chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Condition aggravated, Dizziness, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 8/13/2021 after testing positive for COVID-19 at an outside facility. She had complained of dizziness and had one instance of nonbloody emesis. Reports no other symptoms related to COVID-19 infection. She was given monoclonal antibodies while in the emergency department. Patient was discharged on 8/13/2021 from ED to home. Patient presented to the emergency department on 8/14/2021 after a syncopal episode while showering at home. Patient was admitted due to quarantine restrictions at assisted living facility. She remained asymptomatic for COVID-19 during admission. Patient was discharged on 8/23/2021 back to facility.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Patient presented to emergency department on 8/13/2021 after testing positive for COVID-19 at an outside facility. She had complained of dizziness and had one instance of nonbloody emesis. Reports no other symptoms related to COVID-19 infection. She was given monoclonal antibodies while in the emergency department. Patient was discharged on 8/13/2021 from ED to home. Patient presented to the emergency department on 8/14/2021 after a syncopal episode while showering at home. Patient was admitted due to quarantine restrictions at assisted living facility. She remained asymptomatic for COVID-19 during admission. Patient was discharged on 8/23/2021 back to facility.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral, Nausea, Paraesthesia
Clinical narrative: About 3-4 hours after receiving vaccine, developed itchy red rash on both sides of abdomen and neck. Then i began having tingling and numbness on left side of body along with nausea and dizziness. My neck became tingly and then my bottom lip went numb. Lasted several hours, almost thought my throat was going to began closing. Took multiple Benadryl, rash did not get better. Had to call doctor next day to get steroids. Day 6 rash is clearing up. Still have random tingling to left side.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: About 3-4 hours after receiving vaccine, developed itchy red rash on both sides of abdomen and neck. Then i began having tingling and numbness on left side of body along with nausea and dizziness. My neck became tingly and then my bottom lip went numb. Lasted several hours, almost thought my throat was going to began closing. Took multiple Benadryl, rash did not get better. Had to call doctor next day to get steroids. Day 6 rash is clearing up. Still have random tingling to left side.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: About 3-4 hours after receiving vaccine, developed itchy red rash on both sides of abdomen and neck. Then i began having tingling and numbness on left side of body along with nausea and dizziness. My neck became tingly and then my bottom lip went numb. Lasted several hours, almost thought my throat was going to began closing. Took multiple Benadryl, rash did not get better. Had to call doctor next day to get steroids. Day 6 rash is clearing up. Still have random tingling to left side.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Computerised tomogram thorax, Dizziness, Electrocardiogram
Clinical narrative: First dizzy spell went away after a few minutes, when it happened a second time at work the school nurse took my BP it was extremely high, she wanted to send me to hospital, I went to see my doctor, they did an EKG she put me on hydrochlorothiazide, my heart rate continued to remain high so the doctor switched my medicine to amlodipine besylate, I'm still on that medication My BP has stayed relatively stable on cusp between normal to stage 1. My heart rate has been normal on medicine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Hypertension, Ultrasound Doppler
Clinical narrative: First dizzy spell went away after a few minutes, when it happened a second time at work the school nurse took my BP it was extremely high, she wanted to send me to hospital, I went to see my doctor, they did an EKG she put me on hydrochlorothiazide, my heart rate continued to remain high so the doctor switched my medicine to amlodipine besylate, I'm still on that medication My BP has stayed relatively stable on cusp between normal to stage 1. My heart rate has been normal on medicine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue
Clinical narrative: left side of facial swelling and swelling of the tongue lasted for a bout 2 days for swelling to go down
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chest pain, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: 10 days after first vaccine, experienced deep thoracic pain with increased in severity  over the course of 3 days to pain and numbness in the upper/middle back (T1-9).  The symptoms of numbness wrapped around to the chest and abdomen, right triceps, and 4th and 5th digits.  I lost abdominal wall, triceps strength.  Pain was incredibly intense in the upper/middle back to the point that I was unable to tolerate lying in bed in any position resulted in needing to sit upright in a chair to dose on and off throughout the night.  On average, I slept 2-3 hours per night for 3 weeks.  I am now able to sleep propped up in bed most nights otherwise I am up and sleep in a chair currently. I have seen a Chiropractor, Physiatrist, and was seen in an Emergency Department (untenable night pain required Morphine to ease the pain for 4 hours).  I have had x-rays of the neck and torso.  I have had MRI of the c-spine and t-spine - all diagnostic tests were normal and did not explain the incredible nerve pain and numbness.  I am currently on Gabapentin every 8 hours and Hydrocodone prn up to every 6 hours.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal normal, Mobility decreased, Neuralgia, X-ray normal
Clinical narrative: 10 days after first vaccine, experienced deep thoracic pain with increased in severity  over the course of 3 days to pain and numbness in the upper/middle back (T1-9).  The symptoms of numbness wrapped around to the chest and abdomen, right triceps, and 4th and 5th digits.  I lost abdominal wall, triceps strength.  Pain was incredibly intense in the upper/middle back to the point that I was unable to tolerate lying in bed in any position resulted in needing to sit upright in a chair to dose on and off throughout the night.  On average, I slept 2-3 hours per night for 3 weeks.  I am now able to sleep propped up in bed most nights otherwise I am up and sleep in a chair currently. I have seen a Chiropractor, Physiatrist, and was seen in an Emergency Department (untenable night pain required Morphine to ease the pain for 4 hours).  I have had x-rays of the neck and torso.  I have had MRI of the c-spine and t-spine - all diagnostic tests were normal and did not explain the incredible nerve pain and numbness.  I am currently on Gabapentin every 8 hours and Hydrocodone prn up to every 6 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Loss of consciousness, Malaise, Mobility decreased
Clinical narrative: I had a sore arm. In August I tested COVID. I had a lot of symptoms and got really sick. Fevers for 4 days, sore throat, lingering cough, lost sense of taste. In bed for entire week. I had head congestion in my head.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I had a sore arm. In August I tested COVID. I had a lot of symptoms and got really sick. Fevers for 4 days, sore throat, lingering cough, lost sense of taste. In bed for entire week. I had head congestion in my head.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: PT IS A BREAKTHROUGH CASE OF COVID-19 THAT EXPIRED ON 9/1/2021.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization (non-ICU)
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Angiogram pulmonary abnormal, Aortic arteriosclerosis, Arteriosclerosis coronary artery
Clinical narrative: COUGH, BODY ACHES,  ED to Hosp-Admission Discharged 8/26/2021 - 8/28/2021 (2 days) Hospital COVID-19, Hypoxemia Sepsis   HPI: Patient is a 74 y.o. male with past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH who was admitted to the Hospital with acute respiratory insufficiency with hypoxia secondary to COVID-19 pneumonia.  The patient began to have symptoms last Thursday difficulty breathing, shortness of breath, cough, and dizziness when sitting up and was found to be positive for COVID-19.   Hospital Course:    Acute respiratory insufficiency with Hypoxia secondary to COVID-19 Pneumonia. o He was consented for complete COVID-19 Pneumonia treatment and agreed to treatment with Convalescent Plasma, Dexamethasone, Remdesivir  o He has improved with COVID-19 pneumonia treatment including 3 days of IV Remdesevir.  He did receive 1 unit of convalescent plasma. o His breathing has remained stable off oxygen. o He will not need oxygen on discharge. o No further need to complete IV Remdesevir treatment or dexamethasone treatment.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Bordetella test negative, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chlamydia test negative
Clinical narrative: COUGH, BODY ACHES,  ED to Hosp-Admission Discharged 8/26/2021 - 8/28/2021 (2 days) Hospital COVID-19, Hypoxemia Sepsis   HPI: Patient is a 74 y.o. male with past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH who was admitted to the Hospital with acute respiratory insufficiency with hypoxia secondary to COVID-19 pneumonia.  The patient began to have symptoms last Thursday difficulty breathing, shortness of breath, cough, and dizziness when sitting up and was found to be positive for COVID-19.   Hospital Course:    Acute respiratory insufficiency with Hypoxia secondary to COVID-19 Pneumonia. o He was consented for complete COVID-19 Pneumonia treatment and agreed to treatment with Convalescent Plasma, Dexamethasone, Remdesivir  o He has improved with COVID-19 pneumonia treatment including 3 days of IV Remdesevir.  He did receive 1 unit of convalescent plasma. o His breathing has remained stable off oxygen. o He will not need oxygen on discharge. o No further need to complete IV Remdesevir treatment or dexamethasone treatment.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Condition aggravated, Convalescent plasma transfusion, Cough, Dizziness
Clinical narrative: COUGH, BODY ACHES,  ED to Hosp-Admission Discharged 8/26/2021 - 8/28/2021 (2 days) Hospital COVID-19, Hypoxemia Sepsis   HPI: Patient is a 74 y.o. male with past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH who was admitted to the Hospital with acute respiratory insufficiency with hypoxia secondary to COVID-19 pneumonia.  The patient began to have symptoms last Thursday difficulty breathing, shortness of breath, cough, and dizziness when sitting up and was found to be positive for COVID-19.   Hospital Course:    Acute respiratory insufficiency with Hypoxia secondary to COVID-19 Pneumonia. o He was consented for complete COVID-19 Pneumonia treatment and agreed to treatment with Convalescent Plasma, Dexamethasone, Remdesivir  o He has improved with COVID-19 pneumonia treatment including 3 days of IV Remdesevir.  He did receive 1 unit of convalescent plasma. o His breathing has remained stable off oxygen. o He will not need oxygen on discharge. o No further need to complete IV Remdesevir treatment or dexamethasone treatment.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Enterovirus test negative, Human metapneumovirus test, Human rhinovirus test, Hypoxia
Clinical narrative: COUGH, BODY ACHES,  ED to Hosp-Admission Discharged 8/26/2021 - 8/28/2021 (2 days) Hospital COVID-19, Hypoxemia Sepsis   HPI: Patient is a 74 y.o. male with past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH who was admitted to the Hospital with acute respiratory insufficiency with hypoxia secondary to COVID-19 pneumonia.  The patient began to have symptoms last Thursday difficulty breathing, shortness of breath, cough, and dizziness when sitting up and was found to be positive for COVID-19.   Hospital Course:    Acute respiratory insufficiency with Hypoxia secondary to COVID-19 Pneumonia. o He was consented for complete COVID-19 Pneumonia treatment and agreed to treatment with Convalescent Plasma, Dexamethasone, Remdesivir  o He has improved with COVID-19 pneumonia treatment including 3 days of IV Remdesevir.  He did receive 1 unit of convalescent plasma. o His breathing has remained stable off oxygen. o He will not need oxygen on discharge. o No further need to complete IV Remdesevir treatment or dexamethasone treatment.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Lung opacity, Lymph node calcification
Clinical narrative: COUGH, BODY ACHES,  ED to Hosp-Admission Discharged 8/26/2021 - 8/28/2021 (2 days) Hospital COVID-19, Hypoxemia Sepsis   HPI: Patient is a 74 y.o. male with past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH who was admitted to the Hospital with acute respiratory insufficiency with hypoxia secondary to COVID-19 pneumonia.  The patient began to have symptoms last Thursday difficulty breathing, shortness of breath, cough, and dizziness when sitting up and was found to be positive for COVID-19.   Hospital Course:    Acute respiratory insufficiency with Hypoxia secondary to COVID-19 Pneumonia. o He was consented for complete COVID-19 Pneumonia treatment and agreed to treatment with Convalescent Plasma, Dexamethasone, Remdesivir  o He has improved with COVID-19 pneumonia treatment including 3 days of IV Remdesevir.  He did receive 1 unit of convalescent plasma. o His breathing has remained stable off oxygen. o He will not need oxygen on discharge. o No further need to complete IV Remdesevir treatment or dexamethasone treatment.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Pain, Pulmonary granuloma, Respiratory syncytial virus test negative, Respiratory viral panel
Clinical narrative: COUGH, BODY ACHES,  ED to Hosp-Admission Discharged 8/26/2021 - 8/28/2021 (2 days) Hospital COVID-19, Hypoxemia Sepsis   HPI: Patient is a 74 y.o. male with past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH who was admitted to the Hospital with acute respiratory insufficiency with hypoxia secondary to COVID-19 pneumonia.  The patient began to have symptoms last Thursday difficulty breathing, shortness of breath, cough, and dizziness when sitting up and was found to be positive for COVID-19.   Hospital Course:    Acute respiratory insufficiency with Hypoxia secondary to COVID-19 Pneumonia. o He was consented for complete COVID-19 Pneumonia treatment and agreed to treatment with Convalescent Plasma, Dexamethasone, Remdesivir  o He has improved with COVID-19 pneumonia treatment including 3 days of IV Remdesevir.  He did receive 1 unit of convalescent plasma. o His breathing has remained stable off oxygen. o He will not need oxygen on discharge. o No further need to complete IV Remdesevir treatment or dexamethasone treatment.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast abnormal, Sepsis, Viral test negative
Clinical narrative: COUGH, BODY ACHES,  ED to Hosp-Admission Discharged 8/26/2021 - 8/28/2021 (2 days) Hospital COVID-19, Hypoxemia Sepsis   HPI: Patient is a 74 y.o. male with past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH who was admitted to the Hospital with acute respiratory insufficiency with hypoxia secondary to COVID-19 pneumonia.  The patient began to have symptoms last Thursday difficulty breathing, shortness of breath, cough, and dizziness when sitting up and was found to be positive for COVID-19.   Hospital Course:    Acute respiratory insufficiency with Hypoxia secondary to COVID-19 Pneumonia. o He was consented for complete COVID-19 Pneumonia treatment and agreed to treatment with Convalescent Plasma, Dexamethasone, Remdesivir  o He has improved with COVID-19 pneumonia treatment including 3 days of IV Remdesevir.  He did receive 1 unit of convalescent plasma. o His breathing has remained stable off oxygen. o He will not need oxygen on discharge. o No further need to complete IV Remdesevir treatment or dexamethasone treatment.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Hospital 8/25/21, second covid vaccine (Pfizer) 5/27/21
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Just a Moderna Arm with slight pink rash and itch.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: I had pain shooting up and down my arm and my hand is numb, and my arm and shoulder is in constant pain.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Injection site erythema, Lymphadenopathy
Clinical narrative: 9:15am 8/25/21-dizziness, lightheaded, hard to focus, loss of balance.10pm 8/25/21 woke up with chills, midnight awoke again with chills & uncontrollable shaking. 8/26/2021 fever of 102.4, aching, sore muscles, large rash on injection site of arm, lump in left lymph node near collarbone, arm is feverish, swollen bright red rash & painful. 9/1/2021. Arm is still somewhat red but lessened quite a bit, lump in lymph node still there but arm is intensely itching.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: 9:15am 8/25/21-dizziness, lightheaded, hard to focus, loss of balance.10pm 8/25/21 woke up with chills, midnight awoke again with chills & uncontrollable shaking. 8/26/2021 fever of 102.4, aching, sore muscles, large rash on injection site of arm, lump in left lymph node near collarbone, arm is feverish, swollen bright red rash & painful. 9/1/2021. Arm is still somewhat red but lessened quite a bit, lump in lymph node still there but arm is intensely itching.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm, Tremor
Clinical narrative: 9:15am 8/25/21-dizziness, lightheaded, hard to focus, loss of balance.10pm 8/25/21 woke up with chills, midnight awoke again with chills & uncontrollable shaking. 8/26/2021 fever of 102.4, aching, sore muscles, large rash on injection site of arm, lump in left lymph node near collarbone, arm is feverish, swollen bright red rash & painful. 9/1/2021. Arm is still somewhat red but lessened quite a bit, lump in lymph node still there but arm is intensely itching.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Axillary pain, Headache, Pain in extremity
Clinical narrative: Painful abdominal cramping  and headaches starting on Saturday after vaccine. Left arm pain for whole arm and armpit tenderness on Tuesday following vaccine
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Father purposely entered the patient's DOB incorrectly so his daughter could receive the Pfizer vaccine even though she's only 11 years old.  Our pharmacy discovered it when we located active insurance coverage before the 2nd shot was received.   We did not administer the 2nd shot due to not meeting the required protocol.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 3/13 and 4/10. Positive on 8/30. admitted on 8/30 to current
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Coma scale, Discomfort, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Moderate muscle and joint soreness and pain throughout entire body for over 24 hours.  Also have more acute pain at the injection site in my left arm.  The pain is not debilitating, but it is very uncomfortable and makes it difficult to function in a normal capacity.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Moderate muscle and joint soreness and pain throughout entire body for over 24 hours.  Also have more acute pain at the injection site in my left arm.  The pain is not debilitating, but it is very uncomfortable and makes it difficult to function in a normal capacity.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Condition aggravated, Erythema, Eye irritation, Herpes zoster
Clinical narrative: Soreness such that it was painful to move arm, redness about 3.5 inches wide, swelling as of 9/1/2021. Note: I am still experiencing itching and burning of face and eye irritation from shingles that I came down with  in the face on July 29, 2020.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pruritus
Clinical narrative: Soreness such that it was painful to move arm, redness about 3.5 inches wide, swelling as of 9/1/2021. Note: I am still experiencing itching and burning of face and eye irritation from shingles that I came down with  in the face on July 29, 2020.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, COVID-19, Chest X-ray normal, Cough, Diarrhoea
Clinical narrative: Patient recently vacationed and presented to the emergency department with mild, non-productive cough, nausea, recurrent vomiting, and mild upper abdominal discomfort x 1 day, and few loose stools. She tested positive for COVID19. She was afebrile, O2 saturation was good on room air, and hypertensive. CXR without pneumonia. She was treated with IV labetalol for hypertension and also received 1 liter of fluids and anti-nausea medications. She was not hypoxic throughout her admission. She received supportive management (acetaminophen, ondansetron) with good effect) and was discharged in asymptomatic condition on 8/13/21.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient recently vacationed and presented to the emergency department with mild, non-productive cough, nausea, recurrent vomiting, and mild upper abdominal discomfort x 1 day, and few loose stools. She tested positive for COVID19. She was afebrile, O2 saturation was good on room air, and hypertensive. CXR without pneumonia. She was treated with IV labetalol for hypertension and also received 1 liter of fluids and anti-nausea medications. She was not hypoxic throughout her admission. She received supportive management (acetaminophen, ondansetron) with good effect) and was discharged in asymptomatic condition on 8/13/21.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospital 8/30/21.  Provider noted second COVID Pfizer vaccination received in April
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 2/3 and 2/24. Positive on 8/24 admitted on 8/31 to current
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Adenovirus test, Bordetella test negative, COVID-19, Cardiac failure
Clinical narrative: ED to Hosp-Admission Discharged 8/29/2021 (20 hours)  Hospital Acute respiratory distress Presenting Problem/History of Present Illness/Reason for Admission Acute respiratory distress [R06.03] Respiratory distress [R06.03] Acute cystitis without hematuria [N30.00] Congestive heart failure, unspecified HF chronicity, unspecified heart failure type [I50.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present [A41.9] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]     Hospital Course   Patient admitted to monitored floor. She was started on non-invasive ventilation, found to have renal failure, and signs of severe sepsis. Upon admission goals of care meeting was held and family opted to withdraw active treatment and transition the patient comfort care.    Active Issues Requiring Follow-up Not applicable patient expired
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chlamydia test negative, Condition aggravated, Coronavirus test negative, Cystitis
Clinical narrative: ED to Hosp-Admission Discharged 8/29/2021 (20 hours)  Hospital Acute respiratory distress Presenting Problem/History of Present Illness/Reason for Admission Acute respiratory distress [R06.03] Respiratory distress [R06.03] Acute cystitis without hematuria [N30.00] Congestive heart failure, unspecified HF chronicity, unspecified heart failure type [I50.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present [A41.9] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]     Hospital Course   Patient admitted to monitored floor. She was started on non-invasive ventilation, found to have renal failure, and signs of severe sepsis. Upon admission goals of care meeting was held and family opted to withdraw active treatment and transition the patient comfort care.    Active Issues Requiring Follow-up Not applicable patient expired
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Enterovirus test negative, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Discharged 8/29/2021 (20 hours)  Hospital Acute respiratory distress Presenting Problem/History of Present Illness/Reason for Admission Acute respiratory distress [R06.03] Respiratory distress [R06.03] Acute cystitis without hematuria [N30.00] Congestive heart failure, unspecified HF chronicity, unspecified heart failure type [I50.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present [A41.9] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]     Hospital Course   Patient admitted to monitored floor. She was started on non-invasive ventilation, found to have renal failure, and signs of severe sepsis. Upon admission goals of care meeting was held and family opted to withdraw active treatment and transition the patient comfort care.    Active Issues Requiring Follow-up Not applicable patient expired
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Mechanical ventilation, Mycoplasma test negative, Pneumonia
Clinical narrative: ED to Hosp-Admission Discharged 8/29/2021 (20 hours)  Hospital Acute respiratory distress Presenting Problem/History of Present Illness/Reason for Admission Acute respiratory distress [R06.03] Respiratory distress [R06.03] Acute cystitis without hematuria [N30.00] Congestive heart failure, unspecified HF chronicity, unspecified heart failure type [I50.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present [A41.9] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]     Hospital Course   Patient admitted to monitored floor. She was started on non-invasive ventilation, found to have renal failure, and signs of severe sepsis. Upon admission goals of care meeting was held and family opted to withdraw active treatment and transition the patient comfort care.    Active Issues Requiring Follow-up Not applicable patient expired
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Renal failure, Respiratory distress, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Discharged 8/29/2021 (20 hours)  Hospital Acute respiratory distress Presenting Problem/History of Present Illness/Reason for Admission Acute respiratory distress [R06.03] Respiratory distress [R06.03] Acute cystitis without hematuria [N30.00] Congestive heart failure, unspecified HF chronicity, unspecified heart failure type [I50.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present [A41.9] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]     Hospital Course   Patient admitted to monitored floor. She was started on non-invasive ventilation, found to have renal failure, and signs of severe sepsis. Upon admission goals of care meeting was held and family opted to withdraw active treatment and transition the patient comfort care.    Active Issues Requiring Follow-up Not applicable patient expired
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Viral test negative
Clinical narrative: ED to Hosp-Admission Discharged 8/29/2021 (20 hours)  Hospital Acute respiratory distress Presenting Problem/History of Present Illness/Reason for Admission Acute respiratory distress [R06.03] Respiratory distress [R06.03] Acute cystitis without hematuria [N30.00] Congestive heart failure, unspecified HF chronicity, unspecified heart failure type [I50.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present [A41.9] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]     Hospital Course   Patient admitted to monitored floor. She was started on non-invasive ventilation, found to have renal failure, and signs of severe sepsis. Upon admission goals of care meeting was held and family opted to withdraw active treatment and transition the patient comfort care.    Active Issues Requiring Follow-up Not applicable patient expired
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Acne, Dysmenorrhoea, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: Significant changes in my menstrual cycle . I got my period on the 7th of August & a few days into my ovulation cycle , I started to spot brown blood along with some red as well . This went on for about a week to the point where there was so much coming out of me that I had to where tampons . There were no other period side effects other than the bleeding at this time . I normally have a really heavy period and after the week of having a light and brown period, it seems that I started a normal period again! My period is now( 09/21/21) is heavy like it normally is and is the normal color . I also have other symptoms such as bloating , acne , and cramps with this period .
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Significant changes in my menstrual cycle . I got my period on the 7th of August & a few days into my ovulation cycle , I started to spot brown blood along with some red as well . This went on for about a week to the point where there was so much coming out of me that I had to where tampons . There were no other period side effects other than the bleeding at this time . I normally have a really heavy period and after the week of having a light and brown period, it seems that I started a normal period again! My period is now( 09/21/21) is heavy like it normally is and is the normal color . I also have other symptoms such as bloating , acne , and cramps with this period .
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna on 2/25 and 4/1. Positive on 8/31 admitted on 8/30 to current
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Nausea, fever, headache.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient.  While giving vaccine at the patient requested to receive one, as with any patient I went over the information and patient signed and consented to vaccine.  Returning back to it was found that patient had already received a Janssen dose in 5/2021 at another facility.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 4/15 and 5/12. Positive on 8/30 admitted on 8/30 to current
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, SARS-CoV-2 test positive
Clinical narrative: Pt came to ER d/t coughing spell.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospital 8/28/21.  2nd Pfizer COVID vaccine on 4/18/21 with LOT ER8730
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna on 1/25 and 2/18. Positive on 9/1 admitted on 8/31 to current
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron normal, Contusion, Platelet count normal
Clinical narrative: Deep bruising began 2-3 weeks after both COVID shots
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Diarrhoea, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Severe fatigue, muscle pain, cold sweats, diarrhea. Injection site is swollen about 4 inches wide, painful, red and itchy. This began suddenly and is worsening
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Myalgia
Clinical narrative: Severe fatigue, muscle pain, cold sweats, diarrhea. Injection site is swollen about 4 inches wide, painful, red and itchy. This began suddenly and is worsening
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Nasal discomfort, Parosmia, SARS-CoV-2 test negative
Clinical narrative: I keep smelling cigarette smoke.  Sometimes it's very strong, like being in a bar standing next to someone smoking, my nostrils burn and I get a headache. It can be just a whiff of smoke or it might last minutes.   It seems to be happening more often and for longer periods now.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Asthenia, Bordetella test negative, COVID-19, COVID-19 pneumonia
Clinical narrative: Suspected COVID-19 virus infection  With cough, shortness of breath, fever, headache sore throat and nasal congestion ED to Hosp-Admission Current   8/29/2021 - present (3 days) Hospital for COVID Chief Complaint Patient presents with ? Fatigue     1. COVID-19 pneumonia with weakness?patient be hospitalized. His ambulatory pulse ox was 90%. Because of that we will start him on dexamethasone along with remdesivir. I also consented him for convalescent plasma. He did receive both doses of Pfizer vaccine the last 1 approximately 6 months ago. Will check inflammatory markers. He does not have a pneumonia on chest x-ray. 2. History of COPD?not in exacerbation, he will continue with his home inhalers. 3. History of atrial fibrillation he status post pacemaker placement. Is currently not anticoagulated, unsure of the reason behind that he will need to follow with cardiology regarding that.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chlamydia test negative, Convalescent plasma transfusion, Coronavirus test negative, Cough
Clinical narrative: Suspected COVID-19 virus infection  With cough, shortness of breath, fever, headache sore throat and nasal congestion ED to Hosp-Admission Current   8/29/2021 - present (3 days) Hospital for COVID Chief Complaint Patient presents with ? Fatigue     1. COVID-19 pneumonia with weakness?patient be hospitalized. His ambulatory pulse ox was 90%. Because of that we will start him on dexamethasone along with remdesivir. I also consented him for convalescent plasma. He did receive both doses of Pfizer vaccine the last 1 approximately 6 months ago. Will check inflammatory markers. He does not have a pneumonia on chest x-ray. 2. History of COPD?not in exacerbation, he will continue with his home inhalers. 3. History of atrial fibrillation he status post pacemaker placement. Is currently not anticoagulated, unsure of the reason behind that he will need to follow with cardiology regarding that.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Enterovirus test negative, Fatigue, Headache, Human metapneumovirus test
Clinical narrative: Suspected COVID-19 virus infection  With cough, shortness of breath, fever, headache sore throat and nasal congestion ED to Hosp-Admission Current   8/29/2021 - present (3 days) Hospital for COVID Chief Complaint Patient presents with ? Fatigue     1. COVID-19 pneumonia with weakness?patient be hospitalized. His ambulatory pulse ox was 90%. Because of that we will start him on dexamethasone along with remdesivir. I also consented him for convalescent plasma. He did receive both doses of Pfizer vaccine the last 1 approximately 6 months ago. Will check inflammatory markers. He does not have a pneumonia on chest x-ray. 2. History of COPD?not in exacerbation, he will continue with his home inhalers. 3. History of atrial fibrillation he status post pacemaker placement. Is currently not anticoagulated, unsure of the reason behind that he will need to follow with cardiology regarding that.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Mycoplasma test negative
Clinical narrative: Suspected COVID-19 virus infection  With cough, shortness of breath, fever, headache sore throat and nasal congestion ED to Hosp-Admission Current   8/29/2021 - present (3 days) Hospital for COVID Chief Complaint Patient presents with ? Fatigue     1. COVID-19 pneumonia with weakness?patient be hospitalized. His ambulatory pulse ox was 90%. Because of that we will start him on dexamethasone along with remdesivir. I also consented him for convalescent plasma. He did receive both doses of Pfizer vaccine the last 1 approximately 6 months ago. Will check inflammatory markers. He does not have a pneumonia on chest x-ray. 2. History of COPD?not in exacerbation, he will continue with his home inhalers. 3. History of atrial fibrillation he status post pacemaker placement. Is currently not anticoagulated, unsure of the reason behind that he will need to follow with cardiology regarding that.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia, Respiratory syncytial virus test negative, Respiratory viral panel
Clinical narrative: Suspected COVID-19 virus infection  With cough, shortness of breath, fever, headache sore throat and nasal congestion ED to Hosp-Admission Current   8/29/2021 - present (3 days) Hospital for COVID Chief Complaint Patient presents with ? Fatigue     1. COVID-19 pneumonia with weakness?patient be hospitalized. His ambulatory pulse ox was 90%. Because of that we will start him on dexamethasone along with remdesivir. I also consented him for convalescent plasma. He did receive both doses of Pfizer vaccine the last 1 approximately 6 months ago. Will check inflammatory markers. He does not have a pneumonia on chest x-ray. 2. History of COPD?not in exacerbation, he will continue with his home inhalers. 3. History of atrial fibrillation he status post pacemaker placement. Is currently not anticoagulated, unsure of the reason behind that he will need to follow with cardiology regarding that.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Suspected COVID-19
Clinical narrative: Suspected COVID-19 virus infection  With cough, shortness of breath, fever, headache sore throat and nasal congestion ED to Hosp-Admission Current   8/29/2021 - present (3 days) Hospital for COVID Chief Complaint Patient presents with ? Fatigue     1. COVID-19 pneumonia with weakness?patient be hospitalized. His ambulatory pulse ox was 90%. Because of that we will start him on dexamethasone along with remdesivir. I also consented him for convalescent plasma. He did receive both doses of Pfizer vaccine the last 1 approximately 6 months ago. Will check inflammatory markers. He does not have a pneumonia on chest x-ray. 2. History of COPD?not in exacerbation, he will continue with his home inhalers. 3. History of atrial fibrillation he status post pacemaker placement. Is currently not anticoagulated, unsure of the reason behind that he will need to follow with cardiology regarding that.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema
Clinical narrative: after receiving vaccine, pt developed redness to L side of face and arms. Also c/o shivering.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization due to COVID-19  Reported per Pfizer COVID-19 Vaccine EUA
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Balance disorder, Chills, Hallucination, Nausea
Clinical narrative: 1. Chills and shaking starting at 1:30am 2. Nausea 3. Hallucinogenic fitful dreams 4. Didn?t sleep at all.  5. Almost fell over going to the toilet.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality sleep, Tremor
Clinical narrative: 1. Chills and shaking starting at 1:30am 2. Nausea 3. Hallucinogenic fitful dreams 4. Didn?t sleep at all.  5. Almost fell over going to the toilet.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase MB, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: TACHYCARDIA, CHEST PAIN, SHORTNESS O F BREATH
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test, Tachycardia
Clinical narrative: TACHYCARDIA, CHEST PAIN, SHORTNESS O F BREATH
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Blood bilirubin increased, Blood lactic acid, Paraesthesia
Clinical narrative: Patient reported intractable vomiting , sensation of pins and needles,
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient reported intractable vomiting , sensation of pins and needles,
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exercise tolerance decreased
Clinical narrative: Shortness and heaviness of breath. Unable to participate in cardio activities.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Adenovirus test, Angiogram pulmonary abnormal, Atypical pneumonia, Blood creatinine increased
Clinical narrative: ED to Hosp-Admission Discharged 8/27/2021 - 8/31/2021 (4 days) Hospital  (Principal) COVID-19 virus infection  Hospital Course   HPI:  Patient is a 80 y.o. male with known history of chronic hypoxic respiratory failure requiring 2 L of oxygen due to severe COPD and hypertension has presented to emergency room for evaluation of worsening shortness of breath, fevers, diarrhea, nausea & non productive cough for the last 2 days.  His wife tested positive for Covid on Monday and has been in quarantine and home.  Both him and his wife were vaccinated with Pfizer vaccine.  Upon arrival he is noted to be having hypoxia with requirement of 4 L of oxygen to keep saturation above 90% and CT chest showing bibasilar interstitial infiltrates suggestive of atypical pneumonia.d   Hospital Course:  COVID-19 pneumonia: Breakthrough case as patient was vaccinated with Pfizer back in March.  CTA showed bilateral lower lobe infiltrate but negative for PE.   Patient received on 5 days of remdesivir and dexamethasone, along with inhaler, schedule albuterol, cough medication.  We added azithromycin since procalcitonin is elevated at 0.92.  Lung exam shows decreased breath sounds at bases, add ISB, OPEP.  Procalcitonin now trending down to 0.35.  Overall clinically improved.  Oximetry showed that he will require 2 L of O2 at rest and 3 L with activity.  Patient received 4 days of azithromycin, will be discharged on 3 more days of azithromycin and 5 more days of Decadron.   AKI: Admission creatinine 1.74->1->0.9, resolved with IV fluid, resume lisinopril/hydrochlorothiazide   COPD on 2 L home O2   Hypertension   Hypomagnesemia: Replaced
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chlamydia test negative, Chronic obstructive pulmonary disease
Clinical narrative: ED to Hosp-Admission Discharged 8/27/2021 - 8/31/2021 (4 days) Hospital  (Principal) COVID-19 virus infection  Hospital Course   HPI:  Patient is a 80 y.o. male with known history of chronic hypoxic respiratory failure requiring 2 L of oxygen due to severe COPD and hypertension has presented to emergency room for evaluation of worsening shortness of breath, fevers, diarrhea, nausea & non productive cough for the last 2 days.  His wife tested positive for Covid on Monday and has been in quarantine and home.  Both him and his wife were vaccinated with Pfizer vaccine.  Upon arrival he is noted to be having hypoxia with requirement of 4 L of oxygen to keep saturation above 90% and CT chest showing bibasilar interstitial infiltrates suggestive of atypical pneumonia.d   Hospital Course:  COVID-19 pneumonia: Breakthrough case as patient was vaccinated with Pfizer back in March.  CTA showed bilateral lower lobe infiltrate but negative for PE.   Patient received on 5 days of remdesivir and dexamethasone, along with inhaler, schedule albuterol, cough medication.  We added azithromycin since procalcitonin is elevated at 0.92.  Lung exam shows decreased breath sounds at bases, add ISB, OPEP.  Procalcitonin now trending down to 0.35.  Overall clinically improved.  Oximetry showed that he will require 2 L of O2 at rest and 3 L with activity.  Patient received 4 days of azithromycin, will be discharged on 3 more days of azithromycin and 5 more days of Decadron.   AKI: Admission creatinine 1.74->1->0.9, resolved with IV fluid, resume lisinopril/hydrochlorothiazide   COPD on 2 L home O2   Hypertension   Hypomagnesemia: Replaced
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Cough, Diarrhoea, Dyspnoea
Clinical narrative: ED to Hosp-Admission Discharged 8/27/2021 - 8/31/2021 (4 days) Hospital  (Principal) COVID-19 virus infection  Hospital Course   HPI:  Patient is a 80 y.o. male with known history of chronic hypoxic respiratory failure requiring 2 L of oxygen due to severe COPD and hypertension has presented to emergency room for evaluation of worsening shortness of breath, fevers, diarrhea, nausea & non productive cough for the last 2 days.  His wife tested positive for Covid on Monday and has been in quarantine and home.  Both him and his wife were vaccinated with Pfizer vaccine.  Upon arrival he is noted to be having hypoxia with requirement of 4 L of oxygen to keep saturation above 90% and CT chest showing bibasilar interstitial infiltrates suggestive of atypical pneumonia.d   Hospital Course:  COVID-19 pneumonia: Breakthrough case as patient was vaccinated with Pfizer back in March.  CTA showed bilateral lower lobe infiltrate but negative for PE.   Patient received on 5 days of remdesivir and dexamethasone, along with inhaler, schedule albuterol, cough medication.  We added azithromycin since procalcitonin is elevated at 0.92.  Lung exam shows decreased breath sounds at bases, add ISB, OPEP.  Procalcitonin now trending down to 0.35.  Overall clinically improved.  Oximetry showed that he will require 2 L of O2 at rest and 3 L with activity.  Patient received 4 days of azithromycin, will be discharged on 3 more days of azithromycin and 5 more days of Decadron.   AKI: Admission creatinine 1.74->1->0.9, resolved with IV fluid, resume lisinopril/hydrochlorothiazide   COPD on 2 L home O2   Hypertension   Hypomagnesemia: Replaced