chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Anxiety, Asthenia
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.  Patient has had multiple episodes of pneumonia in the past.  He tried to wait as he thought his symptoms would improve.  Went to get regeneron 4 days ago.  Patient reports that his symptoms continued to worsen and he has had multiple episodes of fevers/chills along with cough and congestion.  Also has had muscle aches and weakness.  Has had very poor oral intake.  He was not improving therefore, his daughter convinced him to come to the emergency department for further evaluation. Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID 19 pneumonia and possible superimposed bacterial pneumonia, hyperglycemia, uremia, acute renal failure, elevated troponin/type 2 MI, elevated BNP, and lactic acidosis.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Azotaemia, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.  Patient has had multiple episodes of pneumonia in the past.  He tried to wait as he thought his symptoms would improve.  Went to get regeneron 4 days ago.  Patient reports that his symptoms continued to worsen and he has had multiple episodes of fevers/chills along with cough and congestion.  Also has had muscle aches and weakness.  Has had very poor oral intake.  He was not improving therefore, his daughter convinced him to come to the emergency department for further evaluation. Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID 19 pneumonia and possible superimposed bacterial pneumonia, hyperglycemia, uremia, acute renal failure, elevated troponin/type 2 MI, elevated BNP, and lactic acidosis.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hyperglycaemia, Hypophagia, Lactic acidosis, Myalgia
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.  Patient has had multiple episodes of pneumonia in the past.  He tried to wait as he thought his symptoms would improve.  Went to get regeneron 4 days ago.  Patient reports that his symptoms continued to worsen and he has had multiple episodes of fevers/chills along with cough and congestion.  Also has had muscle aches and weakness.  Has had very poor oral intake.  He was not improving therefore, his daughter convinced him to come to the emergency department for further evaluation. Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID 19 pneumonia and possible superimposed bacterial pneumonia, hyperglycemia, uremia, acute renal failure, elevated troponin/type 2 MI, elevated BNP, and lactic acidosis.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Patient isolation, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.  Patient has had multiple episodes of pneumonia in the past.  He tried to wait as he thought his symptoms would improve.  Went to get regeneron 4 days ago.  Patient reports that his symptoms continued to worsen and he has had multiple episodes of fevers/chills along with cough and congestion.  Also has had muscle aches and weakness.  Has had very poor oral intake.  He was not improving therefore, his daughter convinced him to come to the emergency department for further evaluation. Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID 19 pneumonia and possible superimposed bacterial pneumonia, hyperglycemia, uremia, acute renal failure, elevated troponin/type 2 MI, elevated BNP, and lactic acidosis.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.  Patient has had multiple episodes of pneumonia in the past.  He tried to wait as he thought his symptoms would improve.  Went to get regeneron 4 days ago.  Patient reports that his symptoms continued to worsen and he has had multiple episodes of fevers/chills along with cough and congestion.  Also has had muscle aches and weakness.  Has had very poor oral intake.  He was not improving therefore, his daughter convinced him to come to the emergency department for further evaluation. Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID 19 pneumonia and possible superimposed bacterial pneumonia, hyperglycemia, uremia, acute renal failure, elevated troponin/type 2 MI, elevated BNP, and lactic acidosis.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Atelectasis, Blood creatinine increased, Blood urea increased, COVID-19
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fluid retention, Respiratory tract congestion, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: 72-year-old male with past medical history of melanoma status post excision in 2015 and hypertension presented to the emergency department complaints of shortness of breath.  Patient reports that he was usual state of health until approximately 1.5 weeks ago when he started noticing some shortness of breath along with cough.  Patient reports that he got fully vaccinated with Moderna against COVID-19 on February 19, 2021.  Patient reports that his symptoms were worrisome therefore, couple of days later, he got tested positive for COVID-19.  Patient reports that he initially isolated and had only mild cough with congestion however, his symptoms continued to worsen.   Tested positive on 9/14/2021
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: COVID RELATED DEATH; PT FULLY VACCINATED
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cardio-respiratory arrest, Death, Endotracheal intubation
Clinical narrative: COVID RELATED DEATH; PT FULLY VACCINATED
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Resuscitation
Clinical narrative: COVID RELATED DEATH; PT FULLY VACCINATED
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: Approximately 10 minutes post vaccine administration patient experienced a tonic-clonic seizure while seated in the pharmacy waiting area. Seizure lasted approximately 30 seconds (+/-).  No past history of seizure. EMS responded.  Patient was alert and conversant within 3 minutes.   Patient was released by EMS to her mother for transport for further medical evaluation by her doctor.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Musculoskeletal stiffness, Product administered at inappropriate site
Clinical narrative: Vaccine given too high in the arm, joint pain and stiffness.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dehydration, Diplopia, Dizziness, Fatigue
Clinical narrative: Black out twice with in 45 min of each episode. Migraine, dizziness, blurry and double vision, vertigo, nausea, fatigue, confusion, dehydration.  Symptoms started 5 hours after the injection.  Today is day 13.  symptoms are still present. Some days are better than others.  No medication helps.  is still waiting for for the symptoms to subside.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Loss of consciousness, Migraine, Nausea, Vertigo
Clinical narrative: Black out twice with in 45 min of each episode. Migraine, dizziness, blurry and double vision, vertigo, nausea, fatigue, confusion, dehydration.  Symptoms started 5 hours after the injection.  Today is day 13.  symptoms are still present. Some days are better than others.  No medication helps.  is still waiting for for the symptoms to subside.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Black out twice with in 45 min of each episode. Migraine, dizziness, blurry and double vision, vertigo, nausea, fatigue, confusion, dehydration.  Symptoms started 5 hours after the injection.  Today is day 13.  symptoms are still present. Some days are better than others.  No medication helps.  is still waiting for for the symptoms to subside.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Fibromyalgia, Pain, Swelling
Clinical narrative: swelling  pain fatigue flare with my fibromyalgia
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Case fully vaccinated with COVID 19 vaccine. Dose #2 given on 2/5/2021. Tested positive for COVID 19 on 9/5/2021. Was admitted to Medical Center on 9/6/2021 and expired while still hospitalized on 9/14/2021.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest pain, Confusional state, Cough
Clinical narrative: Case fully vaccinated with COVID 19 vaccine. Dose #2 given on 2/5/2021. Tested positive for COVID 19 on 9/5/2021. Was admitted to Medical Center on 9/6/2021 and expired while still hospitalized on 9/14/2021.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, General physical health deterioration, Nausea, Vomiting
Clinical narrative: Case fully vaccinated with COVID 19 vaccine. Dose #2 given on 2/5/2021. Tested positive for COVID 19 on 9/5/2021. Was admitted to Medical Center on 9/6/2021 and expired while still hospitalized on 9/14/2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: My period directly following and for months since have been heavy. Like huge clots 5 times larger than normal for me.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Blood test, Chills, Computerised tomogram, Injection site pain
Clinical narrative: FEVER, CHILLS, NAUSEA, VOMITING, PAIN AT INJECTION SITE, BODAY ACHE, Appendicitis.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: FEVER, CHILLS, NAUSEA, VOMITING, PAIN AT INJECTION SITE, BODAY ACHE, Appendicitis.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, Asthenia, C-reactive protein, COVID-19
Clinical narrative: Hospitalized (9.7.21 - still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 78 y.o. male with a history of permanent atrial fibrillation and type 2 diabetes who presents today as directed by his PCP due to fever and hypoxia.  Patient has COVID-19 infection.  He states he has had symptoms for at least 2 weeks.  It initially started with a dry cough and generalized fatigue and weakness.  He also states that he has been having issues with his eyes.  He says that they are dry and sometimes red.  He has great concern about his eyes in fact stating that he has a disease in their some kind, he is sure of it.  He denies vomiting or diarrhea.  He had not noted any fevers at home.  On arrival, he was hypoxemic and required supplemental oxygen which he does not use at baseline.  He was noted to have a low-grade fever.  His lab work and vitals were otherwise largely unremarkable.  He had radiographic evidence of COVID pneumonia.  On exam, he is lying on his side in no acute distress.  He does still require supplemental oxygen.  His biggest concern is about his eyes at this time.  Despite his elevated level of concern, he does struggle to be able to elaborate as to exactly what is wrong with them.  He states he received his 2nd dose of the Moderna COVID-19 vaccine in March of 2021. Plans are discussed for admission and he is agreeable.  He wishes to be listed as full code status. ASSESSMENT / PLAN: * Acute respiratory disease due to COVID-19 virus Assessment & Plan Admit to medicine-hypoxia secondary to COVID pneumonia Patient has noted symptoms for at least 2 weeks, outside therapeutic window for remdesivir Will initiate daily Decadron 6 mg, oxygen therapy, wean as able, does not use at baseline Will trend daily complete blood count, CMP, CRP, D-dimer, continuous pulse oximetry Encourage incentive spirometry and pronation COVID 19 Pneumonia Acute Hypoxic Respiratory Failure - improving Sepsis - improving Presenting symptoms: Hypoxia, Febrile, Cough SIRS criteria met 2: HR 76, RR 24, TEMP 38.1, WBC 8.64 COVID 19 detected by PCR: 9/7. Symptomatic day: 14 plus Removed from Covid isolation 9/8. CXR with findings of Covid Pneumonia Received Decadron and acetaminophen in ED. Not a Remdesivir candidate because 14 days symptomatic. Current oxygen saturation 97%, oxygen requirement increasing daily from 2L admission > 4L > 9L > 11L > 15L > 13L with oxymizer on 9/11. CRP improving 13L Intermediate NC on 9/13 Given 80mg lasix IV x1 9/14 - Give another 80mg IV lasix now - Dexamethasone 6 mg oral daily - 8 of 10 days, but can prolong this course per pulmonology consult - Daily labs CBC with differential, CMP, D-dimer  - Continuous pulse oximetry and telemetry  - Mucinex 600mg BID
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cough, Differential white blood cell count, Dry eye
Clinical narrative: Hospitalized (9.7.21 - still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 78 y.o. male with a history of permanent atrial fibrillation and type 2 diabetes who presents today as directed by his PCP due to fever and hypoxia.  Patient has COVID-19 infection.  He states he has had symptoms for at least 2 weeks.  It initially started with a dry cough and generalized fatigue and weakness.  He also states that he has been having issues with his eyes.  He says that they are dry and sometimes red.  He has great concern about his eyes in fact stating that he has a disease in their some kind, he is sure of it.  He denies vomiting or diarrhea.  He had not noted any fevers at home.  On arrival, he was hypoxemic and required supplemental oxygen which he does not use at baseline.  He was noted to have a low-grade fever.  His lab work and vitals were otherwise largely unremarkable.  He had radiographic evidence of COVID pneumonia.  On exam, he is lying on his side in no acute distress.  He does still require supplemental oxygen.  His biggest concern is about his eyes at this time.  Despite his elevated level of concern, he does struggle to be able to elaborate as to exactly what is wrong with them.  He states he received his 2nd dose of the Moderna COVID-19 vaccine in March of 2021. Plans are discussed for admission and he is agreeable.  He wishes to be listed as full code status. ASSESSMENT / PLAN: * Acute respiratory disease due to COVID-19 virus Assessment & Plan Admit to medicine-hypoxia secondary to COVID pneumonia Patient has noted symptoms for at least 2 weeks, outside therapeutic window for remdesivir Will initiate daily Decadron 6 mg, oxygen therapy, wean as able, does not use at baseline Will trend daily complete blood count, CMP, CRP, D-dimer, continuous pulse oximetry Encourage incentive spirometry and pronation COVID 19 Pneumonia Acute Hypoxic Respiratory Failure - improving Sepsis - improving Presenting symptoms: Hypoxia, Febrile, Cough SIRS criteria met 2: HR 76, RR 24, TEMP 38.1, WBC 8.64 COVID 19 detected by PCR: 9/7. Symptomatic day: 14 plus Removed from Covid isolation 9/8. CXR with findings of Covid Pneumonia Received Decadron and acetaminophen in ED. Not a Remdesivir candidate because 14 days symptomatic. Current oxygen saturation 97%, oxygen requirement increasing daily from 2L admission > 4L > 9L > 11L > 15L > 13L with oxymizer on 9/11. CRP improving 13L Intermediate NC on 9/13 Given 80mg lasix IV x1 9/14 - Give another 80mg IV lasix now - Dexamethasone 6 mg oral daily - 8 of 10 days, but can prolong this course per pulmonology consult - Daily labs CBC with differential, CMP, D-dimer  - Continuous pulse oximetry and telemetry  - Mucinex 600mg BID
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eye disorder, Fatigue, Fibrin D dimer, Full blood count
Clinical narrative: Hospitalized (9.7.21 - still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 78 y.o. male with a history of permanent atrial fibrillation and type 2 diabetes who presents today as directed by his PCP due to fever and hypoxia.  Patient has COVID-19 infection.  He states he has had symptoms for at least 2 weeks.  It initially started with a dry cough and generalized fatigue and weakness.  He also states that he has been having issues with his eyes.  He says that they are dry and sometimes red.  He has great concern about his eyes in fact stating that he has a disease in their some kind, he is sure of it.  He denies vomiting or diarrhea.  He had not noted any fevers at home.  On arrival, he was hypoxemic and required supplemental oxygen which he does not use at baseline.  He was noted to have a low-grade fever.  His lab work and vitals were otherwise largely unremarkable.  He had radiographic evidence of COVID pneumonia.  On exam, he is lying on his side in no acute distress.  He does still require supplemental oxygen.  His biggest concern is about his eyes at this time.  Despite his elevated level of concern, he does struggle to be able to elaborate as to exactly what is wrong with them.  He states he received his 2nd dose of the Moderna COVID-19 vaccine in March of 2021. Plans are discussed for admission and he is agreeable.  He wishes to be listed as full code status. ASSESSMENT / PLAN: * Acute respiratory disease due to COVID-19 virus Assessment & Plan Admit to medicine-hypoxia secondary to COVID pneumonia Patient has noted symptoms for at least 2 weeks, outside therapeutic window for remdesivir Will initiate daily Decadron 6 mg, oxygen therapy, wean as able, does not use at baseline Will trend daily complete blood count, CMP, CRP, D-dimer, continuous pulse oximetry Encourage incentive spirometry and pronation COVID 19 Pneumonia Acute Hypoxic Respiratory Failure - improving Sepsis - improving Presenting symptoms: Hypoxia, Febrile, Cough SIRS criteria met 2: HR 76, RR 24, TEMP 38.1, WBC 8.64 COVID 19 detected by PCR: 9/7. Symptomatic day: 14 plus Removed from Covid isolation 9/8. CXR with findings of Covid Pneumonia Received Decadron and acetaminophen in ED. Not a Remdesivir candidate because 14 days symptomatic. Current oxygen saturation 97%, oxygen requirement increasing daily from 2L admission > 4L > 9L > 11L > 15L > 13L with oxymizer on 9/11. CRP improving 13L Intermediate NC on 9/13 Given 80mg lasix IV x1 9/14 - Give another 80mg IV lasix now - Dexamethasone 6 mg oral daily - 8 of 10 days, but can prolong this course per pulmonology consult - Daily labs CBC with differential, CMP, D-dimer  - Continuous pulse oximetry and telemetry  - Mucinex 600mg BID
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Laboratory test, Metabolic function test, Ocular hyperaemia, Pyrexia
Clinical narrative: Hospitalized (9.7.21 - still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 78 y.o. male with a history of permanent atrial fibrillation and type 2 diabetes who presents today as directed by his PCP due to fever and hypoxia.  Patient has COVID-19 infection.  He states he has had symptoms for at least 2 weeks.  It initially started with a dry cough and generalized fatigue and weakness.  He also states that he has been having issues with his eyes.  He says that they are dry and sometimes red.  He has great concern about his eyes in fact stating that he has a disease in their some kind, he is sure of it.  He denies vomiting or diarrhea.  He had not noted any fevers at home.  On arrival, he was hypoxemic and required supplemental oxygen which he does not use at baseline.  He was noted to have a low-grade fever.  His lab work and vitals were otherwise largely unremarkable.  He had radiographic evidence of COVID pneumonia.  On exam, he is lying on his side in no acute distress.  He does still require supplemental oxygen.  His biggest concern is about his eyes at this time.  Despite his elevated level of concern, he does struggle to be able to elaborate as to exactly what is wrong with them.  He states he received his 2nd dose of the Moderna COVID-19 vaccine in March of 2021. Plans are discussed for admission and he is agreeable.  He wishes to be listed as full code status. ASSESSMENT / PLAN: * Acute respiratory disease due to COVID-19 virus Assessment & Plan Admit to medicine-hypoxia secondary to COVID pneumonia Patient has noted symptoms for at least 2 weeks, outside therapeutic window for remdesivir Will initiate daily Decadron 6 mg, oxygen therapy, wean as able, does not use at baseline Will trend daily complete blood count, CMP, CRP, D-dimer, continuous pulse oximetry Encourage incentive spirometry and pronation COVID 19 Pneumonia Acute Hypoxic Respiratory Failure - improving Sepsis - improving Presenting symptoms: Hypoxia, Febrile, Cough SIRS criteria met 2: HR 76, RR 24, TEMP 38.1, WBC 8.64 COVID 19 detected by PCR: 9/7. Symptomatic day: 14 plus Removed from Covid isolation 9/8. CXR with findings of Covid Pneumonia Received Decadron and acetaminophen in ED. Not a Remdesivir candidate because 14 days symptomatic. Current oxygen saturation 97%, oxygen requirement increasing daily from 2L admission > 4L > 9L > 11L > 15L > 13L with oxymizer on 9/11. CRP improving 13L Intermediate NC on 9/13 Given 80mg lasix IV x1 9/14 - Give another 80mg IV lasix now - Dexamethasone 6 mg oral daily - 8 of 10 days, but can prolong this course per pulmonology consult - Daily labs CBC with differential, CMP, D-dimer  - Continuous pulse oximetry and telemetry  - Mucinex 600mg BID
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Systemic inflammatory response syndrome, White blood cell count normal
Clinical narrative: Hospitalized (9.7.21 - still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 78 y.o. male with a history of permanent atrial fibrillation and type 2 diabetes who presents today as directed by his PCP due to fever and hypoxia.  Patient has COVID-19 infection.  He states he has had symptoms for at least 2 weeks.  It initially started with a dry cough and generalized fatigue and weakness.  He also states that he has been having issues with his eyes.  He says that they are dry and sometimes red.  He has great concern about his eyes in fact stating that he has a disease in their some kind, he is sure of it.  He denies vomiting or diarrhea.  He had not noted any fevers at home.  On arrival, he was hypoxemic and required supplemental oxygen which he does not use at baseline.  He was noted to have a low-grade fever.  His lab work and vitals were otherwise largely unremarkable.  He had radiographic evidence of COVID pneumonia.  On exam, he is lying on his side in no acute distress.  He does still require supplemental oxygen.  His biggest concern is about his eyes at this time.  Despite his elevated level of concern, he does struggle to be able to elaborate as to exactly what is wrong with them.  He states he received his 2nd dose of the Moderna COVID-19 vaccine in March of 2021. Plans are discussed for admission and he is agreeable.  He wishes to be listed as full code status. ASSESSMENT / PLAN: * Acute respiratory disease due to COVID-19 virus Assessment & Plan Admit to medicine-hypoxia secondary to COVID pneumonia Patient has noted symptoms for at least 2 weeks, outside therapeutic window for remdesivir Will initiate daily Decadron 6 mg, oxygen therapy, wean as able, does not use at baseline Will trend daily complete blood count, CMP, CRP, D-dimer, continuous pulse oximetry Encourage incentive spirometry and pronation COVID 19 Pneumonia Acute Hypoxic Respiratory Failure - improving Sepsis - improving Presenting symptoms: Hypoxia, Febrile, Cough SIRS criteria met 2: HR 76, RR 24, TEMP 38.1, WBC 8.64 COVID 19 detected by PCR: 9/7. Symptomatic day: 14 plus Removed from Covid isolation 9/8. CXR with findings of Covid Pneumonia Received Decadron and acetaminophen in ED. Not a Remdesivir candidate because 14 days symptomatic. Current oxygen saturation 97%, oxygen requirement increasing daily from 2L admission > 4L > 9L > 11L > 15L > 13L with oxymizer on 9/11. CRP improving 13L Intermediate NC on 9/13 Given 80mg lasix IV x1 9/14 - Give another 80mg IV lasix now - Dexamethasone 6 mg oral daily - 8 of 10 days, but can prolong this course per pulmonology consult - Daily labs CBC with differential, CMP, D-dimer  - Continuous pulse oximetry and telemetry  - Mucinex 600mg BID
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray, Dyspnoea, Electrocardiogram, Full blood count
Clinical narrative: SOB, COVID positive
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: SOB, COVID positive
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hypomenorrhoea, Menstruation irregular
Clinical narrative: These are adverse effects that my spouse experienced as a result of my vaccination:  1st period after 2nd dose:   Expected period start date 5/17; Actual start date date 6/5; End date 6/9; experienced quarter sized clots  however normal flow.  2nd period after 2nd dose:  Expected start date 7/6; actual start date 7/8; end date 7/12 Smaller clots; lighter than normal flow;
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Electrocardiogram, Fatigue, Gait disturbance
Clinical narrative: Pericarditis with pericarditis effusion. Chest pains, exhaustion, high heart rate, unable to walk long distances m. Diagnosed with mri at the hospital. Treatment plan expect to be 6 months taking ibroprofen colcochine beta blockers
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Magnetic resonance imaging abnormal, Pericardial effusion, Pericarditis, Ultrasound scan
Clinical narrative: Pericarditis with pericarditis effusion. Chest pains, exhaustion, high heart rate, unable to walk long distances m. Diagnosed with mri at the hospital. Treatment plan expect to be 6 months taking ibroprofen colcochine beta blockers
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Pericarditis with pericarditis effusion. Chest pains, exhaustion, high heart rate, unable to walk long distances m. Diagnosed with mri at the hospital. Treatment plan expect to be 6 months taking ibroprofen colcochine beta blockers
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Nausea, Pain, Pain in extremity
Clinical narrative: My entire left arm started to throb at 1:00am. I then started to get nauseous and vomited. After I vomited I was walking to the couch and started to feel very light headed and my knees were starting to buckle and my ears were ringing. I felt like I was going to pass out. I laid down and went to sleep. When I woke up at 7:00 am my entire left  arm was sore all the way to my wrist and the soreness was going to my shoulder down my left side all the way down to my thighs. My entire left side is sore. I am also having stomach cramps.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vomiting
Clinical narrative: My entire left arm started to throb at 1:00am. I then started to get nauseous and vomited. After I vomited I was walking to the couch and started to feel very light headed and my knees were starting to buckle and my ears were ringing. I felt like I was going to pass out. I laid down and went to sleep. When I woke up at 7:00 am my entire left  arm was sore all the way to my wrist and the soreness was going to my shoulder down my left side all the way down to my thighs. My entire left side is sore. I am also having stomach cramps.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: I had a normal menstrual cycle in August after the shot, as far as getting it on time. It was a bit lighter than usual.   Then two weeks later, on the date. My ovulation should have started, I got my period again. I remember cramping the day before,  but figured it was because I was going to ovulate.   It?s now been a week, and I?m still bleeding. It?s not heavy, but it?s definitely there.   I have had the paraguard IUD since January 2021, and my period has been like clock work. I have never experienced breakthrough bleeding, or an additional menstrual cycle any other month since having it in.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Pain in left arm, swollen underneath arm, unable to sleep due to pain, head aches, tiredness, left arm feels limp, dizziness and stomach pains
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pain in extremity, Peripheral swelling
Clinical narrative: Pain in left arm, swollen underneath arm, unable to sleep due to pain, head aches, tiredness, left arm feels limp, dizziness and stomach pains
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Throat tightness
Clinical narrative: Started to itch about 5 min after getting vaccine. Patient was premedicated with 25 mg of benadryl because she had a reaction to the first shot.  Patient had some red spots on her body.  Took another 25 mg of benadrly about 30 mins after the shot. Patient states that she cont to itch all over.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Therapeutic product effect decreased
Clinical narrative: My anti-depression medication is less effective than it was prior to receiving the vaccination.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram normal, Heart rate increased
Clinical narrative: Within 10 minutes of receiving vaccines, developed rapid heart rate and chest pressure. Was seen at Urgent Care.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Elevated resting heart rate (100+)
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Headache, Hypoxia
Clinical narrative: Presented to ED with weakness, was diagnosed with COVID-19 2 days prior to admission. Has had chills, headache. Was hypoxic on arrival and placed on O2. Oxygen titrated up to 10 L salter after admission
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Presented to ED with weakness, was diagnosed with COVID-19 2 days prior to admission. Has had chills, headache. Was hypoxic on arrival and placed on O2. Oxygen titrated up to 10 L salter after admission
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Woke up early hours of the morning of Sept. 4th with severe itching around arm pits and inner thighs. Got up and notice a rash. Since it has spread to underneath my breast , buttocks, and inner elbow (left side). I was treating it with Benadryl and Cortisone cream. Had a Dr. Appt for follow up on Hypertension on the 9th and mentioned it to my dr. He said he read where that this is happening to females that is taking the Modern. He prescribed Xyzal for me to take. I am also taking Dryl Itch Relief cream, Gold Bond with Lidocaine, Jock Itch Cream, Butenafine Hydrocholride Cream 1%. I have started last night soaking in Epson salt. I am trying to find relief as this is miserable. Hope to find a remedy soon as I was told this could happen again on the second dose.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oropharyngeal pain, Pharyngeal swelling
Clinical narrative: 1 hour after receiving vaccine throat became extremely sore and slightly swollen with swollen glands. Sore throat lasted 5 days. Swelling of throat went away after 2 days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Dyspnoea, Heart rate increased, Hypothyroidism, Thyroid disorder
Clinical narrative: Autoimmune disease-Hyperthyroidism my heart has accelerated and I felt that I couldn?t breath much a few weeks after the vaccine I then went to visit my primary care doctor, found my thyroid unbalanced then she referred me to an endocrinologist.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Dyspnoea, Fatigue
Clinical narrative: I had a really bad headache on Monday morning, I had a fever 100.5, I went to Urgent care. I knew that morning when I ate a banana I could not taste that I had covid. I had body aches, loss of taste and smell. I was drenched and sweat at night. I was also congested and a little short of breath I was able to get in have the monoclonal antibodies, I'm on my 10th day and I haven't had a fever for 24 hours and I'm still very fatigued and loss of taste and smell have not returned.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Night sweats, Pain, Pyrexia
Clinical narrative: I had a really bad headache on Monday morning, I had a fever 100.5, I went to Urgent care. I knew that morning when I ate a banana I could not taste that I had covid. I had body aches, loss of taste and smell. I was drenched and sweat at night. I was also congested and a little short of breath I was able to get in have the monoclonal antibodies, I'm on my 10th day and I haven't had a fever for 24 hours and I'm still very fatigued and loss of taste and smell have not returned.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had a really bad headache on Monday morning, I had a fever 100.5, I went to Urgent care. I knew that morning when I ate a banana I could not taste that I had covid. I had body aches, loss of taste and smell. I was drenched and sweat at night. I was also congested and a little short of breath I was able to get in have the monoclonal antibodies, I'm on my 10th day and I haven't had a fever for 24 hours and I'm still very fatigued and loss of taste and smell have not returned.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Testicular pain
Clinical narrative: Testicle pain has continued since receiving first dose.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Skin test negative, Urticaria
Clinical narrative: I began breaking out in hives 4 days after getting the J&J vaccine back in March.  Never had hives before in my life.  I continue to have severe hives on back, neck and underarms.  I've been to my doctor no less than 15 times since March to get steroid shots and pills to keep the hives calm.  I'm 6 months in now and if I am not on steroids the hives return within 24 hours.  My doctor had me get off all other prescribed medications just to make sure it wasn't causing the hives.  Also changed all soaps, detergents, sheets, underwear, diet, etc... not changes.  My dermatologist and primary doctor are confident that the hives are a reaction to the vaccine.  It is very bad.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Dyspnoea, Ear pain, Electrocardiogram, Full blood count
Clinical narrative: Dyspnea, ear pain, fever
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Pyrexia
Clinical narrative: Dyspnea, ear pain, fever
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Fatigue, Nausea, Pyrexia
Clinical narrative: The patient presents with 6 day Hx of fever with nausea, vomiting, cough, and fatigue. The pt's husband was diagnosed with COVID-19 infection 11 days ago. Denies chest pain, denies dyspnea, denies abdominal pain. Pt vaccinated for COVID-19 infection 5 months ago.  The onset was 6  days ago.  The course/duration of symptoms is fluctuating in intensity.  Risk factors consist of none and COVID-19 exposure.  Associated symptoms: denies chest pain, denies abdominal pain, denies nausea, denies vomiting, denies shortness of breath, denies fever, denies chills, denies headache, denies dizziness and denies back pain.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Vomiting
Clinical narrative: The patient presents with 6 day Hx of fever with nausea, vomiting, cough, and fatigue. The pt's husband was diagnosed with COVID-19 infection 11 days ago. Denies chest pain, denies dyspnea, denies abdominal pain. Pt vaccinated for COVID-19 infection 5 months ago.  The onset was 6  days ago.  The course/duration of symptoms is fluctuating in intensity.  Risk factors consist of none and COVID-19 exposure.  Associated symptoms: denies chest pain, denies abdominal pain, denies nausea, denies vomiting, denies shortness of breath, denies fever, denies chills, denies headache, denies dizziness and denies back pain.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Large painful and swollen area at sight that peaked at day 2 of vaccine and then started to resolve
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache, Muscle spasms
Clinical narrative: Patient says she started having chills at 8pm , followed by severe headache and muscle spams at 9:30pm. She said it was a level 10 on the pain scale. She also stated she wanted it reported that she had booster dose of Pfizer covid vaccine 8/30/21
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Dizziness, Full blood count, Laboratory test, Metabolic function test
Clinical narrative: Paresthesia and Light headedness
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Paresthesia and Light headedness
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia, Vomiting
Clinical narrative: Fever , chills , muscle aches, headache, vomiting
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: Headache, fatigue, nausea, muscular ache, injection site pain beginning 18 hours after injection.  Continued for 1 week.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Per MCIR patient received two doses of Moderna COVID-19 vaccines on 5/1/2021 and 5/29/2021 at outside facility; subsequently admitted to our hospital and diagnosed with COVID on 9/9/2021
Age: 40.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: 20 mins after vaccine patient had itching from head to toe, whelps on the back of legs. 25mg Benedryl was taken and symptoms subsided to minimal after an hour of taking medicine. Patient continues to have mild to moderate itching 14 hours after vaccination.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: I was on a backpacking hike on the AT and had a great hike the evening before the event. The next morning, I couldn't hike more than 5 steps up all the gentle inclines & had to stop & try to catch my breath. This happened throughout the morning until I was able to get off trail. I am a former ultra marathon runner & long distance hiker. I've hiked the trails at high altitude & snowy passes without ever having an issue such as this one. The next day, I was able to continue unimpeded. A very strange occurrence. I'm late in reporting this, as I originally didn't attribute this to the vaccine, but now feel this may be the contributing factor.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 5/4 and 6/1. Positive on 9/14
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Oxygen saturation decreased, Pyrexia, White blood cell count increased
Clinical narrative: Awoke 05/25/2021 With fever, very low O2 percent and headache. Went to GP who then ordered me to the ER. I was admitted with a WBC of 33700 a fever of 102 and an O2 level of 66%.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Headache, Hypertension, Nausea, Pyrexia
Clinical narrative: High fever 101.6 , Headache, nausea vomiting, Short of breath on exertion with a drop in saturation to mid 80's.  High BP with exertion.  High heart rate with exertion in the 140-150 range.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: High fever 101.6 , Headache, nausea vomiting, Short of breath on exertion with a drop in saturation to mid 80's.  High BP with exertion.  High heart rate with exertion in the 140-150 range.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Malaise, Nausea
Clinical narrative: nausea, malaise, "sick"