute CVA (cerebrovascular accident) (HCC)
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: I had a servere skin rash (red spots, itchy) al over the body for 3 weeks. There was no professional medical help received, just used over the counter allergy medication -Benadryl and hydrocortison oinment-topically.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dehydration, Diarrhoea, Fatigue, Headache
Clinical narrative: SEVERE HEADACHE, NAUSEA, BODY ACHE, DIAREA, FATIGUED AND TIRED.  STARTED FEW DAYS AFTER SHOT AND I AM JUST TODAY MAY 4, 2021 STARTING TO FEEL A LITTLE RELIEF.  STILL HAVE SOME NAUSEA AND HEADACHE SYMPTOMS. I WENT TO ER ON APRIL 28, 2021 AND BLOOD WORK CAME BACK GOOD, 2 NEGATIVE COVID TESTS.  RECEIVED IV PAIN MEDS AND FLUID DUE TO DEHYDRATION.  I WAS PRESCRIBED ONDANSETRON FROM MY PRIMARY DOCTOR FOR NAUSEA.  MAY 4, 2021 I AM DISCONTINUING THE MEDICATION.  AS I SAID I AM STARING TO FEEL BETTER TODAY.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test negative
Clinical narrative: SEVERE HEADACHE, NAUSEA, BODY ACHE, DIAREA, FATIGUED AND TIRED.  STARTED FEW DAYS AFTER SHOT AND I AM JUST TODAY MAY 4, 2021 STARTING TO FEEL A LITTLE RELIEF.  STILL HAVE SOME NAUSEA AND HEADACHE SYMPTOMS. I WENT TO ER ON APRIL 28, 2021 AND BLOOD WORK CAME BACK GOOD, 2 NEGATIVE COVID TESTS.  RECEIVED IV PAIN MEDS AND FLUID DUE TO DEHYDRATION.  I WAS PRESCRIBED ONDANSETRON FROM MY PRIMARY DOCTOR FOR NAUSEA.  MAY 4, 2021 I AM DISCONTINUING THE MEDICATION.  AS I SAID I AM STARING TO FEEL BETTER TODAY.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Deafness, Discomfort, Dizziness, Facial pain
Clinical narrative: Moderna COVID-19 Vaccine EUA  My symptoms involved my spinal cord, spasms traveling up and into my neck and head.  It increased my lymph fluid and flared up my menieres disease.  I had painful headaches throughout my face.  My occipital glands were inflamed.  when I would stand after sitting the spasms would travel and then my neck felt like it was being squeezed, my hearing would fade and I would almost pass out.  I couldn't sleep at night because of the pain.  after one week, my doctor prescribed a medrol pack.  After 6 days the symptoms returned.  I ended up in Emergency.  they gave me injections of both valium and Toradol.  then my doctor put me on 12 more days of prednisone.  I have completed it but still am struggling with the spasms in my neck.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Meniere's disease, Muscle spasms
Clinical narrative: Moderna COVID-19 Vaccine EUA  My symptoms involved my spinal cord, spasms traveling up and into my neck and head.  It increased my lymph fluid and flared up my menieres disease.  I had painful headaches throughout my face.  My occipital glands were inflamed.  when I would stand after sitting the spasms would travel and then my neck felt like it was being squeezed, my hearing would fade and I would almost pass out.  I couldn't sleep at night because of the pain.  after one week, my doctor prescribed a medrol pack.  After 6 days the symptoms returned.  I ended up in Emergency.  they gave me injections of both valium and Toradol.  then my doctor put me on 12 more days of prednisone.  I have completed it but still am struggling with the spasms in my neck.
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Dizziness, Hyperhidrosis, Visual impairment
Clinical narrative: After first dose of moderna was administered patient got up to sit in waiting area. She began to complain of not being able to see and said that she could only see black. She then said that she could not hear anything. She became sweaty and felt faint. We had her lie down and called 911. She got better by the time EMS arrived and was not transported to the hospital.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: serious hives from neck to groin area, including both arms and itchy hands.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid
Clinical narrative: Swelling in the left eye lid. This happened after my first shot as well. About 3-4 days after.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered, Medication error, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Medication Error.  Pediatric Hep. A dose  given to a 55 yr. old.   This was her 2nd Hep A vaccine, #1 dose was a an adult dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: patient began having symptoms the day she went to hospital and was diagnosed (per patient), of Bells Palsy of the right side of face.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Respiratory disorder, SARS-CoV-2 RNA, SARS-CoV-2 test
Clinical narrative: respiratory illness  Cough -     benzonatate (TESSALON PERLES) 100 mg capsule; Take 2 capsules (200 mg total) by mouth 3 (three) times a day as needed  for cough for up to 7 days Increase fluids. Can honey and honey tea as needed. Can use OTC allergy medications like Claritin, Zyrtec and Allegra as needed. OTC Tylenol or ibuprofen for fever, discomfort.     Recommended saltwater gargles, nasal saline sprays, humidifier and vapor rub at night.  If symptoms persist without improvement over the next 2-3 days despite above treatment, follow-up with PCP for further evaluation.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Death, Dyspnoea, Pulmonary embolism, Syncope
Clinical narrative: Shortness of breath followed by sudden collapse followed by death.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram normal, Eye pain, Fear, Headache
Clinical narrative: Patient reports usual reactions six hours after vaccine (body aches, chills, fever of 103). These resolved after 48 hours with the aid of ibuprofen and Tylenol.  On Saturday, April 17,2021; she was awakened with a piercing headache on the top of the right side of her head and radiating to her right eye. She was seen in the ED at Hospital on 04/28/2021 for the headache that would not subside. She was seen again on 05/04/2021 for fainting with the headache. The ED physician has asked for a VAERS report since the headache has not resolved and is worsening.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Pain, Syncope
Clinical narrative: Patient reports usual reactions six hours after vaccine (body aches, chills, fever of 103). These resolved after 48 hours with the aid of ibuprofen and Tylenol.  On Saturday, April 17,2021; she was awakened with a piercing headache on the top of the right side of her head and radiating to her right eye. She was seen in the ED at Hospital on 04/28/2021 for the headache that would not subside. She was seen again on 05/04/2021 for fainting with the headache. The ED physician has asked for a VAERS report since the headache has not resolved and is worsening.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: My mentral cycle is 8 days late as of today. My cycle is regular and this is a new occurance.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Seizure, Tension, Unresponsive to stimuli
Clinical narrative: Shortly after the administering the vaccine the person tensed up and became unresponsive. He appeared to be having a seizure. I was able to get the patient to the floor and he became responsive.  He said he "was ok".  We had contacted EMS.  We had the patient lie flat until the EMT's arrived.  He was very sweaty and tired but he insisted he was fine.  He refused to go to the ER and he was able to get a ride home.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine administered too early.  1st dose = 4.24.21;  2nd dose = 5.4.21.    Patient received 2nd dose of Pfizer vaccine too early on 5/4/21. Per MCIR, he received his first dose at Kroger on 4/24/21. This was not recognized until patient had received his vaccine already.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years and 8 months (not 18 years of age as required for Moderna vaccine). No adverse reaction.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Hypoaesthesia
Clinical narrative: Patient to the ED with c/o numbness of his face, buttocks with breakout of Shingles shortly after Vaccine. Patient received Vaccine on 4/22/2021 and broke out and just recovering from Shingles.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow, Chest X-ray, Computerised tomogram normal, Echocardiogram, Laboratory test abnormal
Clinical narrative: Severe thrombocytopenia developing 1 week after 1st Moderna vaccine. Pt got first vaccine April 12 or 14 (she can't remember which) and is due for her next May 10 or 12 (though she is not getting this dose per Hem/onc note). Plt down to 3K (from 258K on 3/29/21). This has required 2 hospitalizations with multiple transfusions, bone marrow bx, high levels O2. She is currently in the hospital and her oncologist noted on 5/4/21: "this is covid vaccine related until proven otherwise (she got her 1st Moderna shot one week before plts plummeted); would not get 2nd dose; should be reported to VAERS."
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Thrombocytopenia, Transfusion, Ultrasound abdomen, Vaccination complication
Clinical narrative: Severe thrombocytopenia developing 1 week after 1st Moderna vaccine. Pt got first vaccine April 12 or 14 (she can't remember which) and is due for her next May 10 or 12 (though she is not getting this dose per Hem/onc note). Plt down to 3K (from 258K on 3/29/21). This has required 2 hospitalizations with multiple transfusions, bone marrow bx, high levels O2. She is currently in the hospital and her oncologist noted on 5/4/21: "this is covid vaccine related until proven otherwise (she got her 1st Moderna shot one week before plts plummeted); would not get 2nd dose; should be reported to VAERS."
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral artery embolism, Cerebral infarction, Cerebrovascular accident, Facial paralysis, Hemiparesis
Clinical narrative: I63.511 - Acute ischemic right MCA stroke  R53.1 - Left-sided weakness G51.0 - Facial paralysis on left side I63.9 - Stroke determined by clinical assessment  I63.411 - Cerebral infarction due to embolism of right middle cerebral artery
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ischaemic stroke
Clinical narrative: I63.511 - Acute ischemic right MCA stroke  R53.1 - Left-sided weakness G51.0 - Facial paralysis on left side I63.9 - Stroke determined by clinical assessment  I63.411 - Cerebral infarction due to embolism of right middle cerebral artery
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Random hives appearing on most parts of my body. A few pop up each day and then resolve in a day or two and then more pop up every day since now for the past 7 weeks or so.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Full blood count, International normalised ratio, Prothrombin time
Clinical narrative: Chronic epistaxis approximately 6 days after receiving vaccine. She is currently on Coumadin therapy and her INR is normal.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Inappropriate antidiuretic hormone secretion
Clinical narrative: patient called in pharmacy 11:35 am on 5/4/21 and told that she had gotten seizures 2 times yesterday night on 5/3/21 at 9pm and 10:30pm.  she went to ER and got injection. she will see neurologist to check overall. she states she missed seizure meds few times recently.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Pain
Clinical narrative: Face feeling cold and nostril pain have become more sensitive to certain food consumption, such as, lime/lemon, honey and certain vegetables (Bok chow, green mustard and etc). Watchful of food type consumption and result is the same.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, Asymptomatic COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough COVID infection. The patient tested positive, asymptomatically, on  5/3/2021. He received two doses of the COVID vaccine on 3/11/21 and 4/8/21.  He states that members of his household tested positive for COVID 6 weeks prior to 5/3/21 and he experienced anosmia and sore throat at that time but never got tested to confirm if he had COVID.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Death, Peripheral coldness
Clinical narrative: Pt had an appointment with her cardiologist 4/15/2021 and no changes in patient's health noted states daughter.  Patient performed yard work at noon 4/16/2021 and developed chest tightness that was relieved by rest. After patient's nap at noon no more chest discomfort occurred. Patient went to bed that night and husband noted she was sleeping comfortbly with no breathing difficulties at midnight.  At 3 am husband found patient cold and she had expired.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Head discomfort, Pain, Pyrexia
Clinical narrative: Fever, post-nasal drip, cough, burning throat, stuffy head, achiness, fatigued.  From Friday morning through Monday afternoon.   Starting Monday night the fatigue and fever seemed to go away and it was just the post-nasal drip, cough, and stuffy head through Tuesday.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation, Upper-airway cough syndrome
Clinical narrative: Fever, post-nasal drip, cough, burning throat, stuffy head, achiness, fatigued.  From Friday morning through Monday afternoon.   Starting Monday night the fatigue and fever seemed to go away and it was just the post-nasal drip, cough, and stuffy head through Tuesday.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Patient reports feeling slight chest tightness, no other symptoms reported. Patient states she feels fine and will follow up with ER if need be. Cleared by EMS. BP:115/82, pulse :76, Spo2: 98%.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dysphonia, Mononucleosis heterophile test positive, Periorbital swelling, Rhinorrhoea
Clinical narrative: 03May21-daughter C/O obstruction in throat. upon view, left tonsil is enlarged, red, 'puffy', striated with white patches. Uncomfortable to swallow. slight runny nose, congested voice, puffy eyelids (slight). Went to urgent care, was tested for Mononucleosis and results positive.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Tonsillar erythema, Tonsillar hypertrophy, Tonsillar inflammation
Clinical narrative: 03May21-daughter C/O obstruction in throat. upon view, left tonsil is enlarged, red, 'puffy', striated with white patches. Uncomfortable to swallow. slight runny nose, congested voice, puffy eyelids (slight). Went to urgent care, was tested for Mononucleosis and results positive.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: I have a lump in my left armpit. The size is about a half-inch. There was nothing before vaccination. I had a little pain for 3 days, but now there is no pain.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Malaise, Somnolence
Clinical narrative: Was ?sick? for 9 days after receiving the Covid shot:  Doesn't feel right, Covid Brain, felt like back of brain was swelling and shaking and would get a head rush when bending over.  Felt like he had radiation in his blood like there was amphetamines in it, ?edgy?, fatigue, sleepy.  Denies fever or muscle aches.  Went to the ER on 4/4 or 4/11 not for sure on date.  They didn't do a COVID test and diagnosed him with depression due to his dog dying and divorce.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Swelling, Tension
Clinical narrative: Was ?sick? for 9 days after receiving the Covid shot:  Doesn't feel right, Covid Brain, felt like back of brain was swelling and shaking and would get a head rush when bending over.  Felt like he had radiation in his blood like there was amphetamines in it, ?edgy?, fatigue, sleepy.  Denies fever or muscle aches.  Went to the ER on 4/4 or 4/11 not for sure on date.  They didn't do a COVID test and diagnosed him with depression due to his dog dying and divorce.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Extreme pain in left arm : spans from elbow to armpit
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Vaccine Friday 4/30/21 at 1 pm?.By 8pm entire left side was red, itchy and turned into whelps. Used allergy medication and tylenol with relief. Is using benadryl which works well but makes her very drowsy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood potassium increased, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Patient is a 73 y.o. female who presents today with multiple complaints worsening shortness of breath, cough, weakness, headache, nausea, and diarrhea.  Symptoms began with a cough 3 days prior.  She went to dialysis on her usual time.  Sent to ER to be evaluated due to cough.  Positive COVID-19 4/27.  Other family members positive.   Patient became progressively more weak, short of breath that she was unable to go to dialysis today.  She has had poor intake with intractable nausea and diarrhea.   Audible gurgling.  In ER, potassium elevated and chest x-ray with congestion consistent with overload.  Nephrology intending on dialysis today while inpatient.   Due to poor respiratory status now requiring oxygen typically only at night.  Decadron added.  Not a candidate for remdesivir.