chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Hyperhidrosis, Myocarditis, Nausea, Pain
Clinical narrative: The next day after the 2nd pfizer covid vaccine Sunday November 7th, 2021, I had chills and minor body aches. Then on Monday November 8th I started having chest pain, the pain and discomfort continued to Tuesday November 9th, The chest pain was increasing and stated sweating and felling nauseated so i went to an urgent care, they did an EKG and it came back negative so they called an ambulance and i was transferred to Hospital. At the Hospital they completed 2 other EKGs and all came back abnormal, so they checked for troponin level and it came back 18. The cardiologist suggested that a cardiac Cath is necessary to rule out heart attack. the cardiac Cath came back negative, but the cardiac MRI confirmed myocarditis. The diagnosis was myocarditis after all the test and finding by the cardiologist..
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: The next day after the 2nd pfizer covid vaccine Sunday November 7th, 2021, I had chills and minor body aches. Then on Monday November 8th I started having chest pain, the pain and discomfort continued to Tuesday November 9th, The chest pain was increasing and stated sweating and felling nauseated so i went to an urgent care, they did an EKG and it came back negative so they called an ambulance and i was transferred to Hospital. At the Hospital they completed 2 other EKGs and all came back abnormal, so they checked for troponin level and it came back 18. The cardiologist suggested that a cardiac Cath is necessary to rule out heart attack. the cardiac Cath came back negative, but the cardiac MRI confirmed myocarditis. The diagnosis was myocarditis after all the test and finding by the cardiologist..
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Nucleic acid test, Thrombosis, Thyroxine free, Vaginal haemorrhage
Clinical narrative: Nonstop vaginal bleeding ,since June1 with blood clots size of a quarter or larger.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Syncope
Clinical narrative: syncope 3pm both days of both shots and syncope cardiac arrest 9/18/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Blood urine present, Chromaturia, Feeling of body temperature change, Pain
Clinical narrative: Around 2:00 AM the following morning pretty extreme pain in the right arm, then hot and cold, body aches. As the day went on started seeing blood in the urine started getting darker as the day progressed so Saturday morning I went to the ER.  No pain urinating, no infection,  unknown why blood in urine. As aches/pains wore off the urine cleared up.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Urine analysis normal, White blood cell count decreased
Clinical narrative: Around 2:00 AM the following morning pretty extreme pain in the right arm, then hot and cold, body aches. As the day went on started seeing blood in the urine started getting darker as the day progressed so Saturday morning I went to the ER.  No pain urinating, no infection,  unknown why blood in urine. As aches/pains wore off the urine cleared up.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received Moderna booster 1 day before 18th birthday. No adverse events noted. Pt was understanding when issue was brought back to her attention.
Age: 10.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Feeling abnormal, Loss of consciousness, Mydriasis, Posture abnormal, Respiratory rate increased
Clinical narrative: Client was given the flu shot first and then their Pfizer shot. About 10 seconds after the Pfizer shot he started to feel "weird" and breathing faster. His eyes got bigger (dilated) and he put his head back. We're pretty sure he passed out at that point. The pharmacist that administered the shot called for assistance. By the time the assistance came within 15 seconds he was coming around more alert. The emergency kit was grabbed. At that point the administering Pharmacist started to go through a breathing method to calm the client. He started to calm and breath in a normal pattern. The client was alert at this point and responding to questions correctly. The client and father waited close by for observation for 30 minutes. The client was alert, breathing well and feeling much better when they left.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin reaction, Skin warm, Swelling
Clinical narrative: Skin reaction all over body  - did one course of prednisone but hives came back after completing prednisone. Hives appear for about 30 minutes and disappear, come back every 2-3 hours. Itching, redness, swelling and hot skin present. Scratching makes red lines appear and spreads the reaction.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Skin reaction all over body  - did one course of prednisone but hives came back after completing prednisone. Hives appear for about 30 minutes and disappear, come back every 2-3 hours. Itching, redness, swelling and hot skin present. Scratching makes red lines appear and spreads the reaction.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Rash, Urticaria
Clinical narrative: About 38 hours after shot, red patches/welches appeared in chest and upper back and have slowly gotten worse. As of today, 11/20, red welts are spreading to hairline and trunk and down back. Now he is saying they feel like they are ?burning?.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Extra dose administered, Inflammation, Peripheral swelling, Pruritus
Clinical narrative: After receiving her booster dose of moderna covid 19 vaccine, (0.25ml) pt reported a very swollen arm to the pharmacy on 11/20.  She stated that it was red, itchy and very swollen.  This started the day after vaccination- ice packs and her prescription antihistamine have helped but it has remained inflamed.  I counseled her that this was not unheardof, to continue what she has been doing and contact her dr if it remains bothersome on monday or worsens in the meantime.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: 12 weeks pregnant, due May 21, 2022. Had severe nausea the next morning (about 13/14 hours after shot). Had not been nauseous from pregnancy and also took diclegis the same night as shot. Had body aches, sore arm throughout the day and a severe headache. Nausea subsided after a few hours. All other side effects were completely gone the following morning
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: November 19th at 10:00 a.m. whole body aches, chills, fever of 100.1, substantial pain as injection site.   11:00 p.m. 2 inch red, welt, hot  November 20th 9:00 a.m.  Welt  had increased by a quarter of an inch. Still very red & hot  November 20th 8:00 p.m. whilst head increased by an additional quarter of an inch. Still red and hot and now itchy
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Urticaria
Clinical narrative: November 19th at 10:00 a.m. whole body aches, chills, fever of 100.1, substantial pain as injection site.   11:00 p.m. 2 inch red, welt, hot  November 20th 9:00 a.m.  Welt  had increased by a quarter of an inch. Still very red & hot  November 20th 8:00 p.m. whilst head increased by an additional quarter of an inch. Still red and hot and now itchy
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Urticaria
Clinical narrative: angioedema - lips and eyes urticaria - arms, chest, scalp, back
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Electroencephalogram, Magnetic resonance imaging, Memory impairment, Seizure
Clinical narrative: Seizures for unknown reason while at school.limited memory. Advised at urgent care to go to er. Went to er and was admitted for monitoring and neurology consult
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Electromyogram, Hypoaesthesia, Magnetic resonance imaging neck, Nerve conduction studies, Nerve injury
Clinical narrative: Nerve Damage in both lower legs between the foot and the knee causing pain, numbness, sensitivity to temperature,
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological examination, Pain, Temperature intolerance, Ultrasound scan
Clinical narrative: Nerve Damage in both lower legs between the foot and the knee causing pain, numbness, sensitivity to temperature,
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Rash
Clinical narrative: Swelling, redness, pain at injection site and rash over thighs. Fever
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swolen anterior cervical lymph nodes on right side of neck
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Neck pain, Pain in extremity
Clinical narrative: Same day of injection: left arm and leg pain followed by left neck pain Following day: left supraclavicular lymphadenopathy incidentally noted
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Thyroid mass, Ultrasound scan
Clinical narrative: A few days after receiving the Janssen COVID19 vaccine, a palpable area on right side of neck developed.  A nodule on the Thyroid. Right lobe Hypervascular Heterogeneous nodule. No prior history of thyroid disease.  Ultrasound June 10, 2021 with 3.5 cm solid isoechoic nodule in the mid right thyroid.  Also with 1.4 cm predominantly solid isoechoic nodule in the inferior left thyroid. At the time of the ultrasound, the 3.5 cm right-sided nodule underwent fine-needle aspiration biopsy with cytology of follicular lesion of undetermined significance (FLUS).  It then underwent Afirma genomic sequencing classifier which classify the nodule was benign.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT 17 YEARS OLD, RECEIVED MODERNA
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: Arm pain, muscle pain, difficult to lift arm
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Very swollen and sore lymph node in left underarm; started two days after injection and had continued for three days (so far). Also experienced fatigue and headache the day after the injection, lasting one day.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Herpes zoster, Nausea, Pyrexia
Clinical narrative: Fever, stomach pain, nauseas, diarrhea, shingles and painful rash starting on Monday November 15. Patient still in treatment with Zovirax 800mg, Augmentin 875mg, Relafen 500mg, Bactroban for topical use.  The shingles are inside and outside the nose.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Fever, stomach pain, nauseas, diarrhea, shingles and painful rash starting on Monday November 15. Patient still in treatment with Zovirax 800mg, Augmentin 875mg, Relafen 500mg, Bactroban for topical use.  The shingles are inside and outside the nose.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over body 13 days after receiving the vaccine. Started on the palms of my hands and back of neck, quickly moved all over my body including the back, chest, hands, feet, groin, legs: thighs and ankles.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Hypersomnia, Myalgia, Pain in extremity
Clinical narrative: Left arm pain, muscle pain, fever, headache, sweats, sleeping excessively in bed for one and a half days
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Left arm pain, muscle pain, fever, headache, sweats, sleeping excessively in bed for one and a half days
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test, Bone pain, Chest X-ray, Chest discomfort, Electrocardiogram abnormal
Clinical narrative: Extreme headache, foggy vision back spasms, bone pain, chest heaviness, swollen neck and throat Spent 6 hours in hospital after 3 EKG's came back abnormal. I was 100% fine and healthy before this. Was put on intravenous Benedryl, Tramadol and one other drug and observation. ER Dr. wanted to keep me overnight for observation and follow-up with my medical Dr.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Muscle spasms, Neurological examination, Pharyngeal swelling, Swelling
Clinical narrative: Extreme headache, foggy vision back spasms, bone pain, chest heaviness, swollen neck and throat Spent 6 hours in hospital after 3 EKG's came back abnormal. I was 100% fine and healthy before this. Was put on intravenous Benedryl, Tramadol and one other drug and observation. ER Dr. wanted to keep me overnight for observation and follow-up with my medical Dr.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Vision blurred
Clinical narrative: Extreme headache, foggy vision back spasms, bone pain, chest heaviness, swollen neck and throat Spent 6 hours in hospital after 3 EKG's came back abnormal. I was 100% fine and healthy before this. Was put on intravenous Benedryl, Tramadol and one other drug and observation. ER Dr. wanted to keep me overnight for observation and follow-up with my medical Dr.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient received booster dose shortly upon arrival to pharmacy. No other accompanying family members. Completed paper work independently. After review by pharmacist, no contraindications were noted and vaccine was administered. Patient appeared lucid at time of vaccination. No adverse drug events noted during 15 minute observation period. Pharmacist was later informed by family member (daughter) that patient had dementia but acted out independently. Daughter stated patient had conracted COVID-19 on 10/18/21 and received monoclonal antibodies as part of treatment course. Hosptal personnel instructed daughter that patient shoiuld not receive further vaccine for 90 days after administration of. Patient did not indicate that information on the Vaccine Administration Record and Informed Consent at the Pharmacy and his action were not known by the daughter until after the event had occurred. No observable adverse reactions noted approximately 11 hours after the event.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hypoaesthesia oral, Pyrexia, Throat tightness
Clinical narrative: Lips numb, throat tightened, high fever, chills, felt faint ?.  Took Benadryl  ?.  Affects started about 20 minutes after each vaccine
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Random pain and stiffness in each arm, since vaccination. has never left
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling
Clinical narrative: Swollen lump under the eye.
Age: 26.0
Sex: U
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram
Clinical narrative: 1545 - Patient reported hx of hospitalization after TDaP as a child during screening. Consulted w/ NP and PA on site. Given 1st Pfizer dose (lot #EW0217) to RD. Asked to wait 30 minutes for observation. 1600 - Patient reported 5/10 mid-sternal "chest heaviness". No other symptoms. HR feels regular and in 60s. BP 134/83 and HR 65 on over-the-counter BP monitor on-site. No cardiac history. History of anxiety w/ and w/o panic attacks, but patient reports this is well-controlled and today's symptoms are not consistent with this history. Patient does not want ambulance called, but staff explained that our medical obligation is to call 911 for life-threatening symptoms such as chest pain/tightness/pressure/heaviness. 1605 - Provider on-site called 911. 1615 - Ambulance arrived. HR with SR 60, BP 133/84, and SpO2 99% on their monitor, but EKG print-out has "concerning areas" that warrant evaluation by a hospital given its unclear if they were pre-existing or new and further evaluation is outside ambulance scope. Patient declined transport to a hospital, however, due to financial concerns after having lost his medical insurance when he turned 26 last month. Patient said "I'd rather die than face those medical bills" and "I truly don't care if I die".  1625 - Ambulance and on-site vaccine staff all repeated hospital transfer recommendation. Patient declined again. Ambulance left. 1635 - Given resources for, Marketplace, and several Portland-area low-income, sliding scale medical offices. Additionally recommended messaging his PCP to discuss whether 2nd Pfizer dose is advised, because messaging can still occur at no cost without health insurance. 1645 - Patient escorted to car by staff for continued observation. No change to 5/10 "chest heaviness". Otherwise stable. Patient left in vehicle.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Myalgia
Clinical narrative: muscle and joint pain, dizziness, shivers, and being weak mentally and physically.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Arthralgia, Back pain, Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: Red, hot, itchy lump several centimeters wide and deep at Shingrex injection site within 24 hours of injection. Still persists 7 days later without much reduction. Joint pain (back and other locations) and muscle soreness (buttocks, legs), mostly resolved after several days.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site warmth, Myalgia
Clinical narrative: Red, hot, itchy lump several centimeters wide and deep at Shingrex injection site within 24 hours of injection. Still persists 7 days later without much reduction. Joint pain (back and other locations) and muscle soreness (buttocks, legs), mostly resolved after several days.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: At approximately 3:11 PM on 11/20/2021, male child arrives to vaccine site with his father. Child's father requests initial pediatric Pfizer dose to be administered to child.  Nurse attempted to begin administering dose and poked with needle in left upper arm. Needle was inserted approximately 3 cm, then child withdrew arm and moved away from nurse. Child was difficult to console, and none of vaccine dose was administered to the child. Pfizer pediatric dose was not given to child for safety reasons. This dose and syringe was wasted, per COSD Policy guidelines.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray abnormal, Chest pain, Computerised tomogram, Computerised tomogram thorax abnormal
Clinical narrative: Sharp stabbing pain in right chest when inhaling deeply at rest or activity. Low grade fever, & Occasional cough on Friday October 22nd. On Saturday Oct. 23, symptoms became more frequent, & I went to Urgent Care
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Laboratory test, Painful respiration, Pulmonary embolism, Pyrexia
Clinical narrative: Sharp stabbing pain in right chest when inhaling deeply at rest or activity. Low grade fever, & Occasional cough on Friday October 22nd. On Saturday Oct. 23, symptoms became more frequent, & I went to Urgent Care
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Narrative:  Patient was admitted to the medical COVID unit on 10/9/2021. He required treatment for COVID-19 on 10/15/2021. He completed remdesivir therapy on 10/19/2021 and dexamethasone therapy on 10/24/2021. He was discharged home on 10/29/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspiration pleural cavity, Bedridden, Blood culture positive, COVID-19
Clinical narrative: Narrative:  74-year-old male with a past medical history of hyperlipidemia, insulin-dependent diabetes, chronic diastolic heart failure, history of a stroke, COPD, pan hypopituitaries him after the patient had his pituitary removed, BPH and depression who presented to the hospital after patient was found to be hypoxic at the outside facility. Patient currently resides at nursing home and all the history was obtained from the wife. The wife states that the patient is currently bedbound and resides at NH permanently. She states that the facility had a positive worker and they tested the facility on Friday of last week. The patient was found to be positive for Covid on Saturday but was tested on 10/1/2021. The patient today was found to be hypoxic and satting 86% on room air. This is the reason the patient was brought to the emergency department. The wife also states the patient has had several days where he has not felt well and has also had over a week of diarrhea. ER work-up which included routine labs was fairly unremarkable but does show that the patient is hypoxic and requiring 2 L. pt admitted to the floor. dx COVID PNA wtih acute hypoxic respiratory failure. mild hypoxia - requiring supplemental oxygen. started on steroids and remdesivir. inflammatory markers not consistant with cytokine storm, reducing need for anticoagulation. pt was vaccinated. 10/6 f/u on recurrent pleural effusion. pulmonary consult due to possible need to tap due to size. thoracentesis done with 1400 cc fluid removal. cxr at end of procedure noted small pneumothorax. monitored closely. repeat in am noted no improvement. chest tube placed on 10/7 on second attempt - placed on pleurevac to suction. serosanginous drainage noted. pulmonary following. 10/8 hypoxia worsened some. cont to have large amount of output from chest tube. pneumothorax resolved. 10/10 Very small subpulmonic pneumothorax noted on the chest x-ray chest tube has been on waterseal since yesterday. tube clapmted. pt noted tohave postivie bc - sarilumab d/c. started on iv vanc. chest tube removed. later on 10/10 pt with increased desaturations. moved to SDU for high flow oxygen. 10/11 pt with continued decline. transitioned to bipap. discussions with wife due to decline throughout hospitalization. wife in to visit - 10/12 pt transitioned to acute hospice. bipap stopped. placed on nasal cannula. morphine given for air hunger. pt declared on 10/13/21 at 1832
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest tube insertion, Chest tube removal, Death
Clinical narrative: Narrative:  74-year-old male with a past medical history of hyperlipidemia, insulin-dependent diabetes, chronic diastolic heart failure, history of a stroke, COPD, pan hypopituitaries him after the patient had his pituitary removed, BPH and depression who presented to the hospital after patient was found to be hypoxic at the outside facility. Patient currently resides at nursing home and all the history was obtained from the wife. The wife states that the patient is currently bedbound and resides at NH permanently. She states that the facility had a positive worker and they tested the facility on Friday of last week. The patient was found to be positive for Covid on Saturday but was tested on 10/1/2021. The patient today was found to be hypoxic and satting 86% on room air. This is the reason the patient was brought to the emergency department. The wife also states the patient has had several days where he has not felt well and has also had over a week of diarrhea. ER work-up which included routine labs was fairly unremarkable but does show that the patient is hypoxic and requiring 2 L. pt admitted to the floor. dx COVID PNA wtih acute hypoxic respiratory failure. mild hypoxia - requiring supplemental oxygen. started on steroids and remdesivir. inflammatory markers not consistant with cytokine storm, reducing need for anticoagulation. pt was vaccinated. 10/6 f/u on recurrent pleural effusion. pulmonary consult due to possible need to tap due to size. thoracentesis done with 1400 cc fluid removal. cxr at end of procedure noted small pneumothorax. monitored closely. repeat in am noted no improvement. chest tube placed on 10/7 on second attempt - placed on pleurevac to suction. serosanginous drainage noted. pulmonary following. 10/8 hypoxia worsened some. cont to have large amount of output from chest tube. pneumothorax resolved. 10/10 Very small subpulmonic pneumothorax noted on the chest x-ray chest tube has been on waterseal since yesterday. tube clapmted. pt noted tohave postivie bc - sarilumab d/c. started on iv vanc. chest tube removed. later on 10/10 pt with increased desaturations. moved to SDU for high flow oxygen. 10/11 pt with continued decline. transitioned to bipap. discussions with wife due to decline throughout hospitalization. wife in to visit - 10/12 pt transitioned to acute hospice. bipap stopped. placed on nasal cannula. morphine given for air hunger. pt declared on 10/13/21 at 1832
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, General physical health deterioration, Hypoxia
Clinical narrative: Narrative:  74-year-old male with a past medical history of hyperlipidemia, insulin-dependent diabetes, chronic diastolic heart failure, history of a stroke, COPD, pan hypopituitaries him after the patient had his pituitary removed, BPH and depression who presented to the hospital after patient was found to be hypoxic at the outside facility. Patient currently resides at nursing home and all the history was obtained from the wife. The wife states that the patient is currently bedbound and resides at NH permanently. She states that the facility had a positive worker and they tested the facility on Friday of last week. The patient was found to be positive for Covid on Saturday but was tested on 10/1/2021. The patient today was found to be hypoxic and satting 86% on room air. This is the reason the patient was brought to the emergency department. The wife also states the patient has had several days where he has not felt well and has also had over a week of diarrhea. ER work-up which included routine labs was fairly unremarkable but does show that the patient is hypoxic and requiring 2 L. pt admitted to the floor. dx COVID PNA wtih acute hypoxic respiratory failure. mild hypoxia - requiring supplemental oxygen. started on steroids and remdesivir. inflammatory markers not consistant with cytokine storm, reducing need for anticoagulation. pt was vaccinated. 10/6 f/u on recurrent pleural effusion. pulmonary consult due to possible need to tap due to size. thoracentesis done with 1400 cc fluid removal. cxr at end of procedure noted small pneumothorax. monitored closely. repeat in am noted no improvement. chest tube placed on 10/7 on second attempt - placed on pleurevac to suction. serosanginous drainage noted. pulmonary following. 10/8 hypoxia worsened some. cont to have large amount of output from chest tube. pneumothorax resolved. 10/10 Very small subpulmonic pneumothorax noted on the chest x-ray chest tube has been on waterseal since yesterday. tube clapmted. pt noted tohave postivie bc - sarilumab d/c. started on iv vanc. chest tube removed. later on 10/10 pt with increased desaturations. moved to SDU for high flow oxygen. 10/11 pt with continued decline. transitioned to bipap. discussions with wife due to decline throughout hospitalization. wife in to visit - 10/12 pt transitioned to acute hospice. bipap stopped. placed on nasal cannula. morphine given for air hunger. pt declared on 10/13/21 at 1832
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammatory marker test, Laboratory test abnormal, Malaise, Oxygen saturation decreased, Pleural effusion
Clinical narrative: Narrative:  74-year-old male with a past medical history of hyperlipidemia, insulin-dependent diabetes, chronic diastolic heart failure, history of a stroke, COPD, pan hypopituitaries him after the patient had his pituitary removed, BPH and depression who presented to the hospital after patient was found to be hypoxic at the outside facility. Patient currently resides at nursing home and all the history was obtained from the wife. The wife states that the patient is currently bedbound and resides at NH permanently. She states that the facility had a positive worker and they tested the facility on Friday of last week. The patient was found to be positive for Covid on Saturday but was tested on 10/1/2021. The patient today was found to be hypoxic and satting 86% on room air. This is the reason the patient was brought to the emergency department. The wife also states the patient has had several days where he has not felt well and has also had over a week of diarrhea. ER work-up which included routine labs was fairly unremarkable but does show that the patient is hypoxic and requiring 2 L. pt admitted to the floor. dx COVID PNA wtih acute hypoxic respiratory failure. mild hypoxia - requiring supplemental oxygen. started on steroids and remdesivir. inflammatory markers not consistant with cytokine storm, reducing need for anticoagulation. pt was vaccinated. 10/6 f/u on recurrent pleural effusion. pulmonary consult due to possible need to tap due to size. thoracentesis done with 1400 cc fluid removal. cxr at end of procedure noted small pneumothorax. monitored closely. repeat in am noted no improvement. chest tube placed on 10/7 on second attempt - placed on pleurevac to suction. serosanginous drainage noted. pulmonary following. 10/8 hypoxia worsened some. cont to have large amount of output from chest tube. pneumothorax resolved. 10/10 Very small subpulmonic pneumothorax noted on the chest x-ray chest tube has been on waterseal since yesterday. tube clapmted. pt noted tohave postivie bc - sarilumab d/c. started on iv vanc. chest tube removed. later on 10/10 pt with increased desaturations. moved to SDU for high flow oxygen. 10/11 pt with continued decline. transitioned to bipap. discussions with wife due to decline throughout hospitalization. wife in to visit - 10/12 pt transitioned to acute hospice. bipap stopped. placed on nasal cannula. morphine given for air hunger. pt declared on 10/13/21 at 1832
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Positive airway pressure therapy, SARS-CoV-2 test positive, Thoracic cavity drainage
Clinical narrative: Narrative:  74-year-old male with a past medical history of hyperlipidemia, insulin-dependent diabetes, chronic diastolic heart failure, history of a stroke, COPD, pan hypopituitaries him after the patient had his pituitary removed, BPH and depression who presented to the hospital after patient was found to be hypoxic at the outside facility. Patient currently resides at nursing home and all the history was obtained from the wife. The wife states that the patient is currently bedbound and resides at NH permanently. She states that the facility had a positive worker and they tested the facility on Friday of last week. The patient was found to be positive for Covid on Saturday but was tested on 10/1/2021. The patient today was found to be hypoxic and satting 86% on room air. This is the reason the patient was brought to the emergency department. The wife also states the patient has had several days where he has not felt well and has also had over a week of diarrhea. ER work-up which included routine labs was fairly unremarkable but does show that the patient is hypoxic and requiring 2 L. pt admitted to the floor. dx COVID PNA wtih acute hypoxic respiratory failure. mild hypoxia - requiring supplemental oxygen. started on steroids and remdesivir. inflammatory markers not consistant with cytokine storm, reducing need for anticoagulation. pt was vaccinated. 10/6 f/u on recurrent pleural effusion. pulmonary consult due to possible need to tap due to size. thoracentesis done with 1400 cc fluid removal. cxr at end of procedure noted small pneumothorax. monitored closely. repeat in am noted no improvement. chest tube placed on 10/7 on second attempt - placed on pleurevac to suction. serosanginous drainage noted. pulmonary following. 10/8 hypoxia worsened some. cont to have large amount of output from chest tube. pneumothorax resolved. 10/10 Very small subpulmonic pneumothorax noted on the chest x-ray chest tube has been on waterseal since yesterday. tube clapmted. pt noted tohave postivie bc - sarilumab d/c. started on iv vanc. chest tube removed. later on 10/10 pt with increased desaturations. moved to SDU for high flow oxygen. 10/11 pt with continued decline. transitioned to bipap. discussions with wife due to decline throughout hospitalization. wife in to visit - 10/12 pt transitioned to acute hospice. bipap stopped. placed on nasal cannula. morphine given for air hunger. pt declared on 10/13/21 at 1832
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, CHILLS, EXTREME SWEATING Narrative:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Pt was a 61 YO male with PMH of cerebral infarction, bipolar disorder, HTN, hypothyroid, and sleep apnea. Medical facility was notified of pt's death by his daughter. No additional details were provided.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site warmth, Myalgia
Clinical narrative: Myalgia, Arthralgia, WARMTH, TENDERNESS, AND REDNESS AT INJECTION SITE Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Narrative: Patient developed COVID-19 after receiving both doses of Pfizer vaccine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Gait disturbance, Headache, Malaise
Clinical narrative: Narrative: Patient states he recieved his first COVID injection and an influenza vaccine yesterday, "Went home, and a few  hours later I got very, very sick." Patient is c/o "severe joint pains, fever all night ' broke this morning ' headache for a while, that went away, but the joint pain has not." Patient states the pain in his R knee is "severe today, I can walk on it, but barely." Patient did not check his temperature, but states he was having chills all night, Vomited about 7-8 times between 2:30 am - 4:30am, "the nausea and vomiting are gone now." No abdominal pain or diarrhea. Overall he is feeling better except the joint pains, "those are actually worse today." No joint swelling or erythema.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Narrative: Patient states he recieved his first COVID injection and an influenza vaccine yesterday, "Went home, and a few  hours later I got very, very sick." Patient is c/o "severe joint pains, fever all night ' broke this morning ' headache for a while, that went away, but the joint pain has not." Patient states the pain in his R knee is "severe today, I can walk on it, but barely." Patient did not check his temperature, but states he was having chills all night, Vomited about 7-8 times between 2:30 am - 4:30am, "the nausea and vomiting are gone now." No abdominal pain or diarrhea. Overall he is feeling better except the joint pains, "those are actually worse today." No joint swelling or erythema.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Myalgia & Fever Narrative: fever fatigue sore arm 11/6/2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Immediate post-injection reaction, Lymphadenopathy, Muscle fatigue
Clinical narrative: Headache, Myalgia, Immediate headache with injection. Thursday backache/muscle fatigue and lymphadenopathy started in left axilla. Saturday morning lymphadenopathy started in left side of neck.  Narrative:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Headache, Myalgia, Immediate headache with injection. Thursday backache/muscle fatigue and lymphadenopathy started in left axilla. Saturday morning lymphadenopathy started in left side of neck.  Narrative:
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Narrative:  patient did not experience adverse event- reporting is of inconsistent vaccination schedule due to lack of information. Provider was inclined to believe patient was in need of COVID vaccination and received his "first" Pfizer vaccination 5/15/2021 which later turned out to be his third- he was previously vaccinated with Moderna on 2/18/21 and 3/18/21 from a non-Facility source which was not documented in his chart.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood gases, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative:  63 year-old male with a history of HTN, asthma, Stage 3a CKD, GERD, BPH, OSA, glaucoma, and AR, who presented to the MC emergency department on 10/11/21 with complaint of 5 days of body aches, fever, chills, malaise, cough, and shortness of breath. He reported having gone to a large gathering, and developing his symptoms subsequent to that event. He received both doses of Moderna vaccination (on 03/04/21 & 04/01/21). In the ED, the patient tested positive for COVID-19 virus. A CT angiogram of chest showed multifocal groundglass opacities within the left greater than right lower lobes, consistent with viral pneumonia, but was negative for nay large acute pulmonary embolism. On arterial blood gas, pO2 was 52. HOSPITAL COURSE: PATIENT was admitted to the general medical floor on 10/11/21 for treatment of acute hypoxic respiratory failure and COVID-19 pneumonia. He was placed on 2 liters supplemental oxygen. He was also treated with 3 days of IV remdesivir, dexamethasone, and his home inhalers. He showed good clinical improvement, and supplemental oxygen was successfully weaned by the morning of 10/13. PATIENT was medically stable for discharge home on 10/14/21.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Cough, Dyspnoea, Lung opacity
Clinical narrative: Narrative:  63 year-old male with a history of HTN, asthma, Stage 3a CKD, GERD, BPH, OSA, glaucoma, and AR, who presented to the MC emergency department on 10/11/21 with complaint of 5 days of body aches, fever, chills, malaise, cough, and shortness of breath. He reported having gone to a large gathering, and developing his symptoms subsequent to that event. He received both doses of Moderna vaccination (on 03/04/21 & 04/01/21). In the ED, the patient tested positive for COVID-19 virus. A CT angiogram of chest showed multifocal groundglass opacities within the left greater than right lower lobes, consistent with viral pneumonia, but was negative for nay large acute pulmonary embolism. On arterial blood gas, pO2 was 52. HOSPITAL COURSE: PATIENT was admitted to the general medical floor on 10/11/21 for treatment of acute hypoxic respiratory failure and COVID-19 pneumonia. He was placed on 2 liters supplemental oxygen. He was also treated with 3 days of IV remdesivir, dexamethasone, and his home inhalers. He showed good clinical improvement, and supplemental oxygen was successfully weaned by the morning of 10/13. PATIENT was medically stable for discharge home on 10/14/21.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, PO2 decreased, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  63 year-old male with a history of HTN, asthma, Stage 3a CKD, GERD, BPH, OSA, glaucoma, and AR, who presented to the MC emergency department on 10/11/21 with complaint of 5 days of body aches, fever, chills, malaise, cough, and shortness of breath. He reported having gone to a large gathering, and developing his symptoms subsequent to that event. He received both doses of Moderna vaccination (on 03/04/21 & 04/01/21). In the ED, the patient tested positive for COVID-19 virus. A CT angiogram of chest showed multifocal groundglass opacities within the left greater than right lower lobes, consistent with viral pneumonia, but was negative for nay large acute pulmonary embolism. On arterial blood gas, pO2 was 52. HOSPITAL COURSE: PATIENT was admitted to the general medical floor on 10/11/21 for treatment of acute hypoxic respiratory failure and COVID-19 pneumonia. He was placed on 2 liters supplemental oxygen. He was also treated with 3 days of IV remdesivir, dexamethasone, and his home inhalers. He showed good clinical improvement, and supplemental oxygen was successfully weaned by the morning of 10/13. PATIENT was medically stable for discharge home on 10/14/21.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal
Clinical narrative: Narrative:  63 year-old male with a history of HTN, asthma, Stage 3a CKD, GERD, BPH, OSA, glaucoma, and AR, who presented to the MC emergency department on 10/11/21 with complaint of 5 days of body aches, fever, chills, malaise, cough, and shortness of breath. He reported having gone to a large gathering, and developing his symptoms subsequent to that event. He received both doses of Moderna vaccination (on 03/04/21 & 04/01/21). In the ED, the patient tested positive for COVID-19 virus. A CT angiogram of chest showed multifocal groundglass opacities within the left greater than right lower lobes, consistent with viral pneumonia, but was negative for nay large acute pulmonary embolism. On arterial blood gas, pO2 was 52. HOSPITAL COURSE: PATIENT was admitted to the general medical floor on 10/11/21 for treatment of acute hypoxic respiratory failure and COVID-19 pneumonia. He was placed on 2 liters supplemental oxygen. He was also treated with 3 days of IV remdesivir, dexamethasone, and his home inhalers. He showed good clinical improvement, and supplemental oxygen was successfully weaned by the morning of 10/13. PATIENT was medically stable for discharge home on 10/14/21.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, Gynaecomastia, Mammogram abnormal
Clinical narrative: Narrative: Patient was hospitalized for GI bleed after receiving the COVID-19 vaccine. Also developed gynecomastia, which was confirmed via mammogram.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: Myalgia, Arthralgia, fatigue, malaise, chills, pain and swelling at injection site Narrative: The evening of receiving her third dose of the Moderna vaccine, the patient reported generalized body aches, malaise, chills, and injection site pain/swelling. She took acetaminophen (does not remember dose), and rested to recover.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pain
Clinical narrative: Myalgia, Arthralgia, fatigue, malaise, chills, pain and swelling at injection site Narrative: The evening of receiving her third dose of the Moderna vaccine, the patient reported generalized body aches, malaise, chills, and injection site pain/swelling. She took acetaminophen (does not remember dose), and rested to recover.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Headache, Myalgia, fatigue, chills, pain and swelling at injection site  Narrative:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Headache, Myalgia, fatigue, chills, pain and swelling at injection site  Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting, SWELLING AND CHILLS Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Vomiting
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting, SWELLING AND CHILLS Narrative:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Cardio-respiratory arrest, Condition aggravated, Hyperglycaemia, Hypertension
Clinical narrative: Seizures, RespDepression, HYPERtension & HYPERglycemia  Narrative: 15 minutes after the vaccine she had a seizure that lasted about 2 minutes. She has a hx of seizure, we called a code and she was taken to ED, Her BP 180 /127 pulse 87 temp 36.5, spo2 80% on RA. Repeat Vs 181/97 hr 87 spo2 95% on 4L n/c Blood glucose 318.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory depression, Seizure
Clinical narrative: Seizures, RespDepression, HYPERtension & HYPERglycemia  Narrative: 15 minutes after the vaccine she had a seizure that lasted about 2 minutes. She has a hx of seizure, we called a code and she was taken to ED, Her BP 180 /127 pulse 87 temp 36.5, spo2 80% on RA. Repeat Vs 181/97 hr 87 spo2 95% on 4L n/c Blood glucose 318.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Flank pain, Headache, Myalgia
Clinical narrative: Headache, Myalgia & Arthralgia Narrative: referred to PCP if symptoms persists, reports more pain in right side of body than left. Denies visual changes, denies slurred speech or weakness of extremities.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Ascites, Blood gases
Clinical narrative: Narrative: Admission Date: Oct 26,2021 Discharge Date: Nov 12,2021 Condition of patient at discharge: deceased Primary Diagnosis during Admission/Treatment: Acute hypoxemia Respiratory Failure (AHRF) secondary to COVID pneumonia 69 yo male with PMHx significant for ESRD (Dialysis on Tues, Thurs, Saturday), multiple strokes complicated by vascular dementia, IDDM, CAD s/p PCI x2 (2015), PDA s/p SFA angioplasty, HTN, and tobacco abuse presented to the Emergency Department on 10/26/2021 with dyspnea in setting of COVID 19 positive test 10/25/2021 at another healthcare facility. Patient stated he started to develop symptoms of cough, myalgias, and general malaise on 10/23/21 and subsequently tested positive at another healthcare facility 10/25. Decided to come to the ED today for progressive dyspnea following dialysis session. Denied any headache, chest pain, fevers, or sputum production. Patient received 2 doses of Pfizer COVID vaccine on April 1, 2021 and April 22, 2021. In the ER, patient was afebrile, BP 97/53, HR 81, tachypneic to 28, and hypoxic to 86% on room air. Placed on 4LNC and given 500cc IVFs in ED. Labs notable for WBC 4.86 with lymphopenia, BNP 3145, CRP 12.86, D-dimer 16.9, procal 1.11, lactic acid 1.7. CXR with bilateral lung opacities. He was admitted to the ICU with COVID pneumonia, remained on 4L NC overnight satting >90%. ABG 7.5/30.1/59. He was started on dexamethasone on admission (remdesivir contraindicated given renal function). D-dimer elevated, so started moderate heparin dosing at 7500 units SQ Q8H. Procal was 1.11 so started on Zosyn and azithromycin. He received tocilizumab 10/29/21 as described earlier. His oxygen requirements increased to 40L 60% HFNC and the team determined there was possible superimposed bacterial pneumonia as was treated accordingly. After days on HFNC patient began to show signs of respiratory improvement, requiring decreased high-flow settings. Shortly thereafter the patient exhibited symptoms of septic shock requiring two vasopressors and intubation. Patient was not able to be weaned off of mechanical ventilation. Patient's respiratory status was worsened by volume retention in the setting of his HFrEF and chronic ESRD requiring near daily dialysis during ICU stay. On 11/12/2021, A family meeting was held and the decision by the patient's healthcare decision-maker was to transition to comfort care. The patient peacefully passed away on 11/12/2021 AT 8:08PM.