chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinusitis, Ultrasound scan, X-ray
Clinical narrative: 2 weeks after vaccination, symptoms like a sinus infection, coughing, runny nose, shortness of breath and really exhausted. Through the month of April I felt like I had a sinus infection that was not going away. I went to see the doctor on the week of April 26, 2021. I was given an antibiotic, penicillin or something equivalent to that. I didn't even notice I was getting better at all with taking that. 4 weeks later, May 25, 2021, I have regular cough. A nephew I was with tested positive for Covid-19 but was asymptomatic. I was tested for Covid-19 on June 1, 2021 and it was negative. None of my symptoms were new at that point and I was given oral steroid and allergy medicine. I was having a pretty big cough an not having my normal energy. I went to see my Allergy doctor, 08/06/2021 my cough went non productive to where I was coughing up green mucous.   I did a breathing test and I failed it miserably and was put on an inhaler and diagnosed with asthma. I was also coughing while eating. I was put on Symbicort & Singular 10 mg in the evening.  I had a gall bladder surgery, 2018, and tools were left behind, I had been told that there could be some damage. An ultrasound showed that everything looked okay. I was prescribed Benzoate for the cough.  I went to the gastrologist, on 08/17/2021.  I am coughing a lot more especially around eating. He switch my meds from omeprazole to Pantoprazole and my modified my diet. Some foods were triggering my cough. I use a Netty pot to get the mucous out. The gastrologist did an  ultrasound- showed I had a nonalcoholic fatty liver.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: face numb and tingly 45 minutes post vaccination. headache immediately and still continues today (9-7-2021)
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Ear pain, Headache, Malaise
Clinical narrative: I?ll for 2 days after shot. Felt better until the following week until I had a severe headache and earache. Met with my Dr and could not determine anything at that time. Later that night lost function in the right side of my face. Could not get in to see him so went to other Dr were he said I had Bells Palsy.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Nausea, Pyrexia, Vaccination site pain
Clinical narrative: Pt w/ a hx of allergy to cows milk (SOB, abdominal disorder, fatigue). PMH significant for anxiety, panic attacks, depression, is currently on disability d/t extreme fatigue (most likely brought on by depression and anxiety), and ongoing SOB. Current Medications: Albuterol 90mcg/act 1-2 inh Q6hrs PRN Wheezing Vitamin D3 400units PO Daily Restasis 0.05% unknown frequency  16mins post vaccination, pt c/o nausea, soreness at the vaccination site, feeling feverish, and overall "not feeling good".  Pt brought to the triage area from the observation area. Vitals @12:52pm BP 106/74, HR 73, RR 14 Pt assessed and monitored by nurse and NP.  Pt states that he is feeling better and improving.  Released from vaccination site in stable condition and recommended to f/u w/ PCP.  F/u instructions provided.  Of note, the morning of the patient's COVID vaccination, pt was seen for PFTs due to ongoing SOB.  During that test, the patient experienced anxiety and a panic attack after one attempt of spirometry.  Vitals at that time: BP 119/73, HR 88, SpO2 100%.  Staff offered transport to the ED or 911 call due to his complaint of chest pain and difficulty breathing.  Pt refused, indicating that this is a common occurence but no one can figure out what is wrong with him. Pt was able to follow instructions to slow down his breathing and follow commands.  Pt remained in the pulmonary clinic for 30 mins.  Discharge vitals: BP 119/73, HR 101, RR 24, O2Sat 100% RA.  Shortly after leaving the PFT appointment, the pt arrived at the Covid vaccination clinic located onsite.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Vaccination site warmth
Clinical narrative: large red area at vaccination site. warm to the touch
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Nodule, Oral soft tissue biopsy, Parakeratosis, Urinary incontinence
Clinical narrative: Early June sudden onset urinary incontinence and painless pink nodules in mouth
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: Early June sudden onset urinary incontinence and painless pink nodules in mouth
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Polymyalgia rheumatica, Red blood cell sedimentation rate increased, Venipuncture
Clinical narrative: Diagnosis on 4/14/2021 of Polymyalgia rheumatica by personal pysician. Treatment of prednisone prescribed.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood immunoglobulin G decreased, Blood immunoglobulin M decreased, COVID-19, Chest X-ray normal
Clinical narrative: 56 year old female with hx migranes, no other hx, presents with nausea and vomiting and abdominal cramping, and loose stool x 1, yesterday she was tested positive for COVID 19, she felt worse so was brought tonite with headache and continued nausea and vomiting  q 15 minutes, in ED she was given fluids and zofran which was ineffective and then got reglan and pepcid with some relief. She got toradol for headache. No pulmonary symptoms, no cough or shortness of breath, chest xray no infiltrates, CT head done and was negative.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Diarrhoea, Headache, Nausea, SARS-CoV-2 test positive
Clinical narrative: 56 year old female with hx migranes, no other hx, presents with nausea and vomiting and abdominal cramping, and loose stool x 1, yesterday she was tested positive for COVID 19, she felt worse so was brought tonite with headache and continued nausea and vomiting  q 15 minutes, in ED she was given fluids and zofran which was ineffective and then got reglan and pepcid with some relief. She got toradol for headache. No pulmonary symptoms, no cough or shortness of breath, chest xray no infiltrates, CT head done and was negative.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 56 year old female with hx migranes, no other hx, presents with nausea and vomiting and abdominal cramping, and loose stool x 1, yesterday she was tested positive for COVID 19, she felt worse so was brought tonite with headache and continued nausea and vomiting  q 15 minutes, in ED she was given fluids and zofran which was ineffective and then got reglan and pepcid with some relief. She got toradol for headache. No pulmonary symptoms, no cough or shortness of breath, chest xray no infiltrates, CT head done and was negative.
Age: 54.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Arthralgia, Dizziness
Clinical narrative: lightheaded, dizzy, joint pain ongoing for 1 week
Age: 54.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Arthralgia, Burning sensation, Dizziness, Hypoaesthesia, Sleep disorder
Clinical narrative: lightheaded, dizzy, joint pain ongoing for 1 week
Age: 54.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Vertigo
Clinical narrative: lightheaded, dizzy, joint pain ongoing for 1 week
Age: 54.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Arthralgia, Dizziness
Clinical narrative: Was light headed from the onset of the injection. Normal wait to leave was 15 minutes, I waited 30. Being lightheaded and dizzy with occasional vertigo has been persistent since the onset. Driving is only done if extremely necessary and when the temperatures are cool. Heat seems to increase the severity of the symptoms. Skin is numb on the top and  front the body. Not on the back of the body. Day 2 all joints became painful with a burning sensation. By 9/2 and 9/3 the sensations became tolerable enough for me to go to work, but then on 9/5 they increased substantially. 9/6/2021 symptoms did not allow me to sleep as no position was comfortable enough to fall asleep. 9/7/2021 Went to urgent care and was placed on prednisone, 1st dose allowed me to sleep for approximately 2 hours. 2nd dose was taken appx 30 minutes ago, no effect. 3rd dose will be taken before I go to bed.
Age: 54.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Arthralgia, Burning sensation, Dizziness, Hypoaesthesia, Sleep disorder
Clinical narrative: Was light headed from the onset of the injection. Normal wait to leave was 15 minutes, I waited 30. Being lightheaded and dizzy with occasional vertigo has been persistent since the onset. Driving is only done if extremely necessary and when the temperatures are cool. Heat seems to increase the severity of the symptoms. Skin is numb on the top and  front the body. Not on the back of the body. Day 2 all joints became painful with a burning sensation. By 9/2 and 9/3 the sensations became tolerable enough for me to go to work, but then on 9/5 they increased substantially. 9/6/2021 symptoms did not allow me to sleep as no position was comfortable enough to fall asleep. 9/7/2021 Went to urgent care and was placed on prednisone, 1st dose allowed me to sleep for approximately 2 hours. 2nd dose was taken appx 30 minutes ago, no effect. 3rd dose will be taken before I go to bed.
Age: 54.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Vertigo
Clinical narrative: Was light headed from the onset of the injection. Normal wait to leave was 15 minutes, I waited 30. Being lightheaded and dizzy with occasional vertigo has been persistent since the onset. Driving is only done if extremely necessary and when the temperatures are cool. Heat seems to increase the severity of the symptoms. Skin is numb on the top and  front the body. Not on the back of the body. Day 2 all joints became painful with a burning sensation. By 9/2 and 9/3 the sensations became tolerable enough for me to go to work, but then on 9/5 they increased substantially. 9/6/2021 symptoms did not allow me to sleep as no position was comfortable enough to fall asleep. 9/7/2021 Went to urgent care and was placed on prednisone, 1st dose allowed me to sleep for approximately 2 hours. 2nd dose was taken appx 30 minutes ago, no effect. 3rd dose will be taken before I go to bed.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 08/25/2021, started experiencing symptoms immediately of arm swelling, itching, and pain with welps. Primary Contact TeleHealth (08/25/2021) prescribed Hydrochlorothiazide. Primary visit scheduled @ 02:45pm.  Continuing to experience symptoms.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: male with medical comorbidities including metastatic non-small cell lung cancer (diagnosed in 2/2021, endobronchial stent placed in left lung,  on alectinib since 4/2021 and s/p palliative radiation of mediastinum, hypertension, PE found on 2/21/2021 on Eliquis, COVID-19 diagnosed on 08/30/2021 presenting with progressive shortness of breath.   Patient's symptoms began on 08/27 with nonproductive cough, dyspnea on exertion, and fatigue.  He presented to the ED for the symptoms on 08/30 where he tested positive for COVID-19, he had been vaccinated prior.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, SARS-CoV-2 test positive
Clinical narrative: male with medical comorbidities including metastatic non-small cell lung cancer (diagnosed in 2/2021, endobronchial stent placed in left lung,  on alectinib since 4/2021 and s/p palliative radiation of mediastinum, hypertension, PE found on 2/21/2021 on Eliquis, COVID-19 diagnosed on 08/30/2021 presenting with progressive shortness of breath.   Patient's symptoms began on 08/27 with nonproductive cough, dyspnea on exertion, and fatigue.  He presented to the ED for the symptoms on 08/30 where he tested positive for COVID-19, he had been vaccinated prior.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Hyperglycaemia, Hypomagnesaemia
Clinical narrative: Hospitalization - COVID-19 infection, hyperglycemia, hypomagnesemia, acute kidney injury
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Bradycardia, Cardiac pacemaker insertion, Condition aggravated, Electrocardiogram abnormal
Clinical narrative: I went for a routine cardiologist 6 month visit. They took an EKG and when the DR saw the EKG he said heart rate was too slow and skipped some beats. And he said I should get a 24hr halter after I stop taking the medication. I was told to go to the ER because my heart rate was still too slow. I was in ER 37 bpm and so they admitted me for 24 hr observation - I had no symptoms but was checked on when the alarm went off for my heart rate being too slow. The next day I was discharged because it was benign with no symptoms. Couple of days later I received DR call that they made a Cardiac electrophysiologist appointment.  At the appointment the DR said after reviewing all results old and new he said I needed a pace maker asap. 5 days later I had pace maker implant surgery. since the surgery I recuperated fine. My heart beat is at a good rate now. Because I had a history of slow heart rate. I used to have slight cough, dizziness getting out of bed/chair, some fatigue but now are gone after heart pacer surgery.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Extrasystoles
Clinical narrative: I went for a routine cardiologist 6 month visit. They took an EKG and when the DR saw the EKG he said heart rate was too slow and skipped some beats. And he said I should get a 24hr halter after I stop taking the medication. I was told to go to the ER because my heart rate was still too slow. I was in ER 37 bpm and so they admitted me for 24 hr observation - I had no symptoms but was checked on when the alarm went off for my heart rate being too slow. The next day I was discharged because it was benign with no symptoms. Couple of days later I received DR call that they made a Cardiac electrophysiologist appointment.  At the appointment the DR said after reviewing all results old and new he said I needed a pace maker asap. 5 days later I had pace maker implant surgery. since the surgery I recuperated fine. My heart beat is at a good rate now. Because I had a history of slow heart rate. I used to have slight cough, dizziness getting out of bed/chair, some fatigue but now are gone after heart pacer surgery.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Confirmed covid positive on 9/6/2021 with PCR testing
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia, Atypical pneumonia
Clinical narrative: 82 yo spanish speaking M former smoker (quit 1981) hx of HTN, HLD, DM (A1c 6.5 diet controlled), asthma, stg I papillary thyroid ca (deferred surgery per ENT 6/2020), protein S deficiency on Coumadin (leg DVT 2006), diverticulosis, diverticular bleed 3/2017 (stopped Coumadin 1 mo then resumed), afib, GERD, BPH, COVID vaccinated, p/w intermittent cough, fever, significant weakness. Symptom onset 8/23/21. COVID+ 8/27/21. Admitted given desat to high 80s on ambulation, started on remdesivir/decadron for COVID PNA. Lives with wife, ambulate wo assistive device. Independent in ADL/iADLs.    Overnight remained on RA, afebrile, hemodynamically stable.  Review of systems denies fever, chills, cp, shortness of breath, n/v/d, abdominal pain.  Does have R hand mild tremors but otherwise feels well and desires to go home  Passed road test without desat. Given no oxygen requirement, no indication for discharge with remdesivir/ dexamethasone. Family inquired regarding mAb therapy as outpatient. D/w ID, mAb only offered to transplant or severely immunocompromised patients /w daughter-in-law who will pursue mAb therapy. OP referral to continued follow up with anticoagulation clinic and life care planning.    Primary Procedures:  None    Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood chloride normal, Blood creatinine normal
Clinical narrative: 82 yo spanish speaking M former smoker (quit 1981) hx of HTN, HLD, DM (A1c 6.5 diet controlled), asthma, stg I papillary thyroid ca (deferred surgery per ENT 6/2020), protein S deficiency on Coumadin (leg DVT 2006), diverticulosis, diverticular bleed 3/2017 (stopped Coumadin 1 mo then resumed), afib, GERD, BPH, COVID vaccinated, p/w intermittent cough, fever, significant weakness. Symptom onset 8/23/21. COVID+ 8/27/21. Admitted given desat to high 80s on ambulation, started on remdesivir/decadron for COVID PNA. Lives with wife, ambulate wo assistive device. Independent in ADL/iADLs.    Overnight remained on RA, afebrile, hemodynamically stable.  Review of systems denies fever, chills, cp, shortness of breath, n/v/d, abdominal pain.  Does have R hand mild tremors but otherwise feels well and desires to go home  Passed road test without desat. Given no oxygen requirement, no indication for discharge with remdesivir/ dexamethasone. Family inquired regarding mAb therapy as outpatient. D/w ID, mAb only offered to transplant or severely immunocompromised patients /w daughter-in-law who will pursue mAb therapy. OP referral to continued follow up with anticoagulation clinic and life care planning.    Primary Procedures:  None    Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood lactate dehydrogenase increased, Blood lactic acid decreased, Blood potassium normal, Blood sodium decreased
Clinical narrative: 82 yo spanish speaking M former smoker (quit 1981) hx of HTN, HLD, DM (A1c 6.5 diet controlled), asthma, stg I papillary thyroid ca (deferred surgery per ENT 6/2020), protein S deficiency on Coumadin (leg DVT 2006), diverticulosis, diverticular bleed 3/2017 (stopped Coumadin 1 mo then resumed), afib, GERD, BPH, COVID vaccinated, p/w intermittent cough, fever, significant weakness. Symptom onset 8/23/21. COVID+ 8/27/21. Admitted given desat to high 80s on ambulation, started on remdesivir/decadron for COVID PNA. Lives with wife, ambulate wo assistive device. Independent in ADL/iADLs.    Overnight remained on RA, afebrile, hemodynamically stable.  Review of systems denies fever, chills, cp, shortness of breath, n/v/d, abdominal pain.  Does have R hand mild tremors but otherwise feels well and desires to go home  Passed road test without desat. Given no oxygen requirement, no indication for discharge with remdesivir/ dexamethasone. Family inquired regarding mAb therapy as outpatient. D/w ID, mAb only offered to transplant or severely immunocompromised patients /w daughter-in-law who will pursue mAb therapy. OP referral to continued follow up with anticoagulation clinic and life care planning.    Primary Procedures:  None    Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Brain natriuretic peptide increased, C-reactive protein normal, COVID-19, COVID-19 pneumonia
Clinical narrative: 82 yo spanish speaking M former smoker (quit 1981) hx of HTN, HLD, DM (A1c 6.5 diet controlled), asthma, stg I papillary thyroid ca (deferred surgery per ENT 6/2020), protein S deficiency on Coumadin (leg DVT 2006), diverticulosis, diverticular bleed 3/2017 (stopped Coumadin 1 mo then resumed), afib, GERD, BPH, COVID vaccinated, p/w intermittent cough, fever, significant weakness. Symptom onset 8/23/21. COVID+ 8/27/21. Admitted given desat to high 80s on ambulation, started on remdesivir/decadron for COVID PNA. Lives with wife, ambulate wo assistive device. Independent in ADL/iADLs.    Overnight remained on RA, afebrile, hemodynamically stable.  Review of systems denies fever, chills, cp, shortness of breath, n/v/d, abdominal pain.  Does have R hand mild tremors but otherwise feels well and desires to go home  Passed road test without desat. Given no oxygen requirement, no indication for discharge with remdesivir/ dexamethasone. Family inquired regarding mAb therapy as outpatient. D/w ID, mAb only offered to transplant or severely immunocompromised patients /w daughter-in-law who will pursue mAb therapy. OP referral to continued follow up with anticoagulation clinic and life care planning.    Primary Procedures:  None    Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray abnormal, Cough, Dyspnoea exertional, Glomerular filtration rate decreased
Clinical narrative: 82 yo spanish speaking M former smoker (quit 1981) hx of HTN, HLD, DM (A1c 6.5 diet controlled), asthma, stg I papillary thyroid ca (deferred surgery per ENT 6/2020), protein S deficiency on Coumadin (leg DVT 2006), diverticulosis, diverticular bleed 3/2017 (stopped Coumadin 1 mo then resumed), afib, GERD, BPH, COVID vaccinated, p/w intermittent cough, fever, significant weakness. Symptom onset 8/23/21. COVID+ 8/27/21. Admitted given desat to high 80s on ambulation, started on remdesivir/decadron for COVID PNA. Lives with wife, ambulate wo assistive device. Independent in ADL/iADLs.    Overnight remained on RA, afebrile, hemodynamically stable.  Review of systems denies fever, chills, cp, shortness of breath, n/v/d, abdominal pain.  Does have R hand mild tremors but otherwise feels well and desires to go home  Passed road test without desat. Given no oxygen requirement, no indication for discharge with remdesivir/ dexamethasone. Family inquired regarding mAb therapy as outpatient. D/w ID, mAb only offered to transplant or severely immunocompromised patients /w daughter-in-law who will pursue mAb therapy. OP referral to continued follow up with anticoagulation clinic and life care planning.    Primary Procedures:  None    Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Lipase normal, Lung infiltration, Lung opacity, Oxygen saturation decreased, Protein total normal
Clinical narrative: 82 yo spanish speaking M former smoker (quit 1981) hx of HTN, HLD, DM (A1c 6.5 diet controlled), asthma, stg I papillary thyroid ca (deferred surgery per ENT 6/2020), protein S deficiency on Coumadin (leg DVT 2006), diverticulosis, diverticular bleed 3/2017 (stopped Coumadin 1 mo then resumed), afib, GERD, BPH, COVID vaccinated, p/w intermittent cough, fever, significant weakness. Symptom onset 8/23/21. COVID+ 8/27/21. Admitted given desat to high 80s on ambulation, started on remdesivir/decadron for COVID PNA. Lives with wife, ambulate wo assistive device. Independent in ADL/iADLs.    Overnight remained on RA, afebrile, hemodynamically stable.  Review of systems denies fever, chills, cp, shortness of breath, n/v/d, abdominal pain.  Does have R hand mild tremors but otherwise feels well and desires to go home  Passed road test without desat. Given no oxygen requirement, no indication for discharge with remdesivir/ dexamethasone. Family inquired regarding mAb therapy as outpatient. D/w ID, mAb only offered to transplant or severely immunocompromised patients /w daughter-in-law who will pursue mAb therapy. OP referral to continued follow up with anticoagulation clinic and life care planning.    Primary Procedures:  None    Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Serum ferritin normal, Tremor, Troponin I normal
Clinical narrative: 82 yo spanish speaking M former smoker (quit 1981) hx of HTN, HLD, DM (A1c 6.5 diet controlled), asthma, stg I papillary thyroid ca (deferred surgery per ENT 6/2020), protein S deficiency on Coumadin (leg DVT 2006), diverticulosis, diverticular bleed 3/2017 (stopped Coumadin 1 mo then resumed), afib, GERD, BPH, COVID vaccinated, p/w intermittent cough, fever, significant weakness. Symptom onset 8/23/21. COVID+ 8/27/21. Admitted given desat to high 80s on ambulation, started on remdesivir/decadron for COVID PNA. Lives with wife, ambulate wo assistive device. Independent in ADL/iADLs.    Overnight remained on RA, afebrile, hemodynamically stable.  Review of systems denies fever, chills, cp, shortness of breath, n/v/d, abdominal pain.  Does have R hand mild tremors but otherwise feels well and desires to go home  Passed road test without desat. Given no oxygen requirement, no indication for discharge with remdesivir/ dexamethasone. Family inquired regarding mAb therapy as outpatient. D/w ID, mAb only offered to transplant or severely immunocompromised patients /w daughter-in-law who will pursue mAb therapy. OP referral to continued follow up with anticoagulation clinic and life care planning.    Primary Procedures:  None    Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Joint swelling, Peripheral swelling
Clinical narrative: Patient stated that the evening of her vaccination, the upper arm under the injection point started to swell, causing a lump the size of an orange. the swelling continued down her arm towards her elbow. The arm was red and warm to the touch. She called her primary care provider and was directed to go to an urgent care. Patient started to take Allegra in the morning, Benadryl at night, and Advil as needed along with icing the arm.  The patient came back to the pharmacy on 9/7/21 to inform of interaction. Stated that the swelling seems to be going down.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Cough, SARS-CoV-2 test positive
Clinical narrative: 83 y.o female presents to the ED with /co cough. Pt states she was seen by her PCP last week and given a prednisone taper for COPD exacerbation. She states her symptoms have never improved, and in fact, have worsened. She wears 2 L NC at home. She has not been febrile.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Hospitalization - acute hypoxemic respiratory failure due to COVID-19
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hand dermatitis, Myalgia, Thermal burn
Clinical narrative: Scalded Dermatitis on bilateral digits of hands, Full body muscle soreness and weakness, symptoms persistent for approximately a week since vaccination.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: 86 year old lady who has hx permanent atrial fibrillation on HTN, HLP, fibromyalgia, lives independently at senior living facility, presents for weakness, fatigue, dry cough, sore throat, was prescribed ceftin by PMD, was found to have COVID last Monday, presents for further evaluation and was found to be COVID 19 positive on rapid Sars.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive
Clinical narrative: 86 year old lady who has hx permanent atrial fibrillation on HTN, HLP, fibromyalgia, lives independently at senior living facility, presents for weakness, fatigue, dry cough, sore throat, was prescribed ceftin by PMD, was found to have COVID last Monday, presents for further evaluation and was found to be COVID 19 positive on rapid Sars.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Facial swelling
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient has had 4 doses of Moderna documented as well as 1 dose of Pfizer.  Dates of Moderna are:  2/18/2021, 3/01/2021, 3/22/2021, 3/28/2021.  Facility administered the dose on 3/22/2021 and charted it as 2nd dose.  Pfizer dose given on 9/04/2021.  There is no location given as to where other vaccines were given.  I have tried to contact patient, left a voice message and have not heard back from her.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, Nausea, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT Fatigue and nausea   HISTORY OF PRESENT ILLNESS Patient is a 72 y.o. female with a past medical history significant for metastatic Meckel cell carcinoma on pembrolizumab, CKD stage 4 status post renal transplant x2, immunosuppressed state secondary to prednisone and sirolimus, hyperparathyroidism secondary to renal disease, diabetes mellitus type 2, coronary artery disease, hypertension, and obstructive sleep apnea who presented to ED on 08/26/2021 after experiencing fatigue and nausea of 1 week duration.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test abnormal, Chills, Echocardiogram normal, Electrocardiogram ambulatory normal
Clinical narrative: After my second dose and between 11pm to 11:30pm, I got chills to my body, teeth were rattling against each other. My body was extremely shaking and the symptoms lasted till about 12:30am. I placed warm blankets and finally my chills and body aches eased off. At about 2am to 2:30 on 02-12-2021. woke up racing heart beat and pounding heart. I again felt exploding feeling in my chest. I contacted my PCP on Friday 02-12-2021 and reported the symptoms. The chills were vaccine related and probably related with the vaccine. I saw the cardiologist on 02-23-2021; he did an EKG in office and also ordered a 3D echocardiogram, a nuclear stress test and also a 24 hour event holter monitor was placed which I wore for two solid weeks. I took the holter off on 03-08-2021. On 03-17-2021 had echocardiogram and on 03-26-21; nuclear and echocardiogram were normal. Paroxysmal atrial fibrillation showed on the nuclear test. The cardiologist placed me on blood thinner medication because he is trying to avoid any chance of stroke. My doctor does not know if this is related to the vaccine and the timing is interesting. I feel today do not have any transient blood spikes and I am taking Eliquis 5mg twice a day. I am scheduled to see my cardiologist on October 1st 2021 to repeat exams, holter monitor. I also can not sleep due to the tinnitus since my first vaccine. I took OTC Tylenol PM to help me fall asleep. The tinnitus in my ears have not gone away and my doctor tells me I will have this for rest of my life.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Laboratory test, Pain, Palpitations, Tremor
Clinical narrative: After my second dose and between 11pm to 11:30pm, I got chills to my body, teeth were rattling against each other. My body was extremely shaking and the symptoms lasted till about 12:30am. I placed warm blankets and finally my chills and body aches eased off. At about 2am to 2:30 on 02-12-2021. woke up racing heart beat and pounding heart. I again felt exploding feeling in my chest. I contacted my PCP on Friday 02-12-2021 and reported the symptoms. The chills were vaccine related and probably related with the vaccine. I saw the cardiologist on 02-23-2021; he did an EKG in office and also ordered a 3D echocardiogram, a nuclear stress test and also a 24 hour event holter monitor was placed which I wore for two solid weeks. I took the holter off on 03-08-2021. On 03-17-2021 had echocardiogram and on 03-26-21; nuclear and echocardiogram were normal. Paroxysmal atrial fibrillation showed on the nuclear test. The cardiologist placed me on blood thinner medication because he is trying to avoid any chance of stroke. My doctor does not know if this is related to the vaccine and the timing is interesting. I feel today do not have any transient blood spikes and I am taking Eliquis 5mg twice a day. I am scheduled to see my cardiologist on October 1st 2021 to repeat exams, holter monitor. I also can not sleep due to the tinnitus since my first vaccine. I took OTC Tylenol PM to help me fall asleep. The tinnitus in my ears have not gone away and my doctor tells me I will have this for rest of my life.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt did not have any adverse events, however, he did receive 2 sets of the covid vaccine for a total of 4 doses.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue, Nausea, Stridor
Clinical narrative: 20 minutes after vaccine administration the patient reported throat tightness, dyspnea, nausea and vomited. She felt generally weak. EMS reported stridor. No rash or itching. No abdominal pain or diarrhea. No reported hypotension.  She received 50mg of benadryl and 0.5mg of epinephrine.   By arrival to the emergency room the symptoms had largely resolved. She was hemodynamically stable. Still complained of feeling tired though. she was observed for several hours and then discharged after progressive improvement of symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Vomiting
Clinical narrative: 20 minutes after vaccine administration the patient reported throat tightness, dyspnea, nausea and vomited. She felt generally weak. EMS reported stridor. No rash or itching. No abdominal pain or diarrhea. No reported hypotension.  She received 50mg of benadryl and 0.5mg of epinephrine.   By arrival to the emergency room the symptoms had largely resolved. She was hemodynamically stable. Still complained of feeling tired though. she was observed for several hours and then discharged after progressive improvement of symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid disease on 09/07/2021
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Dehydration, Dysphagia, Dyspnoea
Clinical narrative: COVID-19 diagnosed 8/24/21; received antibody infusion treatment.  Reports body aches and chills at that time.  She felt worse the following days.  On 9/1/21 (date of admission), reported SOB, worsening fatigue, in addition to ongoing dysphagia and resulting dehydration.  She reports dry heaves the last couple days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Infusion, Pain, Retching
Clinical narrative: COVID-19 diagnosed 8/24/21; received antibody infusion treatment.  Reports body aches and chills at that time.  She felt worse the following days.  On 9/1/21 (date of admission), reported SOB, worsening fatigue, in addition to ongoing dysphagia and resulting dehydration.  She reports dry heaves the last couple days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Hypoxia, Malaise
Clinical narrative: Patient is 74 years old female with PMX. of HTN, HLD, DM, obesity, RA came to hospital for Regeneron infusion, found to have hypoxia with O2sat at low 80's and was sent to ER without infusion Patient reported that 1 week ago she began feeling ill with cough and bodyaches. Yesterday she developed fevers and felt generally weak She has no report of chest pain, being lightheaded or SOB. She took a home COVID test yesterday and was positive. Patient was referred today for the infusion. While being triaged, patient was found to be hypoxic. There has been no report of vomiting or diarrhea.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is 74 years old female with PMX. of HTN, HLD, DM, obesity, RA came to hospital for Regeneron infusion, found to have hypoxia with O2sat at low 80's and was sent to ER without infusion Patient reported that 1 week ago she began feeling ill with cough and bodyaches. Yesterday she developed fevers and felt generally weak She has no report of chest pain, being lightheaded or SOB. She took a home COVID test yesterday and was positive. Patient was referred today for the infusion. While being triaged, patient was found to be hypoxic. There has been no report of vomiting or diarrhea.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Goitre, Oropharyngeal pain, Sensation of foreign body, Thyroiditis subacute
Clinical narrative: First started noticing signs of sore throat and lump in throat at end of June, beginning of July 2021. My thyroid is swollen. They have diagnosed me with subacute thyroiditis. They took me off my lithium a couple weeks ago, so far no change. Doctors keep saying I should be on steroids, but no one is prescribing them.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: First started noticing signs of sore throat and lump in throat at end of June, beginning of July 2021. My thyroid is swollen. They have diagnosed me with subacute thyroiditis. They took me off my lithium a couple weeks ago, so far no change. Doctors keep saying I should be on steroids, but no one is prescribing them.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cold sweat, Computerised tomogram normal, Diarrhoea, Dizziness
Clinical narrative: On 08/28 became very dizzy, diarrhea, clammy feeling, elevated blood pressure, was diagnosed with positional vertigo.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo positional
Clinical narrative: On 08/28 became very dizzy, diarrhea, clammy feeling, elevated blood pressure, was diagnosed with positional vertigo.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient stated that he feels lightheaded.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 1 day after the injection the injection site was red, warm and raised. Swelling then decreased. 1 week after injection the site worsened, increased swelling, redness, warmth, and itching.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive, Weight decreased
Clinical narrative: pt. is a 79 y.o. male with a past medical history significant for CAD, hyperlipidemia, aortic stenosis, chronic back pain, chronic hip pain who was admitted with a fall overnight, and positive COVID-19 test .  He has completed COVID-19 vaccination in March 2021.    His wife has been admitted in the hospital for non-COVID illness.  She is an immunocompromised individual.  The patient has been her caregiver, and has been visiting the hospital daily.  Because of stress the responsibility of taking care of his wife, he is not able to eat regularly (living), and has a weight loss about 10 lbs over the past 1-2 months.    Patient had been overall well and independent until 2 days ago when he n
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysmenorrhoea, Nausea, Pain, Pain in extremity
Clinical narrative: I experienced the most severe menstural cramps that I have ever had since I started my period as a teenager. Normal pain relief medication did not reduce the pain at all. I was in extreme pain for approximately 6 hours before the cramps stopped on their own. Pain was in my uterus, radiating to my lower back, down the front of my legs, and I had nausea which has never happened to me on my cycle before.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine pain
Clinical narrative: I experienced the most severe menstural cramps that I have ever had since I started my period as a teenager. Normal pain relief medication did not reduce the pain at all. I was in extreme pain for approximately 6 hours before the cramps stopped on their own. Pain was in my uterus, radiating to my lower back, down the front of my legs, and I had nausea which has never happened to me on my cycle before.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Menstruation irregular, Ovarian cyst
Clinical narrative: Pain to left side of abdomen. Urgent care visit for pain and rule out of kidney stone & ovarian torsion. Follow up apt to PCP and was determined to be hemorrhagic cysts to the left ovary. 2 menstrual cycles per month since 2nd dose. PCP stated this was from immune response to vaccine.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Malaise
Clinical narrative: 8/14/2021 COVID pos and began feeling ill  8/19/2021 - present to ED with cough and SOB started on dexamethasone, remdesivir and O2 discharged on 8/27/2021 9/2/2021 returns to ED with SOB but no change in O2 needs - discharged on 9/3/2021 continued on O2
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Echocardiogram, Electrocardiogram, Pericarditis
Clinical narrative: I was diagnosis with pericarditis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Pain
Clinical narrative: Extreme body  aches, fatigue,  feeling like passing out, diarrhea
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angioplasty, COVID-19, Chest discomfort, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: 60-year-old female with a history of hyperlipidemia, increased BMI family history of cardiovascular disease (father had CEA in 1996, CABG in 1998 and likely died at age 77 of an MI) book keeper for local podiatrist who came to the emergency room with complaints of chest tightness. Patient was initially placed in observation and then flipped admission troponins came high patient was seen by Cardiology in his awaits transferred for angioplasty patient is chest pain-free at this time.  Transfer held as PCR came back POSITIVE for COVID-19
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: 60-year-old female with a history of hyperlipidemia, increased BMI family history of cardiovascular disease (father had CEA in 1996, CABG in 1998 and likely died at age 77 of an MI) book keeper for local podiatrist who came to the emergency room with complaints of chest tightness. Patient was initially placed in observation and then flipped admission troponins came high patient was seen by Cardiology in his awaits transferred for angioplasty patient is chest pain-free at this time.  Transfer held as PCR came back POSITIVE for COVID-19
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood pressure increased, Hypoaesthesia, Magnetic resonance imaging, Oedema peripheral
Clinical narrative: woke up with ringing in right ear and discomfort under armpit, discovered had grapefruit size inflammation under armpit area.  Later felt sensation of borderline numbness in arm and side of face.  Went to ER, had an MRI and blood pressure was very high for myself reading at 159/98.  Followed up with primary physician several days later with concerns. Increasing ringing of the right ear increasing daily, made appointment with ENT on 9/07/21 along with a hearing test to be conducted.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: woke up with ringing in right ear and discomfort under armpit, discovered had grapefruit size inflammation under armpit area.  Later felt sensation of borderline numbness in arm and side of face.  Went to ER, had an MRI and blood pressure was very high for myself reading at 159/98.  Followed up with primary physician several days later with concerns. Increasing ringing of the right ear increasing daily, made appointment with ENT on 9/07/21 along with a hearing test to be conducted.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: By 5 p.m., had chest tightness and left arm numbness. By 10 p.m., numbness in left hand and fingers, heart palpitations (sensation of someone blowing bubbles under water but in my heart). By 2 p.m., heart palpitations continued with burning sensation on bottoms of both lungs. Still having some chest tightness and some palpitations, with left arm occasionally tingling.  Some tightness in lungs still present now when running.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac failure, Dyspnoea, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: Developed breathing problems , Dr. didn't treat condition until months later, heart failure stage 4, enlarged heart, and respiratory failure, June 18 to July 3 she was in the hospital. She now on oxygen 4 liters sitting down and 8 liters standing up such as eating, or standing up. Oxygen drops down to 70 once standing up. Cant do her daily basis any more.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: Developed breathing problems , Dr. didn't treat condition until months later, heart failure stage 4, enlarged heart, and respiratory failure, June 18 to July 3 she was in the hospital. She now on oxygen 4 liters sitting down and 8 liters standing up such as eating, or standing up. Oxygen drops down to 70 once standing up. Cant do her daily basis any more.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Colitis, Condition aggravated, Mucous stools, Pain
Clinical narrative: First, I have not had a colitis flare up for over 3 years. Almost immediately, within 2 days of receiving the vaccine, I started to see the start of the colitis flare up. Mucus in stool, change in stool, beginning of pain when passing stool. In less than a week, today, 9/7 early morning 1:30am, I awoke to tremendous full blown colitis and pain. I was about to go to the ER, but I am alone now as my husband passed in 2020. After 2.5 hours and unbearable pain, i fell asleep around 4am. This came out of NOWHERE.  The vaccine did something to my immune system. This is NOT normal!
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Asthma, COVID-19, Chronic obstructive pulmonary disease, Dizziness
Clinical narrative: Patient presented to Hospital on 9/1/2021 with complaints of fever, weakness, headache, and malaise.  He was recently hospitalized at hospital on 8/27-8/29/2021 for Covid-19 viral infection with associated general weakness and mild encephalopathy that resolved, mild COPD/asthma exacerbation, leukocytosis worsened with steroid-induced therapy, and mild renal insufficiency.  He was discharged on oral prednisone and Levaquin for 7 days.  He was recommended to continue isolation precautions through 9/4/2021 and follow-up with his PCP in 1 week.  The patient had no complaints of illness or discomfort on Sunday and Monday.  However, when he awoke on Tuesday (8/31/21)  morning he had a fever of 102 and a pounding headache.  He felt weak and dizzy.  When he awoke on Wednesday (9/1/21) he continued to feel the same.  He presented to Hospital outpatient services for Casirivimab-imbevimab 1200 mg infusion.  During that time he was afebrile with T-max 100.0 and vital signs were stable.  Wednesday evening at home, he developed a recurrent headache and febrile conditions.  He then proceeded to call EMS as he was unable to get out of his chair.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, Headache, Leukocytosis, Malaise, Mobility decreased
Clinical narrative: Patient presented to Hospital on 9/1/2021 with complaints of fever, weakness, headache, and malaise.  He was recently hospitalized at hospital on 8/27-8/29/2021 for Covid-19 viral infection with associated general weakness and mild encephalopathy that resolved, mild COPD/asthma exacerbation, leukocytosis worsened with steroid-induced therapy, and mild renal insufficiency.  He was discharged on oral prednisone and Levaquin for 7 days.  He was recommended to continue isolation precautions through 9/4/2021 and follow-up with his PCP in 1 week.  The patient had no complaints of illness or discomfort on Sunday and Monday.  However, when he awoke on Tuesday (8/31/21)  morning he had a fever of 102 and a pounding headache.  He felt weak and dizzy.  When he awoke on Wednesday (9/1/21) he continued to feel the same.  He presented to Hospital outpatient services for Casirivimab-imbevimab 1200 mg infusion.  During that time he was afebrile with T-max 100.0 and vital signs were stable.  Wednesday evening at home, he developed a recurrent headache and febrile conditions.  He then proceeded to call EMS as he was unable to get out of his chair.