chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Nasal congestion, SARS-CoV-2 test, Suspected COVID-19
Clinical narrative: 1. Person under investigation for COVID-19  2. Anosmia  3. Ageusia  4. Nasal congestion
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Herpes zoster, Impaired work ability, Inappropriate schedule of product administration
Clinical narrative: Pain in joints, fever, terrible Herpes Zoster rash on hands and groin. Thus rash feels like it's attacking my scalp hands and groin. Also breakout on my left buttock, back very itchy.. my arms are also very itchy. I AM TAKING BENEDRYL round the clock to keep from itchy ..painful lump located on my throat near thyroid gland.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Neck mass, Nodule, Pyrexia, Rash
Clinical narrative: Pain in joints, fever, terrible Herpes Zoster rash on hands and groin. Thus rash feels like it's attacking my scalp hands and groin. Also breakout on my left buttock, back very itchy.. my arms are also very itchy. I AM TAKING BENEDRYL round the clock to keep from itchy ..painful lump located on my throat near thyroid gland.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urinary incontinence
Clinical narrative: Got vaccine Friday. Very feverish all day Saturday and  Unable to control bladder. Sunday I was fine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Chills, Fatigue, Headache, Incomplete course of vaccination
Clinical narrative: April 19 1st day-Woke up with uncontrollable shaking chills, fever, and vomiting.  Rest of the day was fatigued, headache, and fever. 2nd day- Repeat woke up with uncontrollable shaking chills, fever, and vomiting. Rest of the day was fatigued, headache, and fever. 3rd and 4th day fatigued, fever, and headache.  Next week started noticing problems with my eye sight. May 7 released that my eye issue was my left eye.  I didn't get into the eye doctor until May 17 but was examined and sent to the ER for an MRI and lumbar puncture.  After a week, I returned to the eye doctor and they referred me to another clinic. On  June 21 I was diagnosed with  NAION (Non-arteric  anterior ischemic optic neuropathy. ) Sometimes called an eye stroke.  I am blind in the center of my left eye as a result of the vaccine. I did not get a second shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Ophthalmological examination, Optic ischaemic neuropathy, Pyrexia
Clinical narrative: April 19 1st day-Woke up with uncontrollable shaking chills, fever, and vomiting.  Rest of the day was fatigued, headache, and fever. 2nd day- Repeat woke up with uncontrollable shaking chills, fever, and vomiting. Rest of the day was fatigued, headache, and fever. 3rd and 4th day fatigued, fever, and headache.  Next week started noticing problems with my eye sight. May 7 released that my eye issue was my left eye.  I didn't get into the eye doctor until May 17 but was examined and sent to the ER for an MRI and lumbar puncture.  After a week, I returned to the eye doctor and they referred me to another clinic. On  June 21 I was diagnosed with  NAION (Non-arteric  anterior ischemic optic neuropathy. ) Sometimes called an eye stroke.  I am blind in the center of my left eye as a result of the vaccine. I did not get a second shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vaccination complication, Visual field tests, Visual impairment, Vomiting
Clinical narrative: April 19 1st day-Woke up with uncontrollable shaking chills, fever, and vomiting.  Rest of the day was fatigued, headache, and fever. 2nd day- Repeat woke up with uncontrollable shaking chills, fever, and vomiting. Rest of the day was fatigued, headache, and fever. 3rd and 4th day fatigued, fever, and headache.  Next week started noticing problems with my eye sight. May 7 released that my eye issue was my left eye.  I didn't get into the eye doctor until May 17 but was examined and sent to the ER for an MRI and lumbar puncture.  After a week, I returned to the eye doctor and they referred me to another clinic. On  June 21 I was diagnosed with  NAION (Non-arteric  anterior ischemic optic neuropathy. ) Sometimes called an eye stroke.  I am blind in the center of my left eye as a result of the vaccine. I did not get a second shot.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain
Clinical narrative: Patient started with cough and sore throat on 8-22-21
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle twitching, Seizure like phenomena
Clinical narrative: 1 minute seizure-like episode. Patient reports numbness in chest, arms and head and some twitching of limbs. Did not lose consciousness. Reports no seizure history, but patient did have a similar episode about 5 years ago.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Formication, Lacrimation increased, Mobility decreased
Clinical narrative: Fever, severe shaking and chills, ?feels like bugs crawly in my chest?, chest burning, nausea, watery eyes, unable to lift right arm
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tremor
Clinical narrative: Fever, severe shaking and chills, ?feels like bugs crawly in my chest?, chest burning, nausea, watery eyes, unable to lift right arm
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Angiogram pulmonary abnormal, Anion gap, Aspartate aminotransferase increased, Bilevel positive airway pressure
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Death, Dyspnoea
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Hypoxia, Lung opacity
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mean cell volume normal, N-terminal prohormone brain natriuretic peptide increased, Neutrophil count increased, Platelet count normal, Pleural effusion
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia, Procalcitonin, Protein total decreased, Red blood cell count decreased, SARS-CoV-2 test positive
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachycardia, White blood cell count increased
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Hypercapnia
Clinical narrative: Patient:  Deceased BRIEF OVERVIEW: Admission Date: 8/21/2021 Discharge Date: 8/22/2021 Active Hospital Problems   Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 08/21/2021 Unknown ? Bacterial pneumonia 08/21/2021 Unknown ? Acute respiratory failure with hypoxia and hypercapnia 10/21/2018 Unknown DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia and hypercapnia Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute hypoxemic respiratory failure due to COVID-19   HOSPITAL COURSE: 87-year-old female with history of heart failure, atrial fibrillation, SIADH, coronary artery disease, metastatic adenocarcinoma (recently diagnosed), and previous lung cancer who presented to the emergency department with hypoxia and cough noted at bed.  The patient was recently admitted to our service for a hip fracture for which she underwent repair 8-10.  She was reportedly doing well at her rehab facility when she developed hypoxia and a cough.  Chest x-ray showed changes consistent with pneumonia.  EMS was called when the patient was found to be short of breath requiring 2.5 L of oxygen.  Her oxygen saturation was in the 70s on their arrival.  She was brought to the emergency department and BiPAP was initiated.  She was febrile tachycardic.  ProBNP was elevated.  Procalcitonin was greater than 100.  COVID-19 PCR was positive.  CTA was negative for PE, but showed consolidative airspace disease and patchy ground-glass opacities.  The patient was started on IV antibiotics and admitted to the hospitalist service.  She refused steroid therapy.  IV diuresis was initiated.   On the morning following admission she refused to be placed back on BiPAP.  Goals of care were addressed with the patient at bedside and she elected for comfort care.  She had been planning to sign on to hospice services as an outpatient with her recent diagnosis of metastatic adenocarcinoma and requested their services while inpatient. Hospice was consulted and she was transitioned to inpatient hospice.  The patient's family was aware of her wishes and were supportive.  A morphine drip was initiated per hospice recommendations.  The patient passed away at 16 30 on 08/22/2021.  The medical examiner was contacted as her death occurred within 24 hours of admission, but declined the case.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Swelling
Clinical narrative: Extremely sore shoulder with mild swelling.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Pt stated lost of taste and smell morning of 8/26/21
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cold sweat, Dizziness, Nausea
Clinical narrative: 8/26 - vaccine given on 8/23 at pharmacy,  dizzy, clammy, increased B/P, nauseous today.  Came on suddenly today at work.  History of gestational diabetes only. Feeling worse as conversation continued.  States has a history of a clotting disordered.  Advised to go to ED asap
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Angiogram normal, C-reactive protein normal, Chest pain, Condition aggravated
Clinical narrative: Patient developed chest pain and shortness of breath 3 days after his 2nd moderna vaccine. Was diagnosised and treated for acute pericarditis. Cardiac enzymes were normal so no myocarditis. He did have a viral URI illness 1-3 weeks before his 2nd vaccine and also developed shingles 3 days after the vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram ST-T change, Full blood count normal, Herpes zoster, Myocardial necrosis marker normal
Clinical narrative: Patient developed chest pain and shortness of breath 3 days after his 2nd moderna vaccine. Was diagnosised and treated for acute pericarditis. Cardiac enzymes were normal so no myocarditis. He did have a viral URI illness 1-3 weeks before his 2nd vaccine and also developed shingles 3 days after the vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Troponin normal, Upper respiratory tract infection
Clinical narrative: Patient developed chest pain and shortness of breath 3 days after his 2nd moderna vaccine. Was diagnosised and treated for acute pericarditis. Cardiac enzymes were normal so no myocarditis. He did have a viral URI illness 1-3 weeks before his 2nd vaccine and also developed shingles 3 days after the vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram normal, Illness, Myocarditis
Clinical narrative: Pt is a previously healthy 12 Y 4 M  male who received his second COVID Pfizer vaccine on 8/19/21 presenting with acute onset chest pain on the morning of 8/21. He describes it as sharp, worse with inspiration, and on the left side of chest, 10/10 at worse and now at 0/10. Initial troponin was 1.99 with a normal EKG/Echo. He was admitted to local HCF and was treated with acetaminophen, ibuprofen, and toradol; but around 1700-1800, his chest pain got worse. Repeat troponin was significantly increased to 19.5. Regional cardiology recommended he be transferred to a facility with specialty.  Pt was transferred to another HCF on 8/22 Suspect myopericarditis 2/2 covid vaccine, less likely myocarditis 2/2 viral illness as no sign/sx of infection. Also endorsed passive SI to multiple team members, to be assessed by psychology.   Neuro: - pain: ibuprofen 600mg TID with meals, pepcid 20mg PO qHS while on ibuprofen. - discharge with total 2 week course ibuprofen and pepcid   CV: - Chest pain resolves with doses of ibuprofen. - Echo and EKG normal on 8/21/21. - Troponin peaked at 23.67, downtrended and was 0.91 at discharge.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration, Troponin increased
Clinical narrative: Pt is a previously healthy 12 Y 4 M  male who received his second COVID Pfizer vaccine on 8/19/21 presenting with acute onset chest pain on the morning of 8/21. He describes it as sharp, worse with inspiration, and on the left side of chest, 10/10 at worse and now at 0/10. Initial troponin was 1.99 with a normal EKG/Echo. He was admitted to local HCF and was treated with acetaminophen, ibuprofen, and toradol; but around 1700-1800, his chest pain got worse. Repeat troponin was significantly increased to 19.5. Regional cardiology recommended he be transferred to a facility with specialty.  Pt was transferred to another HCF on 8/22 Suspect myopericarditis 2/2 covid vaccine, less likely myocarditis 2/2 viral illness as no sign/sx of infection. Also endorsed passive SI to multiple team members, to be assessed by psychology.   Neuro: - pain: ibuprofen 600mg TID with meals, pepcid 20mg PO qHS while on ibuprofen. - discharge with total 2 week course ibuprofen and pepcid   CV: - Chest pain resolves with doses of ibuprofen. - Echo and EKG normal on 8/21/21. - Troponin peaked at 23.67, downtrended and was 0.91 at discharge.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Ascites, Blood test, Chest discomfort, Computerised tomogram thorax abnormal
Clinical narrative: About 1 week after the injection, I started to have a dull pain in my liver area in the lower right quadrant in the rib cage. It lasted on and off for about 3 month. It felt as if someone was pushing their finger into my lower right rib cage. The sensation would come and go. My shoulder was very tender for 3 days.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic pain, Tenderness, Ultrasound scan, Urine analysis, Viral test
Clinical narrative: About 1 week after the injection, I started to have a dull pain in my liver area in the lower right quadrant in the rib cage. It lasted on and off for about 3 month. It felt as if someone was pushing their finger into my lower right rib cage. The sensation would come and go. My shoulder was very tender for 3 days.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Chest pain, Computerised tomogram abdomen abnormal, Pulmonary embolism
Clinical narrative: 8/12/2021 left sided chest pain 8/14/2021 UTI with continued left chest pain 8/14/2021 abdominal CT showed left lower lobe necrosis and admitted. 8/15/2021 CT angiogram of chest showed left lower lobe pulmonary emboli with left lower lobe pulmonary infarct. Pt anticoagulated. 8/18/2021 Discharged on Eliquis.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary infarction, Pulmonary necrosis, Urinary tract infection
Clinical narrative: 8/12/2021 left sided chest pain 8/14/2021 UTI with continued left chest pain 8/14/2021 abdominal CT showed left lower lobe necrosis and admitted. 8/15/2021 CT angiogram of chest showed left lower lobe pulmonary emboli with left lower lobe pulmonary infarct. Pt anticoagulated. 8/18/2021 Discharged on Eliquis.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Fatigue, Heart rate increased
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 08/20/2021, started experiencing symptoms 08/21/2021 of 103.1 fever, Heart Palpations, high heart rate, and fatigue. Cardiologist recommended, Appt. 09/01/2021. Still continuing to experience symptoms.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 08/20/2021, started experiencing symptoms 08/21/2021 of 103.1 fever, Heart Palpations, high heart rate, and fatigue. Cardiologist recommended, Appt. 09/01/2021. Still continuing to experience symptoms.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine used past the 12 hour window of use after vial punctured. Stored in fridge entire time and cleaned between each use with alcohol.  Pt contacted and no adverse reaction, pt states no problems
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Computerised tomogram thorax abnormal, ECG P wave inverted, Ischaemia
Clinical narrative: On 02/22/2021 I had 2 minutes of heart pain. I told my husband if I fell down to call 911 and tell them I was having a heart attack. But it passed. On 03/09/2021 I had an appointment with a cardiologist. When I went in, they did an EKG and it was abnormal. I told her about the heart pain I had 2 weeks ago. That was concerning for her. I described her my family history which is very prominent for heart diseases. I have a completely normal BMI and I take good care of myself. My EKG had Inverted P waves which indicates ischemia. She sent me to the hospital and I was admitted. I stayed for a night. They did several tests and everything came back normal. They did not know why I had that heart pain. They did a cardiac CT and they saw all my vessels were normal except LED it was a 1. At the end they let me go home. I had another EKG  about a month later and the P waves are still inverted which still indicates ischemia.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphoedema, Metabolic function test
Clinical narrative: 3+ Left Axillary Lumphedema
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin increased, Dizziness, Fatigue
Clinical narrative: Fever (Oral 101.9F at home), fatigue, malaise, headache with lightheadedness and a mild sore throat.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever (Oral 101.9F at home), fatigue, malaise, headache with lightheadedness and a mild sore throat.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antiphospholipid antibodies negative, Arthralgia, Blood test normal, Hepatitis B test negative, Hepatitis C test negative
Clinical narrative: After receiving the vaccine, within a few days I developed a rash on my upper thigh and leg. Within 2 weeks after the second dose, I developed severe joint pain in all my joints. I developed a rash on both legs. I also developed pins and needles sensations in hands, arms, legs. I developed numbness in my left hip, leg and foot. I developed rashes after being exposed to the sun. Its been 3 months and I still have joint pain and nerve pain. The rashes have subsided.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging head, Neuralgia, Paraesthesia, Rash
Clinical narrative: After receiving the vaccine, within a few days I developed a rash on my upper thigh and leg. Within 2 weeks after the second dose, I developed severe joint pain in all my joints. I developed a rash on both legs. I also developed pins and needles sensations in hands, arms, legs. I developed numbness in my left hip, leg and foot. I developed rashes after being exposed to the sun. Its been 3 months and I still have joint pain and nerve pain. The rashes have subsided.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rheumatoid factor negative, Streptococcus test negative
Clinical narrative: After receiving the vaccine, within a few days I developed a rash on my upper thigh and leg. Within 2 weeks after the second dose, I developed severe joint pain in all my joints. I developed a rash on both legs. I also developed pins and needles sensations in hands, arms, legs. I developed numbness in my left hip, leg and foot. I developed rashes after being exposed to the sun. Its been 3 months and I still have joint pain and nerve pain. The rashes have subsided.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Throat tightness
Clinical narrative: 2.5 days after receiving dose 1 of the Pfizer series patient was admitted to hospital with a closed throat. Pt. reports being told 0.5cm opening is all that remained. During the course of hospitalization patient developed pneumonia and was hospitalized for 10 days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt received 3 Pfizer Covid vaccines, one at a pharmacy and two at another facility. Dates of vaccination were 1/9/21, 2/1/21, 1/28/21. No adverse effects noted. Not discovered until 8/26/21 that pt received 3.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Musculoskeletal stiffness, Neck pain
Clinical narrative: experiencing neck pains and stiffness of the neck, arm has a continuing burning feeling and skin feels like its switching
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Computerised tomogram normal, Coronary artery dissection, Dizziness
Clinical narrative: On 08/11/2021-I had lightheadedness, chest pain, nausea, tingling in hands and feet, blurred vison, difficulty walking. On 08/11/2021 EMS took me to a Medical Center, had emergency surgery due to  spontaneous Coronary artery dissection . I was in the hospital for 2 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Nausea, Paraesthesia, Surgery, Ultrasound kidney normal
Clinical narrative: On 08/11/2021-I had lightheadedness, chest pain, nausea, tingling in hands and feet, blurred vison, difficulty walking. On 08/11/2021 EMS took me to a Medical Center, had emergency surgery due to  spontaneous Coronary artery dissection . I was in the hospital for 2 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: On 08/11/2021-I had lightheadedness, chest pain, nausea, tingling in hands and feet, blurred vison, difficulty walking. On 08/11/2021 EMS took me to a Medical Center, had emergency surgery due to  spontaneous Coronary artery dissection . I was in the hospital for 2 days.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Death
Clinical narrative: death  Acute kidney injury (nontraumatic) (CMS/HCC)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Thrombosis, Ultrasound scan abnormal
Clinical narrative: After receiving the vaccine a few days later around the 7th of February I had to go to the ER for calf pain and leg swelling, They did an ultrasound and discovered that I had a blood clot that had formed. On the 9th I followed up with my PCP and they scheduled another ultrasound for the 12th of February, and there was no change in the blood clot size. After that I had another ultrasound in March 12th and that was the last scan that I had received. The swelling and pain did go away around the beginning of March and they prescribed me to take Aspirin for a year to deal with the formation of the blood clot. And I stopped taking my birth control to get better results.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Myalgia, Nausea
Clinical narrative: Vaccinated at 1:00 p.m. - chills at 11:00 p.m., fever that reach 102 and stayed 102 for 24 hours.  Body/muscle aches.  No energy.  Itching in armpits, inner elbows, neck, around face, hips and thighs.  Welts and redness.  Nausea, loss of appetite.  Started feeling better Wednesday evening and by Thursday morning felt pretty normal.  I had the same reactions with my 2nd shot, but they only lasted 36 hours.  This time they lasted more than 72 hours.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Vaccinated at 1:00 p.m. - chills at 11:00 p.m., fever that reach 102 and stayed 102 for 24 hours.  Body/muscle aches.  No energy.  Itching in armpits, inner elbows, neck, around face, hips and thighs.  Welts and redness.  Nausea, loss of appetite.  Started feeling better Wednesday evening and by Thursday morning felt pretty normal.  I had the same reactions with my 2nd shot, but they only lasted 36 hours.  This time they lasted more than 72 hours.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Client requested COVID-19 vaccine - verbally reported and signed consent indicating she had not received any other COVID-19 vaccine.  Client vaccinated with Janssen vaccine.  While documenting vaccination in system, writer discovered documentation that client received a dose of the Pfizer COVID-19 vaccine on 7/15/21 (Lot #FA6780).  Client is currently a resident at the detention facility.  No reports of adverse side effects received.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block complete, Cardiac pacemaker insertion, Cardiac stress test abnormal, Condition aggravated, Diarrhoea
Clinical narrative: Severe diarrhea lasting 3 weeks prior to event. On day of event (8/14/21) suddenly collapsed. Found to be in a complete heart block that required a pacemaker. No prior history of any heart condition.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Syncope, Troponin increased
Clinical narrative: Severe diarrhea lasting 3 weeks prior to event. On day of event (8/14/21) suddenly collapsed. Found to be in a complete heart block that required a pacemaker. No prior history of any heart condition.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Rash
Clinical narrative: BUMPS ON BACK STARTED 1 DAY POST VACCINATION; BUMPS ON RIGHT BREAST STARTED RECENTLY.  RIGHT BREAST IS NOW SORE. PATIENT IS GOING TO CALL THE COVID HOTLINE.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site induration, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Initially, swelling / hardness within a few hours of the shot. The next morning, exhaustion, pain, swelling / hardness. The following day, today, (after lots of sleep), feverish, and the area around the shot was hot, swollen / hard, and painful. I removed the bandages, and saw that it had a large red rash as well. A few hours of a cold compress on the affected arm seems to have quieted it down some. The fever went away relatively quickly.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Initially, swelling / hardness within a few hours of the shot. The next morning, exhaustion, pain, swelling / hardness. The following day, today, (after lots of sleep), feverish, and the area around the shot was hot, swollen / hard, and painful. I removed the bandages, and saw that it had a large red rash as well. A few hours of a cold compress on the affected arm seems to have quieted it down some. The fever went away relatively quickly.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine used past the 12 hour window of use after vial punctured. Stored in fridge entire time and cleaned between each use with alcohol  Pt contacted and no adverse reaction, pt states no problems
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of Pfizer was administered 14 days after 1st dose. Patient had 1st dose completed at another clinic site and did not have her vaccination card with her at time seen in our clinic.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Magnetic resonance imaging head
Clinical narrative: Loss of smell and taste 2 weeks after second shot, don't have lot number.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dissociation, Hallucination, Headache, Paraesthesia
Clinical narrative: On 12/26 starting at 12 AM - Body shaking/shivering and tingling/pinching sensation of skin on arms and legs lasting until 2 AM. Shortly after aforementioned events subsided hallucinations began. Hallucinations of missing body parts of shoulder and knee ( no pain during hallucinations) continued through 4 AM at which time Tylenol was taking due to development of headache. Shortly after tylenol was taken hallucinations of being in several different bodies not of his own were experienced. All hallucinations subsided at 5AM. Headache and fever of 99.6  has continued since 5AM . Family doctor has been contacted , no return call as of yet.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: On 12/26 starting at 12 AM - Body shaking/shivering and tingling/pinching sensation of skin on arms and legs lasting until 2 AM. Shortly after aforementioned events subsided hallucinations began. Hallucinations of missing body parts of shoulder and knee ( no pain during hallucinations) continued through 4 AM at which time Tylenol was taking due to development of headache. Shortly after tylenol was taken hallucinations of being in several different bodies not of his own were experienced. All hallucinations subsided at 5AM. Headache and fever of 99.6  has continued since 5AM . Family doctor has been contacted , no return call as of yet.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Hypoaesthesia, Injection site pain, Pyrexia
Clinical narrative: fever (101), chills, temporary shortness of breath, and numbness of the fingers of the left hand Pain at the injection site (left arm)