chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Walking distance test abnormal
Clinical narrative: Pfizer Dose 1 3/10/21 (013A21A) Pfizer Dose 2 4/12/21 (025B21A) COVID Positive 1/31/22  1/31/22: A 60-year-old female with past medical history of interstitial lung disease/idiopathic fibrosing alveolitis awaiting lung transplant, chronic hypersensitive on home oxygen 4 L by NC, hypertension, systemic sclerosis, recent COVID 19 infection December 2021 comes to ED complaining of worsening of shortness of breath.  Patient states that she recent had COVID-19 infection in December 2021, has been having progressive shortness of breath and she saw her pulmonologist last week and was started on levofloxacin on 01/27/2022.  In spite of using levofloxacin she does not feel better.  Having low-grade fevers.  Cough is productive with small amounts of mucoid sputum.  No chest pain.  No sick contacts. Whenever she walks around her oxygen saturation drops into 70s, while on 5 L O2.  A concentrator at home does not allow the oxygen to go up above 5 L.   In the ED her temp was 100.2° F. chest x-ray reported new airspace disease on top of chronic interstitial changes concerning for superimposed infectious process for worsening interstitial lung disease.  ED provider attempted to contact Transplant Department, but did not receive a call back. She contacted the doctor, and he recommended IV ceftazidime for Pseudomonas coverage and IV vancomycin.  2/7/22: The patient known to have advanced a she lung disease with chronic hypoxic respiratory failure oxygen dependent at home, history of COVID-19 pneumonitis, history of scleroderma on immunosuppressive therapy, presented to the hospital with worsen shortness of breath and cough, proBNP was elevated, chest x-ray show worsening bilateral infiltrate, COVID-19 PCR test came back positive.  The patient diagnosed with high likely reinfection COVID-19 pneumonitis with possible secondary bacterial infection and acute on chronic hypoxic respiratory failure that did not require ventilator.  The patient started on remdesivir and dexamethasone and she was on vancomycin and ceftazidime and supportive nebulizer treatment.  The pulmonologist consulted and recommend to continue this medication, patient was on IV diuretics with improvement in her shortness of breath and symptoms, echocardiogram did not show indirect signs of pulmonary hypertension and EF 55%. The patient undergoing extensive lung transplant workup at the Transplant Center.  The patient completed the oxygen walking test and she require 4 L of oxygen at rest and 8 L while ambulating, recommend high concentrated nasal cannula.  Okay to be discharged as pale the palm and follow-up with her pulmonologist and the lung transplant clinic.  Will discharge her on taper steroid, she completed her antibiotic regimen.
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Hypoaesthesia, Pain in extremity, Peripheral coldness
Clinical narrative: Patient is a 59 y.o. male transferred, presents with right foot pain.  He states this has been going on for about a month, but acutely worsened last night.  He has still been able to walk on it.  He has chronic neuropathy in his bilateral feet, but the increase in numbness in his right foot is new.  He has also noticed it being cold to the touch.  He has never had this happen to him before.  He is chronically on warfarin, but was off of it for about 3 days due to difficulty getting it filled to his pharmacy.  His last dose was this morning however.  He is on insulin for his diabetes, and states his sugars run approximately 150.   Round to be COVID positivie incidentially.
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is a 59 y.o. male transferred, presents with right foot pain.  He states this has been going on for about a month, but acutely worsened last night.  He has still been able to walk on it.  He has chronic neuropathy in his bilateral feet, but the increase in numbness in his right foot is new.  He has also noticed it being cold to the touch.  He has never had this happen to him before.  He is chronically on warfarin, but was off of it for about 3 days due to difficulty getting it filled to his pharmacy.  His last dose was this morning however.  He is on insulin for his diabetes, and states his sugars run approximately 150.   Round to be COVID positivie incidentially.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Hyperhidrosis, Respiratory tract congestion
Clinical narrative: I was sweating, had chills, tired, congestion, bad cough.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: I was sweating, had chills, tired, congestion, bad cough.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: First Covid vaccine received on 8/10/2021. Pfizer. Lot number unknown. Given intramuscular. Site unknown
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Confusional state, Decreased appetite, Dehydration, Dizziness
Clinical narrative: SEVERE HA;  DIZZINESS;  PREVIOUS BODY INJURIES PAIN AND INFLAMMATION AWAKENED;   JOINT STIFFNESS;  FEVER; CHILLS;  BLURRED VISION (DEHYDRATION?);  NO APPETITE;  FLAVORS AND TASTES CHANGED. FATIGUE;  CONFUSION.   ALL LASTING 48 HOURS.  FEVER BROKE OVER 24 HOURS.  BODY ACHES/PAIN WITHIN 48 HOURS.   DECREASED APPETITE,  TASTE CHANGE AND HEAD ACHE REMAINS AT DAY 5.  NONE OF THE SYMPTOMS RELIEVED WITH ANY TYPE OF PAIN RELIEVER.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Inflammation, Joint stiffness, Pain
Clinical narrative: SEVERE HA;  DIZZINESS;  PREVIOUS BODY INJURIES PAIN AND INFLAMMATION AWAKENED;   JOINT STIFFNESS;  FEVER; CHILLS;  BLURRED VISION (DEHYDRATION?);  NO APPETITE;  FLAVORS AND TASTES CHANGED. FATIGUE;  CONFUSION.   ALL LASTING 48 HOURS.  FEVER BROKE OVER 24 HOURS.  BODY ACHES/PAIN WITHIN 48 HOURS.   DECREASED APPETITE,  TASTE CHANGE AND HEAD ACHE REMAINS AT DAY 5.  NONE OF THE SYMPTOMS RELIEVED WITH ANY TYPE OF PAIN RELIEVER.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Pyrexia, Taste disorder, Vision blurred
Clinical narrative: SEVERE HA;  DIZZINESS;  PREVIOUS BODY INJURIES PAIN AND INFLAMMATION AWAKENED;   JOINT STIFFNESS;  FEVER; CHILLS;  BLURRED VISION (DEHYDRATION?);  NO APPETITE;  FLAVORS AND TASTES CHANGED. FATIGUE;  CONFUSION.   ALL LASTING 48 HOURS.  FEVER BROKE OVER 24 HOURS.  BODY ACHES/PAIN WITHIN 48 HOURS.   DECREASED APPETITE,  TASTE CHANGE AND HEAD ACHE REMAINS AT DAY 5.  NONE OF THE SYMPTOMS RELIEVED WITH ANY TYPE OF PAIN RELIEVER.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Child received vaccines on Wednesday (6/29). Mom reports that she noticed redness and swelling at the left deltoid injection site Thursday night (6/30) and into Friday morning. The redness and swelling progressively got worse Friday (7/1) afternoon and mom was contacted by the child's daycare. Friday evening, the left deltoid injection site started feeling "hot" to the touch. On Saturday (7/2) the redness and swelling did not get any worse. Sunday (7/3) mom reported that the swelling and redness had started to subside. Mom reports no medication was administered for symptoms besides daily Zyrtec.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Fever and chills after the injection.  No noticeable signs until I got the blood clot a year later.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Memory impairment, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I contracted COVID-19 on 05/19/2022 with sore throat, itchy throat, sneezing, congestion, and headache. I was prescribed PAXLOVID on 05/20/2022 via a telemedicine visit. I was ill for 8 days before my symptoms resolved. I flew to another area 05/29/2022 and my COVID-19 symptoms returned that evening and worsened. My sputum was no longer clear and eventually was a magenta color, which made me concerned it was blood. The congestion was far worse, and I had to have another medical visit where I was given a Z-PAK on 06/05/2022. On 06/06/2022 I was not feeling improved at all so I had a HCF do a home call where they gave me a steroid shot and an albuterol inhaler prescription. I felt much better after that and my symptoms fully resolved after 8 days. I do feel my memory has been affected by my illness.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing, Sputum discoloured, Throat irritation
Clinical narrative: I contracted COVID-19 on 05/19/2022 with sore throat, itchy throat, sneezing, congestion, and headache. I was prescribed PAXLOVID on 05/20/2022 via a telemedicine visit. I was ill for 8 days before my symptoms resolved. I flew to another area 05/29/2022 and my COVID-19 symptoms returned that evening and worsened. My sputum was no longer clear and eventually was a magenta color, which made me concerned it was blood. The congestion was far worse, and I had to have another medical visit where I was given a Z-PAK on 06/05/2022. On 06/06/2022 I was not feeling improved at all so I had a HCF do a home call where they gave me a steroid shot and an albuterol inhaler prescription. I felt much better after that and my symptoms fully resolved after 8 days. I do feel my memory has been affected by my illness.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine was stored incorrectly, it was stored in a regular freezer instead of a sub-zero freezer. Mother of patient is informed and will decide later if she wishes to have patient revaccinated.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Fatigue, Fear, Heart rate increased
Clinical narrative: My heartrate started to elevate which scared me. I had fatigue, swollen arm. I have shortness of breath. My joints were more achy than normal when I try and walk.  I have expected to be much better than I am by now. I get so fatigued after doing anything now, which was not the case before I got my 4th dose.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: My heartrate started to elevate which scared me. I had fatigue, swollen arm. I have shortness of breath. My joints were more achy than normal when I try and walk.  I have expected to be much better than I am by now. I get so fatigued after doing anything now, which was not the case before I got my 4th dose.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Musculoskeletal chest pain, Neuralgia, Rash, Sleep disorder
Clinical narrative: I started having symptoms on June 11, 2022. I had severe pain on my intercostal nerves that was so bad I could not sleep at night. I had a rash show up on June 13, 2022 that I suspected was shingles. I used BENADRYL antiitch cream until I could get in to see the nurse practitioner on June 14, 2022. On the June 14, 2022 the NP confirmed that it was shingles and prescribed antiviral for me to take. It took 10 days for the rash to completely be gone.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine was stored incorrectly, it was stored in a regular freezer instead of a sub-zero freezer. Mother of patient is informed and will decide later if she wishes to have patient revaccinated.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Audiogram, Bruxism, Computerised tomogram, Facial pain, Magnetic resonance imaging
Clinical narrative: excruciating pain right side facial, jaw and teeth burning stinging tingling clenching
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oral discomfort, Oral pain, Pain in jaw, Paraesthesia oral, X-ray
Clinical narrative: excruciating pain right side facial, jaw and teeth burning stinging tingling clenching
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Tested positive one month after vaccine. Took COVID-19 home test came up positive. Called my Dr. and they asked me to come in to officially test and it came back positive. Breakthrough case.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Dose #1 given  2/6/2021 Lot # N/A Pt hospitalized with Covid 19 6/28/2022-7/3/2022 Medical Center.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: When I caught COVID-19 I had flu like symptoms, chills, and body aches for about 4 or 5 days. Since then I have had a lingering dry cough and fatigue. I have mental fuzziness and a diminished appetite. I took TYLENOL because I also had a fever. At the highest it was 100.8 degrees.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Full blood count normal, Influenza like illness, Pain, Pyrexia
Clinical narrative: When I caught COVID-19 I had flu like symptoms, chills, and body aches for about 4 or 5 days. Since then I have had a lingering dry cough and fatigue. I have mental fuzziness and a diminished appetite. I took TYLENOL because I also had a fever. At the highest it was 100.8 degrees.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: When I caught COVID-19 I had flu like symptoms, chills, and body aches for about 4 or 5 days. Since then I have had a lingering dry cough and fatigue. I have mental fuzziness and a diminished appetite. I took TYLENOL because I also had a fever. At the highest it was 100.8 degrees.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasopharyngitis
Clinical narrative: I was on a cruise ship and I developed a sore throat, headache, body ache, cold symptoms of a cough, and tiredness. Prior to getting on cruise, I took a COVID-19 test on 6/25/2022 that was negative with a PCR test. We brought COVID-19 test on the cruise and I took a test on 6/30/2022 that was positive. I still have these symptoms and they have not went away. I have a telehealth visit scheduled this afternoon.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: I was on a cruise ship and I developed a sore throat, headache, body ache, cold symptoms of a cough, and tiredness. Prior to getting on cruise, I took a COVID-19 test on 6/25/2022 that was negative with a PCR test. We brought COVID-19 test on the cruise and I took a test on 6/30/2022 that was positive. I still have these symptoms and they have not went away. I have a telehealth visit scheduled this afternoon.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Malaise, Mobility decreased, Nasal congestion
Clinical narrative: I had sore throat for a couple of days. Sinus congestion and was very stiffy. I had loss of energy on 6/21/2022. The symptoms became worse and took a COVID-19 test which came back negative. I had a fever of 101.0 and could not get out of bed. Took another COVID-19 test and came back positive. I called the doctor and was prescribe me a Z-pack, Vitamin B, and Vitamin C.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I had sore throat for a couple of days. Sinus congestion and was very stiffy. I had loss of energy on 6/21/2022. The symptoms became worse and took a COVID-19 test which came back negative. I had a fever of 101.0 and could not get out of bed. Took another COVID-19 test and came back positive. I called the doctor and was prescribe me a Z-pack, Vitamin B, and Vitamin C.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: First dose given 2/11/2021. Moderna. Lot # 031L20A. Left arm. Intramuscular
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted covid-19, positive home antigen test on 06/30/2022
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Nasal congestion, Respiratory tract congestion
Clinical narrative: Starting 06/16/2022, I test positive for COVID. I went to urgent care and was prescribed antibiotics. I had very minimal symptoms: headache, nasal congestion and chest congestion, and very fatigued. These symptoms lasted for about 4 days then resolved.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Starting 06/16/2022, I test positive for COVID. I went to urgent care and was prescribed antibiotics. I had very minimal symptoms: headache, nasal congestion and chest congestion, and very fatigued. These symptoms lasted for about 4 days then resolved.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospital
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations, Vertigo
Clinical narrative: Dizziness, vertigo and intermittent palpitations
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Malaise, Respiratory tract congestion
Clinical narrative: Got breakthrough case of COVID 19, mild cough and congestion, malaise,  fatigue; took two home covid tests and both were positive, phoned my home health care facility and obtained prescription for Paxlovid which I started taking second day after onset of symptoms, Very mild symptoms persisted for 2-3 days after that, recovered with no residual effects
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Got breakthrough case of COVID 19, mild cough and congestion, malaise,  fatigue; took two home covid tests and both were positive, phoned my home health care facility and obtained prescription for Paxlovid which I started taking second day after onset of symptoms, Very mild symptoms persisted for 2-3 days after that, recovered with no residual effects
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Cartilage injury, Disability, Immediate post-injection reaction, Joint range of motion decreased
Clinical narrative: Immediately sore upon given which is normal for injections in the arm for me.  The second day was even more sore & achy in arm.  After about two or three weeks afterward; symptoms got worse:  constant deep dull ache in arm, limited range of motion (unable to lift arm over head or reach to my back) and excruciating pain if that arm was jarred a certain way.  Saw my primary doctor regarding this on 6/17/22. Initially blood work & Xrays were ordered before an MRI could be obtained. Also was prescribed an anti-inflammatory medication.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Pain, Pain in extremity, Tendon disorder
Clinical narrative: Immediately sore upon given which is normal for injections in the arm for me.  The second day was even more sore & achy in arm.  After about two or three weeks afterward; symptoms got worse:  constant deep dull ache in arm, limited range of motion (unable to lift arm over head or reach to my back) and excruciating pain if that arm was jarred a certain way.  Saw my primary doctor regarding this on 6/17/22. Initially blood work & Xrays were ordered before an MRI could be obtained. Also was prescribed an anti-inflammatory medication.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: X-ray
Clinical narrative: Immediately sore upon given which is normal for injections in the arm for me.  The second day was even more sore & achy in arm.  After about two or three weeks afterward; symptoms got worse:  constant deep dull ache in arm, limited range of motion (unable to lift arm over head or reach to my back) and excruciating pain if that arm was jarred a certain way.  Saw my primary doctor regarding this on 6/17/22. Initially blood work & Xrays were ordered before an MRI could be obtained. Also was prescribed an anti-inflammatory medication.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Mild nasal congestion that lasted for 3 days running. While overseas contracted COVID-19 and had to stay an extra 5 days until tested negative and cleared to get on the flight back home. Healthcare professional consulted was Pharmacist.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, COVID-19, Feeling abnormal, Headache
Clinical narrative: I got sick 6/11/22 so the whole day I had symptoms and went to work and was weak, headache, and I was feeling very bad and told my supervisor and they gave me permission to go home by 2330 I went to the hospital and my temp was very high and at 0200 the hospital they gave me something and I don't know what the name of it was. They did a COVID-19 test that was positive. I was sick the whole week and they started me on PAXLOVID and my symptoms got better but the whole week I was weak. After one week I was better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Malaise, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: I got sick 6/11/22 so the whole day I had symptoms and went to work and was weak, headache, and I was feeling very bad and told my supervisor and they gave me permission to go home by 2330 I went to the hospital and my temp was very high and at 0200 the hospital they gave me something and I don't know what the name of it was. They did a COVID-19 test that was positive. I was sick the whole week and they started me on PAXLOVID and my symptoms got better but the whole week I was weak. After one week I was better.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dysphagia, Endoscopy upper gastrointestinal tract abnormal, Herpes zoster, Neuralgia
Clinical narrative: Pfizer Dose 1 3/4/21 (EL9266) Pfizer Dose 2 4/1/21 (EN6205) Pfizer Dose 3 11/5/21 (FG3527) COVID Positive 2/8/22  2/8/22: This is a 71-year-old female with history of obesity, hypertension, hyperlipidemia, tobacco use, Sjogren syndrome, obstructive sleep apnea, recently diagnosed infiltrating ductal carcinoma of the left breast status post chemotherapy, chronic obstructive pulmonary disease and vertigo who presented to the emergency department with difficulty swallowing and a painful abdominal rash. Patient states that she finished a 5 day course of treatment for shingles. Her rash is present in the left upper quadrant of the abdomen and goes to the back. She describes her pain as burning, moderate in intensity, constant, worse with touch and without noticeable relieving factors.  She also has difficulty swallowing mostly with solids. She states that she slightly tolerates her liquids. She recently had an esophageal thrush for she which she was taking nystatin.  2/18/22: 71-year-old female with history of obesity, hypertension, hyperlipidemia, tobacco use, Sjogren syndrome, obstructive sleep apnea, recently diagnosed infiltrating ductal carcinoma of the left breast status post chemotherapy, chronic obstructive pulmonary disease and vertigo who presented to the emergency department with difficulty swallowing and a painful abdominal rash.  Status post upper GI endoscopy on 02/10/2022, preliminary report shows esophageal strictures needing dilation.  Patient had esophageal dilatation on 2/15/22.  Patient has been tolerating oral intake.  Patient was noted to have refeeding syndrome and after that has been replaced.  Patient will be discharged on p.o. potassium and magnesium oxide.  Patient to have a BMP repeated in 1 week.  During hospitalization patient was diagnosed with COVID-19.  Patient had mild symptoms. Patient did not require supplemental oxygen on discharge.   Patient also presented with herpes zoster infection. Acyclovir was.  Patient has completed treatment.  Patient continues to have neuropathic pain, continue gabapentin.   Precautions return to the ED extensively reviewed, patient has verbalized understand
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophageal dilatation, Oesophageal stenosis, Pain, Rash, Refeeding syndrome
Clinical narrative: Pfizer Dose 1 3/4/21 (EL9266) Pfizer Dose 2 4/1/21 (EN6205) Pfizer Dose 3 11/5/21 (FG3527) COVID Positive 2/8/22  2/8/22: This is a 71-year-old female with history of obesity, hypertension, hyperlipidemia, tobacco use, Sjogren syndrome, obstructive sleep apnea, recently diagnosed infiltrating ductal carcinoma of the left breast status post chemotherapy, chronic obstructive pulmonary disease and vertigo who presented to the emergency department with difficulty swallowing and a painful abdominal rash. Patient states that she finished a 5 day course of treatment for shingles. Her rash is present in the left upper quadrant of the abdomen and goes to the back. She describes her pain as burning, moderate in intensity, constant, worse with touch and without noticeable relieving factors.  She also has difficulty swallowing mostly with solids. She states that she slightly tolerates her liquids. She recently had an esophageal thrush for she which she was taking nystatin.  2/18/22: 71-year-old female with history of obesity, hypertension, hyperlipidemia, tobacco use, Sjogren syndrome, obstructive sleep apnea, recently diagnosed infiltrating ductal carcinoma of the left breast status post chemotherapy, chronic obstructive pulmonary disease and vertigo who presented to the emergency department with difficulty swallowing and a painful abdominal rash.  Status post upper GI endoscopy on 02/10/2022, preliminary report shows esophageal strictures needing dilation.  Patient had esophageal dilatation on 2/15/22.  Patient has been tolerating oral intake.  Patient was noted to have refeeding syndrome and after that has been replaced.  Patient will be discharged on p.o. potassium and magnesium oxide.  Patient to have a BMP repeated in 1 week.  During hospitalization patient was diagnosed with COVID-19.  Patient had mild symptoms. Patient did not require supplemental oxygen on discharge.   Patient also presented with herpes zoster infection. Acyclovir was.  Patient has completed treatment.  Patient continues to have neuropathic pain, continue gabapentin.   Precautions return to the ED extensively reviewed, patient has verbalized understand
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tenderness
Clinical narrative: Pfizer Dose 1 3/4/21 (EL9266) Pfizer Dose 2 4/1/21 (EN6205) Pfizer Dose 3 11/5/21 (FG3527) COVID Positive 2/8/22  2/8/22: This is a 71-year-old female with history of obesity, hypertension, hyperlipidemia, tobacco use, Sjogren syndrome, obstructive sleep apnea, recently diagnosed infiltrating ductal carcinoma of the left breast status post chemotherapy, chronic obstructive pulmonary disease and vertigo who presented to the emergency department with difficulty swallowing and a painful abdominal rash. Patient states that she finished a 5 day course of treatment for shingles. Her rash is present in the left upper quadrant of the abdomen and goes to the back. She describes her pain as burning, moderate in intensity, constant, worse with touch and without noticeable relieving factors.  She also has difficulty swallowing mostly with solids. She states that she slightly tolerates her liquids. She recently had an esophageal thrush for she which she was taking nystatin.  2/18/22: 71-year-old female with history of obesity, hypertension, hyperlipidemia, tobacco use, Sjogren syndrome, obstructive sleep apnea, recently diagnosed infiltrating ductal carcinoma of the left breast status post chemotherapy, chronic obstructive pulmonary disease and vertigo who presented to the emergency department with difficulty swallowing and a painful abdominal rash.  Status post upper GI endoscopy on 02/10/2022, preliminary report shows esophageal strictures needing dilation.  Patient had esophageal dilatation on 2/15/22.  Patient has been tolerating oral intake.  Patient was noted to have refeeding syndrome and after that has been replaced.  Patient will be discharged on p.o. potassium and magnesium oxide.  Patient to have a BMP repeated in 1 week.  During hospitalization patient was diagnosed with COVID-19.  Patient had mild symptoms. Patient did not require supplemental oxygen on discharge.   Patient also presented with herpes zoster infection. Acyclovir was.  Patient has completed treatment.  Patient continues to have neuropathic pain, continue gabapentin.   Precautions return to the ED extensively reviewed, patient has verbalized understand
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue, Feeling abnormal, Nausea
Clinical narrative: On the day after getting the dose 4, I woke up around 4:00 AM that morning and felt extremely fatigued and that lasted a couple days. Two days after dose for still extreme fatigue and very sore arm. On May 29th around dinner time I started feeling really bad and the next day it was worse so I went to the drive through testing site at a clinic and had a PCR test done. I had fever, nausea and also had vision problems like there was a film over my eyes that lasted around a week. I still am having some shortness of breath and low energy.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test positive, Visual impairment
Clinical narrative: On the day after getting the dose 4, I woke up around 4:00 AM that morning and felt extremely fatigued and that lasted a couple days. Two days after dose for still extreme fatigue and very sore arm. On May 29th around dinner time I started feeling really bad and the next day it was worse so I went to the drive through testing site at a clinic and had a PCR test done. I had fever, nausea and also had vision problems like there was a film over my eyes that lasted around a week. I still am having some shortness of breath and low energy.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Headache, Magnetic resonance imaging head abnormal
Clinical narrative: It presented as a severe headache I went to the ER and I was diagnosed as having had a stroke
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal cavity drainage, Abdominal distension, Abdominal pain lower, Anticoagulant therapy, Ascites
Clinical narrative: Pfizer Dose 1 2/11/21 (EL1283) Pfizer Dose 2 3/5/21 (EN6205) Pfizer Dose 3 11/2/21 (lot NA) COVID Positive 1/31/22  1/31/22: This is an 87-year-old male with history of atrial fibrillation on chronic anticoagulation with Coumadin, hyperlipidemia, metastatic prostate cancer and obesity who presented to the emergency department with abdominal pain. Patient states that he has been having left lower quadrant abdominal pain for the past few days. His pain is dull in nature, mild to moderate in intensity, intermittent, without noticeable relieving or exacerbating factors. He reports associated abdominal distention and decreased bowel movements. He reports feeling fatigued and tired. He has history of prostate cancer and follows with doctor from Urology. He denies chest pain, shortness of breath, dizziness, cough, nausea or vomiting. He has no blood in the stool.   In the emergency department, labs showed a creatinine of 2.2, hemoglobin of 10.8, INR level of 8.1. CT abdomen and pelvis with oral contrast showed extensive ascites and suspicious findings for peritoneal carcinomatosis. It also showed moderate right pleural effusion and small left pleural effusion. Patient was given IV fluids, p.o. vitamin K, IV Zofran.  2/5/22: P.o. Coumadin 5 mg daily  INR ordered in 2 days  Follow-up with PCP in 3-5 days  Patient to follow up with Oncology as outpatient in 1-2 weeks  He will will be called by Oncology office to set up an appointment  Abdominal biopsy and paracentesis results are pending  Patient agrees with plan of care  Will discharge patient home
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy abdominal wall, Blood creatinine increased, COVID-19, Computerised tomogram abdomen abnormal, Fatigue
Clinical narrative: Pfizer Dose 1 2/11/21 (EL1283) Pfizer Dose 2 3/5/21 (EN6205) Pfizer Dose 3 11/2/21 (lot NA) COVID Positive 1/31/22  1/31/22: This is an 87-year-old male with history of atrial fibrillation on chronic anticoagulation with Coumadin, hyperlipidemia, metastatic prostate cancer and obesity who presented to the emergency department with abdominal pain. Patient states that he has been having left lower quadrant abdominal pain for the past few days. His pain is dull in nature, mild to moderate in intensity, intermittent, without noticeable relieving or exacerbating factors. He reports associated abdominal distention and decreased bowel movements. He reports feeling fatigued and tired. He has history of prostate cancer and follows with doctor from Urology. He denies chest pain, shortness of breath, dizziness, cough, nausea or vomiting. He has no blood in the stool.   In the emergency department, labs showed a creatinine of 2.2, hemoglobin of 10.8, INR level of 8.1. CT abdomen and pelvis with oral contrast showed extensive ascites and suspicious findings for peritoneal carcinomatosis. It also showed moderate right pleural effusion and small left pleural effusion. Patient was given IV fluids, p.o. vitamin K, IV Zofran.  2/5/22: P.o. Coumadin 5 mg daily  INR ordered in 2 days  Follow-up with PCP in 3-5 days  Patient to follow up with Oncology as outpatient in 1-2 weeks  He will will be called by Oncology office to set up an appointment  Abdominal biopsy and paracentesis results are pending  Patient agrees with plan of care  Will discharge patient home
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Infrequent bowel movements, International normalised ratio increased, Metastases to peritoneum, Pain
Clinical narrative: Pfizer Dose 1 2/11/21 (EL1283) Pfizer Dose 2 3/5/21 (EN6205) Pfizer Dose 3 11/2/21 (lot NA) COVID Positive 1/31/22  1/31/22: This is an 87-year-old male with history of atrial fibrillation on chronic anticoagulation with Coumadin, hyperlipidemia, metastatic prostate cancer and obesity who presented to the emergency department with abdominal pain. Patient states that he has been having left lower quadrant abdominal pain for the past few days. His pain is dull in nature, mild to moderate in intensity, intermittent, without noticeable relieving or exacerbating factors. He reports associated abdominal distention and decreased bowel movements. He reports feeling fatigued and tired. He has history of prostate cancer and follows with doctor from Urology. He denies chest pain, shortness of breath, dizziness, cough, nausea or vomiting. He has no blood in the stool.   In the emergency department, labs showed a creatinine of 2.2, hemoglobin of 10.8, INR level of 8.1. CT abdomen and pelvis with oral contrast showed extensive ascites and suspicious findings for peritoneal carcinomatosis. It also showed moderate right pleural effusion and small left pleural effusion. Patient was given IV fluids, p.o. vitamin K, IV Zofran.  2/5/22: P.o. Coumadin 5 mg daily  INR ordered in 2 days  Follow-up with PCP in 3-5 days  Patient to follow up with Oncology as outpatient in 1-2 weeks  He will will be called by Oncology office to set up an appointment  Abdominal biopsy and paracentesis results are pending  Patient agrees with plan of care  Will discharge patient home
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, SARS-CoV-2 test positive, Scan with contrast abnormal
Clinical narrative: Pfizer Dose 1 2/11/21 (EL1283) Pfizer Dose 2 3/5/21 (EN6205) Pfizer Dose 3 11/2/21 (lot NA) COVID Positive 1/31/22  1/31/22: This is an 87-year-old male with history of atrial fibrillation on chronic anticoagulation with Coumadin, hyperlipidemia, metastatic prostate cancer and obesity who presented to the emergency department with abdominal pain. Patient states that he has been having left lower quadrant abdominal pain for the past few days. His pain is dull in nature, mild to moderate in intensity, intermittent, without noticeable relieving or exacerbating factors. He reports associated abdominal distention and decreased bowel movements. He reports feeling fatigued and tired. He has history of prostate cancer and follows with doctor from Urology. He denies chest pain, shortness of breath, dizziness, cough, nausea or vomiting. He has no blood in the stool.   In the emergency department, labs showed a creatinine of 2.2, hemoglobin of 10.8, INR level of 8.1. CT abdomen and pelvis with oral contrast showed extensive ascites and suspicious findings for peritoneal carcinomatosis. It also showed moderate right pleural effusion and small left pleural effusion. Patient was given IV fluids, p.o. vitamin K, IV Zofran.  2/5/22: P.o. Coumadin 5 mg daily  INR ordered in 2 days  Follow-up with PCP in 3-5 days  Patient to follow up with Oncology as outpatient in 1-2 weeks  He will will be called by Oncology office to set up an appointment  Abdominal biopsy and paracentesis results are pending  Patient agrees with plan of care  Will discharge patient home
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I had fever, congestion, body aches, tired, fatigue, sore throat.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: I had fever, congestion, body aches, tired, fatigue, sore throat.
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, COVID-19, Chest X-ray normal, Computerised tomogram head normal, Fall
Clinical narrative: Patient is a 75 y.o. female with a history of primary progressive aphasia, frontotemporal dementia, mechanical heart valve on warfarin, HTN, HLD who presents for fall and left hip pain. History is limited secondary to patient's chronic aphasia. Reportedly, she had the dog on a leash which got wrapped around her legs, causing her to fall. No head trauma. Patient initially presented to health center where imaging showed a left intertrochanteric femur fracture. CXR and CT head were obtained as well which showed no acute abnormalities.   Patient was tested for COVID-19 and positive upon admission on 7/2/2022.
Sex: F
Vaccine: UNK
Symptoms: Femur fracture, Imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: Patient is a 75 y.o. female with a history of primary progressive aphasia, frontotemporal dementia, mechanical heart valve on warfarin, HTN, HLD who presents for fall and left hip pain. History is limited secondary to patient's chronic aphasia. Reportedly, she had the dog on a leash which got wrapped around her legs, causing her to fall. No head trauma. Patient initially presented to health center where imaging showed a left intertrochanteric femur fracture. CXR and CT head were obtained as well which showed no acute abnormalities.   Patient was tested for COVID-19 and positive upon admission on 7/2/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Anaemia, Asthenia, COVID-19, Chest X-ray abnormal
Clinical narrative: Moderna Dose 1 4/13/21 (016B21A) Moderna Dose 2 5/11/21 (021C21A) COVID Positive 12/31/2021  12/31/21: A 66-year-old female who has been living independently, but not doing well for several weeks, was brought to the emergency room with weakness, inability to ambulate, and very poor oral intake.  She has a history of dysphagia related to a burn in her throat.  Has not really been eating anything, unclear how much she has even been drinking.  She also has interstitial lung disease from previous x-rays, but has not really been on any treatment.  There is elevation of the left hemidiaphragm on chest x-rays. Again, etiology is somewhat unclear.  The patient smokes, but is unable to tell us how much she smokes.  The patient is a poor historian.  Most information is obtained from the emergency room staff and the EMS staff.  The patient is unable to tell us whether she has any medical problems.  She really is not aware of the date or actually where she is.  She cannot tell us the last time she had thing to eat or drink.  Does not know anything about her medical health.  She appears to be extremely dehydrated, decreased skin turgor and dry mucous membranes.  Her blood pressure is 80/50, pulse is 80 regular, oximetry is 97% on room air.  Chest x-ray shows infiltrates, but this may be related to interstitial lung disease, since she has not have leukocytosis or fever.  Unclear whether she has been tested for COVID-19. Cultures have been obtained.  IV antibiotics started for possible pneumonia with azithromycin and ceftriaxone.  She is being given IV fluids for possible sepsis, and she will probably remain in the emergency room until her blood pressure is above 95-100 systolic.  1/13/22: This patient with history of smoking had not been feeling well for several weeks.  She was admitted with severe dehydration, hypotension and anemia.  There was signs of GI bleeding and an upper endoscopy showed duodenal ulcers, and the colonoscopy showed a cecal polyp.  She did receive several units of blood.  She did test positive for COVID-19 but did not have hypoxemia or require specific antiviral therapy.  She was diagnosed with COVID on 12/30 and should be considered COVID recovered on 01/14.  Her blood pressure is still low and we have continued midodrine.  She did not want to go to a nursing home and will go home with a friend will provide much of her care. She has needed assistance getting out of bed into the bathroom.  She may be at high risk for readmission for complications of her multiple medical problems.  We have had a time replacing magnesium, and potassium.  If she can improve her overall nutrition, she should do well.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy abnormal, Culture, Dehydration, Duodenal ulcer, Endoscopy upper gastrointestinal tract abnormal
Clinical narrative: Moderna Dose 1 4/13/21 (016B21A) Moderna Dose 2 5/11/21 (021C21A) COVID Positive 12/31/2021  12/31/21: A 66-year-old female who has been living independently, but not doing well for several weeks, was brought to the emergency room with weakness, inability to ambulate, and very poor oral intake.  She has a history of dysphagia related to a burn in her throat.  Has not really been eating anything, unclear how much she has even been drinking.  She also has interstitial lung disease from previous x-rays, but has not really been on any treatment.  There is elevation of the left hemidiaphragm on chest x-rays. Again, etiology is somewhat unclear.  The patient smokes, but is unable to tell us how much she smokes.  The patient is a poor historian.  Most information is obtained from the emergency room staff and the EMS staff.  The patient is unable to tell us whether she has any medical problems.  She really is not aware of the date or actually where she is.  She cannot tell us the last time she had thing to eat or drink.  Does not know anything about her medical health.  She appears to be extremely dehydrated, decreased skin turgor and dry mucous membranes.  Her blood pressure is 80/50, pulse is 80 regular, oximetry is 97% on room air.  Chest x-ray shows infiltrates, but this may be related to interstitial lung disease, since she has not have leukocytosis or fever.  Unclear whether she has been tested for COVID-19. Cultures have been obtained.  IV antibiotics started for possible pneumonia with azithromycin and ceftriaxone.  She is being given IV fluids for possible sepsis, and she will probably remain in the emergency room until her blood pressure is above 95-100 systolic.  1/13/22: This patient with history of smoking had not been feeling well for several weeks.  She was admitted with severe dehydration, hypotension and anemia.  There was signs of GI bleeding and an upper endoscopy showed duodenal ulcers, and the colonoscopy showed a cecal polyp.  She did receive several units of blood.  She did test positive for COVID-19 but did not have hypoxemia or require specific antiviral therapy.  She was diagnosed with COVID on 12/30 and should be considered COVID recovered on 01/14.  Her blood pressure is still low and we have continued midodrine.  She did not want to go to a nursing home and will go home with a friend will provide much of her care. She has needed assistance getting out of bed into the bathroom.  She may be at high risk for readmission for complications of her multiple medical problems.  We have had a time replacing magnesium, and potassium.  If she can improve her overall nutrition, she should do well.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid intake reduced, Gait inability, Gastrointestinal haemorrhage, Hypophagia, Hypotension
Clinical narrative: Moderna Dose 1 4/13/21 (016B21A) Moderna Dose 2 5/11/21 (021C21A) COVID Positive 12/31/2021  12/31/21: A 66-year-old female who has been living independently, but not doing well for several weeks, was brought to the emergency room with weakness, inability to ambulate, and very poor oral intake.  She has a history of dysphagia related to a burn in her throat.  Has not really been eating anything, unclear how much she has even been drinking.  She also has interstitial lung disease from previous x-rays, but has not really been on any treatment.  There is elevation of the left hemidiaphragm on chest x-rays. Again, etiology is somewhat unclear.  The patient smokes, but is unable to tell us how much she smokes.  The patient is a poor historian.  Most information is obtained from the emergency room staff and the EMS staff.  The patient is unable to tell us whether she has any medical problems.  She really is not aware of the date or actually where she is.  She cannot tell us the last time she had thing to eat or drink.  Does not know anything about her medical health.  She appears to be extremely dehydrated, decreased skin turgor and dry mucous membranes.  Her blood pressure is 80/50, pulse is 80 regular, oximetry is 97% on room air.  Chest x-ray shows infiltrates, but this may be related to interstitial lung disease, since she has not have leukocytosis or fever.  Unclear whether she has been tested for COVID-19. Cultures have been obtained.  IV antibiotics started for possible pneumonia with azithromycin and ceftriaxone.  She is being given IV fluids for possible sepsis, and she will probably remain in the emergency room until her blood pressure is above 95-100 systolic.  1/13/22: This patient with history of smoking had not been feeling well for several weeks.  She was admitted with severe dehydration, hypotension and anemia.  There was signs of GI bleeding and an upper endoscopy showed duodenal ulcers, and the colonoscopy showed a cecal polyp.  She did receive several units of blood.  She did test positive for COVID-19 but did not have hypoxemia or require specific antiviral therapy.  She was diagnosed with COVID on 12/30 and should be considered COVID recovered on 01/14.  Her blood pressure is still low and we have continued midodrine.  She did not want to go to a nursing home and will go home with a friend will provide much of her care. She has needed assistance getting out of bed into the bathroom.  She may be at high risk for readmission for complications of her multiple medical problems.  We have had a time replacing magnesium, and potassium.  If she can improve her overall nutrition, she should do well.