chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Emotional disorder, Hypoaesthesia, Impaired quality of life, Paraesthesia
Clinical narrative: Ruined my life. 3-4 hours after taking the shot I had severe numbness in my chest area.  All the way from my throat to my belly button. I can feel any sensation in the area. I can't feel food, water, Emotions, air when I breath. Worse of all burning and tignling sensations that spread over all my body. I need help! this is unbearable. no doctor knows what they can do to fix this. This will be chronic. My life has been damaged by the vaccine. what happened to me? who can help me? why?? just why?
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Fatigue
Clinical narrative: Covid 19 breakthrough.  1st Vaccine on 02/01/2021.  Pt presents with c/o cough, SOB, Chest pain, fatigue and body aches.  Pt states tested + for Covid 11 days ago and was treated with decadron but symptoms did not improve.  Pt also had monoclonal antibodies 1 week ago.  She is immunocompromised and on Rituxan infusions(last dose Dec 20210 and weekly Hizentra.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid 19 breakthrough.  1st Vaccine on 02/01/2021.  Pt presents with c/o cough, SOB, Chest pain, fatigue and body aches.  Pt states tested + for Covid 11 days ago and was treated with decadron but symptoms did not improve.  Pt also had monoclonal antibodies 1 week ago.  She is immunocompromised and on Rituxan infusions(last dose Dec 20210 and weekly Hizentra.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case  **Patient pregnant with EDD of unknown ***Unknow if patient was pregnant at time vaccine administration
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Iliac artery occlusion, Limb amputation
Clinical narrative: Iliac artery occlusion, left. 3 weeks of hospitalization, resulting in left lower limb amputation.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Laboratory test, Magnetic resonance imaging heart
Clinical narrative: Booster shot on 11/08/2021. About 11/15/2021 started chest pain and shortness of breath. Saw my primary doctor on 11/19/2021. She did EKG etc.. Provisionally diagnosed Pericarditis and sent me to the emergency room where I was admitted 11/19/2021, treated, and discharged 11/22/2021.  I had a reoccurrence of pain and sob on 12/03/2021, went to ER, admitted to local Hospital on 12/03/2021. Treated and discharged on 12/07/2021. Diagnosed with Pericarditis.  Am presently being treated with medication.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pericarditis
Clinical narrative: Booster shot on 11/08/2021. About 11/15/2021 started chest pain and shortness of breath. Saw my primary doctor on 11/19/2021. She did EKG etc.. Provisionally diagnosed Pericarditis and sent me to the emergency room where I was admitted 11/19/2021, treated, and discharged 11/22/2021.  I had a reoccurrence of pain and sob on 12/03/2021, went to ER, admitted to local Hospital on 12/03/2021. Treated and discharged on 12/07/2021. Diagnosed with Pericarditis.  Am presently being treated with medication.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated. Booster given 12/27/2021. Disability coverage for the patient was 9/13/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Injection site indentation, Muscle atrophy, SARS-CoV-2 test positive
Clinical narrative: I had an odd reaction on deltoid muscle several weeks after booster shot, looks like there is a (dent) indentation, looks like some atrophy in my shoulder. The width of a golf-ball, on the bottom of the deltoid muscle. The PA said there is some muscle atrophy. I have an appointment to talk to my doctor this week. I do not have any pain nor disability in my joints. I also came down with Covid few days ago. I do not know if it is related to Covid. I have not recovered yet. Lot# was not provided
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Dermatographism diagnosed on 12/31/21 - treatment course Fexofenadine 180mg 4 x daily for 2 weeks, reduce dosage by 180mg each day until symptoms reappear and continue on that dosage for 2 weeks.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   COVID infection breakthrough with inpatient hospital stay
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 15 and not the approved age of 16 for the booster
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Rash, Vomiting
Clinical narrative: Three weeks after her first dose, my daughter started to develop nausea, vomiting, rash all over and fever that lasted 8 days.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Atrial fibrillation, C-reactive protein increased
Clinical narrative: Case completed primary Covid vaccine series in March 2021, then was hospitalized for Covid in September 2021 and died of Covid in October 2021.  Hospitalized: Hospital. Discharging physician:  Dr. MD.  Onset Covid symptoms 9/8/21 (fever, chills, shortness of breath, fatigue), tested positive 9/15/212, hospitalized 9/15 to 9/17/21 (for Covid pneumonia and acute respiratory failure), then again hospitalized 9/24 to 10/8/21, then hospitalized again 10/11 to 10/12/21 when he died.   * Acute respiratory failure  Assessment & Plan Presents with acute worsening shortness of breath day of admission. Was previously only requiring 1L oxygen, feeling improved, now with worsening shortness of breath, needing 4L on admission, requiring HFNC 9/25. CTA negative for PE but shows extensive bilateral patchy infiltrates and mucous plugging consistent with complications of recent covid 19 pneumonia. Suspect may have contribution of poor rate control afib and possible diastolic hear failure as well. Was taken off lasix at last hospitalization, worsening edema, but now dry for days by oct/4. IV lasix administered initially 9/25, oral lasix bid started 9/26 and later stopped around 2/oct due to bp. Increased metoprolol, dig loaded 9/25 and increased diltiazem 9/26 all with improved rate control. Baricitinib added for Covid as noted elsewhere and continued on dexamethasone for now (started 9/15)-complted. Also started on ceftriaxone 9/25 for possible superimposed bacterial pneumonia given elevated wbc and procalcitonin for an 8 day course of therapy. Goals of care d/w spouse 9/25 - he remains dnr with no further escalation of care. Wife, updated daily - continued with decadron completed 3/oct, baricitinib for covid for 12 doses - continue Xarelto (home med) - continued with ceftriaxone - stopped 2/oct after 8 days. -Doing well on 2 L NC at rest on discharge 10/8, but still very dyspneic with exertion.  Pneumonia due to COVID-19 virus Assessment & Plan Symptom onset 9/8 with positive test 9/15. Was due to finish 10 days of decadron 9/25 but given worsening respiratory symptoms continued decadron for several more days. Only on 4L on admission however O2 needs rose quickly over first night, requiring HFNC. Increased up to 100% FiO2, now improving. Received some remdesivir previously, now out of window. Completed moderna vaccination series. CRP up to 29.9, now improved. - added baricitinib 9/25; hold baricitinib if absolute lymphocytes <200cells/mm3 - completed 10 days decadron 3/oct   o2 needs decreasing for days through 4/oct
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chills, Condition aggravated, Death
Clinical narrative: Case completed primary Covid vaccine series in March 2021, then was hospitalized for Covid in September 2021 and died of Covid in October 2021.  Hospitalized: Hospital. Discharging physician:  Dr. MD.  Onset Covid symptoms 9/8/21 (fever, chills, shortness of breath, fatigue), tested positive 9/15/212, hospitalized 9/15 to 9/17/21 (for Covid pneumonia and acute respiratory failure), then again hospitalized 9/24 to 10/8/21, then hospitalized again 10/11 to 10/12/21 when he died.   * Acute respiratory failure  Assessment & Plan Presents with acute worsening shortness of breath day of admission. Was previously only requiring 1L oxygen, feeling improved, now with worsening shortness of breath, needing 4L on admission, requiring HFNC 9/25. CTA negative for PE but shows extensive bilateral patchy infiltrates and mucous plugging consistent with complications of recent covid 19 pneumonia. Suspect may have contribution of poor rate control afib and possible diastolic hear failure as well. Was taken off lasix at last hospitalization, worsening edema, but now dry for days by oct/4. IV lasix administered initially 9/25, oral lasix bid started 9/26 and later stopped around 2/oct due to bp. Increased metoprolol, dig loaded 9/25 and increased diltiazem 9/26 all with improved rate control. Baricitinib added for Covid as noted elsewhere and continued on dexamethasone for now (started 9/15)-complted. Also started on ceftriaxone 9/25 for possible superimposed bacterial pneumonia given elevated wbc and procalcitonin for an 8 day course of therapy. Goals of care d/w spouse 9/25 - he remains dnr with no further escalation of care. Wife, updated daily - continued with decadron completed 3/oct, baricitinib for covid for 12 doses - continue Xarelto (home med) - continued with ceftriaxone - stopped 2/oct after 8 days. -Doing well on 2 L NC at rest on discharge 10/8, but still very dyspneic with exertion.  Pneumonia due to COVID-19 virus Assessment & Plan Symptom onset 9/8 with positive test 9/15. Was due to finish 10 days of decadron 9/25 but given worsening respiratory symptoms continued decadron for several more days. Only on 4L on admission however O2 needs rose quickly over first night, requiring HFNC. Increased up to 100% FiO2, now improving. Received some remdesivir previously, now out of window. Completed moderna vaccination series. CRP up to 29.9, now improved. - added baricitinib 9/25; hold baricitinib if absolute lymphocytes <200cells/mm3 - completed 10 days decadron 3/oct   o2 needs decreasing for days through 4/oct
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Lung infiltration, Lymphocyte count
Clinical narrative: Case completed primary Covid vaccine series in March 2021, then was hospitalized for Covid in September 2021 and died of Covid in October 2021.  Hospitalized: Hospital. Discharging physician:  Dr. MD.  Onset Covid symptoms 9/8/21 (fever, chills, shortness of breath, fatigue), tested positive 9/15/212, hospitalized 9/15 to 9/17/21 (for Covid pneumonia and acute respiratory failure), then again hospitalized 9/24 to 10/8/21, then hospitalized again 10/11 to 10/12/21 when he died.   * Acute respiratory failure  Assessment & Plan Presents with acute worsening shortness of breath day of admission. Was previously only requiring 1L oxygen, feeling improved, now with worsening shortness of breath, needing 4L on admission, requiring HFNC 9/25. CTA negative for PE but shows extensive bilateral patchy infiltrates and mucous plugging consistent with complications of recent covid 19 pneumonia. Suspect may have contribution of poor rate control afib and possible diastolic hear failure as well. Was taken off lasix at last hospitalization, worsening edema, but now dry for days by oct/4. IV lasix administered initially 9/25, oral lasix bid started 9/26 and later stopped around 2/oct due to bp. Increased metoprolol, dig loaded 9/25 and increased diltiazem 9/26 all with improved rate control. Baricitinib added for Covid as noted elsewhere and continued on dexamethasone for now (started 9/15)-complted. Also started on ceftriaxone 9/25 for possible superimposed bacterial pneumonia given elevated wbc and procalcitonin for an 8 day course of therapy. Goals of care d/w spouse 9/25 - he remains dnr with no further escalation of care. Wife, updated daily - continued with decadron completed 3/oct, baricitinib for covid for 12 doses - continue Xarelto (home med) - continued with ceftriaxone - stopped 2/oct after 8 days. -Doing well on 2 L NC at rest on discharge 10/8, but still very dyspneic with exertion.  Pneumonia due to COVID-19 virus Assessment & Plan Symptom onset 9/8 with positive test 9/15. Was due to finish 10 days of decadron 9/25 but given worsening respiratory symptoms continued decadron for several more days. Only on 4L on admission however O2 needs rose quickly over first night, requiring HFNC. Increased up to 100% FiO2, now improving. Received some remdesivir previously, now out of window. Completed moderna vaccination series. CRP up to 29.9, now improved. - added baricitinib 9/25; hold baricitinib if absolute lymphocytes <200cells/mm3 - completed 10 days decadron 3/oct   o2 needs decreasing for days through 4/oct
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mucosal disorder, Oedema, Procalcitonin increased, Pyrexia
Clinical narrative: Case completed primary Covid vaccine series in March 2021, then was hospitalized for Covid in September 2021 and died of Covid in October 2021.  Hospitalized: Hospital. Discharging physician:  Dr. MD.  Onset Covid symptoms 9/8/21 (fever, chills, shortness of breath, fatigue), tested positive 9/15/212, hospitalized 9/15 to 9/17/21 (for Covid pneumonia and acute respiratory failure), then again hospitalized 9/24 to 10/8/21, then hospitalized again 10/11 to 10/12/21 when he died.   * Acute respiratory failure  Assessment & Plan Presents with acute worsening shortness of breath day of admission. Was previously only requiring 1L oxygen, feeling improved, now with worsening shortness of breath, needing 4L on admission, requiring HFNC 9/25. CTA negative for PE but shows extensive bilateral patchy infiltrates and mucous plugging consistent with complications of recent covid 19 pneumonia. Suspect may have contribution of poor rate control afib and possible diastolic hear failure as well. Was taken off lasix at last hospitalization, worsening edema, but now dry for days by oct/4. IV lasix administered initially 9/25, oral lasix bid started 9/26 and later stopped around 2/oct due to bp. Increased metoprolol, dig loaded 9/25 and increased diltiazem 9/26 all with improved rate control. Baricitinib added for Covid as noted elsewhere and continued on dexamethasone for now (started 9/15)-complted. Also started on ceftriaxone 9/25 for possible superimposed bacterial pneumonia given elevated wbc and procalcitonin for an 8 day course of therapy. Goals of care d/w spouse 9/25 - he remains dnr with no further escalation of care. Wife, updated daily - continued with decadron completed 3/oct, baricitinib for covid for 12 doses - continue Xarelto (home med) - continued with ceftriaxone - stopped 2/oct after 8 days. -Doing well on 2 L NC at rest on discharge 10/8, but still very dyspneic with exertion.  Pneumonia due to COVID-19 virus Assessment & Plan Symptom onset 9/8 with positive test 9/15. Was due to finish 10 days of decadron 9/25 but given worsening respiratory symptoms continued decadron for several more days. Only on 4L on admission however O2 needs rose quickly over first night, requiring HFNC. Increased up to 100% FiO2, now improving. Received some remdesivir previously, now out of window. Completed moderna vaccination series. CRP up to 29.9, now improved. - added baricitinib 9/25; hold baricitinib if absolute lymphocytes <200cells/mm3 - completed 10 days decadron 3/oct   o2 needs decreasing for days through 4/oct
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Case completed primary Covid vaccine series in March 2021, then was hospitalized for Covid in September 2021 and died of Covid in October 2021.  Hospitalized: Hospital. Discharging physician:  Dr. MD.  Onset Covid symptoms 9/8/21 (fever, chills, shortness of breath, fatigue), tested positive 9/15/212, hospitalized 9/15 to 9/17/21 (for Covid pneumonia and acute respiratory failure), then again hospitalized 9/24 to 10/8/21, then hospitalized again 10/11 to 10/12/21 when he died.   * Acute respiratory failure  Assessment & Plan Presents with acute worsening shortness of breath day of admission. Was previously only requiring 1L oxygen, feeling improved, now with worsening shortness of breath, needing 4L on admission, requiring HFNC 9/25. CTA negative for PE but shows extensive bilateral patchy infiltrates and mucous plugging consistent with complications of recent covid 19 pneumonia. Suspect may have contribution of poor rate control afib and possible diastolic hear failure as well. Was taken off lasix at last hospitalization, worsening edema, but now dry for days by oct/4. IV lasix administered initially 9/25, oral lasix bid started 9/26 and later stopped around 2/oct due to bp. Increased metoprolol, dig loaded 9/25 and increased diltiazem 9/26 all with improved rate control. Baricitinib added for Covid as noted elsewhere and continued on dexamethasone for now (started 9/15)-complted. Also started on ceftriaxone 9/25 for possible superimposed bacterial pneumonia given elevated wbc and procalcitonin for an 8 day course of therapy. Goals of care d/w spouse 9/25 - he remains dnr with no further escalation of care. Wife, updated daily - continued with decadron completed 3/oct, baricitinib for covid for 12 doses - continue Xarelto (home med) - continued with ceftriaxone - stopped 2/oct after 8 days. -Doing well on 2 L NC at rest on discharge 10/8, but still very dyspneic with exertion.  Pneumonia due to COVID-19 virus Assessment & Plan Symptom onset 9/8 with positive test 9/15. Was due to finish 10 days of decadron 9/25 but given worsening respiratory symptoms continued decadron for several more days. Only on 4L on admission however O2 needs rose quickly over first night, requiring HFNC. Increased up to 100% FiO2, now improving. Received some remdesivir previously, now out of window. Completed moderna vaccination series. CRP up to 29.9, now improved. - added baricitinib 9/25; hold baricitinib if absolute lymphocytes <200cells/mm3 - completed 10 days decadron 3/oct   o2 needs decreasing for days through 4/oct
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Headache
Clinical narrative: Daily headaches and periods of confusion
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the regulatory authority internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Hypertension
Clinical narrative: Extremely high blood pressure.  Not noticed until it hit 176/102 and I was very dizzy.  Up until this time, my blood pressure had not been a concern.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid  s/p fall in snow, asymptomatic, incidental finding 1/2/22
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Catheterisation cardiac, Chest pain, Dyspnoea
Clinical narrative: came to ED with chest pain; known COVID for approx. 1 week chest pain x1 day which radiaated to shoulder EKG done in cardiology office with concern for STEMI - sent to ED for cardiac cath. day after procedure still feels SOB but no fever, chills , n/v/d
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Pain
Clinical narrative: came to ED with chest pain; known COVID for approx. 1 week chest pain x1 day which radiaated to shoulder EKG done in cardiology office with concern for STEMI - sent to ED for cardiac cath. day after procedure still feels SOB but no fever, chills , n/v/d
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Malaise
Clinical narrative: Chest pain, shortness of breath, malaise
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle tightness, Pain
Clinical narrative: Waiting it out to see if symptoms completely go away in time.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Paraesthesia, Trismus
Clinical narrative: Systemic: Joint Pain-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: muscle ache/pain, uncontrolled jaw movements
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient received a Pfizer for 1st dose in July 2021....patient was administered a 2nd dose of Moderna vaccine
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Colonoscopy normal, Diarrhoea
Clinical narrative: I had diarrhea for 3 to 4 weeks after my 1st shot. My Dr scheduled a colonoscopy , but it took 3 months to get it and there was nothing to report
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Chest pain and pressure 40 mins after the vaccine. I couldn't sleep later that evening and it was a lot of pressure and didn't want it to go unnoticed. Went to the ER at 01:00AM and wasn't seen until about 04:00AM. Blood work, EKG, negative, don't have blood clotting. I was doing better around 05:00AM 12/19/2021. I noticed the side effects continued when I laid down, it was hard to breathe and lose breath easy and often. My job requires lots of physical work and that continued for a week. I tried to get a hold of my PCP and he recommended me to a cardiologist for this last Thursday that just passed. That's who is seeing me now and doing the blood work and getting an echocardiogram soon.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Chest pain and pressure 40 mins after the vaccine. I couldn't sleep later that evening and it was a lot of pressure and didn't want it to go unnoticed. Went to the ER at 01:00AM and wasn't seen until about 04:00AM. Blood work, EKG, negative, don't have blood clotting. I was doing better around 05:00AM 12/19/2021. I noticed the side effects continued when I laid down, it was hard to breathe and lose breath easy and often. My job requires lots of physical work and that continued for a week. I tried to get a hold of my PCP and he recommended me to a cardiologist for this last Thursday that just passed. That's who is seeing me now and doing the blood work and getting an echocardiogram soon.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Nausea, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 03/26/2021.  Pt presents with chronic cough, nausea, vomiting and less responsive than usual.  Given IV abx.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection, Vomiting
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 03/26/2021.  Pt presents with chronic cough, nausea, vomiting and less responsive than usual.  Given IV abx.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient is reporting shoulder pain since first vaccination that has not resolved or been diagnosed by providers he has seen.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral, Throat tightness
Clinical narrative: Patient reported his throat was "tight" and felt "tingling" in his lips. Reported he has an allergy to ASA and has had a reaction before. No previous reaction to previous Covid 19 doses 1 or 2.  Sat patient on the floor up against a wall and took vitals with epi pen nearby. Continued to talk with patient and asked if he had any anxieties about getting shots and vaccines. reported he did not. Asked if he would like EMS to come check him out. He reported yes. Within minutes and without intervention with epi pen, patient reported feeling  "better". EMS on site. Patient refused tx after vitals. 130/80, pulse 70. No swelling of tough, lips or face. Lips remained pink. Sat with this nurse for 30 minutes following incident. Will take Benadryl when his wife returns. She went to pharmacy to pick it up. Reports he feels safe to return home.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest discomfort, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Vision impairment (seeing light/spots) Extreme headache. Difficulty catching breath.  Chest pain. Tightness in chest. Rapid heart rate.  Dizziness. Nausea.  EMS was called and Fire Dept. came to the home. Followed up with PCP Followed up with Heart specialist For 2 weeks dizziness, headaches, and nausea continuted.  Also intermitten chest tightness and rapid heartbeat. 4 months later and still have occasional dizziness and rapid heartbeat.  Headaches, lightheadedness.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram ambulatory, Headache, Heart rate increased, Nausea
Clinical narrative: Vision impairment (seeing light/spots) Extreme headache. Difficulty catching breath.  Chest pain. Tightness in chest. Rapid heart rate.  Dizziness. Nausea.  EMS was called and Fire Dept. came to the home. Followed up with PCP Followed up with Heart specialist For 2 weeks dizziness, headaches, and nausea continuted.  Also intermitten chest tightness and rapid heartbeat. 4 months later and still have occasional dizziness and rapid heartbeat.  Headaches, lightheadedness.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Photopsia, Ultrasound scan
Clinical narrative: Vision impairment (seeing light/spots) Extreme headache. Difficulty catching breath.  Chest pain. Tightness in chest. Rapid heart rate.  Dizziness. Nausea.  EMS was called and Fire Dept. came to the home. Followed up with PCP Followed up with Heart specialist For 2 weeks dizziness, headaches, and nausea continuted.  Also intermitten chest tightness and rapid heartbeat. 4 months later and still have occasional dizziness and rapid heartbeat.  Headaches, lightheadedness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Pain in extremity, Pruritus
Clinical narrative: 10 days after receiving COVID booster in right arm and flu shot in left arm, developed hives. I have never had hives before. Hives have been o ongoing for more than three weeks. Tried to control with benadryl and OTC creams but was mostly unsuccessful. Saw dermatologist on 12/17/21 who confirmed they are seeing an uptick in hives related to covid booster, i started a treatment regimine (allegra 360mg BID, benadryl in the evening). after a week there was improvement. i experienced a major setback on 12/23/21-hives started coming back worse, breathing problems (tight chest like breathing through a straw, extreme itchiness inside and outside my check, coughing) seeming like asthma started up and my right arm became extremely sore again for several days. my PCP prescribed 80mg oral prednisone daily on 12/28/21 for a seven day course i am currently on-i have seen major improvement in breathing and hives since then, but am still experiencing both of them in a mild form.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urticaria
Clinical narrative: 10 days after receiving COVID booster in right arm and flu shot in left arm, developed hives. I have never had hives before. Hives have been o ongoing for more than three weeks. Tried to control with benadryl and OTC creams but was mostly unsuccessful. Saw dermatologist on 12/17/21 who confirmed they are seeing an uptick in hives related to covid booster, i started a treatment regimine (allegra 360mg BID, benadryl in the evening). after a week there was improvement. i experienced a major setback on 12/23/21-hives started coming back worse, breathing problems (tight chest like breathing through a straw, extreme itchiness inside and outside my check, coughing) seeming like asthma started up and my right arm became extremely sore again for several days. my PCP prescribed 80mg oral prednisone daily on 12/28/21 for a seven day course i am currently on-i have seen major improvement in breathing and hives since then, but am still experiencing both of them in a mild form.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID-19 on 12/29/2021
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue
Clinical narrative: Fatigue and Weakness.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: At injection site on left arm, the skin was red, hot, and swollen. After not getting better, I went to urgent care a week later. Was prescribed Cephalexin 500 MG capsules and Hydrocortisone 2.5% cream. Returned to normal within a few days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis acneiform, Headache, Injection site pain, Injection site urticaria, Myalgia
Clinical narrative: The first symptoms that appeared were intense pain at the injection site, pain to the point that a simple touch or brush of the arm was significantly painful. This occurred within the first several hours of the vaccination.  On or around 12/5 (about 48 hours after vaccination) I noticed a feeling of a "racing heart" or heart palpitations.  On or around 12/7-12/8  I developed "covid arm" a large hive-like area over the vaccination site. This was approximately 3x7 inches and lasted about 36-48 hours.  Following the raised "covid arm" reaction, I developed systemic itching over the entire torso and arms. This was followed by a headache and a skin reaction of large raised pimple-like lesions that are typical when I encounter an allergen. These took about a week to clear and were concentrated on the face, arms, and torso.  As of 1/3/22, I still experience pain in the left arm both around the injection site and within the muscular structure of the shoulder and upper arm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Pruritus, Rash
Clinical narrative: The first symptoms that appeared were intense pain at the injection site, pain to the point that a simple touch or brush of the arm was significantly painful. This occurred within the first several hours of the vaccination.  On or around 12/5 (about 48 hours after vaccination) I noticed a feeling of a "racing heart" or heart palpitations.  On or around 12/7-12/8  I developed "covid arm" a large hive-like area over the vaccination site. This was approximately 3x7 inches and lasted about 36-48 hours.  Following the raised "covid arm" reaction, I developed systemic itching over the entire torso and arms. This was followed by a headache and a skin reaction of large raised pimple-like lesions that are typical when I encounter an allergen. These took about a week to clear and were concentrated on the face, arms, and torso.  As of 1/3/22, I still experience pain in the left arm both around the injection site and within the muscular structure of the shoulder and upper arm.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exp vaccine given, exp date 10/13/21 given on 10/14/21
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: Patient has  history of COPD, chronic alcohol and nicotine use, hyperlipidemia, recent diagnosis of ischemic stroke, sacral decubitus ulcer and left hip fracture status post surgical repair was transferred from skilled nursing facility to the Beaumont Dearborn emergency department for concern for COVID 19 infection, patient reported he has no new symptoms. Asymptomatic testing
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive test
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test positive
Clinical narrative: mild symptoms after exposure to daughter who tested positive. onset about 12/31/21
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest X-ray, Chest pain, Computerised tomogram, Discomfort
Clinical narrative: While I was running errands the second day on Sunday afternoon after getting my shot I was running errands and I started to feel strange sensations, pressure, chest pain , and shortness of breath.  I went to the emergency room on Monday morning on April 12th.  I was admitted Monday late afternoon and early evening and kept until Tuesday afternoon on April 13th. I was diagnosed with Myocarditis Pericarditis  I was prescribed  colchicine and ibuprofen. I do not remember the dosage and what was put in my IV. I may have taken baby aspirin or two. I met with multiple cardiologists between stay in hospital to present. Cardiology did a stress test  I saw Dr. I have a follow-up with Medicine Cardiology group medicine and I met with another Dr. I have had one meeting with him and another follow-up later this month. Dr. has not reported anything new and nothing was prescribed.  I haven't had any further issues but I am not sure if I am recovered.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Feeling abnormal, Laboratory test
Clinical narrative: While I was running errands the second day on Sunday afternoon after getting my shot I was running errands and I started to feel strange sensations, pressure, chest pain , and shortness of breath.  I went to the emergency room on Monday morning on April 12th.  I was admitted Monday late afternoon and early evening and kept until Tuesday afternoon on April 13th. I was diagnosed with Myocarditis Pericarditis  I was prescribed  colchicine and ibuprofen. I do not remember the dosage and what was put in my IV. I may have taken baby aspirin or two. I met with multiple cardiologists between stay in hospital to present. Cardiology did a stress test  I saw Dr. I have a follow-up with Medicine Cardiology group medicine and I met with another Dr. I have had one meeting with him and another follow-up later this month. Dr. has not reported anything new and nothing was prescribed.  I haven't had any further issues but I am not sure if I am recovered.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pericarditis
Clinical narrative: While I was running errands the second day on Sunday afternoon after getting my shot I was running errands and I started to feel strange sensations, pressure, chest pain , and shortness of breath.  I went to the emergency room on Monday morning on April 12th.  I was admitted Monday late afternoon and early evening and kept until Tuesday afternoon on April 13th. I was diagnosed with Myocarditis Pericarditis  I was prescribed  colchicine and ibuprofen. I do not remember the dosage and what was put in my IV. I may have taken baby aspirin or two. I met with multiple cardiologists between stay in hospital to present. Cardiology did a stress test  I saw Dr. I have a follow-up with Medicine Cardiology group medicine and I met with another Dr. I have had one meeting with him and another follow-up later this month. Dr. has not reported anything new and nothing was prescribed.  I haven't had any further issues but I am not sure if I am recovered.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: Soreness in her arm that her hurts her arm to lift up and at night she cant lay on it.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Exposure during pregnancy, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: Pt seen in ER 12/31/2021 by Dr.. Vaccine reaction, initial encounter noted. Pt pregnant 28 and 3/7 weeks, c/o myalgias, fatigue, some degree of headache, afebrile in ER. Had 3rd Covid vaccine today, concern with fetal growth. Husband tested positive Covid 2 days prior. Pt had growth 2 days ago and showed appropriate growth - next appoint next week with OB GYN provider. Tylenol as needed for discomfort, keep appointment next week.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Pt seen in ER 12/31/2021 by Dr.. Vaccine reaction, initial encounter noted. Pt pregnant 28 and 3/7 weeks, c/o myalgias, fatigue, some degree of headache, afebrile in ER. Had 3rd Covid vaccine today, concern with fetal growth. Husband tested positive Covid 2 days prior. Pt had growth 2 days ago and showed appropriate growth - next appoint next week with OB GYN provider. Tylenol as needed for discomfort, keep appointment next week.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Rash, Urticaria
Clinical narrative: On December 20th I became extremely itchy with hives that followed. Hives for me have never been itchy after a mild allergic reaction. After some research I found this was dermatographia. I took Zyrtec and Pepcid. Within 30 minutes the itchiness and rash had disappeared. 3 days later it returned. I took Zyrtec. 3 days later it came back, so I took Zyrtec.. this process continues for 2 weeks. Today it came back so I took Zyrtec again. I?m not sure if I would have connected it to the booster if my coworkers and friends who received the shot at similar times weren?t going through the same thing. Symptoms and timing post booster have been identical.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: Patient admitted through ED with hx of lung cancer and COPD, who was recently discharged from hospital after several days of stabilization and treatment, presenting again with cough, fever, and shortness of breath.  The patient found negative for COVID-19.  His chest x-ray and CT scan of chest showed new infiltrate and the patient was admitted for further treatment of pneumonia Second test 2 days later resulted positive
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient admitted through ED with hx of lung cancer and COPD, who was recently discharged from hospital after several days of stabilization and treatment, presenting again with cough, fever, and shortness of breath.  The patient found negative for COVID-19.  His chest x-ray and CT scan of chest showed new infiltrate and the patient was admitted for further treatment of pneumonia Second test 2 days later resulted positive
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Anion gap, Blood albumin decreased, Blood alkaline phosphatase increased
Clinical narrative: Presented to ED on 11/28 and was admitted.  chief complaint of shortness of breath.Patient states this evening when getting ready to go to sleep she felt very short of breath She states she has taken all of her medications as prescribed. She does admit to eating more salty foods with thanksgiving and not watching her fluid intake. She also isn't as active as usual after losing her husband. Of note, patient was recently admitted 11/21/2021 to 11/24/2021 for acute CHF exacerbation due to noncompliance with medication.  Apparently patient's husband died recently and since then she has not been taking her medication daily.  She did not require any oxygen at the time and was discharged on regular home dose of Lasix.  During her hospitalization it was recommended she go , but family wanted to bring her home. Patient lives with one of her daughters. Uses walker for assistance. Denies recent falls. Denies fever, chills, cough, chest pain, abd pain, n/v/d/c, dysuria, hematuria, pain in BLLE.   In the ED, patient hemodynamically stable and afebrile.  Vital signs 98.2 F, 89 beats per minute, respirations 20, BP 138/68, 97% 4 L nasal cannula.  Was put on BiPAP but could not tolerate.  COVID negative.  Procalcitonin 0.08.  BNP was 1540. Glucose 349, anion gap 9.9, BUN 22, creatinine 1.30, albumin 3.1, calcium 8.7, alk-phos 203, ALT 57, GFR 46. Troponin 0.015.  Magnesium 2.0.  PTT 31, PT 16.1, INR 1.3.  WBC 4.44, H&H 9.5 and 29.8.  Chest x-ray shows worsening bilateral opacities which can be in the setting of congestive failure.  Interventions ED include albuterol 6 puffs, doxycycline 100 mg p.o. 1 dose, and Lasix 80 mg IV 1 dose. Patient gradually improved addendum prior to discharge from the hospital to nursing home she was tested positive for COVID-19.  Patient was given dexamethasone, IV antibiotics (ceftriaxone, doxycycline) and remdesivir.  Patient responded well to the oxygen, patient has been clinically stable, patient had prolonged hospitalization , case management has been admitted for patient to go to nursing home.  Will discharge patient home with instructions to follow up with PMD. Discharged on 12/20/21
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood creatinine increased, Blood glucose increased, Blood magnesium normal, Blood urea increased
Clinical narrative: Presented to ED on 11/28 and was admitted.  chief complaint of shortness of breath.Patient states this evening when getting ready to go to sleep she felt very short of breath She states she has taken all of her medications as prescribed. She does admit to eating more salty foods with thanksgiving and not watching her fluid intake. She also isn't as active as usual after losing her husband. Of note, patient was recently admitted 11/21/2021 to 11/24/2021 for acute CHF exacerbation due to noncompliance with medication.  Apparently patient's husband died recently and since then she has not been taking her medication daily.  She did not require any oxygen at the time and was discharged on regular home dose of Lasix.  During her hospitalization it was recommended she go , but family wanted to bring her home. Patient lives with one of her daughters. Uses walker for assistance. Denies recent falls. Denies fever, chills, cough, chest pain, abd pain, n/v/d/c, dysuria, hematuria, pain in BLLE.   In the ED, patient hemodynamically stable and afebrile.  Vital signs 98.2 F, 89 beats per minute, respirations 20, BP 138/68, 97% 4 L nasal cannula.  Was put on BiPAP but could not tolerate.  COVID negative.  Procalcitonin 0.08.  BNP was 1540. Glucose 349, anion gap 9.9, BUN 22, creatinine 1.30, albumin 3.1, calcium 8.7, alk-phos 203, ALT 57, GFR 46. Troponin 0.015.  Magnesium 2.0.  PTT 31, PT 16.1, INR 1.3.  WBC 4.44, H&H 9.5 and 29.8.  Chest x-ray shows worsening bilateral opacities which can be in the setting of congestive failure.  Interventions ED include albuterol 6 puffs, doxycycline 100 mg p.o. 1 dose, and Lasix 80 mg IV 1 dose. Patient gradually improved addendum prior to discharge from the hospital to nursing home she was tested positive for COVID-19.  Patient was given dexamethasone, IV antibiotics (ceftriaxone, doxycycline) and remdesivir.  Patient responded well to the oxygen, patient has been clinically stable, patient had prolonged hospitalization , case management has been admitted for patient to go to nursing home.  Will discharge patient home with instructions to follow up with PMD. Discharged on 12/20/21
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Presented to ED on 11/28 and was admitted.  chief complaint of shortness of breath.Patient states this evening when getting ready to go to sleep she felt very short of breath She states she has taken all of her medications as prescribed. She does admit to eating more salty foods with thanksgiving and not watching her fluid intake. She also isn't as active as usual after losing her husband. Of note, patient was recently admitted 11/21/2021 to 11/24/2021 for acute CHF exacerbation due to noncompliance with medication.  Apparently patient's husband died recently and since then she has not been taking her medication daily.  She did not require any oxygen at the time and was discharged on regular home dose of Lasix.  During her hospitalization it was recommended she go , but family wanted to bring her home. Patient lives with one of her daughters. Uses walker for assistance. Denies recent falls. Denies fever, chills, cough, chest pain, abd pain, n/v/d/c, dysuria, hematuria, pain in BLLE.   In the ED, patient hemodynamically stable and afebrile.  Vital signs 98.2 F, 89 beats per minute, respirations 20, BP 138/68, 97% 4 L nasal cannula.  Was put on BiPAP but could not tolerate.  COVID negative.  Procalcitonin 0.08.  BNP was 1540. Glucose 349, anion gap 9.9, BUN 22, creatinine 1.30, albumin 3.1, calcium 8.7, alk-phos 203, ALT 57, GFR 46. Troponin 0.015.  Magnesium 2.0.  PTT 31, PT 16.1, INR 1.3.  WBC 4.44, H&H 9.5 and 29.8.  Chest x-ray shows worsening bilateral opacities which can be in the setting of congestive failure.  Interventions ED include albuterol 6 puffs, doxycycline 100 mg p.o. 1 dose, and Lasix 80 mg IV 1 dose. Patient gradually improved addendum prior to discharge from the hospital to nursing home she was tested positive for COVID-19.  Patient was given dexamethasone, IV antibiotics (ceftriaxone, doxycycline) and remdesivir.  Patient responded well to the oxygen, patient has been clinically stable, patient had prolonged hospitalization , case management has been admitted for patient to go to nursing home.  Will discharge patient home with instructions to follow up with PMD. Discharged on 12/20/21
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Death of relative, Decreased activity, Dyspnoea, Glomerular filtration rate decreased, Haematocrit decreased
Clinical narrative: Presented to ED on 11/28 and was admitted.  chief complaint of shortness of breath.Patient states this evening when getting ready to go to sleep she felt very short of breath She states she has taken all of her medications as prescribed. She does admit to eating more salty foods with thanksgiving and not watching her fluid intake. She also isn't as active as usual after losing her husband. Of note, patient was recently admitted 11/21/2021 to 11/24/2021 for acute CHF exacerbation due to noncompliance with medication.  Apparently patient's husband died recently and since then she has not been taking her medication daily.  She did not require any oxygen at the time and was discharged on regular home dose of Lasix.  During her hospitalization it was recommended she go , but family wanted to bring her home. Patient lives with one of her daughters. Uses walker for assistance. Denies recent falls. Denies fever, chills, cough, chest pain, abd pain, n/v/d/c, dysuria, hematuria, pain in BLLE.   In the ED, patient hemodynamically stable and afebrile.  Vital signs 98.2 F, 89 beats per minute, respirations 20, BP 138/68, 97% 4 L nasal cannula.  Was put on BiPAP but could not tolerate.  COVID negative.  Procalcitonin 0.08.  BNP was 1540. Glucose 349, anion gap 9.9, BUN 22, creatinine 1.30, albumin 3.1, calcium 8.7, alk-phos 203, ALT 57, GFR 46. Troponin 0.015.  Magnesium 2.0.  PTT 31, PT 16.1, INR 1.3.  WBC 4.44, H&H 9.5 and 29.8.  Chest x-ray shows worsening bilateral opacities which can be in the setting of congestive failure.  Interventions ED include albuterol 6 puffs, doxycycline 100 mg p.o. 1 dose, and Lasix 80 mg IV 1 dose. Patient gradually improved addendum prior to discharge from the hospital to nursing home she was tested positive for COVID-19.  Patient was given dexamethasone, IV antibiotics (ceftriaxone, doxycycline) and remdesivir.  Patient responded well to the oxygen, patient has been clinically stable, patient had prolonged hospitalization , case management has been admitted for patient to go to nursing home.  Will discharge patient home with instructions to follow up with PMD. Discharged on 12/20/21