chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Condition aggravated, Coronavirus test positive
Clinical narrative: Pt admitted on 10/26/2021: 48-year-old female presents with multiple seizures today.  Patient has a history of glioblastoma multiforme.  She had her initial resection at our facility 2 years ago.  She most recently has been followed.  She has a follow-up appointment scheduled with them for 6 days from now.  However the patient states that mid last week she lost her taste and smell.  She presented to a walk-in clinic 3 days ago and reports that she had a positive antigen test for COVID.  She has not had any fever.  No cough.  No shortness of breath.  She is unaware of what her exposure might have been. She does work in a daycare but in an area away from children.  The patient states that she was
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disease recurrence, Glioblastoma multiforme, Magnetic resonance imaging abnormal, SARS-CoV-2 test positive, Seizure
Clinical narrative: Pt admitted on 10/26/2021: 48-year-old female presents with multiple seizures today.  Patient has a history of glioblastoma multiforme.  She had her initial resection at our facility 2 years ago.  She most recently has been followed.  She has a follow-up appointment scheduled with them for 6 days from now.  However the patient states that mid last week she lost her taste and smell.  She presented to a walk-in clinic 3 days ago and reports that she had a positive antigen test for COVID.  She has not had any fever.  No cough.  No shortness of breath.  She is unaware of what her exposure might have been. She does work in a daycare but in an area away from children.  The patient states that she was
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling cold, Migraine, Parosmia, Pyrexia
Clinical narrative: severe migraine, fever, chills, vomiting for 6 hrs.  smell taste of sulfur that has not stopped and is ongoing
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: severe migraine, fever, chills, vomiting for 6 hrs.  smell taste of sulfur that has not stopped and is ongoing
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: PER PATIENT THE ARM WAS NO MORE SORE THAN USUAL. SHE TOOK OFF HER SLEEVE TO SHOW ME HER ARM AND VERY DARK BRUISE COVERING WHOLE ARM TO THE ELBOW. SHE GOT THE VACCINE ON THURSDAY AND BRUISING COVERED ARM BY SATURDAY.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Nervousness, Paraesthesia
Clinical narrative: Patient stayed for 15 minutes observation and was stable, patient left the vaccination clinic. Patient immediately came back to the observation area and reported that her feet were tingling. Patient was placed in triage and vitals were taken b/p 150/80, HR 106, R 18, 02% 98. Patient reported feeling shaky and weak. Patient was encouraged to take some deep breaths and try and relax.  Observation nurse asked if patient had eaten breakfast, patient admitted the did not. Patient given apple juice and a banana to eat. Patient was asked if she has any history of anxiety or panic attacks and she stated she did, but did not take any medication for it. Patient repeated that she felt weak and was having trouble holding the phone as she called her husband. Patient reported her husband was going to pick her up  to take her to a doctor but he was an hour and a half away.  This writer asked patient if she was going to go to the ER or go to her regular PCP,  patient reported she wanted to go to the Emergency Room. This writer advised that the patient should not wait that long and it would be best if this writer called the Emergency number for the campus, patient agreed. Emergency services were called and arrived within 5 minutes. Patient was able to walk with them to the ambulance.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, Blood pressure measurement, Chills, Decreased appetite
Clinical narrative: Patient stayed for 15 minutes observation and was stable, patient left the vaccination clinic. Patient immediately came back to the observation area and reported that her feet were tingling. Patient was placed in triage and vitals were taken b/p 150/80, HR 106, R 18, 02% 98. Patient reported feeling shaky and weak. Patient was encouraged to take some deep breaths and try and relax.  Observation nurse asked if patient had eaten breakfast, patient admitted the did not. Patient given apple juice and a banana to eat. Patient was asked if she has any history of anxiety or panic attacks and she stated she did, but did not take any medication for it. Patient repeated that she felt weak and was having trouble holding the phone as she called her husband. Patient reported her husband was going to pick her up  to take her to a doctor but he was an hour and a half away.  This writer asked patient if she was going to go to the ER or go to her regular PCP,  patient reported she wanted to go to the Emergency Room. This writer advised that the patient should not wait that long and it would be best if this writer called the Emergency number for the campus, patient agreed. Emergency services were called and arrived within 5 minutes. Patient was able to walk with them to the ambulance.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Heart rate, Heart rate increased, Hot flush
Clinical narrative: Patient stayed for 15 minutes observation and was stable, patient left the vaccination clinic. Patient immediately came back to the observation area and reported that her feet were tingling. Patient was placed in triage and vitals were taken b/p 150/80, HR 106, R 18, 02% 98. Patient reported feeling shaky and weak. Patient was encouraged to take some deep breaths and try and relax.  Observation nurse asked if patient had eaten breakfast, patient admitted the did not. Patient given apple juice and a banana to eat. Patient was asked if she has any history of anxiety or panic attacks and she stated she did, but did not take any medication for it. Patient repeated that she felt weak and was having trouble holding the phone as she called her husband. Patient reported her husband was going to pick her up  to take her to a doctor but he was an hour and a half away.  This writer asked patient if she was going to go to the ER or go to her regular PCP,  patient reported she wanted to go to the Emergency Room. This writer advised that the patient should not wait that long and it would be best if this writer called the Emergency number for the campus, patient agreed. Emergency services were called and arrived within 5 minutes. Patient was able to walk with them to the ambulance.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Hypoaesthesia, Immunisation, Limb discomfort, Muscle spasms
Clinical narrative: Patient stayed for 15 minutes observation and was stable, patient left the vaccination clinic. Patient immediately came back to the observation area and reported that her feet were tingling. Patient was placed in triage and vitals were taken b/p 150/80, HR 106, R 18, 02% 98. Patient reported feeling shaky and weak. Patient was encouraged to take some deep breaths and try and relax.  Observation nurse asked if patient had eaten breakfast, patient admitted the did not. Patient given apple juice and a banana to eat. Patient was asked if she has any history of anxiety or panic attacks and she stated she did, but did not take any medication for it. Patient repeated that she felt weak and was having trouble holding the phone as she called her husband. Patient reported her husband was going to pick her up  to take her to a doctor but he was an hour and a half away.  This writer asked patient if she was going to go to the ER or go to her regular PCP,  patient reported she wanted to go to the Emergency Room. This writer advised that the patient should not wait that long and it would be best if this writer called the Emergency number for the campus, patient agreed. Emergency services were called and arrived within 5 minutes. Patient was able to walk with them to the ambulance.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Paraesthesia, Pyrexia
Clinical narrative: Patient stayed for 15 minutes observation and was stable, patient left the vaccination clinic. Patient immediately came back to the observation area and reported that her feet were tingling. Patient was placed in triage and vitals were taken b/p 150/80, HR 106, R 18, 02% 98. Patient reported feeling shaky and weak. Patient was encouraged to take some deep breaths and try and relax.  Observation nurse asked if patient had eaten breakfast, patient admitted the did not. Patient given apple juice and a banana to eat. Patient was asked if she has any history of anxiety or panic attacks and she stated she did, but did not take any medication for it. Patient repeated that she felt weak and was having trouble holding the phone as she called her husband. Patient reported her husband was going to pick her up  to take her to a doctor but he was an hour and a half away.  This writer asked patient if she was going to go to the ER or go to her regular PCP,  patient reported she wanted to go to the Emergency Room. This writer advised that the patient should not wait that long and it would be best if this writer called the Emergency number for the campus, patient agreed. Emergency services were called and arrived within 5 minutes. Patient was able to walk with them to the ambulance.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever and aches and pain the next day.  Lasted only one day.  I was asked to report this by someone who called from claiming to be related to VSAFE.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Biopsy, Limb discomfort, Lymphadenopathy, Mammogram normal
Clinical narrative: Two days after the second shot, I had a funny feeling in my arm, the feeling you might get if you stuck a small ball in your armpit and walk around with it. It didn't hurt at the time, but it felt really weird and uncomfortable. So, I started feeling around my armpit, deep in, and I felt 2 distinct lumps. The smaller one felt like two peas together and it was higher up towards the top of the armpit, and the other one was lower down. To me, it felt like about an inch and a half by half inch. It didn't hurt to manipulate at the time. I just panicked and called my OBGYN for a Mammogram, they said I had to wait 6 weeks before receiving one at my regular appointment. I still went in, and he felt nothing. He said to wait until 6 weeks and got a Mammogram on 4/16 during the regular appointment. Got a pap and everything you name it. He felt for the lump again and left nothing, he said it was probably reactionary. He said he felt all kinds of stuff and he said it was reactionary. Since the Mammogram was negative, I figured I would just wait. The smaller one sometime between then and June, that one went away but the big one stayed. In August, I went for a bladder test at the same office, different doctor. She felt around when I mentioned it 8/2/2021 and she didn't feel anything unusual. I could tell that she was not feeling it because I knew where it was. I could feel the pressure if they pressed on it. So, I knew this doctor didn't feel it either. She said if it gets bigger or hurts to recommend a surgeon. So, I waited and at some point, I started getting a shooting pain that would run down my arm to my thumb from my armpit. And it would tingle, and I would get sore in the armpit then it would go away in a couple days. The tingling was weird though and I didn't like that at all. So, I just went to the surgeon myself and they were willing to let me in without a referral. So, he was the one who gave me choices, he said it was probably nothing but he couldn't say that without a biopsy. He said we could do a needle biopsy, but he said the problem would be that if you put the needle in, he could miss something there. He said he could also take the lymph out and get a biopsy and could risk lifelong Lymphedema. So, I read that since I have Sjogren's, I had a high risk for Non-Hodgkin's, so I decided to take out the lymph node. I couldn't sleep at night, and I wasn't sure what I was looking at. The good news is that it's more than likely reactionary. The surgeon called and let me know that. Then when I went to the follow up appointment, he told me that they did another biopsy on a microscopic level, and it was nothing other than reactionary. Still in recovery from biopsy - recovery unknown, can't feel in armpit because of surgery.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: Two days after the second shot, I had a funny feeling in my arm, the feeling you might get if you stuck a small ball in your armpit and walk around with it. It didn't hurt at the time, but it felt really weird and uncomfortable. So, I started feeling around my armpit, deep in, and I felt 2 distinct lumps. The smaller one felt like two peas together and it was higher up towards the top of the armpit, and the other one was lower down. To me, it felt like about an inch and a half by half inch. It didn't hurt to manipulate at the time. I just panicked and called my OBGYN for a Mammogram, they said I had to wait 6 weeks before receiving one at my regular appointment. I still went in, and he felt nothing. He said to wait until 6 weeks and got a Mammogram on 4/16 during the regular appointment. Got a pap and everything you name it. He felt for the lump again and left nothing, he said it was probably reactionary. He said he felt all kinds of stuff and he said it was reactionary. Since the Mammogram was negative, I figured I would just wait. The smaller one sometime between then and June, that one went away but the big one stayed. In August, I went for a bladder test at the same office, different doctor. She felt around when I mentioned it 8/2/2021 and she didn't feel anything unusual. I could tell that she was not feeling it because I knew where it was. I could feel the pressure if they pressed on it. So, I knew this doctor didn't feel it either. She said if it gets bigger or hurts to recommend a surgeon. So, I waited and at some point, I started getting a shooting pain that would run down my arm to my thumb from my armpit. And it would tingle, and I would get sore in the armpit then it would go away in a couple days. The tingling was weird though and I didn't like that at all. So, I just went to the surgeon myself and they were willing to let me in without a referral. So, he was the one who gave me choices, he said it was probably nothing but he couldn't say that without a biopsy. He said we could do a needle biopsy, but he said the problem would be that if you put the needle in, he could miss something there. He said he could also take the lymph out and get a biopsy and could risk lifelong Lymphedema. So, I read that since I have Sjogren's, I had a high risk for Non-Hodgkin's, so I decided to take out the lymph node. I couldn't sleep at night, and I wasn't sure what I was looking at. The good news is that it's more than likely reactionary. The surgeon called and let me know that. Then when I went to the follow up appointment, he told me that they did another biopsy on a microscopic level, and it was nothing other than reactionary. Still in recovery from biopsy - recovery unknown, can't feel in armpit because of surgery.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest pain, Cough, Dyspnoea
Clinical narrative: Shortness of Breath, low oxygen levels, fatigue, severe headache, chest pain, cough, low fever Visited ED following Thursday (10/28/21), pneumonia and COVID positive confirmation tests
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Headache, Laboratory test, Oxygen saturation decreased
Clinical narrative: Shortness of Breath, low oxygen levels, fatigue, severe headache, chest pain, cough, low fever Visited ED following Thursday (10/28/21), pneumonia and COVID positive confirmation tests
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive, Troponin
Clinical narrative: Shortness of Breath, low oxygen levels, fatigue, severe headache, chest pain, cough, low fever Visited ED following Thursday (10/28/21), pneumonia and COVID positive confirmation tests
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: Flu-like symptoms, chills, fever, muscle ache, fatigue. Began 10-30-21, and as f 11-1-21, fatigue and muscle aches are still being experienced. Fever finally broke night of 10-31-21..
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: On 10/30/2021 in the evening, fever (it was not very high), muscle aches, joint pain, headaches, and fatigue. I took Ibuprofen every 6 hours and Tylenol every 6 hours. My symptoms lasted 2 1/2 days.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Anion gap, Basophil percentage, Blood calcium normal, Blood chloride normal
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium decreased, Blood urea normal
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Carbon dioxide normal, Differential white blood cell count, Dyspnoea, Electrocardiogram
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil percentage, Full blood count, Glomerular filtration rate increased, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio increased, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume decreased, Metabolic function test, Monocyte count, Monocyte percentage increased
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial injury, Neutrophil count, Neutrophil percentage increased, Platelet count normal, Prothrombin time prolonged
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width increased, Troponin I increased, White blood cell count normal
Clinical narrative: SOB, respiratory rate 33 at PCP office,
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Itchy hives all over body
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Chest X-ray, Computerised tomogram head, Cough, Mental status changes
Clinical narrative: Cough, Acute Kidney failure, Altered mental status.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Urine analysis
Clinical narrative: Cough, Acute Kidney failure, Altered mental status.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Disturbance in attention, Dyspnoea, Extra dose administered, Fatigue
Clinical narrative: Tired unable to concentrate.  Left arm injection site still swollen and painful.  right hand, arm and shoulder swollen and extremely painful in the upper arm and shoulder.  occasional  shortness of breath.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Joint swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Tired unable to concentrate.  Left arm injection site still swollen and painful.  right hand, arm and shoulder swollen and extremely painful in the upper arm and shoulder.  occasional  shortness of breath.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient developed rash about 2 months ago, that began with red bumps, that look like raised dots or zits, with no pus on top of head that has developed behind ear and neck, forehead and has spread to areas on back and legs also. Patient said the only newer things  prior to the rash developing were: he used a new lotion, he received his second covid vaccine by Moderna 6 months ago; he began Imbruvica about 5 to 6 months ago .
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Ear pain, Fatigue, Feeling abnormal, Headache
Clinical narrative: I was first vaccinated with J & J; Pfizer is my 2nd shot.  I first became tired directly after,  had a slight headache, and then later around 7:00PM I had a pain in my left ear.  In the evening I noticed feeling dizzy when a went to bed and it still continues when I move my head to one side or the other, sit up, and sometimes when I lay down.  Today, November 1, 2021, I felt a bit ill, and my head feels tired, and slight nausea.  This is day 5 after the vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Malaise, Nausea
Clinical narrative: I was first vaccinated with J & J; Pfizer is my 2nd shot.  I first became tired directly after,  had a slight headache, and then later around 7:00PM I had a pain in my left ear.  In the evening I noticed feeling dizzy when a went to bed and it still continues when I move my head to one side or the other, sit up, and sometimes when I lay down.  Today, November 1, 2021, I felt a bit ill, and my head feels tired, and slight nausea.  This is day 5 after the vaccine.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Disorientation, Renal pain, Somnolence
Clinical narrative: Patient is disoriented, very sleepy, and is experiencing unilateral (right sided) kidney pain. Is following up with her physician.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature fluctuation, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Extreme temp swings leading to chills, sleeplessness, sweating, fever of 102, pain in lower extremities, dizziness, extreme fatigue, nausea headache, pain in injection site persisting through 11/1/2021.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Insomnia, Nausea, Pain in extremity
Clinical narrative: Extreme temp swings leading to chills, sleeplessness, sweating, fever of 102, pain in lower extremities, dizziness, extreme fatigue, nausea headache, pain in injection site persisting through 11/1/2021.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Extreme temp swings leading to chills, sleeplessness, sweating, fever of 102, pain in lower extremities, dizziness, extreme fatigue, nausea headache, pain in injection site persisting through 11/1/2021.
Age: 46.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Coordination abnormal, Dizziness, Fatigue, Laboratory test normal
Clinical narrative: One week after receiving the second shot of the Covid vaccine I experience severe dizziness, weakness in my body and loss of coordination. The symptoms slightly improved next weeks but never went away. On Friday October 8th I was seen my PCP. Since my laboratory results were fine he said I should be getting better soon. On October 13th I got extreme weakness in my legs , dizziness and nervousness. My PCP prescribed Lorazepam because he thought I was stressed (I took only one pill, it made me "high" so I did not take the pills). Unfortunately I still feel my legs fatigue even after short walks. The dizziness is not so bad but the weakness in my legs is still present.
Age: 46.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Nervousness, Stress
Clinical narrative: One week after receiving the second shot of the Covid vaccine I experience severe dizziness, weakness in my body and loss of coordination. The symptoms slightly improved next weeks but never went away. On Friday October 8th I was seen my PCP. Since my laboratory results were fine he said I should be getting better soon. On October 13th I got extreme weakness in my legs , dizziness and nervousness. My PCP prescribed Lorazepam because he thought I was stressed (I took only one pill, it made me "high" so I did not take the pills). Unfortunately I still feel my legs fatigue even after short walks. The dizziness is not so bad but the weakness in my legs is still present.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Cough, Headache, Illness, Respiratory tract congestion
Clinical narrative: I have had a very bad cough ever since I got the vaccine. I was a little sick afterwards, congested, coughing, headache, slight loss of voice. But the cough has lingered for almost  a month now. People have compared me to an "old smoker" whenever they hear me cough.
Age: 22.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Gastric disorder, Laboratory test, Nausea, Vomiting
Clinical narrative: 10/21/2021 Awake feeing Nauseous and Vomiting. Did telehealth appointment and was prescribed anti-nausea medicine. 10/25/2021 put on Metoclopramide 5 mg twice a day morning and evening 11/08/2021. Day after the stomach issue because care for on medication and upcoming doctor/advised against dose two since stomach issue is ongoing. Medicine to help stomach contract and still on medication and able to work but still having issue with stomach.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Swollen tongue
Clinical narrative: Pt received a booster dose of Covid-19 vaccine at approximately 420pm on 10/29/21.  Pt did not wait 15 minutes, because she did not recall the immunizer telling her to wait, and drove home.  At approximately 4:28, while pt driving, she started to have numbness and tongue swelling she made it home and called 911 and was injected epinephrine by rescue.  Pt later transferred to hospital and was released later that night.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Menometrorrhagia
Clinical narrative: Pt reported  metromenorrhagia starting 3 days post vaccination, prior to regular onset of menses, lasting 3 weeks .  No hx of irregular or heavy menses reported.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Illness, Lymphadenopathy
Clinical narrative: Sick sore shoulder swollen lymphnode near collar bone on vaccinated side
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond storage guidelines
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond storage guidelines
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Immunodeficiency, Pharyngeal swelling, Swelling face
Clinical narrative: Patient reported:  Difficulty breathing; Swelling of your face and throat after 3rd dose.  Patient had called in (10.26.2021)  with facial swelling, throat swelling and difficulty breathing at 1041 this morning after receiving third dose of Pfizer SARS-COV-2 vaccine (10.20.21).
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Menstruation delayed, Menstruation irregular, Ultrasound scan vagina, Uterine cyst
Clinical narrative: Change in menstrual cycle. Delayed. Development of right ovarian  fibroids,and cysts in uterus.  Painful irregular menses.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine leiomyoma
Clinical narrative: Change in menstrual cycle. Delayed. Development of right ovarian  fibroids,and cysts in uterus.  Painful irregular menses.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Burning sensation, Chills, Contusion
Clinical narrative: Had full dose given... had pretty extreme reaction.  Fever, body aches, chills etc...swollen lymph node in left underarm swollen for 1-2 weeks and then the full body rash started and hasn't stopped since!  It feels like burning sporadically all over body.  Comes often and travels all over my body.  Sometimes looks like hives and now starting to bruise sometimes and unrelated to any incident too.  Still some body/joint aches too.  But the itchy body symptoms are unbearable for nearly a month!!!!!
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pruritus, Pyrexia, Rash
Clinical narrative: Had full dose given... had pretty extreme reaction.  Fever, body aches, chills etc...swollen lymph node in left underarm swollen for 1-2 weeks and then the full body rash started and hasn't stopped since!  It feels like burning sporadically all over body.  Comes often and travels all over my body.  Sometimes looks like hives and now starting to bruise sometimes and unrelated to any incident too.  Still some body/joint aches too.  But the itchy body symptoms are unbearable for nearly a month!!!!!
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Had full dose given... had pretty extreme reaction.  Fever, body aches, chills etc...swollen lymph node in left underarm swollen for 1-2 weeks and then the full body rash started and hasn't stopped since!  It feels like burning sporadically all over body.  Comes often and travels all over my body.  Sometimes looks like hives and now starting to bruise sometimes and unrelated to any incident too.  Still some body/joint aches too.  But the itchy body symptoms are unbearable for nearly a month!!!!!
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Aortic dilatation, Arteriosclerosis coronary artery, Atelectasis
Clinical narrative: Patient is a 84 y.o. male who presents today with cough and shortness of breath.  Patient has history of dementia and is a poor historian.  He is uncertain why is in the hospital at this time.  I spoke to his wife over the phone who states patient has been sick for approximately 2 weeks.  Initially, they thought they had a typical cold as they have both been vaccinated against COVID.  However, when cough did not improve and shortness of breath worsened wife was tested for COVID and found to be positive.  Son also tested positive for COVID.  Patient had outpatient testing on 10/25/2021 and found to be positive for COVID.  He came to the ER tonight as he was having worsened dyspnea and noted hypoxia at home.  Wife states his appetite has been fine.  There has been no vomiting but he admits to diarrhea.  He is chronically incontinent of urine.  He has recurrent falls with gait instability.  Wife is struggling to care for him at home as she is fatigued from her illness.  Despite symptoms, patient drove himself to cardiac rehab last week.ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19  Assessment & Plan Per wife, patient has been ill with cough for at least 2 weeks.  Wife and son recently tested positive for COVID Patient was vaccinated 02/2021 Tested positive for COVID 10/25 Hypoxic down to 88% requiring 2 L of oxygen Outside the window for remdesivir.  Also poor candidate given LFTs Treat with Decadron 6 mg daily Wean oxygen as able Symptomatic treatment with albuterol and Tessalon     Chronic diastolic heart failure Assessment & Plan No evidence of acute exacerbation at this time.  BNP is slightly elevated but no pulmonary vascular congestion on chest x-ray Continue home Lasix Monitor I/O closely.  Keep dry with covid   COPD (chronic obstructive pulmonary disease)  Assessment & Plan No active wheeze on exam Continue albuterol p.r.n. Currently on Decadron   Lewy body dementia  Assessment & Plan Is able to live at home with wife.  Continues to drive Poor historian Continue home medications Wife is unable to visit as she has COVID, however she should be contacted for medical decisions   Status post implantation of artificial urinary sphincter Assessment & Plan Wife states he is chronically incontinent of urine   HTN, goal below 130/80 Assessment & Plan Continue Norvasc and metoprolol in addition to Lasix     Paroxysmal atrial fibrillation  Assessment & Plan Continue amiodarone and metoprolol No anticoagulation due to history of hematuria Monitor on telemetry
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood culture negative, Brain natriuretic peptide increased, Bronchiolitis, COVID-19
Clinical narrative: Patient is a 84 y.o. male who presents today with cough and shortness of breath.  Patient has history of dementia and is a poor historian.  He is uncertain why is in the hospital at this time.  I spoke to his wife over the phone who states patient has been sick for approximately 2 weeks.  Initially, they thought they had a typical cold as they have both been vaccinated against COVID.  However, when cough did not improve and shortness of breath worsened wife was tested for COVID and found to be positive.  Son also tested positive for COVID.  Patient had outpatient testing on 10/25/2021 and found to be positive for COVID.  He came to the ER tonight as he was having worsened dyspnea and noted hypoxia at home.  Wife states his appetite has been fine.  There has been no vomiting but he admits to diarrhea.  He is chronically incontinent of urine.  He has recurrent falls with gait instability.  Wife is struggling to care for him at home as she is fatigued from her illness.  Despite symptoms, patient drove himself to cardiac rehab last week.ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19  Assessment & Plan Per wife, patient has been ill with cough for at least 2 weeks.  Wife and son recently tested positive for COVID Patient was vaccinated 02/2021 Tested positive for COVID 10/25 Hypoxic down to 88% requiring 2 L of oxygen Outside the window for remdesivir.  Also poor candidate given LFTs Treat with Decadron 6 mg daily Wean oxygen as able Symptomatic treatment with albuterol and Tessalon     Chronic diastolic heart failure Assessment & Plan No evidence of acute exacerbation at this time.  BNP is slightly elevated but no pulmonary vascular congestion on chest x-ray Continue home Lasix Monitor I/O closely.  Keep dry with covid   COPD (chronic obstructive pulmonary disease)  Assessment & Plan No active wheeze on exam Continue albuterol p.r.n. Currently on Decadron   Lewy body dementia  Assessment & Plan Is able to live at home with wife.  Continues to drive Poor historian Continue home medications Wife is unable to visit as she has COVID, however she should be contacted for medical decisions   Status post implantation of artificial urinary sphincter Assessment & Plan Wife states he is chronically incontinent of urine   HTN, goal below 130/80 Assessment & Plan Continue Norvasc and metoprolol in addition to Lasix     Paroxysmal atrial fibrillation  Assessment & Plan Continue amiodarone and metoprolol No anticoagulation due to history of hematuria Monitor on telemetry
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiac telemetry, Cardiomegaly, Chest X-ray normal, Chest pain
Clinical narrative: Patient is a 84 y.o. male who presents today with cough and shortness of breath.  Patient has history of dementia and is a poor historian.  He is uncertain why is in the hospital at this time.  I spoke to his wife over the phone who states patient has been sick for approximately 2 weeks.  Initially, they thought they had a typical cold as they have both been vaccinated against COVID.  However, when cough did not improve and shortness of breath worsened wife was tested for COVID and found to be positive.  Son also tested positive for COVID.  Patient had outpatient testing on 10/25/2021 and found to be positive for COVID.  He came to the ER tonight as he was having worsened dyspnea and noted hypoxia at home.  Wife states his appetite has been fine.  There has been no vomiting but he admits to diarrhea.  He is chronically incontinent of urine.  He has recurrent falls with gait instability.  Wife is struggling to care for him at home as she is fatigued from her illness.  Despite symptoms, patient drove himself to cardiac rehab last week.ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19  Assessment & Plan Per wife, patient has been ill with cough for at least 2 weeks.  Wife and son recently tested positive for COVID Patient was vaccinated 02/2021 Tested positive for COVID 10/25 Hypoxic down to 88% requiring 2 L of oxygen Outside the window for remdesivir.  Also poor candidate given LFTs Treat with Decadron 6 mg daily Wean oxygen as able Symptomatic treatment with albuterol and Tessalon     Chronic diastolic heart failure Assessment & Plan No evidence of acute exacerbation at this time.  BNP is slightly elevated but no pulmonary vascular congestion on chest x-ray Continue home Lasix Monitor I/O closely.  Keep dry with covid   COPD (chronic obstructive pulmonary disease)  Assessment & Plan No active wheeze on exam Continue albuterol p.r.n. Currently on Decadron   Lewy body dementia  Assessment & Plan Is able to live at home with wife.  Continues to drive Poor historian Continue home medications Wife is unable to visit as she has COVID, however she should be contacted for medical decisions   Status post implantation of artificial urinary sphincter Assessment & Plan Wife states he is chronically incontinent of urine   HTN, goal below 130/80 Assessment & Plan Continue Norvasc and metoprolol in addition to Lasix     Paroxysmal atrial fibrillation  Assessment & Plan Continue amiodarone and metoprolol No anticoagulation due to history of hematuria Monitor on telemetry
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic left ventricular failure, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: Patient is a 84 y.o. male who presents today with cough and shortness of breath.  Patient has history of dementia and is a poor historian.  He is uncertain why is in the hospital at this time.  I spoke to his wife over the phone who states patient has been sick for approximately 2 weeks.  Initially, they thought they had a typical cold as they have both been vaccinated against COVID.  However, when cough did not improve and shortness of breath worsened wife was tested for COVID and found to be positive.  Son also tested positive for COVID.  Patient had outpatient testing on 10/25/2021 and found to be positive for COVID.  He came to the ER tonight as he was having worsened dyspnea and noted hypoxia at home.  Wife states his appetite has been fine.  There has been no vomiting but he admits to diarrhea.  He is chronically incontinent of urine.  He has recurrent falls with gait instability.  Wife is struggling to care for him at home as she is fatigued from her illness.  Despite symptoms, patient drove himself to cardiac rehab last week.ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19  Assessment & Plan Per wife, patient has been ill with cough for at least 2 weeks.  Wife and son recently tested positive for COVID Patient was vaccinated 02/2021 Tested positive for COVID 10/25 Hypoxic down to 88% requiring 2 L of oxygen Outside the window for remdesivir.  Also poor candidate given LFTs Treat with Decadron 6 mg daily Wean oxygen as able Symptomatic treatment with albuterol and Tessalon     Chronic diastolic heart failure Assessment & Plan No evidence of acute exacerbation at this time.  BNP is slightly elevated but no pulmonary vascular congestion on chest x-ray Continue home Lasix Monitor I/O closely.  Keep dry with covid   COPD (chronic obstructive pulmonary disease)  Assessment & Plan No active wheeze on exam Continue albuterol p.r.n. Currently on Decadron   Lewy body dementia  Assessment & Plan Is able to live at home with wife.  Continues to drive Poor historian Continue home medications Wife is unable to visit as she has COVID, however she should be contacted for medical decisions   Status post implantation of artificial urinary sphincter Assessment & Plan Wife states he is chronically incontinent of urine   HTN, goal below 130/80 Assessment & Plan Continue Norvasc and metoprolol in addition to Lasix     Paroxysmal atrial fibrillation  Assessment & Plan Continue amiodarone and metoprolol No anticoagulation due to history of hematuria Monitor on telemetry
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Dementia with Lewy bodies, Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, Fall
Clinical narrative: Patient is a 84 y.o. male who presents today with cough and shortness of breath.  Patient has history of dementia and is a poor historian.  He is uncertain why is in the hospital at this time.  I spoke to his wife over the phone who states patient has been sick for approximately 2 weeks.  Initially, they thought they had a typical cold as they have both been vaccinated against COVID.  However, when cough did not improve and shortness of breath worsened wife was tested for COVID and found to be positive.  Son also tested positive for COVID.  Patient had outpatient testing on 10/25/2021 and found to be positive for COVID.  He came to the ER tonight as he was having worsened dyspnea and noted hypoxia at home.  Wife states his appetite has been fine.  There has been no vomiting but he admits to diarrhea.  He is chronically incontinent of urine.  He has recurrent falls with gait instability.  Wife is struggling to care for him at home as she is fatigued from her illness.  Despite symptoms, patient drove himself to cardiac rehab last week.ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19  Assessment & Plan Per wife, patient has been ill with cough for at least 2 weeks.  Wife and son recently tested positive for COVID Patient was vaccinated 02/2021 Tested positive for COVID 10/25 Hypoxic down to 88% requiring 2 L of oxygen Outside the window for remdesivir.  Also poor candidate given LFTs Treat with Decadron 6 mg daily Wean oxygen as able Symptomatic treatment with albuterol and Tessalon     Chronic diastolic heart failure Assessment & Plan No evidence of acute exacerbation at this time.  BNP is slightly elevated but no pulmonary vascular congestion on chest x-ray Continue home Lasix Monitor I/O closely.  Keep dry with covid   COPD (chronic obstructive pulmonary disease)  Assessment & Plan No active wheeze on exam Continue albuterol p.r.n. Currently on Decadron   Lewy body dementia  Assessment & Plan Is able to live at home with wife.  Continues to drive Poor historian Continue home medications Wife is unable to visit as she has COVID, however she should be contacted for medical decisions   Status post implantation of artificial urinary sphincter Assessment & Plan Wife states he is chronically incontinent of urine   HTN, goal below 130/80 Assessment & Plan Continue Norvasc and metoprolol in addition to Lasix     Paroxysmal atrial fibrillation  Assessment & Plan Continue amiodarone and metoprolol No anticoagulation due to history of hematuria Monitor on telemetry
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Gram stain, Hiatus hernia, Hypertension, Hypoxia
Clinical narrative: Patient is a 84 y.o. male who presents today with cough and shortness of breath.  Patient has history of dementia and is a poor historian.  He is uncertain why is in the hospital at this time.  I spoke to his wife over the phone who states patient has been sick for approximately 2 weeks.  Initially, they thought they had a typical cold as they have both been vaccinated against COVID.  However, when cough did not improve and shortness of breath worsened wife was tested for COVID and found to be positive.  Son also tested positive for COVID.  Patient had outpatient testing on 10/25/2021 and found to be positive for COVID.  He came to the ER tonight as he was having worsened dyspnea and noted hypoxia at home.  Wife states his appetite has been fine.  There has been no vomiting but he admits to diarrhea.  He is chronically incontinent of urine.  He has recurrent falls with gait instability.  Wife is struggling to care for him at home as she is fatigued from her illness.  Despite symptoms, patient drove himself to cardiac rehab last week.ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19  Assessment & Plan Per wife, patient has been ill with cough for at least 2 weeks.  Wife and son recently tested positive for COVID Patient was vaccinated 02/2021 Tested positive for COVID 10/25 Hypoxic down to 88% requiring 2 L of oxygen Outside the window for remdesivir.  Also poor candidate given LFTs Treat with Decadron 6 mg daily Wean oxygen as able Symptomatic treatment with albuterol and Tessalon     Chronic diastolic heart failure Assessment & Plan No evidence of acute exacerbation at this time.  BNP is slightly elevated but no pulmonary vascular congestion on chest x-ray Continue home Lasix Monitor I/O closely.  Keep dry with covid   COPD (chronic obstructive pulmonary disease)  Assessment & Plan No active wheeze on exam Continue albuterol p.r.n. Currently on Decadron   Lewy body dementia  Assessment & Plan Is able to live at home with wife.  Continues to drive Poor historian Continue home medications Wife is unable to visit as she has COVID, however she should be contacted for medical decisions   Status post implantation of artificial urinary sphincter Assessment & Plan Wife states he is chronically incontinent of urine   HTN, goal below 130/80 Assessment & Plan Continue Norvasc and metoprolol in addition to Lasix     Paroxysmal atrial fibrillation  Assessment & Plan Continue amiodarone and metoprolol No anticoagulation due to history of hematuria Monitor on telemetry
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Joint space narrowing, Liver function test abnormal, Lung consolidation, Lung infiltration, Lung opacity
Clinical narrative: Patient is a 84 y.o. male who presents today with cough and shortness of breath.  Patient has history of dementia and is a poor historian.  He is uncertain why is in the hospital at this time.  I spoke to his wife over the phone who states patient has been sick for approximately 2 weeks.  Initially, they thought they had a typical cold as they have both been vaccinated against COVID.  However, when cough did not improve and shortness of breath worsened wife was tested for COVID and found to be positive.  Son also tested positive for COVID.  Patient had outpatient testing on 10/25/2021 and found to be positive for COVID.  He came to the ER tonight as he was having worsened dyspnea and noted hypoxia at home.  Wife states his appetite has been fine.  There has been no vomiting but he admits to diarrhea.  He is chronically incontinent of urine.  He has recurrent falls with gait instability.  Wife is struggling to care for him at home as she is fatigued from her illness.  Despite symptoms, patient drove himself to cardiac rehab last week.ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19  Assessment & Plan Per wife, patient has been ill with cough for at least 2 weeks.  Wife and son recently tested positive for COVID Patient was vaccinated 02/2021 Tested positive for COVID 10/25 Hypoxic down to 88% requiring 2 L of oxygen Outside the window for remdesivir.  Also poor candidate given LFTs Treat with Decadron 6 mg daily Wean oxygen as able Symptomatic treatment with albuterol and Tessalon     Chronic diastolic heart failure Assessment & Plan No evidence of acute exacerbation at this time.  BNP is slightly elevated but no pulmonary vascular congestion on chest x-ray Continue home Lasix Monitor I/O closely.  Keep dry with covid   COPD (chronic obstructive pulmonary disease)  Assessment & Plan No active wheeze on exam Continue albuterol p.r.n. Currently on Decadron   Lewy body dementia  Assessment & Plan Is able to live at home with wife.  Continues to drive Poor historian Continue home medications Wife is unable to visit as she has COVID, however she should be contacted for medical decisions   Status post implantation of artificial urinary sphincter Assessment & Plan Wife states he is chronically incontinent of urine   HTN, goal below 130/80 Assessment & Plan Continue Norvasc and metoprolol in addition to Lasix     Paroxysmal atrial fibrillation  Assessment & Plan Continue amiodarone and metoprolol No anticoagulation due to history of hematuria Monitor on telemetry