chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hypotension, Loss of consciousness, Syncope
Clinical narrative: After giving patient his first COVID vaccine, he fainted. He was only out for about five seconds, but was weak and had low BP upon awakening. We gave ice packs, he sipped on water, then orange juice. We then laid him down on yoga mat and elevated feet to help blood pressure recover. Initial BP was 91/37, then 76/32. After lying him down in floor BP increased to 119/67, then 120/71. He declined going to the hospital. After about 20-25 minutes, he said he felt fine and left.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Rectal haemorrhage, Stool analysis normal
Clinical narrative: Colorectal bleeding for 3 (Friday, Saturday and Sunday) days during bowel movement only, no sign of external (such as piles) bleeding as would be evidenced by stained clothing. No treatment done. Did stool exam at medical facility, (my regular health center) --negative for colon cancer. Have a 'fast track colonoscopy' scheduled for October 13 (nothing sooner available).   Continuing fatigue and low-level head ache.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as inpatient on 9/1 due to acute respiratory failure with hypoxia due to COVID pneumonia. Patient was tested for COVID-19 and was positive on 9/1.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Injected limb mobility decreased, Limb injury, Loss of personal independence in daily activities
Clinical narrative: On the MRI, diaganosis was Slap Tear, Adhesive Capfulitas, Mild Cuff Tendanosis, Mild Bursitis. Pain in shoulder, Covid symptoms without the breathing issues. Toke 2nd vaccine on April 2nd (Moderna, Lot # 026B21A). Covid symptoms without breathing issues. Shoulder pain got worse. Having trouble with daily living activities. Cannot raise arm. Can't use left arm at all without severe pain. Had to get cortozone injection. Cortozone injection did not help.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Malaise, Pain, Periarthritis, Tendonitis
Clinical narrative: On the MRI, diaganosis was Slap Tear, Adhesive Capfulitas, Mild Cuff Tendanosis, Mild Bursitis. Pain in shoulder, Covid symptoms without the breathing issues. Toke 2nd vaccine on April 2nd (Moderna, Lot # 026B21A). Covid symptoms without breathing issues. Shoulder pain got worse. Having trouble with daily living activities. Cannot raise arm. Can't use left arm at all without severe pain. Had to get cortozone injection. Cortozone injection did not help.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Approximately 12 hours after injection patient experienced severe headache and extreme tenderness at injection site.  The injection site progressively became swollen, red, very tender, hot to the touch, and itchy. It is going on 3 days from the injection and the site remains very tender, red, hot to touch, and itchy, however it feels like there is a knot (hardened) under the skin. The severe headache lasted 24 hours without responding to multiple doses of NSAIDs.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Approximately 12 hours after injection patient experienced severe headache and extreme tenderness at injection site.  The injection site progressively became swollen, red, very tender, hot to the touch, and itchy. It is going on 3 days from the injection and the site remains very tender, red, hot to touch, and itchy, however it feels like there is a knot (hardened) under the skin. The severe headache lasted 24 hours without responding to multiple doses of NSAIDs.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Pfizer vaccine for their 2nd COVID-19 vaccine dose. The initial vaccine was Moderna.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Cough, Headache, Nasal congestion, Nasopharyngitis
Clinical narrative: It started around 07/05/2021 it was a dry cough, body aches, nasal congestion, and headaches. I did not have a fever. It was below 100. It started out like a cold but then I felt a lot worse. The people I were with got sick so I thought I picked up the same thing. I got tested for Covid 07/07/2021 because some of the other people were positive. Mine came back negative. Then, I went to the doctor on 07/09/2021 at urgent care. They checked me out and listened to my lungs. They said it was bronchitis so they put me on Doxycycline and Zyrtec. They did not give me any steroids but they told me to take Mucinex twice a day and some cough syrup as needed. I also took some Tylenol. It was a 10 day course of Doxycycline. When I went back to my doctor on 07/19/2021 for a regular physical, she listened to my lungs and she said I did not need any further medications.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: It started around 07/05/2021 it was a dry cough, body aches, nasal congestion, and headaches. I did not have a fever. It was below 100. It started out like a cold but then I felt a lot worse. The people I were with got sick so I thought I picked up the same thing. I got tested for Covid 07/07/2021 because some of the other people were positive. Mine came back negative. Then, I went to the doctor on 07/09/2021 at urgent care. They checked me out and listened to my lungs. They said it was bronchitis so they put me on Doxycycline and Zyrtec. They did not give me any steroids but they told me to take Mucinex twice a day and some cough syrup as needed. I also took some Tylenol. It was a 10 day course of Doxycycline. When I went back to my doctor on 07/19/2021 for a regular physical, she listened to my lungs and she said I did not need any further medications.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased
Clinical narrative: Fever, myalgia onset on same day as vaccination. Followed by headache, neck pain and few days later rash, conjunctivitis, abdominal pain/diarrhea.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Brain natriuretic peptide increased, Colitis, Computerised tomogram abdomen abnormal, Computerised tomogram thorax
Clinical narrative: Fever, myalgia onset on same day as vaccination. Followed by headache, neck pain and few days later rash, conjunctivitis, abdominal pain/diarrhea.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctivitis, Diarrhoea, Gallbladder enlargement, Headache, Multisystem inflammatory syndrome in adults
Clinical narrative: Fever, myalgia onset on same day as vaccination. Followed by headache, neck pain and few days later rash, conjunctivitis, abdominal pain/diarrhea.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Periportal oedema, Platelet count normal, Procalcitonin
Clinical narrative: Fever, myalgia onset on same day as vaccination. Followed by headache, neck pain and few days later rash, conjunctivitis, abdominal pain/diarrhea.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Troponin I increased, White blood cell count increased
Clinical narrative: Fever, myalgia onset on same day as vaccination. Followed by headache, neck pain and few days later rash, conjunctivitis, abdominal pain/diarrhea.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Rash macular, Skin warm, Swelling of eyelid
Clinical narrative: This employee received a Moderna covid-19 vaccine 9/10/21.  Today    presented with patchy red blotches and warm to the touch site on    right deltoid.  Injection site clear.  Also complains of right    shoulder pain. Also complained of fatigue. Said he woke up with    what he thought might be conjunctivitis 2 days later and eyes    swollen shut.  He has been taking Ibuprofen for the symptoms.  No    complaints of nausea vomiting or diarrhea or respiratory    difficulty.  He had covid-19 11/2020.  Assessment.   Vital signs stable.  We will continue to follow this employee    until his condition is resolved.  A Medical Exception Letter to    be done Per MD and forwarded to  Employee    health Nurse.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute lung injury, Acute respiratory failure, Endotracheal intubation, Extra dose administered, Laboratory test normal
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 antibody test negative, Tracheostomy
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Bronchoalveolar lavage, Chest X-ray, Computerised tomogram, Death, Endotracheal intubation
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Lung transplant rejection, Respiratory failure, Traumatic lung injury
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute lung injury, Acute respiratory distress syndrome, Acute respiratory failure, Adverse drug reaction, Alkalosis hypochloraemic
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Bladder catheterisation, Blood creatine increased, Bronchoalveolar lavage, Bronchoscopy
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Computerised tomogram abdomen normal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Culture, Death, Deep vein thrombosis, Dyspnoea
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Fatigue, Frequent bowel movements, Gene sequencing, Hyperglycaemia
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Hypertension, Hypoxia, Immunosuppression, Intensive care, Leukopenia
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Liver function test increased, Lung infiltration, Mechanical ventilation, Mechanical ventilation complication, Oxygen saturation decreased
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Pleural effusion, Polymerase chain reaction, Positive end-expiratory pressure, Pulmonary embolism, Pulmonary function test decreased
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory disorder, Respiratory failure, SARS-CoV-2 antibody test negative, Staphylococcus test negative
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Suprapubic pain, Thrombocytopenia, Tracheostomy, Transplant rejection, Ultrasound Doppler abnormal
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Urine analysis normal, Viral load increased
Clinical narrative: Severe acute hypoxemic respiratory failure. Multifactorial from severe acute lung injury and severe ACR (temporally related to third COVID vaccine received on 8/17/21) as well as bilaterally pulmonary embolism. Intubated 9/4/21.  Tracheostomy 9/14/21.  Infectious studies negative to date. COVID Ab negative on 9/9/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: 8/21/21: Patient presents with complaints of cough, sore throat, weakeness and fatigue for about a week. Tested positive for COVID on admission.  Diagnosed with: acute pharyngitis, acute renal failure, cough, pneumonia due to COVID-19, fatigue Note: Patient recieved J&J vaccine on 03/11/2021. 8/26/21: Patient discharged.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Pharyngitis, SARS-CoV-2 test positive
Clinical narrative: 8/21/21: Patient presents with complaints of cough, sore throat, weakeness and fatigue for about a week. Tested positive for COVID on admission.  Diagnosed with: acute pharyngitis, acute renal failure, cough, pneumonia due to COVID-19, fatigue Note: Patient recieved J&J vaccine on 03/11/2021. 8/26/21: Patient discharged.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Head injury, Joint injury, Loss of consciousness, Paraesthesia
Clinical narrative: Patient passed out less than 1 minute after receiving the shot - she said her arm begin to tingle and her vision went out.  She hit her head and elbow on the floor.  We called emergency services and provided first aid till they arrived.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Appendicitis, COVID-19, Dehydration
Clinical narrative: 8/24/21: Presents to the ED with epigastric pain for 2 days. Tested positive for COVID on admission via pre-procedure test. Diagnosed with: Abdominal pain, dehydration, gastritis, diffuse abdominal pain, appendicitis 8/26/21: Patient discharged.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Gastritis, SARS-CoV-2 test positive
Clinical narrative: 8/24/21: Presents to the ED with epigastric pain for 2 days. Tested positive for COVID on admission via pre-procedure test. Diagnosed with: Abdominal pain, dehydration, gastritis, diffuse abdominal pain, appendicitis 8/26/21: Patient discharged.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Palpitations
Clinical narrative: After I got my first vaccine dose I noticed a few heart palpitations.  They weren't too bad so I only mentioned it to the pharmacist before I got my second dose.  I asked her if she has had any other patient say they had heart palpitations after getting the shot.  She said she hadn't heard of it and asked if I still wanted to get it.  I told her yes because she didn't seem too worried.  After getting my second dose I noticed that same day LOTS of heart flutters and palpitations!  I ended up calling the after hours nurse that night because I was worried about it.  The nurse told me that if I am not having chest pain or shortness of breath to probably not worry about it.  For the next 5 after getting the shot I had major heart flutters and palpitations almost constantly.  I made an appointment with a doctor but the soonest they had was the following week.  After the 5 day I noticed my heart calming down.  SInce then I don't feel my heart has been the same.  I don't have the flutters nearly as much but I notice it beating harder and just "off".  I don't feel that if I went to the doctor they would be able to do anything for me because it's not bad enough.  I am still grateful to have gotten the vaccine but I am so so so sad that I have had this reaction and pray my hear will heal to how it was before.  I don't feel safe to get any boosters or further vaccines though.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Mechanical ventilation
Clinical narrative: Patient is currently in the hospital and is on a ventilator since yesterday. She stated she has no idea where she was exposed. Patient was brought to the hospital because she was having difficulty breathing. Patient is fully vaccinated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Nausea
Clinical narrative: Moderate pain around injection site lasting 2 days. Episode of nausea 20-30 minutes after administration of shot.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Prostate cancer, Prostatic specific antigen increased
Clinical narrative: Prior to the vaccine my PSA lab results were below 2.0 but in July it had jumped to 25.8 per my internal medicine doctor  and urologist. This resulted in a biopsy which found Prostrate Cancer with a Gleason score of 9.  I have received hormone shots on 9/7/2021, will consult with radiologist 9/16/2021, undergo Scan and Screening on 9/22/2021. I am to expect 9 weeks of radiation treatment and insertion of radioactive isotope seeds/pellets into my prostrate. That is all I know at the current time.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Enterovirus test negative, Fatigue, Fibrin D dimer
Clinical narrative: ED to Hosp-Admission Current  - 9/6/2021 - present (9 days) Hospital   Pneumonia due to COVID-19 virus  Assessment/Plan - 88 y.o. female, with past medical history of hypothyroidism, hypertension, rheumatoid arthritis on predisone, DVT, who is admitted on 9/6/2021 with  Pneumonia due to COVID-19 virus   1.  Acute hypoxic respiratory failure due to COVID-19 pneumonia. Per daughter in law, patient only got her first dose of Covid vaccine. She was told not to get the second dose of vaccine due to the correlation between the vaccine and DVT (in April 2021). Her oxygen saturation was 88% on room air.  Patient is put on 4 L nasal cannula oxygen O2 sat 96%. Her D-dimer is elevated 1.54.  Elevated 204.  proCalcitonin is normal 0.18.  CT without contrast shows Multiple foci of ground glass opacification bilaterally. The appearance is consistent with Covid 19.  We will admit patient to telemetry. Start remdesivir for 5 days. Patient is on prednisone 15mg at home for RA. We will hold that and give dexamethasone 6mg daily instead for 10 days. Will trend Ferritin, ALT, CRP. No indication for antibiotics. Will put on Heparin subcutaneous for DVT prophylaxis. It is noted that patient has h/o DVT, but not on anticoagulation due to bleeding (GI, ecchymosis etc). PE can not be ruled out. Since the test won't change the management anyway, we will hold CTA chest for now. Patient's daughter in law in agreement with this plan.    History of left lower extremity DVT, extensive, provoked due to reduced mobility. Patient is not on anticoagulation due to GI bleeding and ecchymosis. Patient declined GI procedure (EGD/colonoscopy). Patient had IVC filter placement on 3/24/2021. Family is aware that even with IVC filter in, there is still risk for pulmonary embolism/DVT.      Acquired hypothyroidism: She is on Synthroid 125 mcg daily (6 times a week from Monday to Saturday).   Essential hypertension:  continue home Lisinopril HCTZ   Rheumatoid arthritis: on steroid as above.    Depression: Mood is relatively stable at this time.  Continue Effexor 25 mg PO BID.   Constipation: Continue MiraLAX and Peri-Colace      o DVT Prophylaxis: Heparin sc    o Disposition:   telemetry o Code Status:  DNR (Do Not Resuscitate)  Patient has a living will with DNR. Confirmed with daughter in law. o Consult Services: none     HPI This is a 88-year-old female with a history of hypertension, rheumatoid arthritis, DVT of the right leg not amenable for anticoagulation due to prior GI bleed who presented to the emergency room with one-week history of increased shortness of breath, cough,  fatigue weakness and found to be with a saturation of 89% on room air.     Patient presents to the emergency room via EMS that placed patient on 4 L.  Patient has only been vaccinated for 1st dose of Covid.  Denies any fever chills denies any chest pain. Patient is a poor historian.   Her Covid is positive. She has IVC filter. CT chest without contrast shows bilateral Multiple foci of ground glass opacification. Consistent with Covid -19.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Gallbladder disorder, Hiatus hernia, Human rhinovirus test, Hypoxia, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Current  - 9/6/2021 - present (9 days) Hospital   Pneumonia due to COVID-19 virus  Assessment/Plan - 88 y.o. female, with past medical history of hypothyroidism, hypertension, rheumatoid arthritis on predisone, DVT, who is admitted on 9/6/2021 with  Pneumonia due to COVID-19 virus   1.  Acute hypoxic respiratory failure due to COVID-19 pneumonia. Per daughter in law, patient only got her first dose of Covid vaccine. She was told not to get the second dose of vaccine due to the correlation between the vaccine and DVT (in April 2021). Her oxygen saturation was 88% on room air.  Patient is put on 4 L nasal cannula oxygen O2 sat 96%. Her D-dimer is elevated 1.54.  Elevated 204.  proCalcitonin is normal 0.18.  CT without contrast shows Multiple foci of ground glass opacification bilaterally. The appearance is consistent with Covid 19.  We will admit patient to telemetry. Start remdesivir for 5 days. Patient is on prednisone 15mg at home for RA. We will hold that and give dexamethasone 6mg daily instead for 10 days. Will trend Ferritin, ALT, CRP. No indication for antibiotics. Will put on Heparin subcutaneous for DVT prophylaxis. It is noted that patient has h/o DVT, but not on anticoagulation due to bleeding (GI, ecchymosis etc). PE can not be ruled out. Since the test won't change the management anyway, we will hold CTA chest for now. Patient's daughter in law in agreement with this plan.    History of left lower extremity DVT, extensive, provoked due to reduced mobility. Patient is not on anticoagulation due to GI bleeding and ecchymosis. Patient declined GI procedure (EGD/colonoscopy). Patient had IVC filter placement on 3/24/2021. Family is aware that even with IVC filter in, there is still risk for pulmonary embolism/DVT.      Acquired hypothyroidism: She is on Synthroid 125 mcg daily (6 times a week from Monday to Saturday).   Essential hypertension:  continue home Lisinopril HCTZ   Rheumatoid arthritis: on steroid as above.    Depression: Mood is relatively stable at this time.  Continue Effexor 25 mg PO BID.   Constipation: Continue MiraLAX and Peri-Colace      o DVT Prophylaxis: Heparin sc    o Disposition:   telemetry o Code Status:  DNR (Do Not Resuscitate)  Patient has a living will with DNR. Confirmed with daughter in law. o Consult Services: none     HPI This is a 88-year-old female with a history of hypertension, rheumatoid arthritis, DVT of the right leg not amenable for anticoagulation due to prior GI bleed who presented to the emergency room with one-week history of increased shortness of breath, cough,  fatigue weakness and found to be with a saturation of 89% on room air.     Patient presents to the emergency room via EMS that placed patient on 4 L.  Patient has only been vaccinated for 1st dose of Covid.  Denies any fever chills denies any chest pain. Patient is a poor historian.   Her Covid is positive. She has IVC filter. CT chest without contrast shows bilateral Multiple foci of ground glass opacification. Consistent with Covid -19.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal osteoarthritis
Clinical narrative: ED to Hosp-Admission Current  - 9/6/2021 - present (9 days) Hospital   Pneumonia due to COVID-19 virus  Assessment/Plan - 88 y.o. female, with past medical history of hypothyroidism, hypertension, rheumatoid arthritis on predisone, DVT, who is admitted on 9/6/2021 with  Pneumonia due to COVID-19 virus   1.  Acute hypoxic respiratory failure due to COVID-19 pneumonia. Per daughter in law, patient only got her first dose of Covid vaccine. She was told not to get the second dose of vaccine due to the correlation between the vaccine and DVT (in April 2021). Her oxygen saturation was 88% on room air.  Patient is put on 4 L nasal cannula oxygen O2 sat 96%. Her D-dimer is elevated 1.54.  Elevated 204.  proCalcitonin is normal 0.18.  CT without contrast shows Multiple foci of ground glass opacification bilaterally. The appearance is consistent with Covid 19.  We will admit patient to telemetry. Start remdesivir for 5 days. Patient is on prednisone 15mg at home for RA. We will hold that and give dexamethasone 6mg daily instead for 10 days. Will trend Ferritin, ALT, CRP. No indication for antibiotics. Will put on Heparin subcutaneous for DVT prophylaxis. It is noted that patient has h/o DVT, but not on anticoagulation due to bleeding (GI, ecchymosis etc). PE can not be ruled out. Since the test won't change the management anyway, we will hold CTA chest for now. Patient's daughter in law in agreement with this plan.    History of left lower extremity DVT, extensive, provoked due to reduced mobility. Patient is not on anticoagulation due to GI bleeding and ecchymosis. Patient declined GI procedure (EGD/colonoscopy). Patient had IVC filter placement on 3/24/2021. Family is aware that even with IVC filter in, there is still risk for pulmonary embolism/DVT.      Acquired hypothyroidism: She is on Synthroid 125 mcg daily (6 times a week from Monday to Saturday).   Essential hypertension:  continue home Lisinopril HCTZ   Rheumatoid arthritis: on steroid as above.    Depression: Mood is relatively stable at this time.  Continue Effexor 25 mg PO BID.   Constipation: Continue MiraLAX and Peri-Colace      o DVT Prophylaxis: Heparin sc    o Disposition:   telemetry o Code Status:  DNR (Do Not Resuscitate)  Patient has a living will with DNR. Confirmed with daughter in law. o Consult Services: none     HPI This is a 88-year-old female with a history of hypertension, rheumatoid arthritis, DVT of the right leg not amenable for anticoagulation due to prior GI bleed who presented to the emergency room with one-week history of increased shortness of breath, cough,  fatigue weakness and found to be with a saturation of 89% on room air.     Patient presents to the emergency room via EMS that placed patient on 4 L.  Patient has only been vaccinated for 1st dose of Covid.  Denies any fever chills denies any chest pain. Patient is a poor historian.   Her Covid is positive. She has IVC filter. CT chest without contrast shows bilateral Multiple foci of ground glass opacification. Consistent with Covid -19.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chest pain, Chills, Dyspnoea, Pain
Clinical narrative: I was feeling perfectly fine during the majority of the first day after the second COVID-19 shot, but during that night I had chills and a fever. The next day, I had a couple body aches and at night at 3:25 am it turned into body aches and me getting chest pain/ache and upper spine back pain/ache. The current day is Wednesday 12:01pm and my fever and chills is gone but I still have body ache/pain and chest pain/ache and it's harder to breathe a little (especially when I'm laying down).
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Spinal pain
Clinical narrative: I was feeling perfectly fine during the majority of the first day after the second COVID-19 shot, but during that night I had chills and a fever. The next day, I had a couple body aches and at night at 3:25 am it turned into body aches and me getting chest pain/ache and upper spine back pain/ache. The current day is Wednesday 12:01pm and my fever and chills is gone but I still have body ache/pain and chest pain/ache and it's harder to breathe a little (especially when I'm laying down).
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Joint lock, Muscle spasms
Clinical narrative: Pfizer vaccine was given in the right deltoid.  Almost immediately after receiving the pfizer dose 1 in pts left arm, pt felt arm lock up and he could not extend his arm from the elbow.  After about 10 seconds, he regained use of his arm and was able to shake his arm around.  Pt also complained of muscle spasms in his shoulder a few minutes later.  After waiting 15 minutes in the waiting area, pt said he felt fine and was left under his own power without complaint.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Bordetella test, COVID-19, Coronavirus test negative, Enterovirus test
Clinical narrative: UNKNOWN
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Pneumonia mycoplasmal
Clinical narrative: UNKNOWN
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: UNKNOWN
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Oropharyngeal pain, Pain in extremity, Peripheral swelling, Throat lesion
Clinical narrative: My arm was sore and swollen after the vaccine. I ended up with a really sore throat two days after the vaccine I couldn't swallow or eat anything. I went to the doctor, she said I had lesions in my throat and prescribed magic mouth wash ( LID/MAAL/BENAD ). I also now have COVID-19.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dysphagia, Hypoaesthesia, Injection site swelling
Clinical narrative: I started with COVID arm on the 8th day after the vaccine. A small raised warm bump at the injection site. I put ice on it and cleared up in a couple days.  I then started to have pressure on my neck. On September 1st, I started with a migraine.  I also felt like I had something stuck in my throat.  Pressure on the right side of my throat.  Hard to shallow.  I went up to the hospital and waited two hours without being seen.  I called the clinic and they said to go back to the hospital.  They took x-rays and took blood.  They advised everything was clear.  They told me to take some Pepcid.  They told to see a GI doctor.  I can not get into to see them until the 29th.  I changed my diet to all liquid.  On the 6th I started to lose feeling in my thumb.  It spread up to my hand and to my forearm.  It went all the way up my body to my left side of my tongue.  I went to the ER, and they told me I was having a panic attack.  They gave me a CT scan and they did more blood work to check potassium levels.  They told me to follow-up with a doctor I am supposed to see them on the 21st of September.  I will also get sporadic stiffness in my arm.  I have had tingling in my left big toe.  I still am unable to eat anything solid.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Migraine, Musculoskeletal discomfort, Musculoskeletal stiffness, Oropharyngeal discomfort
Clinical narrative: I started with COVID arm on the 8th day after the vaccine. A small raised warm bump at the injection site. I put ice on it and cleared up in a couple days.  I then started to have pressure on my neck. On September 1st, I started with a migraine.  I also felt like I had something stuck in my throat.  Pressure on the right side of my throat.  Hard to shallow.  I went up to the hospital and waited two hours without being seen.  I called the clinic and they said to go back to the hospital.  They took x-rays and took blood.  They advised everything was clear.  They told me to take some Pepcid.  They told to see a GI doctor.  I can not get into to see them until the 29th.  I changed my diet to all liquid.  On the 6th I started to lose feeling in my thumb.  It spread up to my hand and to my forearm.  It went all the way up my body to my left side of my tongue.  I went to the ER, and they told me I was having a panic attack.  They gave me a CT scan and they did more blood work to check potassium levels.  They told me to follow-up with a doctor I am supposed to see them on the 21st of September.  I will also get sporadic stiffness in my arm.  I have had tingling in my left big toe.  I still am unable to eat anything solid.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sensation of foreign body, X-ray
Clinical narrative: I started with COVID arm on the 8th day after the vaccine. A small raised warm bump at the injection site. I put ice on it and cleared up in a couple days.  I then started to have pressure on my neck. On September 1st, I started with a migraine.  I also felt like I had something stuck in my throat.  Pressure on the right side of my throat.  Hard to shallow.  I went up to the hospital and waited two hours without being seen.  I called the clinic and they said to go back to the hospital.  They took x-rays and took blood.  They advised everything was clear.  They told me to take some Pepcid.  They told to see a GI doctor.  I can not get into to see them until the 29th.  I changed my diet to all liquid.  On the 6th I started to lose feeling in my thumb.  It spread up to my hand and to my forearm.  It went all the way up my body to my left side of my tongue.  I went to the ER, and they told me I was having a panic attack.  They gave me a CT scan and they did more blood work to check potassium levels.  They told me to follow-up with a doctor I am supposed to see them on the 21st of September.  I will also get sporadic stiffness in my arm.  I have had tingling in my left big toe.  I still am unable to eat anything solid.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound scan, Ultrasound uterus, Uterine dilation and curettage
Clinical narrative: I was 2 weeks pregnant for the first shot and 5 weeks pregnant for the second. I didn't realize I was pregnant at the time but we are trying, so I knew it was a possibility. I found out at the first ultrasound a few weeks later that the baby had died at 8 weeks 4 days. The due date was January 20. This is my first and only miscarriage. I had an uncomplicated pregnancy in 2019 with my son who is now 20 months.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Musculoskeletal discomfort, Tendon discomfort
Clinical narrative: My mensural cycle is not normal like it was before.  My tendons and joints seem to be more irritated then before the vaccination.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Patient called clinic COVID Hotline and reports: she had her second covid shot on 4/29/21. States about 5 hours after the shot she had bilateral leg pain and numbness in her toes. It has still not improved as of today. Is able to walk but feels like she has to move slower. Denies redness/streaking, swelling, hot to the touch or SOB. Has not taken anything for the pain as due to health hx she isn't suppose to take OTC pain meds. Has tried heat, ice and warm baths with no improvement. Information forwarded to PCP, who recommended completing report.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Cardiac murmur, Chest discomfort, Chills
Clinical narrative: Following the second dose I had some reaction consitant with what has been reported by others and consistant with side effects decribed by the CDC. Tired slept for 8 hours, slight fever, chills that started 12 hours after the shot and lasted through another 24hours, I did have a very sore arm unlike a regular flu shot that radiated to and beow my arm pit for 6-10 days befor going away. What I was not exspecting or paying much attention to sluffing it off to veriouse things was a slow but steady loss of energy the days following being vaccinated, I have always been active getting regular excercise combined with a very healthy diet, somthing was anew with me but wasn't associatieng it with anything now (cont below)
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Hypertension, Injection site pain, Pain
Clinical narrative: Following the second dose I had some reaction consitant with what has been reported by others and consistant with side effects decribed by the CDC. Tired slept for 8 hours, slight fever, chills that started 12 hours after the shot and lasted through another 24hours, I did have a very sore arm unlike a regular flu shot that radiated to and beow my arm pit for 6-10 days befor going away. What I was not exspecting or paying much attention to sluffing it off to veriouse things was a slow but steady loss of energy the days following being vaccinated, I have always been active getting regular excercise combined with a very healthy diet, somthing was anew with me but wasn't associatieng it with anything now (cont below)
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Following the second dose I had some reaction consitant with what has been reported by others and consistant with side effects decribed by the CDC. Tired slept for 8 hours, slight fever, chills that started 12 hours after the shot and lasted through another 24hours, I did have a very sore arm unlike a regular flu shot that radiated to and beow my arm pit for 6-10 days befor going away. What I was not exspecting or paying much attention to sluffing it off to veriouse things was a slow but steady loss of energy the days following being vaccinated, I have always been active getting regular excercise combined with a very healthy diet, somthing was anew with me but wasn't associatieng it with anything now (cont below)
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort
Clinical narrative: Patient contacted pharmacy on 9/15/21 stating he has been experiencing discomfort in his left shoulder for the last 3 days. There was a language barrier, so he was having difficulty describing exactly what he was feeling. He complained of his shoulder "not feeling right". He was advised to consult with his physician for follow up
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: I was diagnosed with Covid-19.  I am fully vaccinated.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bordetella test negative, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: FEVER, DRY COUGH, CONGESTION, DIARRHEA - OUTPATIENT PROGRESS NOTE  09/13/21 ASSESSMENT AND PLAN  Diagnoses and all orders for this visit:  Pneumonia due to COVID-19 virus   Patient was hypoxemic to 8 7% on 2 L of oxygen on my exam today.  He was also in mild respiratory distress due to hypoxia and tachypnea.  991 was called in for urgent transfer of the patient to the hospital.   SUBJECTIVE   Patient is a 70 y.o. male who presented with his wife for evaluation of cough, shortness of breath, nausea, vomiting and positive Covid test results.  Patient has been having the symptoms for past few days.  Initially he had over-the-counter Covid test which was negative, he tried taking over-the-counter medication and repeated his Covid test which came back positive.  He called our office to get the Covid test on 9/10 recently been positive.  Patient reports he has intermittent severe cough and sometimes noted difficulty in swallowing food.  Denies any chest pain or shortness of breath but does report getting short of breath when he coughs.  Denies headache, abdominal pain or swelling in the legs.  Patient also noticed loose bowel movement this morning. Patient had both doses of COVID vaccine in March. He didn't take his regular medication in last few days due to feeling sick.    ED to Hosp-Admission Discharged  9/13/2021 - 9/14/2021 (22 hours) Hospital - Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Hypoxemia  Acute respiratory failure with hypoxia  COVID-19 virus infection      Hospital Course Patient is an 70 y.o. male with past medical history of hypertension, hyperlipidemia, hypothyroidism presented to the emergency room with 1 week history of cough, generalized fatigue and shortness of breath.  Patient was noted to be hypoxic at 87% at room air at PCPs office and sent over here.     Initially patient was on 2 L of oxygen via nasal cannula.  Patient was diagnosed with COVID-19 last Thursday but having symptoms for at least 10 days.  After initiation of remdesivir and steroid we were able to wean patient off oxygen and today patient saturating 94 to 95% at room air and was able to ambulate without any symptoms.  Though his cough is still persisting.  Blood culture did not grow any organism.  Patient is stable from our standpoint to be discharged home on p.o. steroid for another 10 days.  I recommend patient to come back to hospital if worsening symptoms including fever
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dysphagia, Dyspnoea, Human metapneumovirus test
Clinical narrative: FEVER, DRY COUGH, CONGESTION, DIARRHEA - OUTPATIENT PROGRESS NOTE  09/13/21 ASSESSMENT AND PLAN  Diagnoses and all orders for this visit:  Pneumonia due to COVID-19 virus   Patient was hypoxemic to 8 7% on 2 L of oxygen on my exam today.  He was also in mild respiratory distress due to hypoxia and tachypnea.  991 was called in for urgent transfer of the patient to the hospital.   SUBJECTIVE   Patient is a 70 y.o. male who presented with his wife for evaluation of cough, shortness of breath, nausea, vomiting and positive Covid test results.  Patient has been having the symptoms for past few days.  Initially he had over-the-counter Covid test which was negative, he tried taking over-the-counter medication and repeated his Covid test which came back positive.  He called our office to get the Covid test on 9/10 recently been positive.  Patient reports he has intermittent severe cough and sometimes noted difficulty in swallowing food.  Denies any chest pain or shortness of breath but does report getting short of breath when he coughs.  Denies headache, abdominal pain or swelling in the legs.  Patient also noticed loose bowel movement this morning. Patient had both doses of COVID vaccine in March. He didn't take his regular medication in last few days due to feeling sick.    ED to Hosp-Admission Discharged  9/13/2021 - 9/14/2021 (22 hours) Hospital - Acute respiratory failure with hypoxia  DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Hypoxemia  Acute respiratory failure with hypoxia  COVID-19 virus infection      Hospital Course Patient is an 70 y.o. male with past medical history of hypertension, hyperlipidemia, hypothyroidism presented to the emergency room with 1 week history of cough, generalized fatigue and shortness of breath.  Patient was noted to be hypoxic at 87% at room air at PCPs office and sent over here.     Initially patient was on 2 L of oxygen via nasal cannula.  Patient was diagnosed with COVID-19 last Thursday but having symptoms for at least 10 days.  After initiation of remdesivir and steroid we were able to wean patient off oxygen and today patient saturating 94 to 95% at room air and was able to ambulate without any symptoms.  Though his cough is still persisting.  Blood culture did not grow any organism.  Patient is stable from our standpoint to be discharged home on p.o. steroid for another 10 days.  I recommend patient to come back to hospital if worsening symptoms including fever