chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Atrial flutter, Bladder catheterisation, Blood glucose normal
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID positive PCR.  Provider d/c note below:  "78 YO male that presented to the ED with c/o SOB and worsening dizziness. Chronic health conditions include  TIA  PAF orthostatic Hypotension T2DM  Hypothyroid  Anxiety  Emphysema. Pt reports that he has been getting very SOB working harder to breathe when up moving around and getting worse dizziness. No cough. His wife reports he has been sleeping more and more through the day and now has his days and nights confused. Today he got up and poured a bowel of cereal and had to take a break before he could finish. She reports that his lips have been blue. He wears the 02 all the time at 2L when resting and has been requesting and increased both at rest and when up moving. Has had major loss of appetite.  He denies chest pain, fever, cold and flu symptoms. Feet and ankles starting swelling two days ago.    In the ED, CTA negative for PE but does show small bilateral pleural effusions and possible pulmonary edema. . BNP 5,001 d dimer 990  EKG is aflutter. Hgb 13.5  Glucose 156. BP has been quite high while in the ED.   (HPI per NP)   Hospital Course: No notes on file patient is a 78yr old male with a history of CAD, Emphysema, Anxiety, Gout, DM, PAfib, Hypothyroidism, Idiopathic hypotension, BPH who presented with SOB and dizziness. He is usually on 2L at home but in past week he has had worsening labored breathing and was found to have covid. He and wife had been vaccinated with mederna and booster. Today he is on highflow oxygen, feels much better today.   Acute on Chronic Hypoxic Respiratory Failure secondary to Covid - Improving clinically on dexamethasone day#8, completed remdesivir and supplemental oxygen. This is in the setting of Emphysema and past smoking history. CT showed Mild to moderate emphysematous changes and possible superimposed interstitial lung disease. He is much improved and now on 4L NC oxygen. He is being discharged to complete dexamethasone (2 more doses for a total of 10 days) and on supplemental oxygen to follow up with PCP.   Idiopathic Orthostatic hypotension - he has had a syncopal episode in the past and more recent episodes of pre-syncope. Improved on midodrine.   Urinary retention with incomplete emptying - difficulty straight cath. Urology consulted - Place Foley catheter, increase tamsulosin 0.8 mg daily, trial of voiding in the next 5-7 days when medically stable, outpatient follow up."
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Computerised tomogram thorax abnormal, Condition aggravated, Cyanosis
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID positive PCR.  Provider d/c note below:  "78 YO male that presented to the ED with c/o SOB and worsening dizziness. Chronic health conditions include  TIA  PAF orthostatic Hypotension T2DM  Hypothyroid  Anxiety  Emphysema. Pt reports that he has been getting very SOB working harder to breathe when up moving around and getting worse dizziness. No cough. His wife reports he has been sleeping more and more through the day and now has his days and nights confused. Today he got up and poured a bowel of cereal and had to take a break before he could finish. She reports that his lips have been blue. He wears the 02 all the time at 2L when resting and has been requesting and increased both at rest and when up moving. Has had major loss of appetite.  He denies chest pain, fever, cold and flu symptoms. Feet and ankles starting swelling two days ago.    In the ED, CTA negative for PE but does show small bilateral pleural effusions and possible pulmonary edema. . BNP 5,001 d dimer 990  EKG is aflutter. Hgb 13.5  Glucose 156. BP has been quite high while in the ED.   (HPI per NP)   Hospital Course: No notes on file patient is a 78yr old male with a history of CAD, Emphysema, Anxiety, Gout, DM, PAfib, Hypothyroidism, Idiopathic hypotension, BPH who presented with SOB and dizziness. He is usually on 2L at home but in past week he has had worsening labored breathing and was found to have covid. He and wife had been vaccinated with mederna and booster. Today he is on highflow oxygen, feels much better today.   Acute on Chronic Hypoxic Respiratory Failure secondary to Covid - Improving clinically on dexamethasone day#8, completed remdesivir and supplemental oxygen. This is in the setting of Emphysema and past smoking history. CT showed Mild to moderate emphysematous changes and possible superimposed interstitial lung disease. He is much improved and now on 4L NC oxygen. He is being discharged to complete dexamethasone (2 more doses for a total of 10 days) and on supplemental oxygen to follow up with PCP.   Idiopathic Orthostatic hypotension - he has had a syncopal episode in the past and more recent episodes of pre-syncope. Improved on midodrine.   Urinary retention with incomplete emptying - difficulty straight cath. Urology consulted - Place Foley catheter, increase tamsulosin 0.8 mg daily, trial of voiding in the next 5-7 days when medically stable, outpatient follow up."
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Decreased appetite, Dizziness, Dyspnoea, Dyspnoea exertional, Dysuria
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID positive PCR.  Provider d/c note below:  "78 YO male that presented to the ED with c/o SOB and worsening dizziness. Chronic health conditions include  TIA  PAF orthostatic Hypotension T2DM  Hypothyroid  Anxiety  Emphysema. Pt reports that he has been getting very SOB working harder to breathe when up moving around and getting worse dizziness. No cough. His wife reports he has been sleeping more and more through the day and now has his days and nights confused. Today he got up and poured a bowel of cereal and had to take a break before he could finish. She reports that his lips have been blue. He wears the 02 all the time at 2L when resting and has been requesting and increased both at rest and when up moving. Has had major loss of appetite.  He denies chest pain, fever, cold and flu symptoms. Feet and ankles starting swelling two days ago.    In the ED, CTA negative for PE but does show small bilateral pleural effusions and possible pulmonary edema. . BNP 5,001 d dimer 990  EKG is aflutter. Hgb 13.5  Glucose 156. BP has been quite high while in the ED.   (HPI per NP)   Hospital Course: No notes on file patient is a 78yr old male with a history of CAD, Emphysema, Anxiety, Gout, DM, PAfib, Hypothyroidism, Idiopathic hypotension, BPH who presented with SOB and dizziness. He is usually on 2L at home but in past week he has had worsening labored breathing and was found to have covid. He and wife had been vaccinated with mederna and booster. Today he is on highflow oxygen, feels much better today.   Acute on Chronic Hypoxic Respiratory Failure secondary to Covid - Improving clinically on dexamethasone day#8, completed remdesivir and supplemental oxygen. This is in the setting of Emphysema and past smoking history. CT showed Mild to moderate emphysematous changes and possible superimposed interstitial lung disease. He is much improved and now on 4L NC oxygen. He is being discharged to complete dexamethasone (2 more doses for a total of 10 days) and on supplemental oxygen to follow up with PCP.   Idiopathic Orthostatic hypotension - he has had a syncopal episode in the past and more recent episodes of pre-syncope. Improved on midodrine.   Urinary retention with incomplete emptying - difficulty straight cath. Urology consulted - Place Foley catheter, increase tamsulosin 0.8 mg daily, trial of voiding in the next 5-7 days when medically stable, outpatient follow up."
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Emphysema, Fibrin D dimer, Haemoglobin decreased, Hypersomnia
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID positive PCR.  Provider d/c note below:  "78 YO male that presented to the ED with c/o SOB and worsening dizziness. Chronic health conditions include  TIA  PAF orthostatic Hypotension T2DM  Hypothyroid  Anxiety  Emphysema. Pt reports that he has been getting very SOB working harder to breathe when up moving around and getting worse dizziness. No cough. His wife reports he has been sleeping more and more through the day and now has his days and nights confused. Today he got up and poured a bowel of cereal and had to take a break before he could finish. She reports that his lips have been blue. He wears the 02 all the time at 2L when resting and has been requesting and increased both at rest and when up moving. Has had major loss of appetite.  He denies chest pain, fever, cold and flu symptoms. Feet and ankles starting swelling two days ago.    In the ED, CTA negative for PE but does show small bilateral pleural effusions and possible pulmonary edema. . BNP 5,001 d dimer 990  EKG is aflutter. Hgb 13.5  Glucose 156. BP has been quite high while in the ED.   (HPI per NP)   Hospital Course: No notes on file patient is a 78yr old male with a history of CAD, Emphysema, Anxiety, Gout, DM, PAfib, Hypothyroidism, Idiopathic hypotension, BPH who presented with SOB and dizziness. He is usually on 2L at home but in past week he has had worsening labored breathing and was found to have covid. He and wife had been vaccinated with mederna and booster. Today he is on highflow oxygen, feels much better today.   Acute on Chronic Hypoxic Respiratory Failure secondary to Covid - Improving clinically on dexamethasone day#8, completed remdesivir and supplemental oxygen. This is in the setting of Emphysema and past smoking history. CT showed Mild to moderate emphysematous changes and possible superimposed interstitial lung disease. He is much improved and now on 4L NC oxygen. He is being discharged to complete dexamethasone (2 more doses for a total of 10 days) and on supplemental oxygen to follow up with PCP.   Idiopathic Orthostatic hypotension - he has had a syncopal episode in the past and more recent episodes of pre-syncope. Improved on midodrine.   Urinary retention with incomplete emptying - difficulty straight cath. Urology consulted - Place Foley catheter, increase tamsulosin 0.8 mg daily, trial of voiding in the next 5-7 days when medically stable, outpatient follow up."
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypertension, Joint swelling, Peripheral swelling, Pleural effusion, Presyncope
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID positive PCR.  Provider d/c note below:  "78 YO male that presented to the ED with c/o SOB and worsening dizziness. Chronic health conditions include  TIA  PAF orthostatic Hypotension T2DM  Hypothyroid  Anxiety  Emphysema. Pt reports that he has been getting very SOB working harder to breathe when up moving around and getting worse dizziness. No cough. His wife reports he has been sleeping more and more through the day and now has his days and nights confused. Today he got up and poured a bowel of cereal and had to take a break before he could finish. She reports that his lips have been blue. He wears the 02 all the time at 2L when resting and has been requesting and increased both at rest and when up moving. Has had major loss of appetite.  He denies chest pain, fever, cold and flu symptoms. Feet and ankles starting swelling two days ago.    In the ED, CTA negative for PE but does show small bilateral pleural effusions and possible pulmonary edema. . BNP 5,001 d dimer 990  EKG is aflutter. Hgb 13.5  Glucose 156. BP has been quite high while in the ED.   (HPI per NP)   Hospital Course: No notes on file patient is a 78yr old male with a history of CAD, Emphysema, Anxiety, Gout, DM, PAfib, Hypothyroidism, Idiopathic hypotension, BPH who presented with SOB and dizziness. He is usually on 2L at home but in past week he has had worsening labored breathing and was found to have covid. He and wife had been vaccinated with mederna and booster. Today he is on highflow oxygen, feels much better today.   Acute on Chronic Hypoxic Respiratory Failure secondary to Covid - Improving clinically on dexamethasone day#8, completed remdesivir and supplemental oxygen. This is in the setting of Emphysema and past smoking history. CT showed Mild to moderate emphysematous changes and possible superimposed interstitial lung disease. He is much improved and now on 4L NC oxygen. He is being discharged to complete dexamethasone (2 more doses for a total of 10 days) and on supplemental oxygen to follow up with PCP.   Idiopathic Orthostatic hypotension - he has had a syncopal episode in the past and more recent episodes of pre-syncope. Improved on midodrine.   Urinary retention with incomplete emptying - difficulty straight cath. Urology consulted - Place Foley catheter, increase tamsulosin 0.8 mg daily, trial of voiding in the next 5-7 days when medically stable, outpatient follow up."
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Sleep disorder, Somnolence, Urinary retention
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID positive PCR.  Provider d/c note below:  "78 YO male that presented to the ED with c/o SOB and worsening dizziness. Chronic health conditions include  TIA  PAF orthostatic Hypotension T2DM  Hypothyroid  Anxiety  Emphysema. Pt reports that he has been getting very SOB working harder to breathe when up moving around and getting worse dizziness. No cough. His wife reports he has been sleeping more and more through the day and now has his days and nights confused. Today he got up and poured a bowel of cereal and had to take a break before he could finish. She reports that his lips have been blue. He wears the 02 all the time at 2L when resting and has been requesting and increased both at rest and when up moving. Has had major loss of appetite.  He denies chest pain, fever, cold and flu symptoms. Feet and ankles starting swelling two days ago.    In the ED, CTA negative for PE but does show small bilateral pleural effusions and possible pulmonary edema. . BNP 5,001 d dimer 990  EKG is aflutter. Hgb 13.5  Glucose 156. BP has been quite high while in the ED.   (HPI per NP)   Hospital Course: No notes on file patient is a 78yr old male with a history of CAD, Emphysema, Anxiety, Gout, DM, PAfib, Hypothyroidism, Idiopathic hypotension, BPH who presented with SOB and dizziness. He is usually on 2L at home but in past week he has had worsening labored breathing and was found to have covid. He and wife had been vaccinated with mederna and booster. Today he is on highflow oxygen, feels much better today.   Acute on Chronic Hypoxic Respiratory Failure secondary to Covid - Improving clinically on dexamethasone day#8, completed remdesivir and supplemental oxygen. This is in the setting of Emphysema and past smoking history. CT showed Mild to moderate emphysematous changes and possible superimposed interstitial lung disease. He is much improved and now on 4L NC oxygen. He is being discharged to complete dexamethasone (2 more doses for a total of 10 days) and on supplemental oxygen to follow up with PCP.   Idiopathic Orthostatic hypotension - he has had a syncopal episode in the past and more recent episodes of pre-syncope. Improved on midodrine.   Urinary retention with incomplete emptying - difficulty straight cath. Urology consulted - Place Foley catheter, increase tamsulosin 0.8 mg daily, trial of voiding in the next 5-7 days when medically stable, outpatient follow up."
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Rash papular, Vaccination site pain, Vaccination site rash
Clinical narrative: raised red rash around the vaccine site very sore and tired
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Balance disorder, Deafness neurosensory, Ear discomfort, Fatigue
Clinical narrative: Three weeks to a month post second COVID-19 vaccine in May of 2021, I developed a high-pitch ringing (tinnitus) in both ears, some equilibrium issues when bending over, and hearing became muffled and difficult in some situations, especially watching TV. The ringing never stops and changes pitch and volume, sometimes closing my ear. I have difficulty understanding some conversation if not facing the person. Volume has to be increased on phones and TV.  After hearing tests and evaluation, I am now given the option of a hearing assistive device for sensorineural hearing loss (SNHL). I have discussed the possibility of the vaccine having this adverse effect and it is in my chart, however, the providers feel this is attributed to age-related SNHL and possible noise damage. My feeling is if that were the case, it would have showed up much earlier than coincidentally after the second vaccination, since the events of concerts and loud music were 30-40 years ago, and I've been riding a mower with intermittent hearing protection, for one to three hours weekly to biweekly at my home, over 20 years during the summer season of four to five months. This was reduced to one-hour weekly once a landscaper was hired to mow most of the property beginning with the 2020 season. I had no equilibrium issues, continuous tinnitus, or hearing loss until after the second vaccine was administered in May of 2021. At the same time, I had also developed a spontaneous onset of almost crippling fatigue that could only be treated by immediate closing of my eyes either in a chair or lying down for at least 15 minutes. Thankfully, this seems to be lessening as time goes on.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: Three weeks to a month post second COVID-19 vaccine in May of 2021, I developed a high-pitch ringing (tinnitus) in both ears, some equilibrium issues when bending over, and hearing became muffled and difficult in some situations, especially watching TV. The ringing never stops and changes pitch and volume, sometimes closing my ear. I have difficulty understanding some conversation if not facing the person. Volume has to be increased on phones and TV.  After hearing tests and evaluation, I am now given the option of a hearing assistive device for sensorineural hearing loss (SNHL). I have discussed the possibility of the vaccine having this adverse effect and it is in my chart, however, the providers feel this is attributed to age-related SNHL and possible noise damage. My feeling is if that were the case, it would have showed up much earlier than coincidentally after the second vaccination, since the events of concerts and loud music were 30-40 years ago, and I've been riding a mower with intermittent hearing protection, for one to three hours weekly to biweekly at my home, over 20 years during the summer season of four to five months. This was reduced to one-hour weekly once a landscaper was hired to mow most of the property beginning with the 2020 season. I had no equilibrium issues, continuous tinnitus, or hearing loss until after the second vaccine was administered in May of 2021. At the same time, I had also developed a spontaneous onset of almost crippling fatigue that could only be treated by immediate closing of my eyes either in a chair or lying down for at least 15 minutes. Thankfully, this seems to be lessening as time goes on.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient waited 15 minutes after vaccination  was given ,per protocol and did not have any side effects/ symptoms.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Rash, Rash erythematous, Skin discolouration, Skin warm
Clinical narrative: He got his vaccine, his skin very hot to the touch, and he started developing what looks like a superficial rash.  Small red bumps on his forearms, and around his neck.  At the same time on his neck it looks like patches of discolored skin.  His skin has been incredibly hot since 7/22/22.  He is using a healing ointment, a Vaseline type of product.  It flares up, not a consistent rash.  It comes and goes at various moments.  It's also not raised, cannot feel it when you touch the skin, just red bumps underneath the skin.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Crying, Discomfort, Dysphagia, Dyspnoea
Clinical narrative: On December 29, 2021 we were about to have dinner and on the way to the table she stopped and she was holding between her left temple and her ear and cried that it hurt badly.  Then she began to twist her words, "I'm going to put the plate on the park."  She realized that she was not making since.  It appeared like stroke symptoms.  I continued to observe her further as she tried to talk more.  She sat down and began to eat.  She was unable to swallow and was complaining that her head hurt.  She was afraid to take Tylenol.  She tried to drink water but was unable to swallow.  An ambulance was called.  When EMTs arrived she was in the bathroom.  They checked her out.  Her mouth was drooped to the side.  Blood pressure was fine.  She was able to walk with EMTs to the ambulance.  Her vitals were ok but in the ambulance she was clear headed and her mouth was no longer drooping on one side.  The entire episode lasted about 15-20 minutes.  She got a shot for her headache while in the ER.  The second episode happened January 13, 2022.  She had the same symptoms but not as sharp headache pain.  She was more cooperative this time.  Her speech this time was "off".  She said "My tongue feels heavy.".  The EMTs arrived and vitals were fine.  She remained calm.  She said, "I don't feel like I can breathe right."  EMTs couldn't see an allergic reaction.  Her mouth did get twisted.  She was still able to talk this time, unlkie the first episode.  This time is was short , but the headache last for hours.  She did go to the ER again. She has not had an episode since January, but she still has the sharp headache pain.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Full blood count normal, Headache, Magnetic resonance imaging normal, Neurological symptom
Clinical narrative: On December 29, 2021 we were about to have dinner and on the way to the table she stopped and she was holding between her left temple and her ear and cried that it hurt badly.  Then she began to twist her words, "I'm going to put the plate on the park."  She realized that she was not making since.  It appeared like stroke symptoms.  I continued to observe her further as she tried to talk more.  She sat down and began to eat.  She was unable to swallow and was complaining that her head hurt.  She was afraid to take Tylenol.  She tried to drink water but was unable to swallow.  An ambulance was called.  When EMTs arrived she was in the bathroom.  They checked her out.  Her mouth was drooped to the side.  Blood pressure was fine.  She was able to walk with EMTs to the ambulance.  Her vitals were ok but in the ambulance she was clear headed and her mouth was no longer drooping on one side.  The entire episode lasted about 15-20 minutes.  She got a shot for her headache while in the ER.  The second episode happened January 13, 2022.  She had the same symptoms but not as sharp headache pain.  She was more cooperative this time.  Her speech this time was "off".  She said "My tongue feels heavy.".  The EMTs arrived and vitals were fine.  She remained calm.  She said, "I don't feel like I can breathe right."  EMTs couldn't see an allergic reaction.  Her mouth did get twisted.  She was still able to talk this time, unlkie the first episode.  This time is was short , but the headache last for hours.  She did go to the ER again. She has not had an episode since January, but she still has the sharp headache pain.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Speech disorder, Tongue disorder, Urine analysis normal
Clinical narrative: On December 29, 2021 we were about to have dinner and on the way to the table she stopped and she was holding between her left temple and her ear and cried that it hurt badly.  Then she began to twist her words, "I'm going to put the plate on the park."  She realized that she was not making since.  It appeared like stroke symptoms.  I continued to observe her further as she tried to talk more.  She sat down and began to eat.  She was unable to swallow and was complaining that her head hurt.  She was afraid to take Tylenol.  She tried to drink water but was unable to swallow.  An ambulance was called.  When EMTs arrived she was in the bathroom.  They checked her out.  Her mouth was drooped to the side.  Blood pressure was fine.  She was able to walk with EMTs to the ambulance.  Her vitals were ok but in the ambulance she was clear headed and her mouth was no longer drooping on one side.  The entire episode lasted about 15-20 minutes.  She got a shot for her headache while in the ER.  The second episode happened January 13, 2022.  She had the same symptoms but not as sharp headache pain.  She was more cooperative this time.  Her speech this time was "off".  She said "My tongue feels heavy.".  The EMTs arrived and vitals were fine.  She remained calm.  She said, "I don't feel like I can breathe right."  EMTs couldn't see an allergic reaction.  Her mouth did get twisted.  She was still able to talk this time, unlkie the first episode.  This time is was short , but the headache last for hours.  She did go to the ER again. She has not had an episode since January, but she still has the sharp headache pain.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Deep vein thrombosis, Dyspnoea
Clinical narrative: pt to ED with cough and increasing SOB; O2 saturation 60% on NRB; intubated in ED; found to be positive for COVID; pt developed ileus; fever; bilateral DVTs; pt's condition worsening; requiring multiple vasopressors; multisystem organ failure; transitioned to comfort care; extubated and pt expired in the hospital
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Ileus, Multiple organ dysfunction syndrome, Pyrexia
Clinical narrative: pt to ED with cough and increasing SOB; O2 saturation 60% on NRB; intubated in ED; found to be positive for COVID; pt developed ileus; fever; bilateral DVTs; pt's condition worsening; requiring multiple vasopressors; multisystem organ failure; transitioned to comfort care; extubated and pt expired in the hospital
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt to ED with cough and increasing SOB; O2 saturation 60% on NRB; intubated in ED; found to be positive for COVID; pt developed ileus; fever; bilateral DVTs; pt's condition worsening; requiring multiple vasopressors; multisystem organ failure; transitioned to comfort care; extubated and pt expired in the hospital
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Sore throat, cough, fatigue. Cough and Lasted 3 weeks
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: When I caught COVID-19 I had symptoms starting on July 8, 2022 in the evening including a headache, fatigue, a scratchy throat, and congestion. July 9th I went to my doctor. I was prescribed a prescription for  paxlovid. I took it till July 15th. My symptoms stopped on July 12th or 13th. On July 15th the symptoms stopped but I still had fatigue. On July 18th I called my doctor and they said I am having a rebound of COVID-19. They told me to continue isolation. On July 23rd all my symptoms came back. I had a cough, congestion, headache, fatigue, and diarrhea. My symptoms continued yesterday. I feel much better today. I took some ibuprofen and fluticasone propionate.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: When I caught COVID-19 I had symptoms starting on July 8, 2022 in the evening including a headache, fatigue, a scratchy throat, and congestion. July 9th I went to my doctor. I was prescribed a prescription for  paxlovid. I took it till July 15th. My symptoms stopped on July 12th or 13th. On July 15th the symptoms stopped but I still had fatigue. On July 18th I called my doctor and they said I am having a rebound of COVID-19. They told me to continue isolation. On July 23rd all my symptoms came back. I had a cough, congestion, headache, fatigue, and diarrhea. My symptoms continued yesterday. I feel much better today. I took some ibuprofen and fluticasone propionate.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Drug ineffective
Clinical narrative: When I caught COVID-19 I had symptoms starting on July 8, 2022 in the evening including a headache, fatigue, a scratchy throat, and congestion. July 9th I went to my doctor. I was prescribed a prescription for  paxlovid. I took it till July 15th. My symptoms stopped on July 12th or 13th. On July 15th the symptoms stopped but I still had fatigue. On July 18th I called my doctor and they said I am having a rebound of COVID-19. They told me to continue isolation. On July 23rd all my symptoms came back. I had a cough, congestion, headache, fatigue, and diarrhea. My symptoms continued yesterday. I feel much better today. I took some ibuprofen and fluticasone propionate.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Metabolic encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccinations who admitted with positive COVID PCR.  Provider d/c summary below:  "93 YO female with hx of depression, weaker when urinary tract infection, thyroid disease CHF, vascular dementia to the hospital with confusion and generalized weakness. Per daughter patient is weak and confused.  Suspecting acute metabolic encephalopathy and generalized weakness related to acute COVID infection. Patient denies any respiratory distress, no indication for remdesivir and steroids at this time.  Patient has failure to thrive, recommended for SNF."
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cerebrovascular accident, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 7/17/2022 Discharge Date: 7/23/2022  PRESENTING PROBLEM: Weakness [R53.1] Urinary tract infection without hematuria, site unspecified [N39.0] Recent cerebrovascular accident (CVA) [Z86.73] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9] COVID-19 [U07.1] Hypoxia [R09.02]   Patient is a wonderful 86 y.o. female admitted w/ toxic/metabolic encephalopathy secondary to UTI and COVID19 infections.  She has a PMH of dementia, CVA (found this admission), and UTIs.  She presented w/ confusion and was found to have COVID19 as well as positive UA w/ UC growing E. Coli.  She was minimally symptomatic from COVID19 but did develop acute respiratory failure with hypoxia for a short period of time secondary to this which resolved.  She completed courses of antibiotics and steroids/remdesivr for COVID19.  Mental status improved but patient remained weak.  Ultimately husband opted to transition patient to home hospice and she was discharged with their support on 7/23.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Escherichia test positive, Hypoxia, Malaise, Toxic encephalopathy
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 7/17/2022 Discharge Date: 7/23/2022  PRESENTING PROBLEM: Weakness [R53.1] Urinary tract infection without hematuria, site unspecified [N39.0] Recent cerebrovascular accident (CVA) [Z86.73] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9] COVID-19 [U07.1] Hypoxia [R09.02]   Patient is a wonderful 86 y.o. female admitted w/ toxic/metabolic encephalopathy secondary to UTI and COVID19 infections.  She has a PMH of dementia, CVA (found this admission), and UTIs.  She presented w/ confusion and was found to have COVID19 as well as positive UA w/ UC growing E. Coli.  She was minimally symptomatic from COVID19 but did develop acute respiratory failure with hypoxia for a short period of time secondary to this which resolved.  She completed courses of antibiotics and steroids/remdesivr for COVID19.  Mental status improved but patient remained weak.  Ultimately husband opted to transition patient to home hospice and she was discharged with their support on 7/23.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 7/17/2022 Discharge Date: 7/23/2022  PRESENTING PROBLEM: Weakness [R53.1] Urinary tract infection without hematuria, site unspecified [N39.0] Recent cerebrovascular accident (CVA) [Z86.73] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9] COVID-19 [U07.1] Hypoxia [R09.02]   Patient is a wonderful 86 y.o. female admitted w/ toxic/metabolic encephalopathy secondary to UTI and COVID19 infections.  She has a PMH of dementia, CVA (found this admission), and UTIs.  She presented w/ confusion and was found to have COVID19 as well as positive UA w/ UC growing E. Coli.  She was minimally symptomatic from COVID19 but did develop acute respiratory failure with hypoxia for a short period of time secondary to this which resolved.  She completed courses of antibiotics and steroids/remdesivr for COVID19.  Mental status improved but patient remained weak.  Ultimately husband opted to transition patient to home hospice and she was discharged with their support on 7/23.
Age: 25.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Burning sensation, Sleep disorder
Clinical narrative: I began to feel a burning sensation in my left shoulder on 07/24/22 at around 11:30pm EST while laying in bed. The pain felt deep within the shoulder joint. I tried to stretch out the shoulder but began to feel increased pain so I stopped. Within a few minutes the pain dissipated. The pain returned in the middle of the night while I was sleeping on my right side; the pain woke me up. Once again, the pain returned today (07/25/22) at around 12:30pm. Onset is random and returns while I'm resting. The pain lasts for a few minutes (~10-15 minutes) and subsides on its own with no treatment. I have not undergone any strenuous physical activity nor have lifted anything heavy since receiving the vaccine.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Subdural abscess, Subdural haematoma
Clinical narrative: Subdural hematoma vs abscess. Currently in the ICU
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: I contracted COVID-19 on 06/27/2022 with symptoms of sore throat, cough, fatigue, fever of 102.3, chills, and body aches. I was prescribed Tussinex with Codeine, and Benzonatate on 06/28/2022. I was ill 10 days before my symptoms began to resolve. I am still experiencing a lingering cough intermittently.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/27/2022 with symptoms of sore throat, cough, fatigue, fever of 102.3, chills, and body aches. I was prescribed Tussinex with Codeine, and Benzonatate on 06/28/2022. I was ill 10 days before my symptoms began to resolve. I am still experiencing a lingering cough intermittently.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia areata
Clinical narrative: Alopecia areata on beard and back of head. I received 3 Pfizer vaccines for covid on 12/28/20, 01/18/21 and 09/28/21. I started to notice loss of hair on my beard about March 2021 and it progressed to take about 70% of my beard to date. I notice 2 spots on the back of my head where I lost hair in May 2021, which has progressed to about 15% of hair loss on my head to date.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hypersensitivity, Periorbital swelling, Skin discolouration
Clinical narrative: The following morning dark coloration along with puffiness appeared under both of my eyes -- it seems like a slight allergic reaction.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Drainage, Dysphonia
Clinical narrative: I am 99% sure that I was exposed at theme park because I was just returning from there on Sunday after being there for 8 days. My husband tested positive on Tuesday 06/28/2022 and I tested positive on Thursday 06/30/2022. That evening I had a sore throat, a fever, and chills. I woke up the next day feeling like my head was going to explode. For the next three days I was basically in bed with fever, chills, and the worst headache I've ever had. I had no apatite for food or water for that three days. I began to feel slightly better after that but was still feeling tired and like I had a bad cold. That has slowly dissipated, it took about a week but I still do not have my energy level quite back yet and I have a slightly raspy voice due to drainage.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Head discomfort, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I am 99% sure that I was exposed at theme park because I was just returning from there on Sunday after being there for 8 days. My husband tested positive on Tuesday 06/28/2022 and I tested positive on Thursday 06/30/2022. That evening I had a sore throat, a fever, and chills. I woke up the next day feeling like my head was going to explode. For the next three days I was basically in bed with fever, chills, and the worst headache I've ever had. I had no apatite for food or water for that three days. I began to feel slightly better after that but was still feeling tired and like I had a bad cold. That has slowly dissipated, it took about a week but I still do not have my energy level quite back yet and I have a slightly raspy voice due to drainage.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, SARS-CoV-2 test positive
Clinical narrative: I am 99% sure that I was exposed at theme park because I was just returning from there on Sunday after being there for 8 days. My husband tested positive on Tuesday 06/28/2022 and I tested positive on Thursday 06/30/2022. That evening I had a sore throat, a fever, and chills. I woke up the next day feeling like my head was going to explode. For the next three days I was basically in bed with fever, chills, and the worst headache I've ever had. I had no apatite for food or water for that three days. I began to feel slightly better after that but was still feeling tired and like I had a bad cold. That has slowly dissipated, it took about a week but I still do not have my energy level quite back yet and I have a slightly raspy voice due to drainage.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient came into office for 2nd dose of COVID-19 vaccine. Patient had the first dose of Pfizer on 6/25/2022. Patient due for the 2nd Pfizer today 7/25/2022, unfortunately patient given a 0.25mL Moderna dose. No adverse events occurred. Family notified and scheduled for the second dose of Moderna vaccine on 8/22/2022.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: No reaction to the vaccine.  Got COVID 19 on July 19, 20222. Scratchy throat, congestion, fatigue, had a home test was positive. No fever. I took medicine on the 20th. My visit to the doctor was by phone only.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: No reaction to the vaccine.  Got COVID 19 on July 19, 20222. Scratchy throat, congestion, fatigue, had a home test was positive. No fever. I took medicine on the 20th. My visit to the doctor was by phone only.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anal incontinence, Bladder catheterisation, Blood sodium decreased, COVID-19, Clavicle fracture
Clinical narrative: Patient with 2 COVID Pfizer vaccinations who presented with incidental COVID finding upon admission testing.  Provider d/c note below:  "86 YO year old male with a medical history of frequent ground level falls,CAD, OSA AICD for  pAF, MDD, HTN, hyperlipidemia and  BPH current foley catheter. Was brough to the hospital due to altered mental status.Head-CT scan showed subdural hematoma. Also chest- CT showed right anterior 6 th rib fracture, left anterior rib fracture and subacute fracture of the clavicula. Patient also presented Covid positive no symptoms. He as admitted for close observation and neuro examination. Neurosurgery was also consulted. Patient did no presented with focal symptoms. Altho, he had  hypotensive episodes with bowel incontinence once. He did no presented with progression of subdural hematoma per head CT scan, no apparent distress not focal neurological symptoms. He also presented with low sodium due to SIADH managed with salt tablets. He would need BMP weakly to follow. He also presented with gout flare improving with colchicine.  He worked with physical therapy doing little improvement every day. Hoping he continues the good job. Ready for discharge to a NSF. "
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram head abnormal, Condition aggravated, Gout, Hypotension
Clinical narrative: Patient with 2 COVID Pfizer vaccinations who presented with incidental COVID finding upon admission testing.  Provider d/c note below:  "86 YO year old male with a medical history of frequent ground level falls,CAD, OSA AICD for  pAF, MDD, HTN, hyperlipidemia and  BPH current foley catheter. Was brough to the hospital due to altered mental status.Head-CT scan showed subdural hematoma. Also chest- CT showed right anterior 6 th rib fracture, left anterior rib fracture and subacute fracture of the clavicula. Patient also presented Covid positive no symptoms. He as admitted for close observation and neuro examination. Neurosurgery was also consulted. Patient did no presented with focal symptoms. Altho, he had  hypotensive episodes with bowel incontinence once. He did no presented with progression of subdural hematoma per head CT scan, no apparent distress not focal neurological symptoms. He also presented with low sodium due to SIADH managed with salt tablets. He would need BMP weakly to follow. He also presented with gout flare improving with colchicine.  He worked with physical therapy doing little improvement every day. Hoping he continues the good job. Ready for discharge to a NSF. "
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Rib fracture, SARS-CoV-2 test positive, Subdural haematoma
Clinical narrative: Patient with 2 COVID Pfizer vaccinations who presented with incidental COVID finding upon admission testing.  Provider d/c note below:  "86 YO year old male with a medical history of frequent ground level falls,CAD, OSA AICD for  pAF, MDD, HTN, hyperlipidemia and  BPH current foley catheter. Was brough to the hospital due to altered mental status.Head-CT scan showed subdural hematoma. Also chest- CT showed right anterior 6 th rib fracture, left anterior rib fracture and subacute fracture of the clavicula. Patient also presented Covid positive no symptoms. He as admitted for close observation and neuro examination. Neurosurgery was also consulted. Patient did no presented with focal symptoms. Altho, he had  hypotensive episodes with bowel incontinence once. He did no presented with progression of subdural hematoma per head CT scan, no apparent distress not focal neurological symptoms. He also presented with low sodium due to SIADH managed with salt tablets. He would need BMP weakly to follow. He also presented with gout flare improving with colchicine.  He worked with physical therapy doing little improvement every day. Hoping he continues the good job. Ready for discharge to a NSF. "
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast, Blood test abnormal, Bone scan, Breast cancer female, Breast cancer stage III
Clinical narrative: In June of 2021 I had extensive blood work done none of this showed cancer in my genetic make up. I also had an extensive CAT scan and it did not show any genetic markers for cancer. In November I had I a mammogram that showed a pea size lump that looked like a swollen lymph node. In February I went in and I was diagnosed with a Stage III plus breast cancer. The chemo and radiation is not working and will have to have a double mastectomy.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Cancer gene carrier, Chemotherapy, Computerised tomogram normal, Lymphadenopathy
Clinical narrative: In June of 2021 I had extensive blood work done none of this showed cancer in my genetic make up. I also had an extensive CAT scan and it did not show any genetic markers for cancer. In November I had I a mammogram that showed a pea size lump that looked like a swollen lymph node. In February I went in and I was diagnosed with a Stage III plus breast cancer. The chemo and radiation is not working and will have to have a double mastectomy.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging breast, Mammogram abnormal, Radiotherapy
Clinical narrative: In June of 2021 I had extensive blood work done none of this showed cancer in my genetic make up. I also had an extensive CAT scan and it did not show any genetic markers for cancer. In November I had I a mammogram that showed a pea size lump that looked like a swollen lymph node. In February I went in and I was diagnosed with a Stage III plus breast cancer. The chemo and radiation is not working and will have to have a double mastectomy.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Blood test normal, Dyspnoea, Electrocardiogram abnormal, Electrocardiogram ambulatory
Clinical narrative: A month after receiving 3 dose I began having heart issues. Racing heart, pounding heart, missed beats, and other arrhythmias. (Symptoms seem to be worse when reclined) Occasional shortness of breath. Went to PCP in February and they did blood work, all returned normal and referred to my cardiologist. June 30th went to regularly scheduled cardiology appointment. Cardiologist performed halter monitor and EKG. CT calcium score ordered by cardiologist TBD.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Extrasystoles, Palpitations
Clinical narrative: A month after receiving 3 dose I began having heart issues. Racing heart, pounding heart, missed beats, and other arrhythmias. (Symptoms seem to be worse when reclined) Occasional shortness of breath. Went to PCP in February and they did blood work, all returned normal and referred to my cardiologist. June 30th went to regularly scheduled cardiology appointment. Cardiologist performed halter monitor and EKG. CT calcium score ordered by cardiologist TBD.