chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoimmune disorder, Limb injury, Magnetic resonance imaging, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: Severe stiffness, pain developed in neck, bilateral shoulders, arms, hips, legs, ankles including muscles associated with those areas. Increasing g in severity to the point of being unable to move.  This followed a right shoulder rotator cuff tear on 05/23/2021. Shoulder surgery scheduled for 07/02/2021 which was cancelled the day of surgery due to my severe autoimmune type symptoms. Emergency MRI showed negative to pinched cervical spine. Treatment was in ER of 60 mg Prednisone and follow up with rheumatologist Dr. is now evaluating my care and making recommendations to see how I respond.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, White blood cell count increased, X-ray
Clinical narrative: Severe stiffness, pain developed in neck, bilateral shoulders, arms, hips, legs, ankles including muscles associated with those areas. Increasing g in severity to the point of being unable to move.  This followed a right shoulder rotator cuff tear on 05/23/2021. Shoulder surgery scheduled for 07/02/2021 which was cancelled the day of surgery due to my severe autoimmune type symptoms. Emergency MRI showed negative to pinched cervical spine. Treatment was in ER of 60 mg Prednisone and follow up with rheumatologist Dr. is now evaluating my care and making recommendations to see how I respond.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Broke out in a red rash that itched profusely.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Polymerase chain reaction
Clinical narrative: Hospitalization due to COVID 19. Reported per Janssen COVID vaccine EUA.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Epistaxis
Clinical narrative: My nose started moderately bleeding for about 3 to 5 min while I was doing my evening face washing routine. I haven't had a nosebleed in over 15 years.
Age: 101.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram normal, COVID-19, Computerised tomogram abdomen, Depressed level of consciousness, Hypotension
Clinical narrative: 101 y/O female resident of nursing facility sent to ER due to decreased LOC. Baselinr mental status unknoewn. She was found to be hypotensive and received IV fluids. WBC count wa noted to be very high approx 380000, Abd ct angio was neg. UA was positive for UTI. patient was treated for COVID infection in another faciliti from 9/3-9/12 and discharged. Code status assumed full code. 9/16/2021 tested positive
Age: 101.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal, White blood cell count increased
Clinical narrative: 101 y/O female resident of nursing facility sent to ER due to decreased LOC. Baselinr mental status unknoewn. She was found to be hypotensive and received IV fluids. WBC count wa noted to be very high approx 380000, Abd ct angio was neg. UA was positive for UTI. patient was treated for COVID infection in another faciliti from 9/3-9/12 and discharged. Code status assumed full code. 9/16/2021 tested positive
Age: 101.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: 101 y/O female resident of nursing facility sent to ER due to decreased LOC. Baselinr mental status unknoewn. She was found to be hypotensive and received IV fluids. WBC count wa noted to be very high approx 380000, Abd ct angio was neg. UA was positive for UTI. patient was treated for COVID infection in another faciliti from 9/3-9/12 and discharged. Code status assumed full code. 9/16/2021 tested positive
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Dizziness, Electrocardiogram abnormal, Fatigue, Nausea
Clinical narrative: Premature Ventricular Contractions (PVCs) Fatigue, dizziness, nausea Treatment will follow test completion
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: Premature Ventricular Contractions (PVCs) Fatigue, dizziness, nausea Treatment will follow test completion
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Back pain, Basophil count normal, Basophil percentage
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bilirubin conjugated normal, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone decreased, Blood urea increased, Carbon dioxide normal, Chest X-ray normal, Chest discomfort
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Cold sweat, Computerised tomogram normal, Differential white blood cell count, Dyspnoea
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eosinophil count normal, Eosinophil percentage, Fibrin D dimer normal, Globulin, Glomerular filtration rate decreased
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Granulocyte percentage, Haematocrit decreased, Haemoglobin normal, Heart rate increased, International normalised ratio increased
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lipase normal, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte count increased, Monocyte percentage increased, N-terminal prohormone brain natriuretic peptide normal
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Neutrophil count, Neutrophil percentage decreased, Platelet count normal, Protein total normal
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Prothrombin time prolonged, Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width normal, Troponin T increased
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Cardiac fibrillation, Chest discomfort, Chest pain
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Dyspnoea, Electrocardiogram ambulatory, Heart rate abnormal, Myocardial infarction
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Supraventricular extrasystoles, Troponin T, Ventricular extrasystoles, X-ray
Clinical narrative: Chest pain, Chest Tightness, Extremely rapid heartbeat, short of breath, clammy felling, cold sweat, nausea, back pain. Went to ER Hospital approximately 7:30 PM 8/11/2021.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Asthenia, Blood alkaline phosphatase increased, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 77-year-old male with past medical history of hypertension, hyperlipidemia, diabetes mellitus, nicotine dependence, and depression presented to the emergency department complaints of worsening weakness.  Patient was usual state of health until approximately few days ago when he started having weakness and flank pain.  Patient came to the emergency department at that time.  He was diagnosed with urinary tract infection and was discharged with a prescription for Keflex.  Patient also had a CT abdomen due to transaminitis which was negative.  Patient was discharged and over the last few days, has had significant worsening in his weakness.  Has had multiple falls.  Over the last 24 hours, patient's weakness has room medically worsened and he has been having a hard time doing basic activities such as getting up from the toilet seat.  Last night, patient laid down on the bathroom floor for over 40 minutes as he was unable to get up.  Eventually was able to do so with the help of his wife and grandson. His wife was worried therefore, brought him to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have COVID-19 pneumonia. Chest x-ray consistent with atypical multifocal pneumonia.  CT head otherwise unremarkable for any acute intracranial process.  Lab work negative for leukocytosis.  Patient did have anemia and thrombocytopenia.  Rest of the lab work consistent with hyperglycemia, hypoalbuminemia, hypomagnesemia, transaminitis, and hyperbilirubinemia.  Also noted to have significantly elevated alkaline phosphatase levels.  Patient reports that at baseline, he is able to exercise and works in his yd and mows his lawn.  Has not been able to do any of this in over the past week.  Patient reports that he has had no shortness of breath however, does have some nonproductive cough.  No nausea/vomiting/diarrhea.  Patient reports that he gets occasional fevers/chills/shakes.                 Of note, patient had CT abdomen on 09/10/2021 were common bile duct was noted to be normal caliber.  In the emergency department today, patient ambulated to the bathroom and back and maintain his O2 saturations on room air. Tested positive on 9/16/2021
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Computerised tomogram abdomen normal, Computerised tomogram head normal, Cough, Fall
Clinical narrative: 77-year-old male with past medical history of hypertension, hyperlipidemia, diabetes mellitus, nicotine dependence, and depression presented to the emergency department complaints of worsening weakness.  Patient was usual state of health until approximately few days ago when he started having weakness and flank pain.  Patient came to the emergency department at that time.  He was diagnosed with urinary tract infection and was discharged with a prescription for Keflex.  Patient also had a CT abdomen due to transaminitis which was negative.  Patient was discharged and over the last few days, has had significant worsening in his weakness.  Has had multiple falls.  Over the last 24 hours, patient's weakness has room medically worsened and he has been having a hard time doing basic activities such as getting up from the toilet seat.  Last night, patient laid down on the bathroom floor for over 40 minutes as he was unable to get up.  Eventually was able to do so with the help of his wife and grandson. His wife was worried therefore, brought him to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have COVID-19 pneumonia. Chest x-ray consistent with atypical multifocal pneumonia.  CT head otherwise unremarkable for any acute intracranial process.  Lab work negative for leukocytosis.  Patient did have anemia and thrombocytopenia.  Rest of the lab work consistent with hyperglycemia, hypoalbuminemia, hypomagnesemia, transaminitis, and hyperbilirubinemia.  Also noted to have significantly elevated alkaline phosphatase levels.  Patient reports that at baseline, he is able to exercise and works in his yd and mows his lawn.  Has not been able to do any of this in over the past week.  Patient reports that he has had no shortness of breath however, does have some nonproductive cough.  No nausea/vomiting/diarrhea.  Patient reports that he gets occasional fevers/chills/shakes.                 Of note, patient had CT abdomen on 09/10/2021 were common bile duct was noted to be normal caliber.  In the emergency department today, patient ambulated to the bathroom and back and maintain his O2 saturations on room air. Tested positive on 9/16/2021
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flank pain, Hyperbilirubinaemia, Hyperglycaemia, Hypoalbuminaemia, Hypomagnesaemia
Clinical narrative: 77-year-old male with past medical history of hypertension, hyperlipidemia, diabetes mellitus, nicotine dependence, and depression presented to the emergency department complaints of worsening weakness.  Patient was usual state of health until approximately few days ago when he started having weakness and flank pain.  Patient came to the emergency department at that time.  He was diagnosed with urinary tract infection and was discharged with a prescription for Keflex.  Patient also had a CT abdomen due to transaminitis which was negative.  Patient was discharged and over the last few days, has had significant worsening in his weakness.  Has had multiple falls.  Over the last 24 hours, patient's weakness has room medically worsened and he has been having a hard time doing basic activities such as getting up from the toilet seat.  Last night, patient laid down on the bathroom floor for over 40 minutes as he was unable to get up.  Eventually was able to do so with the help of his wife and grandson. His wife was worried therefore, brought him to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have COVID-19 pneumonia. Chest x-ray consistent with atypical multifocal pneumonia.  CT head otherwise unremarkable for any acute intracranial process.  Lab work negative for leukocytosis.  Patient did have anemia and thrombocytopenia.  Rest of the lab work consistent with hyperglycemia, hypoalbuminemia, hypomagnesemia, transaminitis, and hyperbilirubinemia.  Also noted to have significantly elevated alkaline phosphatase levels.  Patient reports that at baseline, he is able to exercise and works in his yd and mows his lawn.  Has not been able to do any of this in over the past week.  Patient reports that he has had no shortness of breath however, does have some nonproductive cough.  No nausea/vomiting/diarrhea.  Patient reports that he gets occasional fevers/chills/shakes.                 Of note, patient had CT abdomen on 09/10/2021 were common bile duct was noted to be normal caliber.  In the emergency department today, patient ambulated to the bathroom and back and maintain his O2 saturations on room air. Tested positive on 9/16/2021
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal, Loss of personal independence in daily activities, Mobility decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 77-year-old male with past medical history of hypertension, hyperlipidemia, diabetes mellitus, nicotine dependence, and depression presented to the emergency department complaints of worsening weakness.  Patient was usual state of health until approximately few days ago when he started having weakness and flank pain.  Patient came to the emergency department at that time.  He was diagnosed with urinary tract infection and was discharged with a prescription for Keflex.  Patient also had a CT abdomen due to transaminitis which was negative.  Patient was discharged and over the last few days, has had significant worsening in his weakness.  Has had multiple falls.  Over the last 24 hours, patient's weakness has room medically worsened and he has been having a hard time doing basic activities such as getting up from the toilet seat.  Last night, patient laid down on the bathroom floor for over 40 minutes as he was unable to get up.  Eventually was able to do so with the help of his wife and grandson. His wife was worried therefore, brought him to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have COVID-19 pneumonia. Chest x-ray consistent with atypical multifocal pneumonia.  CT head otherwise unremarkable for any acute intracranial process.  Lab work negative for leukocytosis.  Patient did have anemia and thrombocytopenia.  Rest of the lab work consistent with hyperglycemia, hypoalbuminemia, hypomagnesemia, transaminitis, and hyperbilirubinemia.  Also noted to have significantly elevated alkaline phosphatase levels.  Patient reports that at baseline, he is able to exercise and works in his yd and mows his lawn.  Has not been able to do any of this in over the past week.  Patient reports that he has had no shortness of breath however, does have some nonproductive cough.  No nausea/vomiting/diarrhea.  Patient reports that he gets occasional fevers/chills/shakes.                 Of note, patient had CT abdomen on 09/10/2021 were common bile duct was noted to be normal caliber.  In the emergency department today, patient ambulated to the bathroom and back and maintain his O2 saturations on room air. Tested positive on 9/16/2021
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombocytopenia, Transaminases increased, Tremor, Urinary tract infection
Clinical narrative: 77-year-old male with past medical history of hypertension, hyperlipidemia, diabetes mellitus, nicotine dependence, and depression presented to the emergency department complaints of worsening weakness.  Patient was usual state of health until approximately few days ago when he started having weakness and flank pain.  Patient came to the emergency department at that time.  He was diagnosed with urinary tract infection and was discharged with a prescription for Keflex.  Patient also had a CT abdomen due to transaminitis which was negative.  Patient was discharged and over the last few days, has had significant worsening in his weakness.  Has had multiple falls.  Over the last 24 hours, patient's weakness has room medically worsened and he has been having a hard time doing basic activities such as getting up from the toilet seat.  Last night, patient laid down on the bathroom floor for over 40 minutes as he was unable to get up.  Eventually was able to do so with the help of his wife and grandson. His wife was worried therefore, brought him to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have COVID-19 pneumonia. Chest x-ray consistent with atypical multifocal pneumonia.  CT head otherwise unremarkable for any acute intracranial process.  Lab work negative for leukocytosis.  Patient did have anemia and thrombocytopenia.  Rest of the lab work consistent with hyperglycemia, hypoalbuminemia, hypomagnesemia, transaminitis, and hyperbilirubinemia.  Also noted to have significantly elevated alkaline phosphatase levels.  Patient reports that at baseline, he is able to exercise and works in his yd and mows his lawn.  Has not been able to do any of this in over the past week.  Patient reports that he has had no shortness of breath however, does have some nonproductive cough.  No nausea/vomiting/diarrhea.  Patient reports that he gets occasional fevers/chills/shakes.                 Of note, patient had CT abdomen on 09/10/2021 were common bile duct was noted to be normal caliber.  In the emergency department today, patient ambulated to the bathroom and back and maintain his O2 saturations on room air. Tested positive on 9/16/2021
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue
Clinical narrative: chest pain,  short of breath,  and fatigue
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My cycle has never been the same since my vaccine. Each cycle is 15+ days longer than previous cycles. I have charted my cycles for serval years. I also have not been able to get pregnant despite trying since March
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose decreased, Blood lactic acid increased, COVID-19, Cerebral atrophy
Clinical narrative: 84-year-old male with PMH of aortic valve endocarditis, medically managed, surgery declined , non-insulin-dependent diabetes, atrial fibrillation on anticoagulation, history of prostate cancer post TURP and XRT, lung cancer post chemo and XRT, dyslipidemia, hypothyroidism, GERD, pulmonary nodules, anxiety and completion of Johnson Johnson COVID-19 vaccine who was originally admitted to hospital on August 23rd for generalized weakness, fever, decline in function, patient was COVID positive.   During that admission he was admitted for overall generalized weakness, aortic valve endocarditis, Enterococcus faecalis bacteremia.  Id was consulted and he completed a course of IV antibiotics, continues to be on Bactrim for endocarditis, he also completed course of remdesivir,  received and finished his course of 10 days of  dexamethasone.  Patient never had significant respiratory distress on that admission. Pt had an elevated D-dimer and is on a course of 21 days of full-dose aspirin Negative for PE. Patient had a decline in function neurologically with worsening mental status. He had a negative stroke work up at that time as well.  He was d/c to nursing home on 09/02/21.   He presented today via EMS after being found unresponsive at Nursing Home.  Blood sugar was found to be 28 and was treated with amp of D50. Pt had been on Metformin and glipizide at the nursing home. Repeat blood sugars have fluctuated from the 60s to 120s.  Patient appears alert but when asked questions he mumbles without cognitive words.  ER provider was told that this is his baseline from the nursing home/EMS provider.  I have called the patient's wife and left a message.  History is obtained from chart review.       Today his laboratory evaluation is significant for hypoglycemia, elevated lactic acid, CKD stage 2.  Patient has been tachycardic and lactic acid is elevated.  Sepsis is present on admission. Patient continues to be COVID positive.  He has been hypoxic in the emergency room requiring oxygen at 4 L nasal cannula.  Chest x-ray significant for bilateral lower lobe and left upper lobe consolidations with small bilateral pleural effusions and biapical pleural parenchymal scarring.  CT of the brain with no acute intracranial process. Cerebral volume loss with sequela of small vessel ischemic changes is noted.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Chronic kidney disease, Cognitive linguistic deficit, Computerised tomogram head abnormal
Clinical narrative: 84-year-old male with PMH of aortic valve endocarditis, medically managed, surgery declined , non-insulin-dependent diabetes, atrial fibrillation on anticoagulation, history of prostate cancer post TURP and XRT, lung cancer post chemo and XRT, dyslipidemia, hypothyroidism, GERD, pulmonary nodules, anxiety and completion of Johnson Johnson COVID-19 vaccine who was originally admitted to hospital on August 23rd for generalized weakness, fever, decline in function, patient was COVID positive.   During that admission he was admitted for overall generalized weakness, aortic valve endocarditis, Enterococcus faecalis bacteremia.  Id was consulted and he completed a course of IV antibiotics, continues to be on Bactrim for endocarditis, he also completed course of remdesivir,  received and finished his course of 10 days of  dexamethasone.  Patient never had significant respiratory distress on that admission. Pt had an elevated D-dimer and is on a course of 21 days of full-dose aspirin Negative for PE. Patient had a decline in function neurologically with worsening mental status. He had a negative stroke work up at that time as well.  He was d/c to nursing home on 09/02/21.   He presented today via EMS after being found unresponsive at Nursing Home.  Blood sugar was found to be 28 and was treated with amp of D50. Pt had been on Metformin and glipizide at the nursing home. Repeat blood sugars have fluctuated from the 60s to 120s.  Patient appears alert but when asked questions he mumbles without cognitive words.  ER provider was told that this is his baseline from the nursing home/EMS provider.  I have called the patient's wife and left a message.  History is obtained from chart review.       Today his laboratory evaluation is significant for hypoglycemia, elevated lactic acid, CKD stage 2.  Patient has been tachycardic and lactic acid is elevated.  Sepsis is present on admission. Patient continues to be COVID positive.  He has been hypoxic in the emergency room requiring oxygen at 4 L nasal cannula.  Chest x-ray significant for bilateral lower lobe and left upper lobe consolidations with small bilateral pleural effusions and biapical pleural parenchymal scarring.  CT of the brain with no acute intracranial process. Cerebral volume loss with sequela of small vessel ischemic changes is noted.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Endocarditis, Enterococcal bacteraemia, Fibrin D dimer increased, Hypoglycaemia
Clinical narrative: 84-year-old male with PMH of aortic valve endocarditis, medically managed, surgery declined , non-insulin-dependent diabetes, atrial fibrillation on anticoagulation, history of prostate cancer post TURP and XRT, lung cancer post chemo and XRT, dyslipidemia, hypothyroidism, GERD, pulmonary nodules, anxiety and completion of Johnson Johnson COVID-19 vaccine who was originally admitted to hospital on August 23rd for generalized weakness, fever, decline in function, patient was COVID positive.   During that admission he was admitted for overall generalized weakness, aortic valve endocarditis, Enterococcus faecalis bacteremia.  Id was consulted and he completed a course of IV antibiotics, continues to be on Bactrim for endocarditis, he also completed course of remdesivir,  received and finished his course of 10 days of  dexamethasone.  Patient never had significant respiratory distress on that admission. Pt had an elevated D-dimer and is on a course of 21 days of full-dose aspirin Negative for PE. Patient had a decline in function neurologically with worsening mental status. He had a negative stroke work up at that time as well.  He was d/c to nursing home on 09/02/21.   He presented today via EMS after being found unresponsive at Nursing Home.  Blood sugar was found to be 28 and was treated with amp of D50. Pt had been on Metformin and glipizide at the nursing home. Repeat blood sugars have fluctuated from the 60s to 120s.  Patient appears alert but when asked questions he mumbles without cognitive words.  ER provider was told that this is his baseline from the nursing home/EMS provider.  I have called the patient's wife and left a message.  History is obtained from chart review.       Today his laboratory evaluation is significant for hypoglycemia, elevated lactic acid, CKD stage 2.  Patient has been tachycardic and lactic acid is elevated.  Sepsis is present on admission. Patient continues to be COVID positive.  He has been hypoxic in the emergency room requiring oxygen at 4 L nasal cannula.  Chest x-ray significant for bilateral lower lobe and left upper lobe consolidations with small bilateral pleural effusions and biapical pleural parenchymal scarring.  CT of the brain with no acute intracranial process. Cerebral volume loss with sequela of small vessel ischemic changes is noted.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung consolidation, Mental impairment, Mental status changes, Pleural effusion
Clinical narrative: 84-year-old male with PMH of aortic valve endocarditis, medically managed, surgery declined , non-insulin-dependent diabetes, atrial fibrillation on anticoagulation, history of prostate cancer post TURP and XRT, lung cancer post chemo and XRT, dyslipidemia, hypothyroidism, GERD, pulmonary nodules, anxiety and completion of Johnson Johnson COVID-19 vaccine who was originally admitted to hospital on August 23rd for generalized weakness, fever, decline in function, patient was COVID positive.   During that admission he was admitted for overall generalized weakness, aortic valve endocarditis, Enterococcus faecalis bacteremia.  Id was consulted and he completed a course of IV antibiotics, continues to be on Bactrim for endocarditis, he also completed course of remdesivir,  received and finished his course of 10 days of  dexamethasone.  Patient never had significant respiratory distress on that admission. Pt had an elevated D-dimer and is on a course of 21 days of full-dose aspirin Negative for PE. Patient had a decline in function neurologically with worsening mental status. He had a negative stroke work up at that time as well.  He was d/c to nursing home on 09/02/21.   He presented today via EMS after being found unresponsive at Nursing Home.  Blood sugar was found to be 28 and was treated with amp of D50. Pt had been on Metformin and glipizide at the nursing home. Repeat blood sugars have fluctuated from the 60s to 120s.  Patient appears alert but when asked questions he mumbles without cognitive words.  ER provider was told that this is his baseline from the nursing home/EMS provider.  I have called the patient's wife and left a message.  History is obtained from chart review.       Today his laboratory evaluation is significant for hypoglycemia, elevated lactic acid, CKD stage 2.  Patient has been tachycardic and lactic acid is elevated.  Sepsis is present on admission. Patient continues to be COVID positive.  He has been hypoxic in the emergency room requiring oxygen at 4 L nasal cannula.  Chest x-ray significant for bilateral lower lobe and left upper lobe consolidations with small bilateral pleural effusions and biapical pleural parenchymal scarring.  CT of the brain with no acute intracranial process. Cerebral volume loss with sequela of small vessel ischemic changes is noted.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural fibrosis, Pyrexia, SARS-CoV-2 test positive, Sepsis, Speech disorder
Clinical narrative: 84-year-old male with PMH of aortic valve endocarditis, medically managed, surgery declined , non-insulin-dependent diabetes, atrial fibrillation on anticoagulation, history of prostate cancer post TURP and XRT, lung cancer post chemo and XRT, dyslipidemia, hypothyroidism, GERD, pulmonary nodules, anxiety and completion of Johnson Johnson COVID-19 vaccine who was originally admitted to hospital on August 23rd for generalized weakness, fever, decline in function, patient was COVID positive.   During that admission he was admitted for overall generalized weakness, aortic valve endocarditis, Enterococcus faecalis bacteremia.  Id was consulted and he completed a course of IV antibiotics, continues to be on Bactrim for endocarditis, he also completed course of remdesivir,  received and finished his course of 10 days of  dexamethasone.  Patient never had significant respiratory distress on that admission. Pt had an elevated D-dimer and is on a course of 21 days of full-dose aspirin Negative for PE. Patient had a decline in function neurologically with worsening mental status. He had a negative stroke work up at that time as well.  He was d/c to nursing home on 09/02/21.   He presented today via EMS after being found unresponsive at Nursing Home.  Blood sugar was found to be 28 and was treated with amp of D50. Pt had been on Metformin and glipizide at the nursing home. Repeat blood sugars have fluctuated from the 60s to 120s.  Patient appears alert but when asked questions he mumbles without cognitive words.  ER provider was told that this is his baseline from the nursing home/EMS provider.  I have called the patient's wife and left a message.  History is obtained from chart review.       Today his laboratory evaluation is significant for hypoglycemia, elevated lactic acid, CKD stage 2.  Patient has been tachycardic and lactic acid is elevated.  Sepsis is present on admission. Patient continues to be COVID positive.  He has been hypoxic in the emergency room requiring oxygen at 4 L nasal cannula.  Chest x-ray significant for bilateral lower lobe and left upper lobe consolidations with small bilateral pleural effusions and biapical pleural parenchymal scarring.  CT of the brain with no acute intracranial process. Cerebral volume loss with sequela of small vessel ischemic changes is noted.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Unresponsive to stimuli
Clinical narrative: 84-year-old male with PMH of aortic valve endocarditis, medically managed, surgery declined , non-insulin-dependent diabetes, atrial fibrillation on anticoagulation, history of prostate cancer post TURP and XRT, lung cancer post chemo and XRT, dyslipidemia, hypothyroidism, GERD, pulmonary nodules, anxiety and completion of Johnson Johnson COVID-19 vaccine who was originally admitted to hospital on August 23rd for generalized weakness, fever, decline in function, patient was COVID positive.   During that admission he was admitted for overall generalized weakness, aortic valve endocarditis, Enterococcus faecalis bacteremia.  Id was consulted and he completed a course of IV antibiotics, continues to be on Bactrim for endocarditis, he also completed course of remdesivir,  received and finished his course of 10 days of  dexamethasone.  Patient never had significant respiratory distress on that admission. Pt had an elevated D-dimer and is on a course of 21 days of full-dose aspirin Negative for PE. Patient had a decline in function neurologically with worsening mental status. He had a negative stroke work up at that time as well.  He was d/c to nursing home on 09/02/21.   He presented today via EMS after being found unresponsive at Nursing Home.  Blood sugar was found to be 28 and was treated with amp of D50. Pt had been on Metformin and glipizide at the nursing home. Repeat blood sugars have fluctuated from the 60s to 120s.  Patient appears alert but when asked questions he mumbles without cognitive words.  ER provider was told that this is his baseline from the nursing home/EMS provider.  I have called the patient's wife and left a message.  History is obtained from chart review.       Today his laboratory evaluation is significant for hypoglycemia, elevated lactic acid, CKD stage 2.  Patient has been tachycardic and lactic acid is elevated.  Sepsis is present on admission. Patient continues to be COVID positive.  He has been hypoxic in the emergency room requiring oxygen at 4 L nasal cannula.  Chest x-ray significant for bilateral lower lobe and left upper lobe consolidations with small bilateral pleural effusions and biapical pleural parenchymal scarring.  CT of the brain with no acute intracranial process. Cerebral volume loss with sequela of small vessel ischemic changes is noted.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone increased, COVID-19, Cardiomegaly, Chest X-ray abnormal, Chills
Clinical narrative: Tested positive on 9/19/2021.  This is a very pleasant 78-year-old male with a past medical history of atrial fibrillation, mild Crohn's, occasional dysphagia, gout, hyperlipidemia, hypertension, coronary artery disease, chronic kidney disease stage 3-4, osteoarthritis, obstructive sleep apnea, anemia, ankylosing spondylitis, who presents to the emergency room complaining of fever, chills and shortness of breath.  States his symptoms have been going on for approximately 24 hours.  He has received 2 vaccinations for COVID the last was in February 2021 but tested positive in the emergency room.  He also states he was recently diagnosed with hypothyroidism and just started on medications yesterday.   In the emergency room he had a temperature of a 100.9°, heart rate 157, leukocytosis of 10, TSH of 25, GFR of 31 and a chest x-ray that read bilateral pulmonary haziness may represent pulmonary edema versus bilateral pneumonia.  Mild cardiomegaly.  Patient treated with antibiotics, diltiazem drip and Lasix.  Sepsis fluids were held in light of COVID and possible pulmonary edema.  We do not have a 2D echo on record.  By the time I assessed patient he was feeling better.     Patient denies any  cough, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Glomerular filtration rate decreased, Leukocytosis, Lung opacity, Pyrexia
Clinical narrative: Tested positive on 9/19/2021.  This is a very pleasant 78-year-old male with a past medical history of atrial fibrillation, mild Crohn's, occasional dysphagia, gout, hyperlipidemia, hypertension, coronary artery disease, chronic kidney disease stage 3-4, osteoarthritis, obstructive sleep apnea, anemia, ankylosing spondylitis, who presents to the emergency room complaining of fever, chills and shortness of breath.  States his symptoms have been going on for approximately 24 hours.  He has received 2 vaccinations for COVID the last was in February 2021 but tested positive in the emergency room.  He also states he was recently diagnosed with hypothyroidism and just started on medications yesterday.   In the emergency room he had a temperature of a 100.9°, heart rate 157, leukocytosis of 10, TSH of 25, GFR of 31 and a chest x-ray that read bilateral pulmonary haziness may represent pulmonary edema versus bilateral pneumonia.  Mild cardiomegaly.  Patient treated with antibiotics, diltiazem drip and Lasix.  Sepsis fluids were held in light of COVID and possible pulmonary edema.  We do not have a 2D echo on record.  By the time I assessed patient he was feeling better.     Patient denies any  cough, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count
Clinical narrative: Tested positive on 9/19/2021.  This is a very pleasant 78-year-old male with a past medical history of atrial fibrillation, mild Crohn's, occasional dysphagia, gout, hyperlipidemia, hypertension, coronary artery disease, chronic kidney disease stage 3-4, osteoarthritis, obstructive sleep apnea, anemia, ankylosing spondylitis, who presents to the emergency room complaining of fever, chills and shortness of breath.  States his symptoms have been going on for approximately 24 hours.  He has received 2 vaccinations for COVID the last was in February 2021 but tested positive in the emergency room.  He also states he was recently diagnosed with hypothyroidism and just started on medications yesterday.   In the emergency room he had a temperature of a 100.9°, heart rate 157, leukocytosis of 10, TSH of 25, GFR of 31 and a chest x-ray that read bilateral pulmonary haziness may represent pulmonary edema versus bilateral pneumonia.  Mild cardiomegaly.  Patient treated with antibiotics, diltiazem drip and Lasix.  Sepsis fluids were held in light of COVID and possible pulmonary edema.  We do not have a 2D echo on record.  By the time I assessed patient he was feeling better.     Patient denies any  cough, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Neck pain
Clinical narrative: Patient has very sore neck on the same side that she received the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Incorrect diluent amount added to vaccine vial. Use .8 of diluent instead of 1.8cc.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Blood test, COVID-19
Clinical narrative: On Monday, I woke up feeling weak, with chills and a cough. I thought I had a cold and took regular medicine that didn't help. On Wednesday I went to the hospital and was diagnosed with COVID. They sent me home but I got worse and returned to the hospital on July 17th. I was admitted and treated for COVID. I could hardly breathe and I was discharged on July 27th. I was given oxygen tanks to take home. I had trouble breathing, I lost my sense of smell and taste, and I had coughing fits. I would be exhausted if I did too much activity. I still have fatigue and coughing fits.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: On Monday, I woke up feeling weak, with chills and a cough. I thought I had a cold and took regular medicine that didn't help. On Wednesday I went to the hospital and was diagnosed with COVID. They sent me home but I got worse and returned to the hospital on July 17th. I was admitted and treated for COVID. I could hardly breathe and I was discharged on July 27th. I was given oxygen tanks to take home. I had trouble breathing, I lost my sense of smell and taste, and I had coughing fits. I would be exhausted if I did too much activity. I still have fatigue and coughing fits.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Wrong product administered
Clinical narrative: Patient asked for vaccine. Technician asked him if he wanted the covid vaccine, he responded yes. Pharmacist counseled patient on Covid vaccine, expected side effects, asked if it was his first Covid vaccine. Patient responded yes. Pharmacist advised patient that she was administering the Moderna Covid vaccine, and that he would need to return for his second dose in 4 weeks, then administered the vaccine. Ten minutes later the patient returned and stated that he had previously received both Pfizer Covid vaccine doses earlier this year, and he did not want the Covid vaccine today, he wanted tetanus. Not eligible for booster at this time.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Intervertebral disc protrusion, Mobility decreased, Pain, Pyrexia
Clinical narrative: I only had one bulging disc in my back, two days after the injection I had a fever for 48 hrs, and 2-3 weeks later I had 3 new additional bulging discs in my back. I constantly have pain all the time and every day it's hard for me to get out of bed each morning.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: I only had one bulging disc in my back, two days after the injection I had a fever for 48 hrs, and 2-3 weeks later I had 3 new additional bulging discs in my back. I constantly have pain all the time and every day it's hard for me to get out of bed each morning.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Eye pain, Headache, Malaise
Clinical narrative: When I got up the morning after the second vaccine, I felt dizzy and sluggish. Checked my pulse, my HR was 42. BP a little higher than normal but okay. My eyes felt blurry and as though there was a film of vaseline over them and they were both very red, like pinkeye, and also sore. I had a headache which is extremely unusual for me. I also had a feeling of generalized malaise. Before this, despite being a senior and diabetic, I felt great. Wonderful! Haven't had so much as a cold for 14 years. I am not a big believer in coincidence.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular discomfort, Ocular hyperaemia, Sluggishness, Vision blurred
Clinical narrative: When I got up the morning after the second vaccine, I felt dizzy and sluggish. Checked my pulse, my HR was 42. BP a little higher than normal but okay. My eyes felt blurry and as though there was a film of vaseline over them and they were both very red, like pinkeye, and also sore. I had a headache which is extremely unusual for me. I also had a feeling of generalized malaise. Before this, despite being a senior and diabetic, I felt great. Wonderful! Haven't had so much as a cold for 14 years. I am not a big believer in coincidence.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Nausea, Slow response to stimuli, Vomiting
Clinical narrative: SHORT OF BREATH, CHEST TIGHTNESS, NAUSEA/VOMITING, THEN SLOW TO RESPOND. 911 CALLED, BENADRYL & EPINEPHRINE ADMINISTERED. PATIENT TAKEN TO HOSPITAL BY AMBULANCE BUT RELEASED SAME DAY
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Computerised tomogram, Condition aggravated, Dizziness
Clinical narrative: After 2nd does , Pt POTS were in full swing, dizziness, unsteady on feet, fog headed, fatigue ,
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram, Fatigue, Feeling abnormal, Postural orthostatic tachycardia syndrome, Tilt table test
Clinical narrative: After 2nd does , Pt POTS were in full swing, dizziness, unsteady on feet, fog headed, fatigue ,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhoids
Clinical narrative: Noticed what I thought was a hemorrhoid developing approximately July 1, 2021.  Examined by doctor on July 14, 2021.  Doctor diagnosed hemorrhoid and prescribed Lidocaine HCL 2.8% -  Hydrocortisone Acetate 0.55% Gel with Aloe and use of Tucks pads.  Doctor was unable to determine cause of hemorrhoid outbreak.  Hemorrhoid symptoms disappeared after using  Gel and Tucks pads for approximately 5 weeks.  Symptoms have not reoccurred as of September 21, 2021
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 9/19/21 after being fully vaccinated.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Rash, Rash pruritic
Clinical narrative: Big hard knot on top of shoulder.  Itchy rash on arm and neck.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Significantly heavier mensuration with increased cramping. Last mensuration cycle was 5 days early . Heavier bleeding with mensuration came immediately after her vaccine which started that same day. Pt states long history of very regular and consistent periods until this vaccine.
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide normal, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram repolarisation abnormality, Pericarditis
Clinical narrative: Developed chest pain 2 days after receiving first COVID vaccination.
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Developed chest pain 2 days after receiving first COVID vaccination.
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, C-reactive protein increased, Chest pain, Chills, Discomfort
Clinical narrative: Developed chest pain 2 days after receiving first COVID vaccination.