chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Ear pruritus, Injection site pruritus, Injection site urticaria, Joint swelling
Clinical narrative: Swollen tongue, hands, wrist, armpits, feet. Itchy throat/caugh, itchy wrists, palms, ears, buttocks, feet, armpits. Developed hives on wrists, armpits, buttocks, left arm around injection site.  Received 1 shot left arm 09:30 A.M. first sign of reaction was itchiness left palm and injection site 1 minute after injection. Within 5 minutes itchiness spread to palms, wrists, ears, throat, feet, armpits, buttocks. After 5 minutes noticed swelling in hands, feet and tongue followed with hived around armpits, both wrists, buttocks, left arm.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Swollen tongue, Throat irritation, Urticaria
Clinical narrative: Swollen tongue, hands, wrist, armpits, feet. Itchy throat/caugh, itchy wrists, palms, ears, buttocks, feet, armpits. Developed hives on wrists, armpits, buttocks, left arm around injection site.  Received 1 shot left arm 09:30 A.M. first sign of reaction was itchiness left palm and injection site 1 minute after injection. Within 5 minutes itchiness spread to palms, wrists, ears, throat, feet, armpits, buttocks. After 5 minutes noticed swelling in hands, feet and tongue followed with hived around armpits, both wrists, buttocks, left arm.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Lip swelling, Peripheral swelling, Urticaria
Clinical narrative: Full on anaphylaxis. Full body hives, swelling of hands and feet and lips, tightness in chest.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 1st vaccine was Moderna . 2nd vaccine was Pfizer
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site pain, Injection site warmth, Sleep disorder
Clinical narrative: redness - 3"x4" oval down tricep. can still see injection site injection site on arm warm pain - feels like a bruise when touched. can't sleep on that side started 2 days after vaccination (9/24), called pharmacy to report on 9/25 upon follow up with patient on 9/26, area is not as big/red/warm, but just as painful. pt took ibuprofen 200mg twice with some relief
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Cold sweat, Rash
Clinical narrative: Rash on both arms and upper torso.  Clammy feeling during sleep hours Mostly resolved today 9/27
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Infectious pleural effusion
Clinical narrative: Presented to the ER on 9/18/21 with Cough sputum production shortness of breath.  Today she presented to the ER tested positive for COVID requiring oxygen to maintain oxygen saturation in the ER.  She denies chest pain abdominal discomfort urinary discomfort.  She states she is fairly active drives by herself and is independent to activities of daily living.  She has been able to eat and drink.  Denies fever chills nausea vomiting.  She does not have any other symptoms per patient.  She reports she does not want to be resuscitated or intubated she states she has paperwork.   Blood pressure 148/77, pulse 66, temperature 97.8 °F (36.6 °C), temperature source Oral, resp. rate 20, height 5' 1" (1.549 m), weight 126 lb (57.2 kg), SpO2 96 %.  Patient on nasal cannula Appears comfortable at present Appears to be hard of hearing Lungs are moving air there are occasional crackles no use of accessory muscles S1-S2 systolic murmur rate and rhythm appears to normal Abdomen is soft nondistended it did not appreciate any tenderness Legs are nonedematous Patient appears to be alert oriented and giving a good story no focal neurological deficits appreciated . Started on antibiotic, dexamethasone, remdesivir             CXR-Left lower lobe and right middle lobe pneumonia with a left parapneumonic effusion.  This is new when compared to a February 1, 2021 study.  Lasix dose increased IV .  Other cardiac med dose decreased. Pulmonology and ID recommendation appreciated.             Continue improving.  Plan to continue remdesivir 5 days.  If clinically stable home with oral antibiotic and steroid.  6 minute walk test prior to discharge. Was on room air on 9/25. Discharged 9/25/21
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Pneumonia, Productive cough, Pulmonary oedema, Rales
Clinical narrative: Presented to the ER on 9/18/21 with Cough sputum production shortness of breath.  Today she presented to the ER tested positive for COVID requiring oxygen to maintain oxygen saturation in the ER.  She denies chest pain abdominal discomfort urinary discomfort.  She states she is fairly active drives by herself and is independent to activities of daily living.  She has been able to eat and drink.  Denies fever chills nausea vomiting.  She does not have any other symptoms per patient.  She reports she does not want to be resuscitated or intubated she states she has paperwork.   Blood pressure 148/77, pulse 66, temperature 97.8 °F (36.6 °C), temperature source Oral, resp. rate 20, height 5' 1" (1.549 m), weight 126 lb (57.2 kg), SpO2 96 %.  Patient on nasal cannula Appears comfortable at present Appears to be hard of hearing Lungs are moving air there are occasional crackles no use of accessory muscles S1-S2 systolic murmur rate and rhythm appears to normal Abdomen is soft nondistended it did not appreciate any tenderness Legs are nonedematous Patient appears to be alert oriented and giving a good story no focal neurological deficits appreciated . Started on antibiotic, dexamethasone, remdesivir             CXR-Left lower lobe and right middle lobe pneumonia with a left parapneumonic effusion.  This is new when compared to a February 1, 2021 study.  Lasix dose increased IV .  Other cardiac med dose decreased. Pulmonology and ID recommendation appreciated.             Continue improving.  Plan to continue remdesivir 5 days.  If clinically stable home with oral antibiotic and steroid.  6 minute walk test prior to discharge. Was on room air on 9/25. Discharged 9/25/21
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Walking distance test
Clinical narrative: Presented to the ER on 9/18/21 with Cough sputum production shortness of breath.  Today she presented to the ER tested positive for COVID requiring oxygen to maintain oxygen saturation in the ER.  She denies chest pain abdominal discomfort urinary discomfort.  She states she is fairly active drives by herself and is independent to activities of daily living.  She has been able to eat and drink.  Denies fever chills nausea vomiting.  She does not have any other symptoms per patient.  She reports she does not want to be resuscitated or intubated she states she has paperwork.   Blood pressure 148/77, pulse 66, temperature 97.8 °F (36.6 °C), temperature source Oral, resp. rate 20, height 5' 1" (1.549 m), weight 126 lb (57.2 kg), SpO2 96 %.  Patient on nasal cannula Appears comfortable at present Appears to be hard of hearing Lungs are moving air there are occasional crackles no use of accessory muscles S1-S2 systolic murmur rate and rhythm appears to normal Abdomen is soft nondistended it did not appreciate any tenderness Legs are nonedematous Patient appears to be alert oriented and giving a good story no focal neurological deficits appreciated . Started on antibiotic, dexamethasone, remdesivir             CXR-Left lower lobe and right middle lobe pneumonia with a left parapneumonic effusion.  This is new when compared to a February 1, 2021 study.  Lasix dose increased IV .  Other cardiac med dose decreased. Pulmonology and ID recommendation appreciated.             Continue improving.  Plan to continue remdesivir 5 days.  If clinically stable home with oral antibiotic and steroid.  6 minute walk test prior to discharge. Was on room air on 9/25. Discharged 9/25/21
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt was schedule for 3rd dose of vaccine Modern for 9/2/21.   Pt stated he had only received his covid vaccine series at North star health clinic. At the time of appointment pt verbally stated he had not received his 3rd dose of moderna. after the fact it was fount that he had received a 3rd dose at another clinic according to vac track.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Urticaria, Vomiting
Clinical narrative: diarrhea, vomiting, diffuse urticaria
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Blood pressure increased, Fatigue, Pyrexia
Clinical narrative: HIGH BP, FEVER , FATIGUE
Age: 0.42
Sex: U
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Antiphospholipid antibodies negative, Arterial catheterisation, Blood creatinine normal, Blood lactate dehydrogenase increased, Blood potassium increased
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein normal, COVID-19, COVID-19 pneumonia, Central venous catheterisation, Chest X-ray abnormal
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Complication of device insertion, Distributive shock, Endotracheal intubation, Fibrin D dimer increased, Hypotension
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Inflammatory marker decreased, Leukocytosis, Liver function test increased, Lung opacity
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oesophageal dilation procedure, Paralysis, Pneumonia, Positive airway pressure therapy, Procalcitonin
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Prone position, Pulmonary oedema, Respiratory failure, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death
Clinical narrative: 9/26: History of Present Illness   PT is a 67 yo female transferred from hospital on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at hospital per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at hospital, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per other hospital notes. Other hospital BLE doppler US negative for clots. No CT done per other hospital records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick.  9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: AST/ALT ratio, Angiogram pulmonary abnormal, Blood alkaline phosphatase increased, Blood bicarbonate decreased, Blood chloride increased
Clinical narrative: Presented to the ED  on 9/21/21 from NH for confusion x3-4 days, found to have covid pneumonia. Vitals remarkable for tachycardia, SBP >170, afebrile, Saturating 91% on room air, later requiring 4L. Labs remarkable for sodium 152, Cl 124, SCR 1.40, AST/ALT 46/120, alk phos 143, glucose 275, troponin 0.091, Hgb 17.6, dimer 1.16, CRP 114, PCT 0.42. ABG ph 7.431, PO2 50.8, PCO2 28.4, bicarb 19.9. CT PE negative for PE, consistent with covid pneumonia, cholelithiasis.    Patient started on dexamethsone and remdesivi, but d/c'ed after three doses as doing well on room air. Started on rocephin and azith, which were discontinued at discharge. Dishcarged on 9/24/21
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood glucose increased, Blood pH normal, Blood sodium increased, C-reactive protein increased
Clinical narrative: Presented to the ED  on 9/21/21 from NH for confusion x3-4 days, found to have covid pneumonia. Vitals remarkable for tachycardia, SBP >170, afebrile, Saturating 91% on room air, later requiring 4L. Labs remarkable for sodium 152, Cl 124, SCR 1.40, AST/ALT 46/120, alk phos 143, glucose 275, troponin 0.091, Hgb 17.6, dimer 1.16, CRP 114, PCT 0.42. ABG ph 7.431, PO2 50.8, PCO2 28.4, bicarb 19.9. CT PE negative for PE, consistent with covid pneumonia, cholelithiasis.    Patient started on dexamethsone and remdesivi, but d/c'ed after three doses as doing well on room air. Started on rocephin and azith, which were discontinued at discharge. Dishcarged on 9/24/21
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cholelithiasis, Computerised tomogram thorax
Clinical narrative: Presented to the ED  on 9/21/21 from NH for confusion x3-4 days, found to have covid pneumonia. Vitals remarkable for tachycardia, SBP >170, afebrile, Saturating 91% on room air, later requiring 4L. Labs remarkable for sodium 152, Cl 124, SCR 1.40, AST/ALT 46/120, alk phos 143, glucose 275, troponin 0.091, Hgb 17.6, dimer 1.16, CRP 114, PCT 0.42. ABG ph 7.431, PO2 50.8, PCO2 28.4, bicarb 19.9. CT PE negative for PE, consistent with covid pneumonia, cholelithiasis.    Patient started on dexamethsone and remdesivi, but d/c'ed after three doses as doing well on room air. Started on rocephin and azith, which were discontinued at discharge. Dishcarged on 9/24/21
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Fibrin D dimer, Haemoglobin normal, Interstitial lung disease, Lung opacity
Clinical narrative: Presented to the ED  on 9/21/21 from NH for confusion x3-4 days, found to have covid pneumonia. Vitals remarkable for tachycardia, SBP >170, afebrile, Saturating 91% on room air, later requiring 4L. Labs remarkable for sodium 152, Cl 124, SCR 1.40, AST/ALT 46/120, alk phos 143, glucose 275, troponin 0.091, Hgb 17.6, dimer 1.16, CRP 114, PCT 0.42. ABG ph 7.431, PO2 50.8, PCO2 28.4, bicarb 19.9. CT PE negative for PE, consistent with covid pneumonia, cholelithiasis.    Patient started on dexamethsone and remdesivi, but d/c'ed after three doses as doing well on room air. Started on rocephin and azith, which were discontinued at discharge. Dishcarged on 9/24/21
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, PCO2 decreased, PO2 decreased, Procalcitonin, Tachycardia
Clinical narrative: Presented to the ED  on 9/21/21 from NH for confusion x3-4 days, found to have covid pneumonia. Vitals remarkable for tachycardia, SBP >170, afebrile, Saturating 91% on room air, later requiring 4L. Labs remarkable for sodium 152, Cl 124, SCR 1.40, AST/ALT 46/120, alk phos 143, glucose 275, troponin 0.091, Hgb 17.6, dimer 1.16, CRP 114, PCT 0.42. ABG ph 7.431, PO2 50.8, PCO2 28.4, bicarb 19.9. CT PE negative for PE, consistent with covid pneumonia, cholelithiasis.    Patient started on dexamethsone and remdesivi, but d/c'ed after three doses as doing well on room air. Started on rocephin and azith, which were discontinued at discharge. Dishcarged on 9/24/21
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin
Clinical narrative: Presented to the ED  on 9/21/21 from NH for confusion x3-4 days, found to have covid pneumonia. Vitals remarkable for tachycardia, SBP >170, afebrile, Saturating 91% on room air, later requiring 4L. Labs remarkable for sodium 152, Cl 124, SCR 1.40, AST/ALT 46/120, alk phos 143, glucose 275, troponin 0.091, Hgb 17.6, dimer 1.16, CRP 114, PCT 0.42. ABG ph 7.431, PO2 50.8, PCO2 28.4, bicarb 19.9. CT PE negative for PE, consistent with covid pneumonia, cholelithiasis.    Patient started on dexamethsone and remdesivi, but d/c'ed after three doses as doing well on room air. Started on rocephin and azith, which were discontinued at discharge. Dishcarged on 9/24/21
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes normal, Chest X-ray normal, Chest discomfort, Chest pain, Discomfort
Clinical narrative: Became having heart palpitations and elevated heart rate both resting and on  exertion. Would increase in severity on exertion.   On 9/23/21 began feeling chest pain that was a heavy feeling on my left side with extreme tightness. I tried going to primary care but was referred to ER. Went to ER approx 5:30pm that day. ER at EMMC ran labs including a d dimer, CMP, Troponin, CBC, thyroid, electrolytes, and urinalysis. No abnormal findings. They also did a chest x ray and EKG which also came back normal. Covid test also negative. Upon asking, they denied filing a VAERS and said I was primary cares responsibility to determine if they wanted to file one. They said to possibly follow up with primary care to possibly get a Holter monitor or possible echocardiogram for re-evaluation.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer, Full blood count normal, Heart rate increased, Laboratory test
Clinical narrative: Became having heart palpitations and elevated heart rate both resting and on  exertion. Would increase in severity on exertion.   On 9/23/21 began feeling chest pain that was a heavy feeling on my left side with extreme tightness. I tried going to primary care but was referred to ER. Went to ER approx 5:30pm that day. ER at EMMC ran labs including a d dimer, CMP, Troponin, CBC, thyroid, electrolytes, and urinalysis. No abnormal findings. They also did a chest x ray and EKG which also came back normal. Covid test also negative. Upon asking, they denied filing a VAERS and said I was primary cares responsibility to determine if they wanted to file one. They said to possibly follow up with primary care to possibly get a Holter monitor or possible echocardiogram for re-evaluation.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Palpitations, Thyroid function test normal, Troponin normal, Urine analysis normal
Clinical narrative: Became having heart palpitations and elevated heart rate both resting and on  exertion. Would increase in severity on exertion.   On 9/23/21 began feeling chest pain that was a heavy feeling on my left side with extreme tightness. I tried going to primary care but was referred to ER. Went to ER approx 5:30pm that day. ER at EMMC ran labs including a d dimer, CMP, Troponin, CBC, thyroid, electrolytes, and urinalysis. No abnormal findings. They also did a chest x ray and EKG which also came back normal. Covid test also negative. Upon asking, they denied filing a VAERS and said I was primary cares responsibility to determine if they wanted to file one. They said to possibly follow up with primary care to possibly get a Holter monitor or possible echocardiogram for re-evaluation.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Insomnia, Pain
Clinical narrative: Fever, body and joint pain, terrible Headache, chills, unable to sleep through night, gland  pain
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, body and joint pain, terrible Headache, chills, unable to sleep through night, gland  pain
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Non stop ringing in both ears day after my second dose.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Differential white blood cell count, Dyspnoea, Electrocardiogram
Clinical narrative: Head ache, feaver, muscle cramps, muscle pain, chest pain (possible pericarditis), shortness of breath, fatigue
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Headache, Metabolic function test, Muscle spasms
Clinical narrative: Head ache, feaver, muscle cramps, muscle pain, chest pain (possible pericarditis), shortness of breath, fatigue
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Troponin I
Clinical narrative: Head ache, feaver, muscle cramps, muscle pain, chest pain (possible pericarditis), shortness of breath, fatigue
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Headache, fever, chills, muscle pain, back pain, swollen lymph nodes
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, fever, chills, muscle pain, back pain, swollen lymph nodes
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Injection site swelling, Injection site warmth, Spondylitis
Clinical narrative: After the injection (day after), it was swollen - a little bit and hot to the touch (at the injection site) and it lasted a day or so. The following week, I started to get back pain and I hadn't experienced back pain before and it was mostly lower back pain and I was feeling tired day after day and then I started feeling better but then I started having back pain again. I saw Dr. (Sept 9th) for a routine appt and I told her about my lower back pain issues. She prescribed a muscle relaxer and she said I had arthritis in my back  - she pulled up my old x-rays to see about it. She said we could do further tests later if it doesn't resolved.  The muscle relaxers worked and she recommended me to do ice and hot and stretching and I'm doing health care at home and it's much improved. Seems to be resolving at this time.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Tinnitus
Clinical narrative: Severe Tinnitus, severe sweating attacks
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash
Clinical narrative: after about 5 min or so my arm where I received injection started itching very badly. rash formed and spread down my arm
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Malaise, Pain
Clinical narrative: Patient states started feeling ill on 9/21/21 with chest tightness, dry cough and overall achiness. Tested on 9/24, and positive results on 9/26/21. Patient's husband tested positive on 9/23/21
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient states started feeling ill on 9/21/21 with chest tightness, dry cough and overall achiness. Tested on 9/24, and positive results on 9/26/21. Patient's husband tested positive on 9/23/21
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Headache
Clinical narrative: Hospitalization cough, vomiting, diarrhea, headache, and chills tested positive for COVID at HCF on 9/18.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalization cough, vomiting, diarrhea, headache, and chills tested positive for COVID at HCF on 9/18.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, Abdominal pain, Alanine aminotransferase, Aspartate aminotransferase, Bile duct stenosis
Clinical narrative: I was hospitalized with pancreatitis on April 1st due to ongoing nausea, vomiting, abdominal pain. My AST/ALT were in the 1700s and I was admitted to manage the symptoms via morphine and IV fluids. I was discharged 3 days later, however, I still had ongoing nausea, vomiting, extreme weight loss, and reduced appetite. I was hospitalized again on June 6th due to similar symptoms and my liver function levels were in the 1400s again. According to a Physician, they believe my pancreatic episode was never resolved from April to June. They found a blockage and narrowing in my biliary duct, so a GI doctor placed a stent in my biliary duct. The stent was too small and ended up backing bile back into my body, making me worse, so they placed a larger stent (10cm). I still suffered from nausea and reduced appetite due to vomiting. I had the stent removed in August 2021 and they determined possible autoimmune hepatitis as an underlying issue and I am in the process of getting a liver biopsy currently.  The GI doctors do agree there could be a correlation from gallbladder issues due to a strong family history of gallbladder attacks (mother, maternal grandparents, and maternal uncle)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bile duct stent insertion, Bile duct stent removal, Biliary obstruction, Computerised tomogram, Decreased appetite
Clinical narrative: I was hospitalized with pancreatitis on April 1st due to ongoing nausea, vomiting, abdominal pain. My AST/ALT were in the 1700s and I was admitted to manage the symptoms via morphine and IV fluids. I was discharged 3 days later, however, I still had ongoing nausea, vomiting, extreme weight loss, and reduced appetite. I was hospitalized again on June 6th due to similar symptoms and my liver function levels were in the 1400s again. According to a Physician, they believe my pancreatic episode was never resolved from April to June. They found a blockage and narrowing in my biliary duct, so a GI doctor placed a stent in my biliary duct. The stent was too small and ended up backing bile back into my body, making me worse, so they placed a larger stent (10cm). I still suffered from nausea and reduced appetite due to vomiting. I had the stent removed in August 2021 and they determined possible autoimmune hepatitis as an underlying issue and I am in the process of getting a liver biopsy currently.  The GI doctors do agree there could be a correlation from gallbladder issues due to a strong family history of gallbladder attacks (mother, maternal grandparents, and maternal uncle)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endoscopic retrograde cholangiopancreatography, Endoscopy, Magnetic resonance imaging, Nausea, Pancreatitis
Clinical narrative: I was hospitalized with pancreatitis on April 1st due to ongoing nausea, vomiting, abdominal pain. My AST/ALT were in the 1700s and I was admitted to manage the symptoms via morphine and IV fluids. I was discharged 3 days later, however, I still had ongoing nausea, vomiting, extreme weight loss, and reduced appetite. I was hospitalized again on June 6th due to similar symptoms and my liver function levels were in the 1400s again. According to a Physician, they believe my pancreatic episode was never resolved from April to June. They found a blockage and narrowing in my biliary duct, so a GI doctor placed a stent in my biliary duct. The stent was too small and ended up backing bile back into my body, making me worse, so they placed a larger stent (10cm). I still suffered from nausea and reduced appetite due to vomiting. I had the stent removed in August 2021 and they determined possible autoimmune hepatitis as an underlying issue and I am in the process of getting a liver biopsy currently.  The GI doctors do agree there could be a correlation from gallbladder issues due to a strong family history of gallbladder attacks (mother, maternal grandparents, and maternal uncle)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: I was hospitalized with pancreatitis on April 1st due to ongoing nausea, vomiting, abdominal pain. My AST/ALT were in the 1700s and I was admitted to manage the symptoms via morphine and IV fluids. I was discharged 3 days later, however, I still had ongoing nausea, vomiting, extreme weight loss, and reduced appetite. I was hospitalized again on June 6th due to similar symptoms and my liver function levels were in the 1400s again. According to a Physician, they believe my pancreatic episode was never resolved from April to June. They found a blockage and narrowing in my biliary duct, so a GI doctor placed a stent in my biliary duct. The stent was too small and ended up backing bile back into my body, making me worse, so they placed a larger stent (10cm). I still suffered from nausea and reduced appetite due to vomiting. I had the stent removed in August 2021 and they determined possible autoimmune hepatitis as an underlying issue and I am in the process of getting a liver biopsy currently.  The GI doctors do agree there could be a correlation from gallbladder issues due to a strong family history of gallbladder attacks (mother, maternal grandparents, and maternal uncle)
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Consciousness fluctuating, Feeling hot, Hypopnoea
Clinical narrative: The patient left the pharmacy fine but came back a few minutes later feeling overheated and needed to set. The she started to breath shallowly and go in and out of consiousness. An ambulence was called and she was taken to the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cluster headache, Condition aggravated, Feeling cold, Nausea, Pain
Clinical narrative: 1. arm soreness - started 5 am Apr 9; no treatment; resolved in about 3 days 2. chills - started 5 am Apr 9; no treatment; intermittent; resolved in 24 hrs 3. body aches - started 5 am Apr 9; no treatment; intermittent; resolved in 24 hrs 4. nausea - started 5 am Apr 9;  no treatment; intermittent; resolved in 24 hrs 5. vertigo - started Apr 12; Epley maneuver; resolved in about 7 days 6. cluster headaches (with light sensitivity) - started 5 am Apr 9; several treatments: Excedrin, oxygen, verapamil increased, sphenopalatine nerve blocks, occipital nerve block, Emgality injections; ongoing at Sep 27.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vertigo
Clinical narrative: 1. arm soreness - started 5 am Apr 9; no treatment; resolved in about 3 days 2. chills - started 5 am Apr 9; no treatment; intermittent; resolved in 24 hrs 3. body aches - started 5 am Apr 9; no treatment; intermittent; resolved in 24 hrs 4. nausea - started 5 am Apr 9;  no treatment; intermittent; resolved in 24 hrs 5. vertigo - started Apr 12; Epley maneuver; resolved in about 7 days 6. cluster headaches (with light sensitivity) - started 5 am Apr 9; several treatments: Excedrin, oxygen, verapamil increased, sphenopalatine nerve blocks, occipital nerve block, Emgality injections; ongoing at Sep 27.
Age: 19.0
Sex: M
Vaccine: HPV9
Symptoms: Blindness, Pallor
Clinical narrative: patient was given vaccines at 2:52. Mother asked how he was doing. he said fine. this was his second dose. i asked how he did with his first vaccine and said no issues.  told patient he is supposed to wait 15 minutes but since he had no issues with fist  he could leave.  pcp told me to give vaccine on opposite arm as last time because he was sore  arm and a localized rash.  patient walked out to lobby to check out and he asked for a chair.  patient said he couldn't see, was pale in color,  911 was called , crash team was called , bp, pulse and sugar level were checked and monitored.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Immediate post-injection reaction, Swollen tongue
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 04/08/2021, started experiencing symptoms immediately of tongue swelling, self-treated with EPI-PEN. Primary visit noted 04/2021 treated with Anti-Viral and steroids. Pt. has recovered with slight weakness and lingering fatigue.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Gout
Clinical narrative: Patient had MODERNA COVID-19 vaccine on 01/12/2021 . 3 days later developed severe left great toe gout flare. Had second shot on 02/23/2021 and within 24 hours developed bilateral foot gout symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth, Lymph node pain
Clinical narrative: Shot 9/13 @ 11:30am Fever 10pm 101.5 lasting 24 hours Body aches 9/14 am, skin sensitive to touch Rash on arm below injection site, red, hot to touch and sore Rash on both sides of lower front neck 9/15am, swollen and sore supraclavicular lymph node on right side.  9/16 Rash wrapping around upper arm, splotches on both forearms 9/18 rash resolved, no longer sore to touch
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pain of skin, Pyrexia, Rash
Clinical narrative: Shot 9/13 @ 11:30am Fever 10pm 101.5 lasting 24 hours Body aches 9/14 am, skin sensitive to touch Rash on arm below injection site, red, hot to touch and sore Rash on both sides of lower front neck 9/15am, swollen and sore supraclavicular lymph node on right side.  9/16 Rash wrapping around upper arm, splotches on both forearms 9/18 rash resolved, no longer sore to touch
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Shot 9/13 @ 11:30am Fever 10pm 101.5 lasting 24 hours Body aches 9/14 am, skin sensitive to touch Rash on arm below injection site, red, hot to touch and sore Rash on both sides of lower front neck 9/15am, swollen and sore supraclavicular lymph node on right side.  9/16 Rash wrapping around upper arm, splotches on both forearms 9/18 rash resolved, no longer sore to touch
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bone pain, Dizziness, Dyspnoea, Dyspnoea exertional
Clinical narrative: I received the second Moderna vaccine on 9/24/21.  About an hour after receiving the vaccine, I started to get a sore arm and headache, this continued to worsen as the even progressed.  I awoke at 0530 on 09/25/21 (approximately 13 hours post vaccine) and was unable to move, it took 3 hours to get out of bed.  I was severely weak, lightheaded, dizzy, nauseous, severe muscle and bone aches, severe headache, SOB, and severe deltoid pain.  Once I was able to physically get myself out of bed, I was furniture surfing and barely able to walk.  I was extremely light headed and dizzy, and felt near syncope.  I rested in bed all day with these symptoms as well as extreme fatigue. I woke on 9/26/21, and felt generally better, however still had lightheadedness and dizziness with worsening SOB, and slight fatigue.  I attempted to do routine Sunday chores, but often had to rest due to worsening SOB and feeling lightheaded and dizzy.  I was able to shower, and noticed that my torso was covered in hives.  I proceeded to walk in care.  Upon arrival, walking from the care into the facility, I was quite SOB and my HR was 129.  I was brought into the room where I was able to sit.  After sitting my HR did decrease to 99.  I was treated with 60mg of PO prednisone.  Within one hour the hives, lightheadedness, dizziness, fatigue, HR and SOB had decreased.  Within 2 hours the SOB had resolved.  I was prescribed a regimen of prednisone and famotidine and instructed to purchase and take loratadine.  I did present to work on 9/27/21, however did have to take an extended break due to dizziness/lightheadedness and nausea.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Headache, Mobility decreased, Myalgia
Clinical narrative: I received the second Moderna vaccine on 9/24/21.  About an hour after receiving the vaccine, I started to get a sore arm and headache, this continued to worsen as the even progressed.  I awoke at 0530 on 09/25/21 (approximately 13 hours post vaccine) and was unable to move, it took 3 hours to get out of bed.  I was severely weak, lightheaded, dizzy, nauseous, severe muscle and bone aches, severe headache, SOB, and severe deltoid pain.  Once I was able to physically get myself out of bed, I was furniture surfing and barely able to walk.  I was extremely light headed and dizzy, and felt near syncope.  I rested in bed all day with these symptoms as well as extreme fatigue. I woke on 9/26/21, and felt generally better, however still had lightheadedness and dizziness with worsening SOB, and slight fatigue.  I attempted to do routine Sunday chores, but often had to rest due to worsening SOB and feeling lightheaded and dizzy.  I was able to shower, and noticed that my torso was covered in hives.  I proceeded to walk in care.  Upon arrival, walking from the care into the facility, I was quite SOB and my HR was 129.  I was brought into the room where I was able to sit.  After sitting my HR did decrease to 99.  I was treated with 60mg of PO prednisone.  Within one hour the hives, lightheadedness, dizziness, fatigue, HR and SOB had decreased.  Within 2 hours the SOB had resolved.  I was prescribed a regimen of prednisone and famotidine and instructed to purchase and take loratadine.  I did present to work on 9/27/21, however did have to take an extended break due to dizziness/lightheadedness and nausea.