chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of chest pains in the right side that went away during the night. The next morning I had a headache and tiredness. I had to take Tylenol. By that afternoon, I still felt very tired with a headache. ON 5/5/2022, I felt worse so I took a COVID-19 home test that was positive. I took a second one which was positive as well. I called a pharmacy to get another test done, which was also positive. Today, I feel congested. I have spoke with my PCP and lung specialist which told me that I could possibly get Paxlovid but I have not needed it yet.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given a vaccine that was kept in the refrigerator for longer than what the manufacture requires.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Death, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: Patient transported to Hospital via ambulance from his home on 3/6/2022 and died at the hospital same day from myocardial infarction. Had not felt well since 1/11/22 when he was seen in clinic at Health Facility by Dr.  for UTI, dyspnea, fatigue. Treated for UTI and pneumonia. EKG was done at the time as well as  a chest X ray .  His wife believes that his death was due to side affects from the Covid-19 vaccine.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Myocardial infarction, Pneumonia, Urinary tract infection
Clinical narrative: Patient transported to Hospital via ambulance from his home on 3/6/2022 and died at the hospital same day from myocardial infarction. Had not felt well since 1/11/22 when he was seen in clinic at Health Facility by Dr.  for UTI, dyspnea, fatigue. Treated for UTI and pneumonia. EKG was done at the time as well as  a chest X ray .  His wife believes that his death was due to side affects from the Covid-19 vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Inflammation, Joint impingement, Malaise
Clinical narrative: I woke up the next morning with COVID-19 like symptoms, respiratory, headache, fever, chills and my arm was really sore, and I could not move it very well. Three days later, all of the symptoms were gone except the arm pain. It has remained consistent for the last year. I can move it, but I can't reach up over my shoulder height. I can barely lift it at all or reach behind me. Couldn't turn it. Very restricted range of motion. I was just living with it waiting for it to go away until I finally decided to talk to someone about it because it wasn't going away. My doctor referred me to  Orthopedics. And I had a chance to see Doctor I saw him on March 23, 2022. Finally got around to doing something about it. He gave me a cortisone shot after he indicated it was rotator cuff impingement and he noted that he' s seen this before and its an inflammation that can happen from vaccinations. And it doesn't go away unless you do something about it. He gave me the options of using ibuprofen over time or a cortisone shot, so I chose the cortisone shot and it helped quite a bit then referred me to physical therapy with. The physical therapy should be able to restore most if not all my range of motion. It's still painful but were working on it. I still have a restricted range of motion, but ill work through it. They said it was stiff tendons and muscles, but there's nothing wrong with me, just need to do repetition exercises to get the range of motion back.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pain in extremity, Pyrexia, Respiratory disorder
Clinical narrative: I woke up the next morning with COVID-19 like symptoms, respiratory, headache, fever, chills and my arm was really sore, and I could not move it very well. Three days later, all of the symptoms were gone except the arm pain. It has remained consistent for the last year. I can move it, but I can't reach up over my shoulder height. I can barely lift it at all or reach behind me. Couldn't turn it. Very restricted range of motion. I was just living with it waiting for it to go away until I finally decided to talk to someone about it because it wasn't going away. My doctor referred me to  Orthopedics. And I had a chance to see Doctor I saw him on March 23, 2022. Finally got around to doing something about it. He gave me a cortisone shot after he indicated it was rotator cuff impingement and he noted that he' s seen this before and its an inflammation that can happen from vaccinations. And it doesn't go away unless you do something about it. He gave me the options of using ibuprofen over time or a cortisone shot, so I chose the cortisone shot and it helped quite a bit then referred me to physical therapy with. The physical therapy should be able to restore most if not all my range of motion. It's still painful but were working on it. I still have a restricted range of motion, but ill work through it. They said it was stiff tendons and muscles, but there's nothing wrong with me, just need to do repetition exercises to get the range of motion back.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rotator cuff syndrome
Clinical narrative: I woke up the next morning with COVID-19 like symptoms, respiratory, headache, fever, chills and my arm was really sore, and I could not move it very well. Three days later, all of the symptoms were gone except the arm pain. It has remained consistent for the last year. I can move it, but I can't reach up over my shoulder height. I can barely lift it at all or reach behind me. Couldn't turn it. Very restricted range of motion. I was just living with it waiting for it to go away until I finally decided to talk to someone about it because it wasn't going away. My doctor referred me to  Orthopedics. And I had a chance to see Doctor I saw him on March 23, 2022. Finally got around to doing something about it. He gave me a cortisone shot after he indicated it was rotator cuff impingement and he noted that he' s seen this before and its an inflammation that can happen from vaccinations. And it doesn't go away unless you do something about it. He gave me the options of using ibuprofen over time or a cortisone shot, so I chose the cortisone shot and it helped quite a bit then referred me to physical therapy with. The physical therapy should be able to restore most if not all my range of motion. It's still painful but were working on it. I still have a restricted range of motion, but ill work through it. They said it was stiff tendons and muscles, but there's nothing wrong with me, just need to do repetition exercises to get the range of motion back.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Headache, Oropharyngeal pain, Pain
Clinical narrative: COVID-19 breakthrough. On Tuesday I had a headache and then I developed aches and chest discomfort. Right before I took the test I had a sore throat. I took two COVID-19 tests and they came back positive.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID-19 breakthrough. On Tuesday I had a headache and then I developed aches and chest discomfort. Right before I took the test I had a sore throat. I took two COVID-19 tests and they came back positive.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Fall, Pyrexia
Clinical narrative: This nurse received a call from pt on 05/06/22 at approx 1330 to report previous adv rxn to vaccine.  (Vaccine was administered 04/14/22)  Pt reports: the morning following vaccination, pt unable to maintain standing position and fell to the floor.  She was able to contact emergency services and was transported to the hospital.  Pt reports a fever of 102F at the hospital.  No other adv rxn reported.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given a vaccine that was kept in the refrigerator for longer than what the manufacture requires.
Age: 0.42
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Within 24 hours of vaccine administration the patient vomited two times, and had six loose stools between May 4-5.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Broke out in hives completely from head to foot.   Got the vaccine around 4pm, and I woke up the next morning at 8am covered in hives. The hives were horrible and lasted for over 3+ weeks. I continued to randomly break out in hoves for no reason for about 5-7 months after the vaccine.   Due to the fact that I had just moved to a new state, I did not have my primary doctor to go to. I was instructed to take a daily combination of Benadryl and Pepcid AC to combat the hives. I was also told to go to urgent care and get a steroid shot, but I opted not to (though looking back, I wish I would've). I took each medication the max that I was safely allowed to take (I believe it was Pepcid morning and night and 1-2 Benadryl pills every 4-6 hours), and I still had the hives for over 3+ weeks. I also used Hydrocortisone cream on the hives daily, if not hourly. After the initial 3+ weeks of horrible hives, it took about 2 1/2 more weeks for the redness to go down. The random outbreaks in the months after were almost always on my feet, hands, and stomach and happened probably 1-2 times a month. These outbreaks could last anywhere from 1-5 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: I had the shot and 2 days later I had itching and a rash. I tried hydrocortisone cream and it cleared up.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given a vaccine that was kept in the refrigerator for longer than what the manufacture requires.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Breast tenderness, Laboratory test
Clinical narrative: I experienced tenderness under my left breast and under left arm pit. I thought I slept on it wrong but it didn't go away after days or weeks. I thought maybe since I'm right handed maybe the left side is a little pudgy. Thought maybe the wire on my bra so I got a new bra with no wire and left breast still slightly bigger than the right breast. I had a lumpectomy in 2016 so I thought it anything the left breast should be smaller. My doctor ordered me a mammogram  for May 19,2022.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest discomfort, Chest pain
Clinical narrative: I contracted COVID-19 4/10/2022 with symptoms of cough, fever, severe headache, chest congestion, ear infections in both ear, chest pain/tightness, shortness of breathe, lost sense of taste and smell, fatigue, myalgia, chills, nausea, and I was ill for 18 days before the symptoms began to resolve. I have lingering symptoms of cough, headache, and sense of taste and smell are still muted but are returning.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Ear infection, Fatigue
Clinical narrative: I contracted COVID-19 4/10/2022 with symptoms of cough, fever, severe headache, chest congestion, ear infections in both ear, chest pain/tightness, shortness of breathe, lost sense of taste and smell, fatigue, myalgia, chills, nausea, and I was ill for 18 days before the symptoms began to resolve. I have lingering symptoms of cough, headache, and sense of taste and smell are still muted but are returning.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Myalgia, Nausea, Pulmonary congestion
Clinical narrative: I contracted COVID-19 4/10/2022 with symptoms of cough, fever, severe headache, chest congestion, ear infections in both ear, chest pain/tightness, shortness of breathe, lost sense of taste and smell, fatigue, myalgia, chills, nausea, and I was ill for 18 days before the symptoms began to resolve. I have lingering symptoms of cough, headache, and sense of taste and smell are still muted but are returning.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 4/10/2022 with symptoms of cough, fever, severe headache, chest congestion, ear infections in both ear, chest pain/tightness, shortness of breathe, lost sense of taste and smell, fatigue, myalgia, chills, nausea, and I was ill for 18 days before the symptoms began to resolve. I have lingering symptoms of cough, headache, and sense of taste and smell are still muted but are returning.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient thought they had received the Moderna covid vaccine for their first dose, received Moderna covid shot for their second shot in the series. We soon found out that the patient had received the Pfizer covid vaccine for their first shot. Patient not experiencing any adverse events at this time
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Acute kidney injury, Anion gap, Asthenia, Blood bicarbonate normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine increased, Blood potassium increased, Blood sodium normal, Blood urea increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Chest pain
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Chronic kidney disease, Condition aggravated, Decreased appetite, Diarrhoea
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Fluid intake reduced
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin decreased, Hepatic enzyme, Hypertension
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Musculoskeletal discomfort, Pain, Platelet count normal, Pyrexia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased, Ventilation/perfusion scan normal, White blood cell count decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/1/2022 Discharge Date: 5/3/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 74 y.o. female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, coronary artery disease, HFrEF with ejection fraction 25%, ischemic cardiomyopathy, history of myocardial infarction, diabetes mellitus type 2, history of CVA/TIA, CKD stage IIIB, obstructive sleep apnea on CPAP, parkinson's disease, dementia, mixed anxiety and depression, additional comorbidities who presented to the emergency department for generalized weakness.  Per family at bedside patient initially had chest discomfort on Friday 4/29/2022 midsternal radiating to her left neck; patient was given nitroglycerin with mild relief.  Throughout the night patient developed fever and chills, family went to urgent care and was tested for COVID and was found to be COVID-19 positive on April 30, 2022.  Per family at bedside she has had low-grade fevers, generalized weakness, decreased appetite and decreased intake of fluids.  Daughter also states she has had loose stools.  Patient is vaccinated against COVID-19 with booster.   In the ED, vital signs reviewed in the emergency department, patient was mildly hypertensive, otherwise within acceptable range.  Patient extensive diagnostic workup consisting of complete blood count:  WBCs 4.5, hemoglobin 11.7, hematocrit 38.2, platelets 189, differential within acceptable limits.  CMP:  Sodium 140, potassium 5.2, chloride 106, bicarb 25, anion gap 9, creatinine 1.63, BUN 42, GFR 31, liver enzymes within acceptable limits.  Initial troponin 123, 2nd troponin 116. One-view chest x-ray:  No acute pulmonary infiltrate with chronic elevation of left hemidiaphragm.  Rapid COVID-19 positive.  Limited echocardiogram reveals ejection fraction 25%, right ventricle function cannot be assessed due to poor imaging quality. NM lung perfusion was negative for PE. She was given 324 mg of aspirin, normal saline 250 bolus, and supportive treatment.  Emergency room department provider spoke with Cardiology concerning elevated troponins and EKG changes, which felt at this time the patient is not a candidate for interventional therapy.  Patient mildly improved in the emergency department treatment plan.  She was admitted for further medical management. Home lasix was held and AKI on CKD 3 improved. She was evaluated by Cardiology and recommended outpatient follow up and they will arrange outpatient palliative care as well. She was evaluated by PT/OT and home health services were arranged. It was recommended that the patient hold lasix until 5/6/2022 as her oral intake improves as she recovers from COVID 19. She should follow up with her PCP as well. She was discharged home in stable condition on 5/3/2022.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Oropharyngeal pain, Pyrexia
Clinical narrative: On Friday April 1, 2022, my daughter was running a fever and had a sore throat, by Saturday the fever had reached 102.0 F. On Sunday April 3, 2022 she had an asthma attack, we did a telehealth visit, doctor prescribed an inhaler, antibiotic and prednisone. We will be taking her to see an allergist on May 16th, 2022, to determine if she has any allergies.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given a vaccine that was kept in the refrigerator for longer than what the manufacture requires.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Peripheral swelling, Ultrasound Doppler abnormal, Venous thrombosis limb
Clinical narrative: Swelling in left lower leg.  Diagnostic Ultrasound found 5 thrombus, in 5 veins  4 in lower leg, one in upper thigh region. Treatment is Zarelto for 3 months.  Treatment has just begun , outcome still to be determined.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Swelling
Clinical narrative: Lump/swelling on right and left side of areas right above collar bone
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Bronchitis, Cardiac failure, Cardiomegaly, Computerised tomogram thorax
Clinical narrative: I had severe flu like symptoms following the third dose of Pfizer. I took both a rapid at home test and a PCR test for COVID-19 which both came back negative. I went to urgent care and was diagnosed with pneumonia. I took a 10 day course of antibiotics. About a week later, I went back to urgent care because the symptoms had returned. I was prescribed antibiotics again and was told that it was either bronchitis or asthma. My fatigue and shortness of breath continued to get worse which was interfering with my ability to perform normal daily activities. I was unable to even sleep or eat properly. On one of my follow ups at urgent care, the doctor suggested that I may have cardiomegaly and referred me to a cardiologist who advised that I get an echocardiogram. The echocardiogram found that I had heart failure at which point I was hospitalized for 4 days. The cardiologist I saw after believed that the cause was viral infection induced myocarditis which he attributed to the third dose of the vaccine. I am currently being treated for heart failure and none of the cardiologists have been able to definitively determine the cause as of yet.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eating disorder, Echocardiogram abnormal, Electrocardiogram abnormal, Fatigue
Clinical narrative: I had severe flu like symptoms following the third dose of Pfizer. I took both a rapid at home test and a PCR test for COVID-19 which both came back negative. I went to urgent care and was diagnosed with pneumonia. I took a 10 day course of antibiotics. About a week later, I went back to urgent care because the symptoms had returned. I was prescribed antibiotics again and was told that it was either bronchitis or asthma. My fatigue and shortness of breath continued to get worse which was interfering with my ability to perform normal daily activities. I was unable to even sleep or eat properly. On one of my follow ups at urgent care, the doctor suggested that I may have cardiomegaly and referred me to a cardiologist who advised that I get an echocardiogram. The echocardiogram found that I had heart failure at which point I was hospitalized for 4 days. The cardiologist I saw after believed that the cause was viral infection induced myocarditis which he attributed to the third dose of the vaccine. I am currently being treated for heart failure and none of the cardiologists have been able to definitively determine the cause as of yet.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Insomnia, Loss of personal independence in daily activities, Myocarditis, Pneumonia
Clinical narrative: I had severe flu like symptoms following the third dose of Pfizer. I took both a rapid at home test and a PCR test for COVID-19 which both came back negative. I went to urgent care and was diagnosed with pneumonia. I took a 10 day course of antibiotics. About a week later, I went back to urgent care because the symptoms had returned. I was prescribed antibiotics again and was told that it was either bronchitis or asthma. My fatigue and shortness of breath continued to get worse which was interfering with my ability to perform normal daily activities. I was unable to even sleep or eat properly. On one of my follow ups at urgent care, the doctor suggested that I may have cardiomegaly and referred me to a cardiologist who advised that I get an echocardiogram. The echocardiogram found that I had heart failure at which point I was hospitalized for 4 days. The cardiologist I saw after believed that the cause was viral infection induced myocarditis which he attributed to the third dose of the vaccine. I am currently being treated for heart failure and none of the cardiologists have been able to definitively determine the cause as of yet.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Viral infection, X-ray abnormal
Clinical narrative: I had severe flu like symptoms following the third dose of Pfizer. I took both a rapid at home test and a PCR test for COVID-19 which both came back negative. I went to urgent care and was diagnosed with pneumonia. I took a 10 day course of antibiotics. About a week later, I went back to urgent care because the symptoms had returned. I was prescribed antibiotics again and was told that it was either bronchitis or asthma. My fatigue and shortness of breath continued to get worse which was interfering with my ability to perform normal daily activities. I was unable to even sleep or eat properly. On one of my follow ups at urgent care, the doctor suggested that I may have cardiomegaly and referred me to a cardiologist who advised that I get an echocardiogram. The echocardiogram found that I had heart failure at which point I was hospitalized for 4 days. The cardiologist I saw after believed that the cause was viral infection induced myocarditis which he attributed to the third dose of the vaccine. I am currently being treated for heart failure and none of the cardiologists have been able to definitively determine the cause as of yet.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given a vaccine that was kept in the refrigerator for longer than what the manufacture requires.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Lipase increased, Magnetic resonance imaging
Clinical narrative: The previous 3 vaccines were Pfizer. Starting 04/28/2022, I ended up having an extreme epigastric pain that was across the upper abdomen at the diaphragm level. It came out of the blue right after I ate breakfast with a friend. I went to the ER and they did lab work and my lipase was way higher than normal (1,731 u/L) standard range 13-60 u/L). So, they admitted me to the hospital for precaution because the treatment for pancreatitis is nothing by mouth so all I had for 3 days was IV fluids. I was discharged home and I was to continue my meds. I was told to see my PCP and I saw him yesterday. I am still having cramps to this day but to be expected when your epigastric system gets off track.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pancreatitis
Clinical narrative: The previous 3 vaccines were Pfizer. Starting 04/28/2022, I ended up having an extreme epigastric pain that was across the upper abdomen at the diaphragm level. It came out of the blue right after I ate breakfast with a friend. I went to the ER and they did lab work and my lipase was way higher than normal (1,731 u/L) standard range 13-60 u/L). So, they admitted me to the hospital for precaution because the treatment for pancreatitis is nothing by mouth so all I had for 3 days was IV fluids. I was discharged home and I was to continue my meds. I was told to see my PCP and I saw him yesterday. I am still having cramps to this day but to be expected when your epigastric system gets off track.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given a vaccine that was kept in the refrigerator for longer than what the manufacture requires.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysgeusia, Fatigue, Oropharyngeal pain
Clinical narrative: Nothing at time of vaccine booster.  May 1, sore throat, May 2 positive antigen test; Paxlovid prescribed; fever, tiredness, runny nose, cough, metallic taste when eating sweet items.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Nothing at time of vaccine booster.  May 1, sore throat, May 2 positive antigen test; Paxlovid prescribed; fever, tiredness, runny nose, cough, metallic taste when eating sweet items.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: blood clot in arm
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Angle closure glaucoma, Balance disorder, Blood test, Cerebrovascular accident, Coordination abnormal
Clinical narrative: 2/7/2022 Woke up in the middle of the night and was very off balance and had to use objects to make it to the bathroom. Began losing use and dexterity of left arm. Symptoms worsened and on the 10th my son had to pick from work and take me to an urgent clinic. After failing multiple coordination and strength tests the Doctor believed I was having a stroke and instructed me to go straight to the ER. He asked if I had a driver or if they needed to provide me with an ambulance. I told him that my son was with me to drive. He wrote me a note to give to the front desk of the ER and told me to get there quick. I arrived at the ER and they performed an MRI, EKG, carotid doppler, blood work, and urine. They determined that I was having a stroke and I was admitted to the hospital. Started working with an occupational therapist. Spent 2 days in the hospital and was discharged with 16 weeks of physical and occupational therapy. Also had an appointment with another department for a brace for my left foot, which had developed drop foot. I was unable to work for 3 months. Neurology insisted I go to the eye doctor to check for loss of peripheral vision, the pressures in my eyes was very elevated so I was sent to a glaucoma specialist. The glaucoma specialist diagnosed me with narrow closure glaucoma. On 4/11 had to have laser surgery on my left eye to relieve the pressure and then the same surgery on the right eye on 04/18.