chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid normal, Blood magnesium normal, Blood pH normal, Blood potassium decreased, COVID-19
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Chills, Confusional state
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dizziness, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Full blood count abnormal, Hypotension, Influenza virus test negative
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Leukopenia, Liver function test normal, Lung infiltration, Lung opacity, Malaise
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Metabolic function test, Nausea, Pain, Platelet count decreased
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary mass, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Viral infection
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, Paraesthesia oral
Clinical narrative: pt had moderna for her 1st 2 covid  vaccines and chose to 'boost' w/ pfizer -- she did not have any problems or side effects from either of those doses -- approximately 10 min after receiving her pfizer booster she noted tingling  in her lips -- she immediately took 2 of her benadryl tabs -- 15min later she said her s/s were better/improved and 30min later stated s/s had cleared/resolved -- we watched pt for an hour and was feeling fine/normal when she left.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral
Clinical narrative: pt had moderna for her 1st 2 covid  vaccines and chose to 'boost' w/ pfizer -- she did not have any problems or side effects from either of those doses -- approximately 10 min after receiving her pfizer booster she noted tingling  in her lips -- she immediately took 2 of her benadryl tabs -- 15min later she said her s/s were better/improved and 30min later stated s/s had cleared/resolved -- we watched pt for an hour and was feeling fine/normal when she left.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID positive 12/27/2021.  Presented to the ED 1/1//2022.  51-year-old female with history of asthma  presenting with lung tightness consistent with her asthma.She's been having occasional dry cough and chest tightness due to her asthma. She has been using her albuterol at home. She's not having any chest pain, abdominal pain, vomiting, diarrhea.She was in no respiratory distress, no hypoxia or tachypnea. Afebrile. Recommended continuing using her asthma medications at home and will be prescribed a course of prednisone. She will be given referral to clinic for monoclonal antibody infusion treatment. Discharged stable
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: PATIENT EXPERIENCES RED, ITCHY RASH THAT APPEARS AT DIFFERENT LOCATIONS. WILL RESOLVE IN 1/2 A DAY BUT WILL REAPPEAR AT DIFFERENT LOCATION THE NEXT DAY. RASH IS RESOLVED WITH HYDROCORTISONE CREAM BUT WILL COME BACK.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Headache, Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Employee received Booster dose of Pfizer covid vaccine on 01/25/22 at about 1:30 pm and then at about 6:00 pm she began having severe pain to her right arm  which is the injection site,  swollen and painful right lymph node,  itching all over her body,  severe headache and painful tongue with small bumps on it.  At the time of these symptoms as per employee she took Benadryl and Tylenol. Today (1/31/22) employee still has mild pain and swelling to her right arm as well as slight itching.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Tongue eruption
Clinical narrative: Employee received Booster dose of Pfizer covid vaccine on 01/25/22 at about 1:30 pm and then at about 6:00 pm she began having severe pain to her right arm  which is the injection site,  swollen and painful right lymph node,  itching all over her body,  severe headache and painful tongue with small bumps on it.  At the time of these symptoms as per employee she took Benadryl and Tylenol. Today (1/31/22) employee still has mild pain and swelling to her right arm as well as slight itching.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest pain, Echocardiogram, Electrocardiogram ambulatory, Laboratory test
Clinical narrative: PVC?s intermittingly and the continued to pick -up over the next few weeks, they became worse. While I was at work, I had enough chest pain, I gave myself an EKG on March 2, 2021. Over the next few months, they kept getting more frequent. I decided to go see a PCP in August 2021. My pain since March is about a 2 to a 3 and when it spikes it goes to 5. I was prescribed Metoprolol and 2nd Tartrate.  Last week the PVC?s got all the way to a 6. It keeps progressively and slowly building. This is still on going and being monitored.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: PVC?s intermittingly and the continued to pick -up over the next few weeks, they became worse. While I was at work, I had enough chest pain, I gave myself an EKG on March 2, 2021. Over the next few months, they kept getting more frequent. I decided to go see a PCP in August 2021. My pain since March is about a 2 to a 3 and when it spikes it goes to 5. I was prescribed Metoprolol and 2nd Tartrate.  Last week the PVC?s got all the way to a 6. It keeps progressively and slowly building. This is still on going and being monitored.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Skin test, Vaccination complication
Clinical narrative: Patient experienced a very itchy rash on body that turned painful after repeated scratching. Event occurred gradually, but intensified 2 days before her birthday. Patient went to her dermatologist and after a skin test on her back it was determined that the reaction was caused by the booster. The emergency room and her allergy doctor gave her medications to treat the symptoms. These include: claritin, an unknown steroid cream,  unknown steroid pills, methylprednisolone 4mg, and hydroxyzine 25mg. Patient is still recovering from rash. It seems to be getting better but still has symptoms. She has a follow up visit on Thursday with her allergy doctor to assess her progress.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 infection in vaccinated 2-dose series patient
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: COVID vaccine Lot 33025BD, removed by CDPHE from freezer 12-17-21 at 930am, administered to patient on 1-17-2022 after 930am, NO adv rx from pt
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal, Palpitations
Clinical narrative: began to have shortness of breath and a chest tightness, occasional chest palpitations. this has lasted for over 2 weeks. had a MD appt and now having a cardiac stress echo in 1 week. EKG was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, COVID-19, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Discharged. Patient is a 78 y.o. male who presented with profound weakness, chills, cough.  He was found to be COVID-19 positive in the emergency department.  He was significantly weak in the emergency department but was not hypoxic at rest.  With minimal exertion he required maximum assistance during an ambulation trial and became mildly hypoxic at that time.  His initial lab work was relatively unremarkable with only mild anemia.  He had no imaging findings of COVID-19 pneumonia.  He was admitted for further evaluation and management.   He was started on remdesivir but not steroids given no hypoxia on onset of illness 2 days prior to presentation.  She received 5 days of remdesivir and worked with Physical therapy and Occupational therapy who recommended subacute rehab.  Patient's strength slowly improved throughout the course of his hospitalization.  He was intermittently hypokalemic and required potassium repletion multiple times.  He was started on daily supplementation the day before discharge and this was continued when he left the hospital.  He was ultimately discharged in stable and improved condition to subacute rehab.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Exostosis, Hypokalaemia, Hypoxia
Clinical narrative: Discharged. Patient is a 78 y.o. male who presented with profound weakness, chills, cough.  He was found to be COVID-19 positive in the emergency department.  He was significantly weak in the emergency department but was not hypoxic at rest.  With minimal exertion he required maximum assistance during an ambulation trial and became mildly hypoxic at that time.  His initial lab work was relatively unremarkable with only mild anemia.  He had no imaging findings of COVID-19 pneumonia.  He was admitted for further evaluation and management.   He was started on remdesivir but not steroids given no hypoxia on onset of illness 2 days prior to presentation.  She received 5 days of remdesivir and worked with Physical therapy and Occupational therapy who recommended subacute rehab.  Patient's strength slowly improved throughout the course of his hospitalization.  He was intermittently hypokalemic and required potassium repletion multiple times.  He was started on daily supplementation the day before discharge and this was continued when he left the hospital.  He was ultimately discharged in stable and improved condition to subacute rehab.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Illness, Laboratory test, SARS-CoV-2 test positive
Clinical narrative: Discharged. Patient is a 78 y.o. male who presented with profound weakness, chills, cough.  He was found to be COVID-19 positive in the emergency department.  He was significantly weak in the emergency department but was not hypoxic at rest.  With minimal exertion he required maximum assistance during an ambulation trial and became mildly hypoxic at that time.  His initial lab work was relatively unremarkable with only mild anemia.  He had no imaging findings of COVID-19 pneumonia.  He was admitted for further evaluation and management.   He was started on remdesivir but not steroids given no hypoxia on onset of illness 2 days prior to presentation.  She received 5 days of remdesivir and worked with Physical therapy and Occupational therapy who recommended subacute rehab.  Patient's strength slowly improved throughout the course of his hospitalization.  He was intermittently hypokalemic and required potassium repletion multiple times.  He was started on daily supplementation the day before discharge and this was continued when he left the hospital.  He was ultimately discharged in stable and improved condition to subacute rehab.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, COVID-19, Cardiac telemetry, Cerebral haemorrhage, Cerebral infarction
Clinical narrative: Hospitalized 01/20/22; COVID-19 positive 01/20/2022; fully vaccinated. Discharge Provider: PRIVATE MD. Primary Care Provider: PRIVATE MD. Admission Date: 1/20/2022. Discharge Date: 1/22/2022. DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Ischemic stroke (HCC) [I63.9], Ischemic cerebrovascular accident (CVA) (HCC) [I63.9], COVID-19 virus infection [U07.1]. HOSPITAL COURSE: 66 yo female presented to the ER with the complaint of dizziness, nausea, and ataxia that started the day prior. Her head CT noted an acute infarct in the superior right MCA distribution. She additionally tested positive for Covid. She was admitted for further evaluation and management.  She was monitored on telemetry and had serial neurologic exams. A MRI was done noting a stroke with small petechial hemorrhages. Given this, Lovenox was held and neurology advised repeating a CT the following day. Over the course of her hospital stay her dizziness and ataxia resolved. Physical and occupational therapy has no concerns and feels she does not need outpatient therapy. Her repeat CT showed no worsening of her infarct or petechial hemorrhage. She will discharge home today in improved and stable condition.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Condition aggravated, Dizziness, Ischaemic stroke
Clinical narrative: Hospitalized 01/20/22; COVID-19 positive 01/20/2022; fully vaccinated. Discharge Provider: PRIVATE MD. Primary Care Provider: PRIVATE MD. Admission Date: 1/20/2022. Discharge Date: 1/22/2022. DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Ischemic stroke (HCC) [I63.9], Ischemic cerebrovascular accident (CVA) (HCC) [I63.9], COVID-19 virus infection [U07.1]. HOSPITAL COURSE: 66 yo female presented to the ER with the complaint of dizziness, nausea, and ataxia that started the day prior. Her head CT noted an acute infarct in the superior right MCA distribution. She additionally tested positive for Covid. She was admitted for further evaluation and management.  She was monitored on telemetry and had serial neurologic exams. A MRI was done noting a stroke with small petechial hemorrhages. Given this, Lovenox was held and neurology advised repeating a CT the following day. Over the course of her hospital stay her dizziness and ataxia resolved. Physical and occupational therapy has no concerns and feels she does not need outpatient therapy. Her repeat CT showed no worsening of her infarct or petechial hemorrhage. She will discharge home today in improved and stable condition.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Nausea, Neurological examination, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/20/22; COVID-19 positive 01/20/2022; fully vaccinated. Discharge Provider: PRIVATE MD. Primary Care Provider: PRIVATE MD. Admission Date: 1/20/2022. Discharge Date: 1/22/2022. DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Ischemic stroke (HCC) [I63.9], Ischemic cerebrovascular accident (CVA) (HCC) [I63.9], COVID-19 virus infection [U07.1]. HOSPITAL COURSE: 66 yo female presented to the ER with the complaint of dizziness, nausea, and ataxia that started the day prior. Her head CT noted an acute infarct in the superior right MCA distribution. She additionally tested positive for Covid. She was admitted for further evaluation and management.  She was monitored on telemetry and had serial neurologic exams. A MRI was done noting a stroke with small petechial hemorrhages. Given this, Lovenox was held and neurology advised repeating a CT the following day. Over the course of her hospital stay her dizziness and ataxia resolved. Physical and occupational therapy has no concerns and feels she does not need outpatient therapy. Her repeat CT showed no worsening of her infarct or petechial hemorrhage. She will discharge home today in improved and stable condition.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Product preparation issue, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: The vaccine was mixed incorrectly: The 12+ vial that should have been diluted with 1.8 ml's of 0.9% sodium chloride was instead diluted with 1.8 ml's of sterile water.    Patient was still given 0.3 ml's but we spoke with Pfizer and they stated  they could not clarify validity or stability because they have not run any tests regarding diluting with sterile water. Basically to review it with the medical director of the clinic and that dose is invalid so revaccination is necessary.  Patient's mother was notified and patient did have fever of 102 degrees and body aches that lasted 3 days.  He was seen 3 days later by his PCP due to these symptoms.  A Covid test was done which was negative.  Supportive treatment recommended.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: reported feeling lightheaded after vaccine. she reports feeling this way frequently after getting vaccines. placed in supine position. symptoms resolved upon discharge.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Arm soreness (it was difficult to lift my arm). Tiredness.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Speech disorder
Clinical narrative: Suspect COVID breakthrough case Brought to ER for inability to speak with subsequent COVID positive finding
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient received first vaccination 03/04/2021, developed COVID19 on 01/13/2022, admitted to the hospital on 01/18/2022, and passed away on 01/26/2022. Patients death is currently under investigation to see if it was COVID related.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized for COVID pneumonia and Acute Respiratory Failure
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Decreased appetite, Fatigue, Impaired work ability, Malaise
Clinical narrative: Muscle aches, fatigue, loss of appetite, "bubbling in stomach." Patient reported not feeling well enough to report to work.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Muscle aches, fatigue, loss of appetite, "bubbling in stomach." Patient reported not feeling well enough to report to work.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated x3 (Moderna): 2/2/21, 3/2/21, 12/8/21  Patient admitted to Medical center after testing positive for COVID19 on 1/29/22
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Fibrin D dimer, Oxygen saturation decreased
Clinical narrative: I HAD DECREASED OXYGEN LEVELS & SHORTNESS OF BREATH. IT HAPPENED 2 OR 3 TIMES AND THEN I WENT TO DR & MY NEBULIZER TREATMENT WAS ELEVATED.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 ILLNESS.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was administered the whole vial without dilution.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Obstructive airways disorder, Pyrexia, Serum sickness-like reaction
Clinical narrative: Suspect serum sickness-like syndrome after doses 2 and 3 of Moderna vaccine (given 2/4/2021 and 1/12/2022). On both occassions ~5d after had urticarial rash, fevers, chills. Send episode January 2022 had arthralgia and airway involvement.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Suspect serum sickness-like syndrome after doses 2 and 3 of Moderna vaccine (given 2/4/2021 and 1/12/2022). On both occassions ~5d after had urticarial rash, fevers, chills. Send episode January 2022 had arthralgia and airway involvement.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 ILLNESS
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Gingival discolouration, Lip swelling, Peripheral swelling, Rash
Clinical narrative: 1 day after immunization administration onset of itchy rash that progressively spread throughout the body. Was seen at an ER 1/30/22 for worsening itchy rash, was given Benadryl and hydrocortisone and sent home. Reported to our office for worsening symptoms with bilateral hand swelling, lip swelling and gum discoloration. Also reported diarrhea yesterday and spreading itchy/painful rash. Vital signs were stable. Was given PO Benadryl in the office and sent to the ER for further evaluation for potential reaction.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: 1 day after immunization administration onset of itchy rash that progressively spread throughout the body. Was seen at an ER 1/30/22 for worsening itchy rash, was given Benadryl and hydrocortisone and sent home. Reported to our office for worsening symptoms with bilateral hand swelling, lip swelling and gum discoloration. Also reported diarrhea yesterday and spreading itchy/painful rash. Vital signs were stable. Was given PO Benadryl in the office and sent to the ER for further evaluation for potential reaction.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Petechiae, Swelling face
Clinical narrative: Pt woke up the next morning with small red spots-non blanching petechia all over her face and her face and eyes were swollen
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for Covid 19 infection and complications
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Chills, fever, body aches started at 2:30 AM (woke me up). I shivered for maybe 30 minutes before taking a hot bath. This helped with chills, but body aches got worse for the next 12 hours or so. My fever reached 100.7 F.  All adverse effects ended within 24 hours of onset.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/26/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Dyspnoea, Imaging procedure
Clinical narrative: Patient is fully vaccinated. She states that she tested positive for COVID 19 just prior to ED visit 1/1/2022.  60-year-old female with history of obesity, diabetes, and hypertension presents with generalized body aches, shortness of breath, intermittent fevers and chills for approximately 5 days.She denies any chest pain, abdominal pain, constipation, or diarrhea. CXR: Bibasilar airspace opacities may reflect atelectasis or developing infectious consolidation. Patient's oxygen saturation was greater than 93% Imaging was negative for any acute pathologic process, the patient's lab workup was benign. She is currently stable for discharge. She has been set up for outpatient monoclonal antibody therapy.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Lung opacity, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. She states that she tested positive for COVID 19 just prior to ED visit 1/1/2022.  60-year-old female with history of obesity, diabetes, and hypertension presents with generalized body aches, shortness of breath, intermittent fevers and chills for approximately 5 days.She denies any chest pain, abdominal pain, constipation, or diarrhea. CXR: Bibasilar airspace opacities may reflect atelectasis or developing infectious consolidation. Patient's oxygen saturation was greater than 93% Imaging was negative for any acute pathologic process, the patient's lab workup was benign. She is currently stable for discharge. She has been set up for outpatient monoclonal antibody therapy.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt accidentally given a Moderna vaccine at the ate of 17.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Axillary pain, Blood test abnormal, Groin pain, Liver disorder
Clinical narrative: After the 2nd Vaccine, I started to have pain under my armpit and in pelvic and groin area. Symptoms did go away and there were no issues. After the booster shot that I received I experienced the same pain in the same areas however over the few weeks it became increasingly worse to the point that I needed to go to the ER. In the ER, bloodwork showed that my identifiers for lymph node activity were extremely high and was referred to a Hematology Oncologist specialist. My symptoms have improved however I am still experiencing pain under my armpits and in my groin area however it is no longer debilitating. I went to the doctors and saw CRNP, starry sky liver syndrome due to right sided abdominal pain and it is usually due to an autoimmune disease however they cannot find anything.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pelvic pain
Clinical narrative: After the 2nd Vaccine, I started to have pain under my armpit and in pelvic and groin area. Symptoms did go away and there were no issues. After the booster shot that I received I experienced the same pain in the same areas however over the few weeks it became increasingly worse to the point that I needed to go to the ER. In the ER, bloodwork showed that my identifiers for lymph node activity were extremely high and was referred to a Hematology Oncologist specialist. My symptoms have improved however I am still experiencing pain under my armpits and in my groin area however it is no longer debilitating. I went to the doctors and saw CRNP, starry sky liver syndrome due to right sided abdominal pain and it is usually due to an autoimmune disease however they cannot find anything.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/28/2021
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, C-reactive protein increased, Fatigue, Full blood count, Headache
Clinical narrative: slept for over 24 hours, fever, severe body aches, severe fatigue, blood sugar elevated to 577, worsened headaches, nausea and vomiting
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Metabolic function test, Nausea, Pain, Pyrexia
Clinical narrative: slept for over 24 hours, fever, severe body aches, severe fatigue, blood sugar elevated to 577, worsened headaches, nausea and vomiting
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, SARS-CoV-2 test negative, Vomiting
Clinical narrative: slept for over 24 hours, fever, severe body aches, severe fatigue, blood sugar elevated to 577, worsened headaches, nausea and vomiting
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Pyrexia, Rash, Rash macular
Clinical narrative: Patient presented with an erythematous macular rash covering his abdomen. His mother immediately brought him into the hospital after noting a temperature of 101.8.   patient receive a 20mL/kg bolus of NS. He also received 50 mg/kg cefepime and 1 g ceftriaxone . For his fever, he received 10mg/kg ibuprofen and 325 mg acetaminophen.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented with an erythematous macular rash covering his abdomen. His mother immediately brought him into the hospital after noting a temperature of 101.8.   patient receive a 20mL/kg bolus of NS. He also received 50 mg/kg cefepime and 1 g ceftriaxone . For his fever, he received 10mg/kg ibuprofen and 325 mg acetaminophen.