chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: COVID19, FLUA4, PNC13
Symptoms: Hypervolaemia, Hypoxia, Lung consolidation, Mental status changes, Non-obstructive cardiomyopathy
Clinical narrative: Admission Date: 7/17/2022 Discharge Date: Jul 22, 2022  PRESENTING PROBLEM: Elevated troponin [R77.8] COVID-19 [U07.1] Takotsubo cardiomyopathy [I51.81]   HOSPITAL COURSE: Patient is a 78 y.o. male with past medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, GERD who is admitted for COVID 19, elevated troponins, fluid overload. General medicine is consulted for acute hypoxia, concern for CAP. At 2030 7/18 pt was noted to be tachypneic with RR 36 and required increased O2 needs, satting 90% on 4L. Patient was given IV Lasix 40mg to treat flash pulmonary edema. Patient has a new wet-sounding cough. Had fever of 37.8 yesterday evening that resolved with acetaminophen. New focal consolidation appreciated on CXR. WBC 11.6 -> 9.5 -> 14.5. He has also noted to have worsening mental status throughout admission, at times requiring prn haldol.    Initially the patient was admitted under Cardiology and had 2 elevated troponin patient was taken for left heart catheterization cardiomyopathy that was nonobstructive.  Patient was started on ceftriaxone and doxycycline for treatment of community-acquired pneumonia.  In addition he was receiving Lasix.  Patient respiratory status improved and he was off of oxygen.   The patient had delirium psych was consulted for medication adjustments and patient has slept well, the next day the patient was awake alert oriented and felt much better.   Cardiology was knee imaging patient's medications for the cardiomyopathy.  He was initially started on Eliquis for the paroxysmal atrial fibrillation and he will follow-up within at least 3 weeks.  The patient was discharged on beta blockers, losartan, Lasix, and he will be started on spironolactone and SGLT2 outpatient.   During his stay the patient was found to be hypernatremic that improved after diuretics.  Patient hydrochlorothiazide was discontinued given that it could cause hyponatremia.   PT/OT did evaluate the patient and initially had recommended subacute rehab however the patient was adamant about going home therefore he was sent home with a walker and advised a 24 hours supervision by his spouse and/daughter.  Additionally home health care is being scheduled for him.  The patient was instructed to follow up with primary care doctor within few days and to follow up with Cardiology within 3 weeks.  The patient was discharged home in a stable condition.
Age: 77.0
Sex: M
Vaccine: COVID19, FLUA4, PNC13
Symptoms: Pneumonia, Pyrexia, Stress cardiomyopathy, Tachypnoea, Troponin increased
Clinical narrative: Admission Date: 7/17/2022 Discharge Date: Jul 22, 2022  PRESENTING PROBLEM: Elevated troponin [R77.8] COVID-19 [U07.1] Takotsubo cardiomyopathy [I51.81]   HOSPITAL COURSE: Patient is a 78 y.o. male with past medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, GERD who is admitted for COVID 19, elevated troponins, fluid overload. General medicine is consulted for acute hypoxia, concern for CAP. At 2030 7/18 pt was noted to be tachypneic with RR 36 and required increased O2 needs, satting 90% on 4L. Patient was given IV Lasix 40mg to treat flash pulmonary edema. Patient has a new wet-sounding cough. Had fever of 37.8 yesterday evening that resolved with acetaminophen. New focal consolidation appreciated on CXR. WBC 11.6 -> 9.5 -> 14.5. He has also noted to have worsening mental status throughout admission, at times requiring prn haldol.    Initially the patient was admitted under Cardiology and had 2 elevated troponin patient was taken for left heart catheterization cardiomyopathy that was nonobstructive.  Patient was started on ceftriaxone and doxycycline for treatment of community-acquired pneumonia.  In addition he was receiving Lasix.  Patient respiratory status improved and he was off of oxygen.   The patient had delirium psych was consulted for medication adjustments and patient has slept well, the next day the patient was awake alert oriented and felt much better.   Cardiology was knee imaging patient's medications for the cardiomyopathy.  He was initially started on Eliquis for the paroxysmal atrial fibrillation and he will follow-up within at least 3 weeks.  The patient was discharged on beta blockers, losartan, Lasix, and he will be started on spironolactone and SGLT2 outpatient.   During his stay the patient was found to be hypernatremic that improved after diuretics.  Patient hydrochlorothiazide was discontinued given that it could cause hyponatremia.   PT/OT did evaluate the patient and initially had recommended subacute rehab however the patient was adamant about going home therefore he was sent home with a walker and advised a 24 hours supervision by his spouse and/daughter.  Additionally home health care is being scheduled for him.  The patient was instructed to follow up with primary care doctor within few days and to follow up with Cardiology within 3 weeks.  The patient was discharged home in a stable condition.
Age: 77.0
Sex: M
Vaccine: COVID19, FLUA4, PNC13
Symptoms: White blood cell count increased
Clinical narrative: Admission Date: 7/17/2022 Discharge Date: Jul 22, 2022  PRESENTING PROBLEM: Elevated troponin [R77.8] COVID-19 [U07.1] Takotsubo cardiomyopathy [I51.81]   HOSPITAL COURSE: Patient is a 78 y.o. male with past medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, GERD who is admitted for COVID 19, elevated troponins, fluid overload. General medicine is consulted for acute hypoxia, concern for CAP. At 2030 7/18 pt was noted to be tachypneic with RR 36 and required increased O2 needs, satting 90% on 4L. Patient was given IV Lasix 40mg to treat flash pulmonary edema. Patient has a new wet-sounding cough. Had fever of 37.8 yesterday evening that resolved with acetaminophen. New focal consolidation appreciated on CXR. WBC 11.6 -> 9.5 -> 14.5. He has also noted to have worsening mental status throughout admission, at times requiring prn haldol.    Initially the patient was admitted under Cardiology and had 2 elevated troponin patient was taken for left heart catheterization cardiomyopathy that was nonobstructive.  Patient was started on ceftriaxone and doxycycline for treatment of community-acquired pneumonia.  In addition he was receiving Lasix.  Patient respiratory status improved and he was off of oxygen.   The patient had delirium psych was consulted for medication adjustments and patient has slept well, the next day the patient was awake alert oriented and felt much better.   Cardiology was knee imaging patient's medications for the cardiomyopathy.  He was initially started on Eliquis for the paroxysmal atrial fibrillation and he will follow-up within at least 3 weeks.  The patient was discharged on beta blockers, losartan, Lasix, and he will be started on spironolactone and SGLT2 outpatient.   During his stay the patient was found to be hypernatremic that improved after diuretics.  Patient hydrochlorothiazide was discontinued given that it could cause hyponatremia.   PT/OT did evaluate the patient and initially had recommended subacute rehab however the patient was adamant about going home therefore he was sent home with a walker and advised a 24 hours supervision by his spouse and/daughter.  Additionally home health care is being scheduled for him.  The patient was instructed to follow up with primary care doctor within few days and to follow up with Cardiology within 3 weeks.  The patient was discharged home in a stable condition.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient received second dose in primary series 21 days after 1st dose, no adverse events noted
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient completed Monitoring Period and No adverse reactions noted.
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Eye swelling, Rash
Clinical narrative: pt says she noticed a rash in her armpits on 7/24/22 at 10pm, then at midnight she had rash waist on up, has slightly swollen eyes.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Approximately 14 hours after injection, patient woke up with nausea, vomiting and dizziness which lasted 2 days.  The most severe nausea and vomiting were within the first 24 hours.  The effect subsided after 3 days.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I traveled out of state, I wore a mask most of the time in both airports. I tested negative when I got there and it came back negative. I tested again a couple of days later after going to a graduation party and that COVID-19 test came back negative. That Sunday my daughter tested positive and that following day and Tuesday I felt tired but I still tested negative. I tested again on Wednesday and that COVID-19 test came back positive. I called my doctor and got a PAXLOVID. I had to stop my other medications to take it. I had a terrible headache and sore throat the day following. On Thursday I woke up and my symptoms were gone. I only tested positive for four days.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Extra dose administered, Hyperacusis, Tinnitus
Clinical narrative: I had Tinnitus previously but it initially became worse after dose 2 as detailed in VAERS report (1773157). After my 4th Moderna dose, I noticed a day or so later that my Tinnitus was worse than usual. I remember watching TV and the sounds becoming really annoying, louder than usual. After the second dose when it became worse I did go to see an ENT and they tested my hearing, which came back fine, but after this 4th dose I did not consult anybody but did mention it several times to my Therapist. The Tinnitus remains the same and has not gotten better.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood testosterone decreased, Fatigue, Positive airway pressure therapy, Sleep apnoea syndrome, Sleep study abnormal
Clinical narrative: Within a month or so after receiving my third dose of Pfizer I began to notice that I was feeling extremely exhausted. Around the 15th of November of that same year (2021) I began taking a thyroid medication and I received my third dose of Pfizer on 11/20/2021. On 03/16/2022 I saw a doctor for my fatigue. He advised that I do a sleep apnea sleep study which I did in May of 2022. I began to use a C-PAP machine in June of 2022 but I am still feeling extreme exhaustion to the point where I am very fatigued after menial tasks like moving pillows from my bed or moving dishes around in the dish washer. I am scheduled to see my doctor again next week, 08/04/2022, to discuss this further. Since receiving my third dose in 2021, I have also received a fourth dose of Pfizer on 04/20/2022.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Cough, Dyspnoea, Full blood count normal, Nasal congestion
Clinical narrative: I have been diagnosed with Anterior Ischemic Optic Neuropathy commonly known as an eye stroke. It was a gradual onset. There is probable permanent loss of vision in my left eye. It was treated with one week of Prednisone at 30mg per day with 2 days of weaning off the medication. I'm still under treatment to prevent potential neurological events in the future like brain or eye stroke. It's greatly impacted my vision. At the same time that I was losing vision, I developed a cough, some nasal congestion, and a sore throat. It got worse, better, and then perceptibly worse over the course of three to four days. It prompted a visit to urgent care on the 5th day due to difficulty breathing. At that time, I was advised to follow up with an Ophthalmologist due to the loss of vision.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination abnormal, Optic ischaemic neuropathy, Oropharyngeal pain, Papilloedema, Retinogram abnormal
Clinical narrative: I have been diagnosed with Anterior Ischemic Optic Neuropathy commonly known as an eye stroke. It was a gradual onset. There is probable permanent loss of vision in my left eye. It was treated with one week of Prednisone at 30mg per day with 2 days of weaning off the medication. I'm still under treatment to prevent potential neurological events in the future like brain or eye stroke. It's greatly impacted my vision. At the same time that I was losing vision, I developed a cough, some nasal congestion, and a sore throat. It got worse, better, and then perceptibly worse over the course of three to four days. It prompted a visit to urgent care on the 5th day due to difficulty breathing. At that time, I was advised to follow up with an Ophthalmologist due to the loss of vision.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome, Sleep study abnormal
Clinical narrative: I have been diagnosed with Anterior Ischemic Optic Neuropathy commonly known as an eye stroke. It was a gradual onset. There is probable permanent loss of vision in my left eye. It was treated with one week of Prednisone at 30mg per day with 2 days of weaning off the medication. I'm still under treatment to prevent potential neurological events in the future like brain or eye stroke. It's greatly impacted my vision. At the same time that I was losing vision, I developed a cough, some nasal congestion, and a sore throat. It got worse, better, and then perceptibly worse over the course of three to four days. It prompted a visit to urgent care on the 5th day due to difficulty breathing. At that time, I was advised to follow up with an Ophthalmologist due to the loss of vision.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: HOSPITALIZED WITH COVID.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Bone densitometry, Gait disturbance, Joint swelling, Musculoskeletal stiffness
Clinical narrative: About a week after my shot I was feeling really sore and stiff. I could hardly walk and was bent over and in pain and was taking OTC medications to help with the pain. I was having to hold onto things as I was walking because I was having such a hard time. I had a trip planned and I took my cane because I could not walk and move as normal. My family was concerned because I was so unstable. I saw my PCP and he is having me get a bone and density test. My knee has also been swelling and that is not normal at all.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Posture abnormal, Walking aid user
Clinical narrative: About a week after my shot I was feeling really sore and stiff. I could hardly walk and was bent over and in pain and was taking OTC medications to help with the pain. I was having to hold onto things as I was walking because I was having such a hard time. I had a trip planned and I took my cane because I could not walk and move as normal. My family was concerned because I was so unstable. I saw my PCP and he is having me get a bone and density test. My knee has also been swelling and that is not normal at all.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I started feeling symptoms on 06/28/2022 with mainly coughing.  I tested positive for COVID-19 on 06/29/2022 with a home test.  As I was traveling during this time I had a video conference with medical staff at a urgent care center in another location.  I was given the prescription Paxlovid and started feeling better within 24 hours.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: 7/18/2022  She had a headache and I gave her some Ibuprofen. The next couple of days she would complain occasionally about a headache and sore throat, no fever or other symptoms. On 7/21/2022 she began having a runny nose and congestion and continued having a sore throat and headaches. 0n 7/22/2022 I took her to the doctor, and they said she looked okay. We started her on Zyrtec that evening.  An at home COVID test on 7/24/2022 which was negative. She is still having a runny nose and has not complained of a headache or sore throat for the last few days.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood loss anaemia, COVID-19, Computerised tomogram abdomen abnormal, Faeces discoloured, Fatigue
Clinical narrative: Patient with 3 COVID Moderna vaccinations with incidental positive COVID test upon admission.  Provider d/c note below:  "74 y.o. female with PMHx of SLE, HTN, HLD, T2DM, COPD, OSA, and CKD3 here with GI bleed. Patient has been feeling fatigued for the past three days. Developed sudden bright red bowel movements today. On arrival to the ED patient was hypotensive after 3L. Initial Hgb was 10.3 but 2 hours later it dropped to 8.8. Given x1 unit of PRBCs. Patient remained hypotensive after the first unit. CT abdomen and pelvis showed multiple segments of dilated small bowel with mural thickening concerning for IBD. Dr. was consulted who plans on colonoscopy in AM. Patient had another dark bloody bowel movement with clots in the ED. Given continued hypotension patient was admitted to the ICU for further monitoring.    Patient has never had GI bleeding in the past and ha snot had a colonoscopy. Has had appendectomy, cholecystectomy and hysterectomy. Not on blood thinners. Is not on any immunologics or steroids for her Lupus given intolerance to side effects. Did not take home BP meds today (HPI per Dr. )   Hospital Course: No notes on file Concern for upper GI bleed -hematochezia in ER, hematemesis in ICU, Gastroenterology following, Hgb stable post transfusion though she is still having black stools. She is covid positive and GI wishes to wait till she is out of isolation. I discussed with GI and they said ok to discharge her on bid ppi with close follow up with GI for out patient EGD - which they will arrange. I will check CBC on 7/21, avoid NSAIDS and hold ASA till f/u with GI.   Hemorrhagic shock secondary to upper GI bleed -s/p 2 units PRBC, REquired pressors but now off Levophed.   COVID-19 infection -incidental finding, x3 vaccination, asymptomatic respiratory, transient hypoxemia secondary hemorrhagic anemia, resolved, no indication for immunologics   Discharge Exam: General - Elderly female, not in obvious distress HEENT - NC AT Heart - S1 S2 RRR Lung - Moderate air entry Abdomen - Soft, non-tender, BS+ Ext - No LE edema Neuro - AAO x3"
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gastrointestinal haemorrhage, Gastrointestinal wall thickening, Haematemesis, Haematochezia, Haemoglobin decreased
Clinical narrative: Patient with 3 COVID Moderna vaccinations with incidental positive COVID test upon admission.  Provider d/c note below:  "74 y.o. female with PMHx of SLE, HTN, HLD, T2DM, COPD, OSA, and CKD3 here with GI bleed. Patient has been feeling fatigued for the past three days. Developed sudden bright red bowel movements today. On arrival to the ED patient was hypotensive after 3L. Initial Hgb was 10.3 but 2 hours later it dropped to 8.8. Given x1 unit of PRBCs. Patient remained hypotensive after the first unit. CT abdomen and pelvis showed multiple segments of dilated small bowel with mural thickening concerning for IBD. Dr. was consulted who plans on colonoscopy in AM. Patient had another dark bloody bowel movement with clots in the ED. Given continued hypotension patient was admitted to the ICU for further monitoring.    Patient has never had GI bleeding in the past and ha snot had a colonoscopy. Has had appendectomy, cholecystectomy and hysterectomy. Not on blood thinners. Is not on any immunologics or steroids for her Lupus given intolerance to side effects. Did not take home BP meds today (HPI per Dr. )   Hospital Course: No notes on file Concern for upper GI bleed -hematochezia in ER, hematemesis in ICU, Gastroenterology following, Hgb stable post transfusion though she is still having black stools. She is covid positive and GI wishes to wait till she is out of isolation. I discussed with GI and they said ok to discharge her on bid ppi with close follow up with GI for out patient EGD - which they will arrange. I will check CBC on 7/21, avoid NSAIDS and hold ASA till f/u with GI.   Hemorrhagic shock secondary to upper GI bleed -s/p 2 units PRBC, REquired pressors but now off Levophed.   COVID-19 infection -incidental finding, x3 vaccination, asymptomatic respiratory, transient hypoxemia secondary hemorrhagic anemia, resolved, no indication for immunologics   Discharge Exam: General - Elderly female, not in obvious distress HEENT - NC AT Heart - S1 S2 RRR Lung - Moderate air entry Abdomen - Soft, non-tender, BS+ Ext - No LE edema Neuro - AAO x3"
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypotension, Hypoxia, Intensive care, Intestinal dilatation, Red blood cell transfusion
Clinical narrative: Patient with 3 COVID Moderna vaccinations with incidental positive COVID test upon admission.  Provider d/c note below:  "74 y.o. female with PMHx of SLE, HTN, HLD, T2DM, COPD, OSA, and CKD3 here with GI bleed. Patient has been feeling fatigued for the past three days. Developed sudden bright red bowel movements today. On arrival to the ED patient was hypotensive after 3L. Initial Hgb was 10.3 but 2 hours later it dropped to 8.8. Given x1 unit of PRBCs. Patient remained hypotensive after the first unit. CT abdomen and pelvis showed multiple segments of dilated small bowel with mural thickening concerning for IBD. Dr. was consulted who plans on colonoscopy in AM. Patient had another dark bloody bowel movement with clots in the ED. Given continued hypotension patient was admitted to the ICU for further monitoring.    Patient has never had GI bleeding in the past and ha snot had a colonoscopy. Has had appendectomy, cholecystectomy and hysterectomy. Not on blood thinners. Is not on any immunologics or steroids for her Lupus given intolerance to side effects. Did not take home BP meds today (HPI per Dr. )   Hospital Course: No notes on file Concern for upper GI bleed -hematochezia in ER, hematemesis in ICU, Gastroenterology following, Hgb stable post transfusion though she is still having black stools. She is covid positive and GI wishes to wait till she is out of isolation. I discussed with GI and they said ok to discharge her on bid ppi with close follow up with GI for out patient EGD - which they will arrange. I will check CBC on 7/21, avoid NSAIDS and hold ASA till f/u with GI.   Hemorrhagic shock secondary to upper GI bleed -s/p 2 units PRBC, REquired pressors but now off Levophed.   COVID-19 infection -incidental finding, x3 vaccination, asymptomatic respiratory, transient hypoxemia secondary hemorrhagic anemia, resolved, no indication for immunologics   Discharge Exam: General - Elderly female, not in obvious distress HEENT - NC AT Heart - S1 S2 RRR Lung - Moderate air entry Abdomen - Soft, non-tender, BS+ Ext - No LE edema Neuro - AAO x3"
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Shock haemorrhagic, Thrombosis, Upper gastrointestinal haemorrhage
Clinical narrative: Patient with 3 COVID Moderna vaccinations with incidental positive COVID test upon admission.  Provider d/c note below:  "74 y.o. female with PMHx of SLE, HTN, HLD, T2DM, COPD, OSA, and CKD3 here with GI bleed. Patient has been feeling fatigued for the past three days. Developed sudden bright red bowel movements today. On arrival to the ED patient was hypotensive after 3L. Initial Hgb was 10.3 but 2 hours later it dropped to 8.8. Given x1 unit of PRBCs. Patient remained hypotensive after the first unit. CT abdomen and pelvis showed multiple segments of dilated small bowel with mural thickening concerning for IBD. Dr. was consulted who plans on colonoscopy in AM. Patient had another dark bloody bowel movement with clots in the ED. Given continued hypotension patient was admitted to the ICU for further monitoring.    Patient has never had GI bleeding in the past and ha snot had a colonoscopy. Has had appendectomy, cholecystectomy and hysterectomy. Not on blood thinners. Is not on any immunologics or steroids for her Lupus given intolerance to side effects. Did not take home BP meds today (HPI per Dr. )   Hospital Course: No notes on file Concern for upper GI bleed -hematochezia in ER, hematemesis in ICU, Gastroenterology following, Hgb stable post transfusion though she is still having black stools. She is covid positive and GI wishes to wait till she is out of isolation. I discussed with GI and they said ok to discharge her on bid ppi with close follow up with GI for out patient EGD - which they will arrange. I will check CBC on 7/21, avoid NSAIDS and hold ASA till f/u with GI.   Hemorrhagic shock secondary to upper GI bleed -s/p 2 units PRBC, REquired pressors but now off Levophed.   COVID-19 infection -incidental finding, x3 vaccination, asymptomatic respiratory, transient hypoxemia secondary hemorrhagic anemia, resolved, no indication for immunologics   Discharge Exam: General - Elderly female, not in obvious distress HEENT - NC AT Heart - S1 S2 RRR Lung - Moderate air entry Abdomen - Soft, non-tender, BS+ Ext - No LE edema Neuro - AAO x3"
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dizziness, Headache, Oropharyngeal pain
Clinical narrative: I tested positive for COVID-19 on 06/21/2022. I had a sore throat at first. Then, I had a headache, body aches, coughing that was very painful, and dizziness. I was prescribed Paxlovid and I started feeling better after taking that after about four days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 06/21/2022. I had a sore throat at first. Then, I had a headache, body aches, coughing that was very painful, and dizziness. I was prescribed Paxlovid and I started feeling better after taking that after about four days.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+ on 7/20/22. Asymptomatic positive.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pain, Pyrexia
Clinical narrative: I was feeling achy, had a headache, a fever of 101.2F, coughing . I took a home COVID-19 test that came back positive quickly. I went to my doctor's office and saw the Physician's Assistant he prescribed Paxlovid. I started taking it immediately and within twenty-fours started feeling better.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I was feeling achy, had a headache, a fever of 101.2F, coughing . I took a home COVID-19 test that came back positive quickly. I went to my doctor's office and saw the Physician's Assistant he prescribed Paxlovid. I started taking it immediately and within twenty-fours started feeling better.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral normal, Anticoagulant therapy, Aphasia, Atrial fibrillation, COVID-19
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted to hospital with COVID detected PCR upon admission.  Provider d/c note below:  "71 YO-year-old female with h/o rheumatoid arthritis, coronary artery disease, paroxysmal Afib not on anticoagulation, and GERD who presents to the emergency department for altered mental status and aphasia. Initial studies showed: CT head negative, CT perfusion negative, CT angiogram negative.  Positive for COVID at home. Chest x-ray with left base infiltrate.  Labs unremarkable. EKG with normal sinus rhythm heart rate 99, QTC 477 no acute ST changes. She was admitted for further work-up . MRI negative for stroke or bleeding. EEG showedfocal neuronal dysfunction and epileptiform foci. Neurology was consult. She was initiated on Keppra and speech started improving day by day. While on addmision, patient presented with several episodes of paroxsymal atrial fibrillation, initially she was anticoagulated with heparin and then changed to  Xarelto. She also presented with high blood pressure and Lisinopril was initiated and metoprolol dose was adjusted. Patient has improved a lot is salable, but somehow week will sent her home with home therapy. Follow-up with her PCP, cardiology and neurology. "
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Condition aggravated, Electrocardiogram normal, Electroencephalogram abnormal
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted to hospital with COVID detected PCR upon admission.  Provider d/c note below:  "71 YO-year-old female with h/o rheumatoid arthritis, coronary artery disease, paroxysmal Afib not on anticoagulation, and GERD who presents to the emergency department for altered mental status and aphasia. Initial studies showed: CT head negative, CT perfusion negative, CT angiogram negative.  Positive for COVID at home. Chest x-ray with left base infiltrate.  Labs unremarkable. EKG with normal sinus rhythm heart rate 99, QTC 477 no acute ST changes. She was admitted for further work-up . MRI negative for stroke or bleeding. EEG showedfocal neuronal dysfunction and epileptiform foci. Neurology was consult. She was initiated on Keppra and speech started improving day by day. While on addmision, patient presented with several episodes of paroxsymal atrial fibrillation, initially she was anticoagulated with heparin and then changed to  Xarelto. She also presented with high blood pressure and Lisinopril was initiated and metoprolol dose was adjusted. Patient has improved a lot is salable, but somehow week will sent her home with home therapy. Follow-up with her PCP, cardiology and neurology. "
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Laboratory test normal, Lung infiltration, Magnetic resonance imaging head normal, Mental status changes
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted to hospital with COVID detected PCR upon admission.  Provider d/c note below:  "71 YO-year-old female with h/o rheumatoid arthritis, coronary artery disease, paroxysmal Afib not on anticoagulation, and GERD who presents to the emergency department for altered mental status and aphasia. Initial studies showed: CT head negative, CT perfusion negative, CT angiogram negative.  Positive for COVID at home. Chest x-ray with left base infiltrate.  Labs unremarkable. EKG with normal sinus rhythm heart rate 99, QTC 477 no acute ST changes. She was admitted for further work-up . MRI negative for stroke or bleeding. EEG showedfocal neuronal dysfunction and epileptiform foci. Neurology was consult. She was initiated on Keppra and speech started improving day by day. While on addmision, patient presented with several episodes of paroxsymal atrial fibrillation, initially she was anticoagulated with heparin and then changed to  Xarelto. She also presented with high blood pressure and Lisinopril was initiated and metoprolol dose was adjusted. Patient has improved a lot is salable, but somehow week will sent her home with home therapy. Follow-up with her PCP, cardiology and neurology. "
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nervous system disorder, Perfusion brain scan normal, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted to hospital with COVID detected PCR upon admission.  Provider d/c note below:  "71 YO-year-old female with h/o rheumatoid arthritis, coronary artery disease, paroxysmal Afib not on anticoagulation, and GERD who presents to the emergency department for altered mental status and aphasia. Initial studies showed: CT head negative, CT perfusion negative, CT angiogram negative.  Positive for COVID at home. Chest x-ray with left base infiltrate.  Labs unremarkable. EKG with normal sinus rhythm heart rate 99, QTC 477 no acute ST changes. She was admitted for further work-up . MRI negative for stroke or bleeding. EEG showedfocal neuronal dysfunction and epileptiform foci. Neurology was consult. She was initiated on Keppra and speech started improving day by day. While on addmision, patient presented with several episodes of paroxsymal atrial fibrillation, initially she was anticoagulated with heparin and then changed to  Xarelto. She also presented with high blood pressure and Lisinopril was initiated and metoprolol dose was adjusted. Patient has improved a lot is salable, but somehow week will sent her home with home therapy. Follow-up with her PCP, cardiology and neurology. "
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acupuncture, Computerised tomogram normal, Dizziness, Headache, Magnetic resonance imaging
Clinical narrative: The day after booster, patient woke up with a headache. Headache was constant; after 2-3 weeks migraines began occurring in addition. Migraines got intolerable. Many treatments tried over the last 3 months: GP visits, ER visit (CT scan), MRI, steroids, sumatriptan, topiramate, neuro-feedback, pt, acupuncture, Migraine device,... visit to a clinic to see a neurologist. Currently migraines are less intense but visual distortions with dizziness are increasingly a problem.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Medical device implantation, Metamorphopsia, Migraine
Clinical narrative: The day after booster, patient woke up with a headache. Headache was constant; after 2-3 weeks migraines began occurring in addition. Migraines got intolerable. Many treatments tried over the last 3 months: GP visits, ER visit (CT scan), MRI, steroids, sumatriptan, topiramate, neuro-feedback, pt, acupuncture, Migraine device,... visit to a clinic to see a neurologist. Currently migraines are less intense but visual distortions with dizziness are increasingly a problem.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Impaired work ability, Metamorphopsia, Migraine
Clinical narrative: The day after booster, patient woke up with a headache. Headache was constant; after 2-3 weeks migraines began occurring in addition. Migraines got intolerable. Many treatments tried over the last 3 months: GP visits, ER visit (CT scan), MRI, steroids, sumatriptan, topiramate, neuro-feedback, pt, acupuncture, Migraine device,... visit to a clinic to see a neurologist. Currently migraines are less intense but visual distortions with dizziness are increasingly a problem.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient completed monitoring period and no adverse reaction noted
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal
Clinical narrative: On 07/07/2022 I was exposed to COVID19. On 07/12 I started having a running nose then the following day I started having nasal congestion. On 07/13 I tested negative. Those days I had runny nose and sinus congestion. Typically I have laryngitis. If I have a runny nose or anything like that I have laryngitis. I had a tiny dry cough and that is how it stayed. I didn't test positive until 07/15 and that was the day I started the antiviral pills from my doctor office although I can't recall which one it was. On the following day 07/16 my spouse started having symptoms. We both test positive and she went on antiviral pills. We both waited until 07/21 to test again. We then both tested negative. I caught it when we were around neighbors outdoors for an hour or so. It was easy for both of us at first to think it was just our allergy symptoms. I had high energy until the very end of it. That is when it hit me and I felt tired. I had brain fog as well after COVID19.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 07/07/2022 I was exposed to COVID19. On 07/12 I started having a running nose then the following day I started having nasal congestion. On 07/13 I tested negative. Those days I had runny nose and sinus congestion. Typically I have laryngitis. If I have a runny nose or anything like that I have laryngitis. I had a tiny dry cough and that is how it stayed. I didn't test positive until 07/15 and that was the day I started the antiviral pills from my doctor office although I can't recall which one it was. On the following day 07/16 my spouse started having symptoms. We both test positive and she went on antiviral pills. We both waited until 07/21 to test again. We then both tested negative. I caught it when we were around neighbors outdoors for an hour or so. It was easy for both of us at first to think it was just our allergy symptoms. I had high energy until the very end of it. That is when it hit me and I felt tired. I had brain fog as well after COVID19.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Limb injury, Loss of consciousness, Nervousness
Clinical narrative: Patient received vaccine with her siblings. No history of dizziness or fainting previously. She went to join her siblings while mother asked about how long they should wait, and while we spoke child passed-out and fell into a fixture. Mother indicated she herself has a history of dizziness, fainting with needles but had not indicated child ever experienced this though she said she had been nervous earlier about getting vaccine. Pharmacist examined child because child hit her leg and head on a fixture as she fell, but no cuts or anything are visible. No medical attention has been sought as of this point in time.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Nasal congestion
Clinical narrative: My husband was sick and tested positive for COVID-19 on  07/18/22. I isolated away from him, but that Wednesday on 07/20 in the afternoon, I noticed a sore throat that got worse over night. I tested positive that next morning. I was running a fever of 100.9, had a sore throat, aches, stuffy nose, and fatigue. I called my doctor who prescribed Paxlovid which I began taking that evening. I had a low grade fever until Saturday afternoon. I'm still taking the Paxlovid and am feeling better but I still have cough and fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: My husband was sick and tested positive for COVID-19 on  07/18/22. I isolated away from him, but that Wednesday on 07/20 in the afternoon, I noticed a sore throat that got worse over night. I tested positive that next morning. I was running a fever of 100.9, had a sore throat, aches, stuffy nose, and fatigue. I called my doctor who prescribed Paxlovid which I began taking that evening. I had a low grade fever until Saturday afternoon. I'm still taking the Paxlovid and am feeling better but I still have cough and fatigue.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Pyrexia
Clinical narrative: Positive Covid test 7/10/2022, fever, slight cough, headache, lasted for 3 days. Breakthrough Covid. Paxlovid 150 (X2) -100 mg PK (EUA) for 5 days. Negative Covid tests 7/16/2022 and 7/18/2022. Symptoms returned, positive Covid test 7/23/2022. Rebound Covid, increased cough, congestion, shortness of breath, with mild fever.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Positive Covid test 7/10/2022, fever, slight cough, headache, lasted for 3 days. Breakthrough Covid. Paxlovid 150 (X2) -100 mg PK (EUA) for 5 days. Negative Covid tests 7/16/2022 and 7/18/2022. Symptoms returned, positive Covid test 7/23/2022. Rebound Covid, increased cough, congestion, shortness of breath, with mild fever.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Head discomfort
Clinical narrative: I woke up that morning not feeling well. I had a scratchy sore throat, head congestion and fever. It went up to 102.6. I took the home test on Saturday July 09 and it was positive. Monday I took a PCR test on Monday and it was also positive. I started Paxlovid on Monday night the 11th. At this time I had lethargy, no energy and a fever spike. I started to feel better the next day, My fever broke on Tuesday July 12. I have not completely recovered from my symptoms. I still have a cough and head congestion but my nasal passages are not running like they were. I did have rebound symptoms on Monday July 18th after I had finished the medicine. The symptoms were mild. I was just very tired and rested the entire day.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Malaise, Mobility decreased, Oropharyngeal pain, Pyrexia
Clinical narrative: I woke up that morning not feeling well. I had a scratchy sore throat, head congestion and fever. It went up to 102.6. I took the home test on Saturday July 09 and it was positive. Monday I took a PCR test on Monday and it was also positive. I started Paxlovid on Monday night the 11th. At this time I had lethargy, no energy and a fever spike. I started to feel better the next day, My fever broke on Tuesday July 12. I have not completely recovered from my symptoms. I still have a cough and head congestion but my nasal passages are not running like they were. I did have rebound symptoms on Monday July 18th after I had finished the medicine. The symptoms were mild. I was just very tired and rested the entire day.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I woke up that morning not feeling well. I had a scratchy sore throat, head congestion and fever. It went up to 102.6. I took the home test on Saturday July 09 and it was positive. Monday I took a PCR test on Monday and it was also positive. I started Paxlovid on Monday night the 11th. At this time I had lethargy, no energy and a fever spike. I started to feel better the next day, My fever broke on Tuesday July 12. I have not completely recovered from my symptoms. I still have a cough and head congestion but my nasal passages are not running like they were. I did have rebound symptoms on Monday July 18th after I had finished the medicine. The symptoms were mild. I was just very tired and rested the entire day.
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: Crying, Erythema, Rash macular
Clinical narrative: At 10:33, Mom of a 6 month old child brought to my attention that her baby was developing some redness and spots on her forehead and around her eyes that seemed abnormal. I talked with the mom for a moment to get more information, such as the child's medical history and if the blotches could be from her crying for the past 10 minutes. I also asked her what her "Mom insticts" were saying, and she said she wanted to wait a few minutes to see if she would calm down and track progression. At this time, the baby had no other redness on any other part of her body. I also discussed with her that moving foreward, we would call FD to check her out and give more instruction if needed. At 10:36, mom expressed continued concern of the redness on her face. I explained to the mom the process of calling FD and she agreed as her "mom insticts" did not feel good about the redness, even though the child was still crying. I told the admin desk to call 911, and staff called them at 10:39. I attained HR and O2 sats from the child and another staff member listened to the child's lungs. FD arrived and I gave hand off to them. FD did not have any major concerns of anaphylaxis at this time. They were able to give guidance to the mom about taking her to urgent care, or to just go home and monitor. However, this family lives quite far away and mom decided to take her child to urgent care close by for further evaluation. The child's redness did not progress any further onto her body, and she did not develop any other symptoms during this incident. Mom and child left the building at 11:03.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Menstrual disorder, Somatic symptom disorder of pregnancy, Ultrasound scan
Clinical narrative: Changes in menstrual cycle length, resulting in a false pregnancy (yoke sac present but no fetal development) and resulting miscarriage and cycle variations for the next several months.
Age: 19.0
Sex: M
Vaccine: TYP, YF
Symptoms: Lip pruritus, Lip swelling
Clinical narrative: Patient experienced itching and lip swelling one hour after vaccines.  Patient treated in ED and released.
Age: 33.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Within 3 hours employee developed fatigue and rhinitis.  Within 8 hours employee developed chills and felt feverish.  Within 24 hours noted lymphnode enlargement at axillary area and redness at the injection site.  Generally unable to function and stayed at home 48 hours.  The redness and swelling at the site increased to about 10-12 cm round, warm area ( at its height)  and redness at site persisted until day 6.
Age: 33.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Lymphadenopathy, Pyrexia, Rhinitis
Clinical narrative: Within 3 hours employee developed fatigue and rhinitis.  Within 8 hours employee developed chills and felt feverish.  Within 24 hours noted lymphnode enlargement at axillary area and redness at the injection site.  Generally unable to function and stayed at home 48 hours.  The redness and swelling at the site increased to about 10-12 cm round, warm area ( at its height)  and redness at site persisted until day 6.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: I contracted COVID-19 on 06/27/2022 with symptoms of headache, nausea, diarrhea, and fatigue. I was prescribed Paxlovid 06/27/2022. I was ill for 7 to 8 days before my symptoms began to resolve. My symptoms had resolved after 10 to 14 days, but I have had symptoms of cough and swollen lymph nodes begin on 07/17/2022 that I will be seeing the doctor for.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Nausea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/27/2022 with symptoms of headache, nausea, diarrhea, and fatigue. I was prescribed Paxlovid 06/27/2022. I was ill for 7 to 8 days before my symptoms began to resolve. My symptoms had resolved after 10 to 14 days, but I have had symptoms of cough and swollen lymph nodes begin on 07/17/2022 that I will be seeing the doctor for.