chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Malaise, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 12/06/2021  The patient presents with Medical clearance. Pt states she is coming from SNF due to having a positive COVID-19 test though she is only c/o cough and congestion. The pt notes she has multiple lung diseases and is regularly on 2L of o2. Denies any other symptoms or complaints.  The onset was just prior to arrival.  The course/duration of symptoms is constant.  The character of symptoms is COVID-19 symptoms.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Diarrhoea, Malaise, SARS-CoV-2 test positive
Clinical narrative: 12/06/2021 The patient presents with COVID-19 symptoms x1 week. Pt states his symptoms began on 11/27 and was tested positive on 11/29. Pt and wife both were found to have COVID-19 and received the Regeneron Infusion on 11/29. Pt reports he has been increasingly weak with associated diarrhea. Pt's wife is concerned for dehydration. Pt has been fully vaccinated against COVID-19. Denies any other symptoms or complaints.  The onset was 1  weeks ago.  The character of symptoms is COVID-19 symptoms.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sick relative
Clinical narrative: 12/06/2021 The patient presents with COVID-19 symptoms x1 week. Pt states his symptoms began on 11/27 and was tested positive on 11/29. Pt and wife both were found to have COVID-19 and received the Regeneron Infusion on 11/29. Pt reports he has been increasingly weak with associated diarrhea. Pt's wife is concerned for dehydration. Pt has been fully vaccinated against COVID-19. Denies any other symptoms or complaints.  The onset was 1  weeks ago.  The character of symptoms is COVID-19 symptoms.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Child received 0.2mL dosage for 2nd dose of primary series (orange cap Pfizer formulation), but should have received (purple cap Pfizer formulation) of 0.3mL.  First dose was 0.3mL, 2nd dose was 0.2mL.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Condition aggravated, Diarrhoea, Dyspnoea
Clinical narrative: From history and physical on 12/26/21:  Patient is a 63 y.o. female with medical history significant for allergic rhinitis, anxiety, arthritis, T2DM, GERD, HTN, depression, OSA on CPAP, chronic back pain w/ h/o back surgery/spinal fusion, Raynaud's who presents to the ED via EMS for evaluation of shortness of breath. She is known COVID positive. Has been symptomatic for ~ 1 week, husband at home also positive; + test 6 days ago, had monoclonal antibody infusion on Friday 12/24/21. Describes worsening shortness of breath yesterday, has been using nebulizer at home with little improvement; worse shortness of breath today, called EMS w/ oxygen sats low 80's on arrival, placed on 4 liters w/ sat up to low 90's. She describes no loss of taste or smell, has a headache and soreness in her neck; has chronic back pain which has been worse from lying around. No fever or chills. She has had nausea, diarrhea and decreased PO intake. She has been fully vaccinated but has not had her booster. Currently feeling her breathing is better with supplemental oxygen
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Headache, Hypophagia, Malaise, Nausea
Clinical narrative: From history and physical on 12/26/21:  Patient is a 63 y.o. female with medical history significant for allergic rhinitis, anxiety, arthritis, T2DM, GERD, HTN, depression, OSA on CPAP, chronic back pain w/ h/o back surgery/spinal fusion, Raynaud's who presents to the ED via EMS for evaluation of shortness of breath. She is known COVID positive. Has been symptomatic for ~ 1 week, husband at home also positive; + test 6 days ago, had monoclonal antibody infusion on Friday 12/24/21. Describes worsening shortness of breath yesterday, has been using nebulizer at home with little improvement; worse shortness of breath today, called EMS w/ oxygen sats low 80's on arrival, placed on 4 liters w/ sat up to low 90's. She describes no loss of taste or smell, has a headache and soreness in her neck; has chronic back pain which has been worse from lying around. No fever or chills. She has had nausea, diarrhea and decreased PO intake. She has been fully vaccinated but has not had her booster. Currently feeling her breathing is better with supplemental oxygen
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Oxygen saturation decreased, SARS-CoV-2 test positive, Sick relative
Clinical narrative: From history and physical on 12/26/21:  Patient is a 63 y.o. female with medical history significant for allergic rhinitis, anxiety, arthritis, T2DM, GERD, HTN, depression, OSA on CPAP, chronic back pain w/ h/o back surgery/spinal fusion, Raynaud's who presents to the ED via EMS for evaluation of shortness of breath. She is known COVID positive. Has been symptomatic for ~ 1 week, husband at home also positive; + test 6 days ago, had monoclonal antibody infusion on Friday 12/24/21. Describes worsening shortness of breath yesterday, has been using nebulizer at home with little improvement; worse shortness of breath today, called EMS w/ oxygen sats low 80's on arrival, placed on 4 liters w/ sat up to low 90's. She describes no loss of taste or smell, has a headache and soreness in her neck; has chronic back pain which has been worse from lying around. No fever or chills. She has had nausea, diarrhea and decreased PO intake. She has been fully vaccinated but has not had her booster. Currently feeling her breathing is better with supplemental oxygen
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Myalgia
Clinical narrative: 12/07/2021  The patient presents with COVID-19 infection. Pt states has experienced worsening cough, nausea, vomiting, headaches and myalgias since 12/1. Has had some shortness of breath while coughing. Tested positive for COVID-19 x3 days ago. Pt has low grade fever in ED. Denies loss of taste/smell, dysuria, hematuria. Pt was on amoxicillin at home and took Robitussin with some relief. Pt vaccinated for COVID-19 in March, 2021 with Pfizer.  The onset was 12/1/21.  The course/duration of symptoms is worsening.  The character of symptoms is COVID symptoms.  Risk factors consist of COVID infection.  Therapy today: over the counter medications including Robitussin and prescription medications including amoxicillin.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 12/07/2021  The patient presents with COVID-19 infection. Pt states has experienced worsening cough, nausea, vomiting, headaches and myalgias since 12/1. Has had some shortness of breath while coughing. Tested positive for COVID-19 x3 days ago. Pt has low grade fever in ED. Denies loss of taste/smell, dysuria, hematuria. Pt was on amoxicillin at home and took Robitussin with some relief. Pt vaccinated for COVID-19 in March, 2021 with Pfizer.  The onset was 12/1/21.  The course/duration of symptoms is worsening.  The character of symptoms is COVID symptoms.  Risk factors consist of COVID infection.  Therapy today: over the counter medications including Robitussin and prescription medications including amoxicillin.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Loss of consciousness, Seizure
Clinical narrative: Thirty-six hours after booster shot (around 3:30 a.m. on Dec. 20), I passed out after feeling dizzy and a few minutes after regaining consciousness, I had a seizure that my husband witnessed.  Had a strange feeling throughout my body.  Should have gone to hospital but did not.  Went to bed and never followed up with doctor/hospital because of my busy holiday schedule.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain oedema, Cerebral haemorrhage, Coma scale, Computerised tomogram head abnormal, Dysarthria
Clinical narrative: Patient is a 70 y.o. male who woke around 0200 with slurred speech, left facial droop and left upper and lower extremity weakness.  Head CT shows a right frontoparietal hemorrhage with surrounding edema.  He has history of metastatic renal cell cancer, with mets to bone, lung and pancreas.  He is under the care of Oncology at Facility.  Recent note from Dr. in Facility detailing his care. He was diagnosed with renal cell carcinoma in 2019.  Note states he has widespread bone metastasis to spine, femur, scapula, ribs.  He is on Xarelto for cardiac history.  K-Centra given in ER.   He presents with GCS 15.  Speech is slurred but understandable.  Answering all questions appropriately.  Right gaze preference but will cross midline.  Left hemiparesis involving upper and lower extremities, sensory intact.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial paralysis, Hemiparesis, Monoparesis, Muscular weakness, Nystagmus
Clinical narrative: Patient is a 70 y.o. male who woke around 0200 with slurred speech, left facial droop and left upper and lower extremity weakness.  Head CT shows a right frontoparietal hemorrhage with surrounding edema.  He has history of metastatic renal cell cancer, with mets to bone, lung and pancreas.  He is under the care of Oncology at Facility.  Recent note from Dr. in Facility detailing his care. He was diagnosed with renal cell carcinoma in 2019.  Note states he has widespread bone metastasis to spine, femur, scapula, ribs.  He is on Xarelto for cardiac history.  K-Centra given in ER.   He presents with GCS 15.  Speech is slurred but understandable.  Answering all questions appropriately.  Right gaze preference but will cross midline.  Left hemiparesis involving upper and lower extremities, sensory intact.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Pain in extremity
Clinical narrative: 12/09/2021  The patient presents with arm pain. 24 year old female presents to ED complaining of chill and arm pain, after receiving her second COVID-19 vaccination shot. Pt took Tylenol for her symptoms, with no relief. Pt denies chest pain, sob, fever, diarrhea.  The onset was 1  days ago.  The course/duration of symptoms is constant.  Location: left. The character of symptoms is pain.  The degree at onset was moderate.  The degree at present is moderate.  Risk factors consist of COVID-19 vaccination.   Associated symptoms: chills, arm pain, denies chest pain, denies abdominal pain and denies nausea.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Hypoxia, Troponin increased
Clinical narrative: Pt presented with hypoxia, elevation of troponin, found to have COVID-19 pneumonia. Was initiated on Remdesivir and decadron with significant improvement in symptoms throughout her 5 day course. Has been maintained on room air for last 2 days. Cardiology wishes to perform cardiac cath for troponin elevation, cannot r/o NSTEMI vs demand from COVID. Will schedule when pt is out of COVID precautions within 1-2 weeks, pt to call to schedule this procedure. Was cleared from all services and discharged in stable condition. She was started on ASA 81mg daily as well as lipitor 40mg. Heparin infusion for possible NSTEMI was d/ced after 48 hours, can resumr home Eliquis for A fib.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt received Pfizer BioNTech 5-11 year old dose. Wrong formula; should have received 12+ Pfizer
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient is believed to have received an email stating that she should come in to receive her next Pfizer dose for the booster shot.  The pharmacist present at that time proceeded to check her vaccine card to move forward in the vaccine process.  Next we then administered the patient the Pfizer vaccine without realizing it was too soon.  The dose was supposed to be given in 3 weeks but was given in 2 weeks instead. The patient has not experienced any symptoms from the error.  Per the CDC she will be coming to receive another dose.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: AFIB alerts on apple watch for 3 consecutive days 12/22/2021-12/25/2021. Self-admitted to ER 12/25/2021 (8am CST) and treated for AFIB. Released 12/26/2021 (11 am CST) after treatment with 25 mg Cardizem (Diltiazem) around 10am CST 12/25/2021 and daily Metoprolol (first dose at 1:55pm CST 12/25/2021).
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given incorrect vaccine/dose. Patient was given the Pediatric Pfizer for ages 5-11 years old. The patient is 12 years old and should have received the Pfizer age 12 and up.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, Cough, Dyspnoea, Fibrin D dimer increased
Clinical narrative: Pt presented to ED with c/o SOB/PNA, 2 day history of cough and body aches.  +d-dimer -CTA chest negative for PE.  Pt Covid19+.  PMHX of dementia/Alzheimer's dz.  Pt received IV Abx and IV/po steroids. Pt informed MD that he has been fully vaccinated with booster.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pt presented to ED with c/o SOB/PNA, 2 day history of cough and body aches.  +d-dimer -CTA chest negative for PE.  Pt Covid19+.  PMHX of dementia/Alzheimer's dz.  Pt received IV Abx and IV/po steroids. Pt informed MD that he has been fully vaccinated with booster.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Chest pain, Cough, Diarrhoea
Clinical narrative: weeks h/o cough and atypical chest pain w/ the cough abdominal pain with N/V/D x 2 weeks tested positive for COVID on 12/25 required 2L O2
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: weeks h/o cough and atypical chest pain w/ the cough abdominal pain with N/V/D x 2 weeks tested positive for COVID on 12/25 required 2L O2
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Asthenia, Cardiac stress test, Dyspnoea, Dyspnoea exertional
Clinical narrative: Approximately 6 weeks of muscle weakness and fatigue. After that, gradually went back to walking, brisk walking, running. Did fine until Sept 11, where I could not continue 2 miles into my run. Extreme shortness of breath, weakness, fatigue. Transported to ED; could not get breath. Sent home from ED after 5 hours. Had another episode the following week on Sept 17th from a brisk walk while talking on the phone. Was admitted to ED with full cardiac work up. Found no problem with my heart and was discharged next day. I CONTINUE to have sob issues while walking up stairs or talking during exercise. Have managed the onset and stop when I feel it coming on, taking deep slow breaths.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Muscular weakness
Clinical narrative: Approximately 6 weeks of muscle weakness and fatigue. After that, gradually went back to walking, brisk walking, running. Did fine until Sept 11, where I could not continue 2 miles into my run. Extreme shortness of breath, weakness, fatigue. Transported to ED; could not get breath. Sent home from ED after 5 hours. Had another episode the following week on Sept 17th from a brisk walk while talking on the phone. Was admitted to ED with full cardiac work up. Found no problem with my heart and was discharged next day. I CONTINUE to have sob issues while walking up stairs or talking during exercise. Have managed the onset and stop when I feel it coming on, taking deep slow breaths.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Developed Shingles, bumps on back, confirmed at Urgent Care on 12/22/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Condition aggravated, Fatigue, Herpes zoster
Clinical narrative: I had the second dose on 04/20/2021. Within a couple of days, I had strong tight chest pain, swelling of left ankle, and sharp chest pain. It gradually increased over six weeks and never really settled. During the booster shot, I had the same pains (chest pain, swollen ankle, and body pain). It settled slightly after 2 weeks. I thought I was better after the chest pain went away. On 12/17/2021, I started showing skin symptoms of shingles and it was confirmed by a dermatologist that it was shingles. I was showing respiratory symptoms the Sunday before; I had a stuffy nose, sore throat, and swollen lymph nodes on both sides of my neck. I had fatigue and notice a skin irritation on my face and went to see the dermatologist. I had seen many healthcare providers and spoke to a nurse practitioner that Monday for an e-visit on the 12/20/2021 and was given Valtrex, an anti-viral which helped ease the respiratory symptoms like my sore throat, chest pain, and swollen lymph nodes. I started taking antibiotic ointment prescribed by a nurse practitioner from urgent care that Tuesday, 12/21/2021. I had visited the emergency room the following day, 12/22/2021, after recommended to do so by urgent care due to a possible staph infection and was told it was shingles as well. It was confirmed after seeking medical attention from many healthcare providers on 12/22/2021 that I had shingles. The shingles has started from my cheek to the nerve in the eye.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Lymphadenopathy, Nasal congestion, Ophthalmic herpes zoster, Oropharyngeal pain
Clinical narrative: I had the second dose on 04/20/2021. Within a couple of days, I had strong tight chest pain, swelling of left ankle, and sharp chest pain. It gradually increased over six weeks and never really settled. During the booster shot, I had the same pains (chest pain, swollen ankle, and body pain). It settled slightly after 2 weeks. I thought I was better after the chest pain went away. On 12/17/2021, I started showing skin symptoms of shingles and it was confirmed by a dermatologist that it was shingles. I was showing respiratory symptoms the Sunday before; I had a stuffy nose, sore throat, and swollen lymph nodes on both sides of my neck. I had fatigue and notice a skin irritation on my face and went to see the dermatologist. I had seen many healthcare providers and spoke to a nurse practitioner that Monday for an e-visit on the 12/20/2021 and was given Valtrex, an anti-viral which helped ease the respiratory symptoms like my sore throat, chest pain, and swollen lymph nodes. I started taking antibiotic ointment prescribed by a nurse practitioner from urgent care that Tuesday, 12/21/2021. I had visited the emergency room the following day, 12/22/2021, after recommended to do so by urgent care due to a possible staph infection and was told it was shingles as well. It was confirmed after seeking medical attention from many healthcare providers on 12/22/2021 that I had shingles. The shingles has started from my cheek to the nerve in the eye.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Respiratory symptom, SARS-CoV-2 test, Skin irritation, Skin test
Clinical narrative: I had the second dose on 04/20/2021. Within a couple of days, I had strong tight chest pain, swelling of left ankle, and sharp chest pain. It gradually increased over six weeks and never really settled. During the booster shot, I had the same pains (chest pain, swollen ankle, and body pain). It settled slightly after 2 weeks. I thought I was better after the chest pain went away. On 12/17/2021, I started showing skin symptoms of shingles and it was confirmed by a dermatologist that it was shingles. I was showing respiratory symptoms the Sunday before; I had a stuffy nose, sore throat, and swollen lymph nodes on both sides of my neck. I had fatigue and notice a skin irritation on my face and went to see the dermatologist. I had seen many healthcare providers and spoke to a nurse practitioner that Monday for an e-visit on the 12/20/2021 and was given Valtrex, an anti-viral which helped ease the respiratory symptoms like my sore throat, chest pain, and swollen lymph nodes. I started taking antibiotic ointment prescribed by a nurse practitioner from urgent care that Tuesday, 12/21/2021. I had visited the emergency room the following day, 12/22/2021, after recommended to do so by urgent care due to a possible staph infection and was told it was shingles as well. It was confirmed after seeking medical attention from many healthcare providers on 12/22/2021 that I had shingles. The shingles has started from my cheek to the nerve in the eye.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia macrocytic, COVID-19, COVID-19 pneumonia, Chills, Condition aggravated
Clinical narrative: Hospitalized 12/20/2021; COVID-19 positive 12/20/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA  Admission Date: 12/20/2021 Discharge Date: 12/27/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia [E87.6] Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   The patient is a 58 y.o. female  who presented to hospital emergency department with worsening cough and shortness of breath and hypoxia. patient stated that symptoms started a week before last on Friday approximately 10 days ago with cough shortness of breath increasing dyspnea.  On Wednesday last week she called her pulmonologist who placed her on a Medrol Dosepak.  Over the next several days patient's cough on Friday 72 hours before arrival to the hospital she had increasing coughing severe paroxysms both Friday and Saturday and then yesterday on Sunday he improved slightly.  She complained of a dry hacking cough she had intermittent fevers and chills mostly always at noon she would have a fever take Tylenol or Motrin and would improve easily.  Patient also complains of body aches she did not lose taste or smell. She was tested positive for COVID 19.  Patient was treated with solumedrol due to reported decadron allergy. Over the next few days there was little improvement. She was started on Duonebs and inhaled steroids.  Macrocytic anemia being treated with B12 and folic acid.  The patient remained stable on 4L O2 via NC @ rest.   Her longstanding chronic obstructive pulmonary disease with multiple exacerbations complicated course. She was unable to be completely weaned off of O2 .  She was evaluated by RT for home oxygen and was found to require 2 L at rest and 3 L during ambulation. Patient was discharged home on supplemental O2 and medrol dose pack.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hypokalaemia, Hypoxia, Pain
Clinical narrative: Hospitalized 12/20/2021; COVID-19 positive 12/20/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA  Admission Date: 12/20/2021 Discharge Date: 12/27/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia [E87.6] Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   The patient is a 58 y.o. female  who presented to hospital emergency department with worsening cough and shortness of breath and hypoxia. patient stated that symptoms started a week before last on Friday approximately 10 days ago with cough shortness of breath increasing dyspnea.  On Wednesday last week she called her pulmonologist who placed her on a Medrol Dosepak.  Over the next several days patient's cough on Friday 72 hours before arrival to the hospital she had increasing coughing severe paroxysms both Friday and Saturday and then yesterday on Sunday he improved slightly.  She complained of a dry hacking cough she had intermittent fevers and chills mostly always at noon she would have a fever take Tylenol or Motrin and would improve easily.  Patient also complains of body aches she did not lose taste or smell. She was tested positive for COVID 19.  Patient was treated with solumedrol due to reported decadron allergy. Over the next few days there was little improvement. She was started on Duonebs and inhaled steroids.  Macrocytic anemia being treated with B12 and folic acid.  The patient remained stable on 4L O2 via NC @ rest.   Her longstanding chronic obstructive pulmonary disease with multiple exacerbations complicated course. She was unable to be completely weaned off of O2 .  She was evaluated by RT for home oxygen and was found to require 2 L at rest and 3 L during ambulation. Patient was discharged home on supplemental O2 and medrol dose pack.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 12/20/2021; COVID-19 positive 12/20/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA  Admission Date: 12/20/2021 Discharge Date: 12/27/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia [E87.6] Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   The patient is a 58 y.o. female  who presented to hospital emergency department with worsening cough and shortness of breath and hypoxia. patient stated that symptoms started a week before last on Friday approximately 10 days ago with cough shortness of breath increasing dyspnea.  On Wednesday last week she called her pulmonologist who placed her on a Medrol Dosepak.  Over the next several days patient's cough on Friday 72 hours before arrival to the hospital she had increasing coughing severe paroxysms both Friday and Saturday and then yesterday on Sunday he improved slightly.  She complained of a dry hacking cough she had intermittent fevers and chills mostly always at noon she would have a fever take Tylenol or Motrin and would improve easily.  Patient also complains of body aches she did not lose taste or smell. She was tested positive for COVID 19.  Patient was treated with solumedrol due to reported decadron allergy. Over the next few days there was little improvement. She was started on Duonebs and inhaled steroids.  Macrocytic anemia being treated with B12 and folic acid.  The patient remained stable on 4L O2 via NC @ rest.   Her longstanding chronic obstructive pulmonary disease with multiple exacerbations complicated course. She was unable to be completely weaned off of O2 .  She was evaluated by RT for home oxygen and was found to require 2 L at rest and 3 L during ambulation. Patient was discharged home on supplemental O2 and medrol dose pack.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Headache, Migraine, Nausea, Pain
Clinical narrative: Within a couple of weeks daily headaches that could not be remedies by usual measures began.  Often times these headaches would proceed into all out debilitating migraines with nausea, vertigo and vision being affected accompanied by intense pain and pressure Also unusual, unaccountable origin bruising appeared on mostly legs, thighs a few small ones on arms.  Generally one sizable bruise each week, Prior person did not bruise easy or rarely.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Visual impairment
Clinical narrative: Within a couple of weeks daily headaches that could not be remedies by usual measures began.  Often times these headaches would proceed into all out debilitating migraines with nausea, vertigo and vision being affected accompanied by intense pain and pressure Also unusual, unaccountable origin bruising appeared on mostly legs, thighs a few small ones on arms.  Generally one sizable bruise each week, Prior person did not bruise easy or rarely.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Product storage error
Clinical narrative: The patient came to get a booster dose of Pfizer(12+),  the patient received Janssen for Primary Series. Patient possibly was given a dose of Pfizer purple cap (12+) that was opened prior, beyond 6 hours puncture window. The vaccine manufacturer and BUD were in range and not expired. The vial was stored at temperature 2 deg C to 8 deg C from the time it was punctured to time it was used. It was believed it was punctured the day prior.  Spoke with the Pfizer Manufacturer and they stated it was stable for 24 hours, if vaccination given in 24 hours from time of puncture, dose does not need to be repeated. There was no known signs or symptoms after the dose was given on site. No known adverse reaction occurred on site.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Deafness, Dizziness, Ear discomfort, Head discomfort
Clinical narrative: Vertigo, Dizzyness. This has been happening within 2 weeks of seocnd shot and continues too -Head Pressure and left ear discomfort about a week and a half/two weeks after second shot. -As weeks went on ringeing and loss of hearing at times. -Continued pressure in left ear with waves of pressure/ringng/loss of hearing/discomfort      Thought nothing of this at time figured it would go away.  No nasal issues or fluid from ear. -About 3/4 weeks from Second shot heasring loss started to become more aparent and could not clear ear pressure. -At that time (mid June) I began to notice loss of balance at times while standing in place.  -Severe case of vertigo, week of June 14th.  Lasted on off for 4-5 days.  Dizzyness cont
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Mucosal hypertrophy, Tinnitus, Vertigo
Clinical narrative: Vertigo, Dizzyness. This has been happening within 2 weeks of seocnd shot and continues too -Head Pressure and left ear discomfort about a week and a half/two weeks after second shot. -As weeks went on ringeing and loss of hearing at times. -Continued pressure in left ear with waves of pressure/ringng/loss of hearing/discomfort      Thought nothing of this at time figured it would go away.  No nasal issues or fluid from ear. -About 3/4 weeks from Second shot heasring loss started to become more aparent and could not clear ear pressure. -At that time (mid June) I began to notice loss of balance at times while standing in place.  -Severe case of vertigo, week of June 14th.  Lasted on off for 4-5 days.  Dizzyness cont
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Vomiting
Clinical narrative: 3AM very warm temp; took Ibuprofen. 8AM fatigue, vomiting, and no apetite.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: COVID-19 MODERNA booster was administered too early today 12/28/21. Failed to verify record and vaccine card prior to administering COVID-19 booster. Patient was observed after receiving the vaccine and no adverse reaction was recorded. Error was noted during documentation and after verifying record. Error was reported to RN and leadership. Patient was contacted and did not report any adverse reaction. Patient was not aware of booster regulation or which COVID-19 vaccines she received prior to the booster. Patient was made aware to report any adverse reaction to clinic staff.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Delayed Dermatographia - intermittent urticaria starting 11 days after vaccination
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Deep vein thrombosis, Electrocardiogram QT prolonged, Hyponatraemia, Malaise
Clinical narrative: symptoms started 12/15. seen and tested positive on 12/16, admitted to hospital on 12/25 requiring high flow O2 decadron, remdesivir and baricitinib started
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: symptoms started 12/15. seen and tested positive on 12/16, admitted to hospital on 12/25 requiring high flow O2 decadron, remdesivir and baricitinib started
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Crying, Electrocardiogram, Ultrasound scan
Clinical narrative: Patient started having severe chest pains late the evening of 12/12/21. I gave her tylenol with no relief and took her to the pediatric ER around 2am that morning after she was crying on the bathroom floor from the pain in her chest.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: None ,stable
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Feeling abnormal, Impaired driving ability, Musculoskeletal discomfort
Clinical narrative: After few hours, First a mild sore on my back near the right kidney area Next day muscle sore on my entire body, following two days (Saturday and Sunday) I felt very very tired  Monday I started having sore throat, nauseas and at night I had 101.6F? of fever. Tuesday I woke up with a very bad posterior back pain (around shoulder area) it was so sore that I couldn?t even drive Tuesday evening. I took two advil at night and then next morning (Wednesday) I was feeling much better.  I felt miserable for 5 days and I dont wish it to anyone.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: After few hours, First a mild sore on my back near the right kidney area Next day muscle sore on my entire body, following two days (Saturday and Sunday) I felt very very tired  Monday I started having sore throat, nauseas and at night I had 101.6F? of fever. Tuesday I woke up with a very bad posterior back pain (around shoulder area) it was so sore that I couldn?t even drive Tuesday evening. I took two advil at night and then next morning (Wednesday) I was feeling much better.  I felt miserable for 5 days and I dont wish it to anyone.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: On Sept 15th I called my PCP explaining cold like symptoms, congestion, and cough.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: COVID-19 MODERNA booster was administered too early today 12/28/21. Failed to verify  vaccine card prior to administering COVID-19 booster. Patient was observed after receiving the vaccine and no adverse reaction was recorded. Error was noted during documentation and after verifying  Error was reported to RN and leadership. Patient was contacted and did not report any adverse reaction. Patient was not aware of booster regulation or which COVID-19 vaccines she received prior to the booster. Patient was made aware to report any adverse reaction to clinic staff.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Pruritus, Pyrexia, Rash, Rash macular
Clinical narrative: Mom reports that patient had fever of 101-102 on 12/21/21-12/23/21.  Mom reports that the rash popped up on his trunk around 12/22/21.  Mom reports that he was scratching at it.  She has pictures on her phone.  It appears to be a confluent, pink macular rash on trunk and face.  But patient does appear to be scratching at it on the pictures and video.  Mom reports that he also had a bright red line on his right thigh where he got his Varicella vaccine on 12/13/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for management of COVID 19 infection and complications
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient came to receive first dose of primary series of pfizer(12+) purple cap. Patient may have been given dose from vial open day prior, beyond 6 hours after puncture window.  The vial manufacturer and Beyond Use Date were in range and not expired. The vial was kept at 2deg C to 8deg C from the time it was punctured to time it was used. The Pfizer Manufacturer stated that if vaccinated with in 24 hours from puncture time, do not need to re dose. There was no known signs or symptoms on site after dose given. No known adverse reaction on site after dose given.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Depression, Fatigue, Incontinence
Clinical narrative: the day after vaccination has had intermittent fatigue, weakness, incontinence, confusion, depression.  Describes his body as "it feels like wood".  Symptoms had improved in Sept, Oct and November.  Got Moderna booster on 12/3/21 and symptoms have returned and continue.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neurological examination normal
Clinical narrative: the day after vaccination has had intermittent fatigue, weakness, incontinence, confusion, depression.  Describes his body as "it feels like wood".  Symptoms had improved in Sept, Oct and November.  Got Moderna booster on 12/3/21 and symptoms have returned and continue.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Arterial stenosis, COVID-19 pneumonia, Cerebrovascular accident, Computerised tomogram head abnormal, Condition aggravated
Clinical narrative: Admission dx:  Pneumonia due to COVID-19 virus, fakkm aterial stenosis, weakness, supratherapeutic, CVA; 87-year-old female, significant known history for cardiac arrhythmia/atrial fibrillation on warfarin/previous history of CVA 3 months ago/pulmonary embolism, presented due to left-sided weakness; history was obtained from ER note in addition to communicating with family member; the patient was recently hospitalized on July 21st due to altered mental status for urinary tract infection; on admission, CT head does show a P2 segment stenosis, right-sided; the patient was not a candidate for tPA due to being on warfarin. Discharged to Rehab and then to home with home care.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Mental status changes, Urinary tract infection
Clinical narrative: Admission dx:  Pneumonia due to COVID-19 virus, fakkm aterial stenosis, weakness, supratherapeutic, CVA; 87-year-old female, significant known history for cardiac arrhythmia/atrial fibrillation on warfarin/previous history of CVA 3 months ago/pulmonary embolism, presented due to left-sided weakness; history was obtained from ER note in addition to communicating with family member; the patient was recently hospitalized on July 21st due to altered mental status for urinary tract infection; on admission, CT head does show a P2 segment stenosis, right-sided; the patient was not a candidate for tPA due to being on warfarin. Discharged to Rehab and then to home with home care.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Complement factor C4 decreased, Hot flush, Mechanical urticaria, Pyrexia, Tryptase increased
Clinical narrative: After 3rd shot- 10 days after, hives all over body, dermatographia, hot flashes, low grade fever. On December 23, I had an allergy specialist appointment . Same symptoms from November 14-present
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: After 3rd shot- 10 days after, hives all over body, dermatographia, hot flashes, low grade fever. On December 23, I had an allergy specialist appointment . Same symptoms from November 14-present
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary, COVID-19, Chills, Cough, Decreased appetite
Clinical narrative: From history and physical on 12/27/21:  PT is a 70 y.o. female with HO AAA repair, HTN, HLP, COPD on 2 LPM oxygen chronically (also on azithromycin 3 times a week w/ her duo nebs) as well as prior breast cancer in 2016 (Stage IIIB (T4N1M0) ER positive, PR positive,. Completed 4 cycles of neoadjuvant chemotherapy with Taxotere Cytoxan and mastectomy, as well as adjuvant radiotherapy with Dr. who had headache 1 1/2 weeks ago and now has had cough and congestion since 12/20/2021 she describes fever, chills, shortness of breath and decreased appetite. She presented to the ED today with worsening shortness of breath, COVID positive, oxygen sats on presentation were 79%. Oxygen saturation 93-94% on 4 liters.   ED w/u = COVID19 +; D dimer 2.12; CTa chest w/ pleural based density LUL (3x1cm) - malignancy vs radiation therapy change, consider PET if no radiation, no PE or focal infiltrated, mild emphysematous changes  First dose vaccine = Janssen on 3/10/21 (Lot# 1805025), Moderna on 11/7/2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Emphysema, Fibrin D dimer, Headache, Interchange of vaccine products
Clinical narrative: From history and physical on 12/27/21:  PT is a 70 y.o. female with HO AAA repair, HTN, HLP, COPD on 2 LPM oxygen chronically (also on azithromycin 3 times a week w/ her duo nebs) as well as prior breast cancer in 2016 (Stage IIIB (T4N1M0) ER positive, PR positive,. Completed 4 cycles of neoadjuvant chemotherapy with Taxotere Cytoxan and mastectomy, as well as adjuvant radiotherapy with Dr. who had headache 1 1/2 weeks ago and now has had cough and congestion since 12/20/2021 she describes fever, chills, shortness of breath and decreased appetite. She presented to the ED today with worsening shortness of breath, COVID positive, oxygen sats on presentation were 79%. Oxygen saturation 93-94% on 4 liters.   ED w/u = COVID19 +; D dimer 2.12; CTa chest w/ pleural based density LUL (3x1cm) - malignancy vs radiation therapy change, consider PET if no radiation, no PE or focal infiltrated, mild emphysematous changes  First dose vaccine = Janssen on 3/10/21 (Lot# 1805025), Moderna on 11/7/2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: From history and physical on 12/27/21:  PT is a 70 y.o. female with HO AAA repair, HTN, HLP, COPD on 2 LPM oxygen chronically (also on azithromycin 3 times a week w/ her duo nebs) as well as prior breast cancer in 2016 (Stage IIIB (T4N1M0) ER positive, PR positive,. Completed 4 cycles of neoadjuvant chemotherapy with Taxotere Cytoxan and mastectomy, as well as adjuvant radiotherapy with Dr. who had headache 1 1/2 weeks ago and now has had cough and congestion since 12/20/2021 she describes fever, chills, shortness of breath and decreased appetite. She presented to the ED today with worsening shortness of breath, COVID positive, oxygen sats on presentation were 79%. Oxygen saturation 93-94% on 4 liters.   ED w/u = COVID19 +; D dimer 2.12; CTa chest w/ pleural based density LUL (3x1cm) - malignancy vs radiation therapy change, consider PET if no radiation, no PE or focal infiltrated, mild emphysematous changes  First dose vaccine = Janssen on 3/10/21 (Lot# 1805025), Moderna on 11/7/2021.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Pyrexia
Clinical narrative: I ran a fever for 48 hrs. At around 101 degreesI expected that. What I?m reporting is that my menstrual cycle has been significantly affected since receiving my vaccine. Before my entire cycle would last 4-6 days at the most. Now I will spot and pass a lot of clots for a week and then heavily bleed for several days. I?m on my third menstrual cycle post vaccination and it has gotten any better and only gotten worse. Before I would say I was average on my heavy days going through 3-4 pads I a day. I?m currently going through (bleeding through) 10-12 pads a day going on 7 days currently. My friend and I got our vaccines together and she is having very similar issues as well.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Headache, Oropharyngeal pain
Clinical narrative: He had a fever, sore throat, headache, and cough. He also had diarrhea. I took him to the Doctor Tuesday, the 21st. No medications, just ride it out for the ten days in isolation.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: He had a fever, sore throat, headache, and cough. He also had diarrhea. I took him to the Doctor Tuesday, the 21st. No medications, just ride it out for the ten days in isolation.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Echocardiogram, Electrocardiogram, Lymphadenopathy
Clinical narrative: 1)  Severely disrupted menstrual cycle since the time of the first vaccine. 2)  Swollen Lymph nodes, which led to an irregular mammogram. 3)  Experienced heart racing and shortness of breath after second vaccine (Moderna Lot 003C21A on 5/7/2021 at
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Mammogram, Menstrual disorder, Palpitations
Clinical narrative: 1)  Severely disrupted menstrual cycle since the time of the first vaccine. 2)  Swollen Lymph nodes, which led to an irregular mammogram. 3)  Experienced heart racing and shortness of breath after second vaccine (Moderna Lot 003C21A on 5/7/2021 at
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram normal, Computerised tomogram pelvis
Clinical narrative: Loss of Weight, Anxiety, Memory Impairment (brain fog) incontinence, and irregular menstrual cycles.  The symptoms resulted in her being unable to perform daily living skills such as dressing and undressing, toileting, and sleeping through the night.  She was suspended from her pre-vocational work sites which she had attended since 2016.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Depression, Feeling abnormal, Incontinence, Loss of personal independence in daily activities
Clinical narrative: Loss of Weight, Anxiety, Memory Impairment (brain fog) incontinence, and irregular menstrual cycles.  The symptoms resulted in her being unable to perform daily living skills such as dressing and undressing, toileting, and sleeping through the night.  She was suspended from her pre-vocational work sites which she had attended since 2016.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Memory impairment, Menstruation irregular, Neurological examination normal, Stool analysis normal, Urine analysis normal
Clinical narrative: Loss of Weight, Anxiety, Memory Impairment (brain fog) incontinence, and irregular menstrual cycles.  The symptoms resulted in her being unable to perform daily living skills such as dressing and undressing, toileting, and sleeping through the night.  She was suspended from her pre-vocational work sites which she had attended since 2016.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: Loss of Weight, Anxiety, Memory Impairment (brain fog) incontinence, and irregular menstrual cycles.  The symptoms resulted in her being unable to perform daily living skills such as dressing and undressing, toileting, and sleeping through the night.  She was suspended from her pre-vocational work sites which she had attended since 2016.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: admitted through the ED with sudden onset of congestion cough fatigue and fever
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Heart rate increased
Clinical narrative: Increased heart rate DVT (Blood Clot) Upper right Leg
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated adult tested positive for COVID-19
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pfizer Primary; Moderna Booster 10mins post vaccination pt reported dizziness. Vitals: 16:53 124/76, 66, 17, 100%, 98.0F -- > 17:00 133/78, 60, 18, 100%, 98.2 Pt stable and released from the vaccination site
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient came to receive booster dose of Pfizer (12+) purple cap. Patient had received 2 doses of Pfizer for primary series. Patient may have been given dose of vaccine that was beyond 6 hour puncture window. The vaccine manufacturer and BUD were in range and not expired. The vial was believed to have been punctured the previous day, and was kept from puncture time until use time at 2deg C to 8deg C. Pfizer Manufacturer stated that if vaccinated with in 24 hours of puncture, do not need to re dose.  There was no known signs or symptoms on site after dose given, and no know adverse reaction on site after dose given.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Notes: EE with sore throat on 12/21, left work early and was tested, resulted (+).  EE states her symptoms are resolved.  In quarantine ending 12/31, released on 1/1/22 if still asymptomatic.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury
Clinical narrative: Patient admitted as observation on 12/15 and upgraded to inpatient on 12/16 due to AKI.