chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No side effects or symptoms to report.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hordeolum
Clinical narrative: Stye formed in patient's left eye, visited a clinic and received Erthromycin Ophthalmic Ointment.  The next day a stye formed in patient's right eye.  To date stye's and related symptoms have stabilized but not healed.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hot flush, Paraesthesia
Clinical narrative: I started getting top left back pain in late December, that caused tingling (pins and needle sensations) up and down my left arm, all the way to my fingertips. I went to my doctor who gave me a referral to an orthopedic who sent me to physical therapy 3 times a week. I just started the physical therapy this week. I go back to see the orthopedic in a month to see if the physical therapy was successful. If not, he will order a MRI of my shoulder. Ive also began to have hot flash in my right foot that has been continuing for the last month. It lasts for about 3 seconds and then goes away.
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt admit to hospital with covid diagnosis.  pt had covid vaccine
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: Pt woke up the day after receiving the vaccine with left arm pain, redness at site, red mark in shape of band-aid around the injection site.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Erythema, Headache, Oedema peripheral
Clinical narrative: Headache and Chills 4am. By morning, patient noticed significant pain of Axilla with Right axillary swelling, redness and tenderness.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Headache and Chills 4am. By morning, patient noticed significant pain of Axilla with Right axillary swelling, redness and tenderness.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Had Covid Vaccine.  Pt admitted with covid diagnosis
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Dyspnoea
Clinical narrative: 1.    Shortness of breath 2. Acute respiratory failure with hypoxia  3. Pneumonia due to COVID-19 virus  4. History of COPD
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Influenza like illness
Clinical narrative: Woke up with sweats and chills in the middle of the night/early in the morning. Flu-like aches and pains everywhere, severe headache, tired and lethargic.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pain
Clinical narrative: Woke up with sweats and chills in the middle of the night/early in the morning. Flu-like aches and pains everywhere, severe headache, tired and lethargic.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head normal, Electrocardiogram normal, Muscular weakness, Transient ischaemic attack
Clinical narrative: Patient is fully vaccinated. Admission:  COVID and transient ischemic attack. 55-year-old female presents with right arm weakness in the context of a COVID infection the week prior to presentation. CT head was negative, vascular Doppler showed no significant stenosis, EKG did not reveal any atrial fibrillation.BP 141/63  | Pulse 61  | Temp 97 °F (36.1 °C) (Axillary)  | Resp 16  | Ht 172.7 cm (5' 8")  | Wt 93 kg (205 lb)  | SpO2 99%  | BMI 31.17 kg/m²  Patient was started on aspirin and high intensity statin. Patient was seen by neurology. Patient was stable from a neurological standpoint. Discharged
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: Patient is fully vaccinated. Admission:  COVID and transient ischemic attack. 55-year-old female presents with right arm weakness in the context of a COVID infection the week prior to presentation. CT head was negative, vascular Doppler showed no significant stenosis, EKG did not reveal any atrial fibrillation.BP 141/63  | Pulse 61  | Temp 97 °F (36.1 °C) (Axillary)  | Resp 16  | Ht 172.7 cm (5' 8")  | Wt 93 kg (205 lb)  | SpO2 99%  | BMI 31.17 kg/m²  Patient was started on aspirin and high intensity statin. Patient was seen by neurology. Patient was stable from a neurological standpoint. Discharged
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy endometrium normal, Condition aggravated, Endometrial thickening, Postmenopausal haemorrhage, Ultrasound pelvis abnormal
Clinical narrative: I had post-menopausal bleeding for about 3-4 days in early may. I went to see my OBGYN who did an endometrial biopsy, which came back normal. It resolved on its own and I have not had any bleeding since. I have had post menopausal bleeding in the past (pre-dating the vaccine)
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Human rhinovirus test positive, Ultrasound abdomen abnormal
Clinical narrative: Developed acute appendicitis on 2/1/2022 requiring appendectomy on 2/2/2022
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Diarrhoea, Dyspnoea exertional, Electrocardiogram abnormal
Clinical narrative: Patient is fully vaccinated.  COVID + 1/3/2022.  ED visit on 1/11/2022.  Complaining of pleuritic chest pain, shortness of breath with exertional activity.  Component of diffuse body aches fatigue.  Now having diarrhea. Denies fever.  No vomiting.  No history of PE DVT.EKG reviewed and interpreted by myself, sinus tachycardia, left axis, nonspecific ischemic findings.  Blood work within normal limits.  Serial troponins negative.  D-dimer negative.  Tachycardia has resolved while in the ED.  Patient remains in no acute distress on reevaluation. Has a portable pulse oximetry device at home, told to return if levels fall below 90%.Discharged home from ER.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer normal, Myocardial ischaemia, Pain, Pleuritic pain
Clinical narrative: Patient is fully vaccinated.  COVID + 1/3/2022.  ED visit on 1/11/2022.  Complaining of pleuritic chest pain, shortness of breath with exertional activity.  Component of diffuse body aches fatigue.  Now having diarrhea. Denies fever.  No vomiting.  No history of PE DVT.EKG reviewed and interpreted by myself, sinus tachycardia, left axis, nonspecific ischemic findings.  Blood work within normal limits.  Serial troponins negative.  D-dimer negative.  Tachycardia has resolved while in the ED.  Patient remains in no acute distress on reevaluation. Has a portable pulse oximetry device at home, told to return if levels fall below 90%.Discharged home from ER.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus tachycardia, Troponin normal
Clinical narrative: Patient is fully vaccinated.  COVID + 1/3/2022.  ED visit on 1/11/2022.  Complaining of pleuritic chest pain, shortness of breath with exertional activity.  Component of diffuse body aches fatigue.  Now having diarrhea. Denies fever.  No vomiting.  No history of PE DVT.EKG reviewed and interpreted by myself, sinus tachycardia, left axis, nonspecific ischemic findings.  Blood work within normal limits.  Serial troponins negative.  D-dimer negative.  Tachycardia has resolved while in the ED.  Patient remains in no acute distress on reevaluation. Has a portable pulse oximetry device at home, told to return if levels fall below 90%.Discharged home from ER.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Echocardiogram, Electrogastrogram, Hypertension
Clinical narrative: Got dizzy bp high still getting treated
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: My hair began thinning dramatically and is continuing to thin
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Swelling, Urticaria
Clinical narrative: Delayed allergic reaction Erythemathous, sweling rash en elbows, knees area and legs. Urticarial, intense itching, she didn't improve with benadryl. Treatment with Prednisolone and ceterizine for 5 days
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol Discharged to Hospice
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aggression, Asymptomatic COVID-19, COVID-19, Confusional state, Nucleic acid test
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol Discharged to Hospice
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Suicidal ideation
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol Discharged to Hospice
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Computerised tomogram, Gait disturbance, Limb mass, Magnetic resonance imaging
Clinical narrative: Both legs tenderness and pain, swellings/lumps, difficulty walking.  Treated by Primary physician, seen by surgeon for tests, Orthopedic, Rheumatologist.  Blood work uncovered some abnormalities.  This all began less than 2 week following second Pfizer injection.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Tenderness, Ultrasound Doppler, Ultrasound scan
Clinical narrative: Both legs tenderness and pain, swellings/lumps, difficulty walking.  Treated by Primary physician, seen by surgeon for tests, Orthopedic, Rheumatologist.  Blood work uncovered some abnormalities.  This all began less than 2 week following second Pfizer injection.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Computerised tomogram head normal, Dizziness, Laboratory test normal
Clinical narrative: Patient is fully vaccinated.  COVID + 1/13/2022 on admission to hospital.65-year-old female patient with no past medical history, reports to the ED secondary to dizziness that she states lasted for about 3 minutes yesterday while she was picking up crumbs off the floor.  She states after she sat up, after 2 minutes, dizziness subsided, though she started having some blurry vision.  The patient denies any weakness or changes in speech or headaches at this time. No nausea, vomiting, diarrhea, fevers, or chills.  Patient presents with dizziness and blurred vision. Stroke protocol workup negative.Does not have any respiratory symptoms at this time. CT head: No evidence of acute intracranial hemorrhage, mass effect, or midline shift. Asymptomatic COVID-19 infection. no treatment. No current indication for remdesivir, Decadron, or baricitinib. Discharged.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vision blurred
Clinical narrative: Patient is fully vaccinated.  COVID + 1/13/2022 on admission to hospital.65-year-old female patient with no past medical history, reports to the ED secondary to dizziness that she states lasted for about 3 minutes yesterday while she was picking up crumbs off the floor.  She states after she sat up, after 2 minutes, dizziness subsided, though she started having some blurry vision.  The patient denies any weakness or changes in speech or headaches at this time. No nausea, vomiting, diarrhea, fevers, or chills.  Patient presents with dizziness and blurred vision. Stroke protocol workup negative.Does not have any respiratory symptoms at this time. CT head: No evidence of acute intracranial hemorrhage, mass effect, or midline shift. Asymptomatic COVID-19 infection. no treatment. No current indication for remdesivir, Decadron, or baricitinib. Discharged.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: The patient presented initially with nontraumatic fall but then was subsequently found to have COVID pneumonia and hypotension which x-ray in the ED revealing right lung whiteout.  Patient was admitted to the ICU and patient had to be placed on high-flow oxygen along with p.r.n. BiPAP as well as multiple pressors including Levophed along with dobutamine for his known cardiomyopathy.  Patient was then placed on IV Decadron along with IV antibiotics.  On 01/06, patient continued to have significant opacification right lung so IR was consulted.  Chest tube was placed on 01/07 but CT of chest was done 1/13 which revealed complete obliteration right lower lobe.  IR placed another right-sided chest tube on 01/14 and patient's respiratory status slowly improved.  Patient has been weaned off pressors and was transferred on IV Zosyn.  Patient was seen by Nephrology after he developed acute kidney injury while on diuretics.  Unfortunately pt's respiratory status still deteriorated at the healthcare facility. Long discussion was made with the pt's family and decision was made for the patient's code status to be changed to comfort care measures.  Pt expired on 01/20/22 Acute hypoxemic and hypercarbic respiratory failure Acute COVID-19 pneumonia with sepsis Acute nosocomial pneumonia Acute bilateral pleural effusion R > L
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Chest tube insertion, Computerised tomogram thorax abnormal, Death, Fall, Hypercapnia
Clinical narrative: The patient presented initially with nontraumatic fall but then was subsequently found to have COVID pneumonia and hypotension which x-ray in the ED revealing right lung whiteout.  Patient was admitted to the ICU and patient had to be placed on high-flow oxygen along with p.r.n. BiPAP as well as multiple pressors including Levophed along with dobutamine for his known cardiomyopathy.  Patient was then placed on IV Decadron along with IV antibiotics.  On 01/06, patient continued to have significant opacification right lung so IR was consulted.  Chest tube was placed on 01/07 but CT of chest was done 1/13 which revealed complete obliteration right lower lobe.  IR placed another right-sided chest tube on 01/14 and patient's respiratory status slowly improved.  Patient has been weaned off pressors and was transferred on IV Zosyn.  Patient was seen by Nephrology after he developed acute kidney injury while on diuretics.  Unfortunately pt's respiratory status still deteriorated at the healthcare facility. Long discussion was made with the pt's family and decision was made for the patient's code status to be changed to comfort care measures.  Pt expired on 01/20/22 Acute hypoxemic and hypercarbic respiratory failure Acute COVID-19 pneumonia with sepsis Acute nosocomial pneumonia Acute bilateral pleural effusion R > L
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Lung disorder, Lung opacity, Obliterative bronchiolitis
Clinical narrative: The patient presented initially with nontraumatic fall but then was subsequently found to have COVID pneumonia and hypotension which x-ray in the ED revealing right lung whiteout.  Patient was admitted to the ICU and patient had to be placed on high-flow oxygen along with p.r.n. BiPAP as well as multiple pressors including Levophed along with dobutamine for his known cardiomyopathy.  Patient was then placed on IV Decadron along with IV antibiotics.  On 01/06, patient continued to have significant opacification right lung so IR was consulted.  Chest tube was placed on 01/07 but CT of chest was done 1/13 which revealed complete obliteration right lower lobe.  IR placed another right-sided chest tube on 01/14 and patient's respiratory status slowly improved.  Patient has been weaned off pressors and was transferred on IV Zosyn.  Patient was seen by Nephrology after he developed acute kidney injury while on diuretics.  Unfortunately pt's respiratory status still deteriorated at the healthcare facility. Long discussion was made with the pt's family and decision was made for the patient's code status to be changed to comfort care measures.  Pt expired on 01/20/22 Acute hypoxemic and hypercarbic respiratory failure Acute COVID-19 pneumonia with sepsis Acute nosocomial pneumonia Acute bilateral pleural effusion R > L
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive, Sepsis
Clinical narrative: The patient presented initially with nontraumatic fall but then was subsequently found to have COVID pneumonia and hypotension which x-ray in the ED revealing right lung whiteout.  Patient was admitted to the ICU and patient had to be placed on high-flow oxygen along with p.r.n. BiPAP as well as multiple pressors including Levophed along with dobutamine for his known cardiomyopathy.  Patient was then placed on IV Decadron along with IV antibiotics.  On 01/06, patient continued to have significant opacification right lung so IR was consulted.  Chest tube was placed on 01/07 but CT of chest was done 1/13 which revealed complete obliteration right lower lobe.  IR placed another right-sided chest tube on 01/14 and patient's respiratory status slowly improved.  Patient has been weaned off pressors and was transferred on IV Zosyn.  Patient was seen by Nephrology after he developed acute kidney injury while on diuretics.  Unfortunately pt's respiratory status still deteriorated at the healthcare facility. Long discussion was made with the pt's family and decision was made for the patient's code status to be changed to comfort care measures.  Pt expired on 01/20/22 Acute hypoxemic and hypercarbic respiratory failure Acute COVID-19 pneumonia with sepsis Acute nosocomial pneumonia Acute bilateral pleural effusion R > L
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Asthenia, Computerised tomogram normal, Guillain-Barre syndrome, Headache, Hypertension
Clinical narrative: Symptoms. Weak, severe headcahe, BP was high, numbness in fingers and ball of left foot felt funny.  then patient went to hospital. Patient was diagnosed with GBS (Guillian Barre Syndrome). In hospital trreatment for approx 30 days then to Rehab for approx 3 weeks
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Hypoaesthesia, Laboratory test, Limb discomfort, Lumbar puncture abnormal, Magnetic resonance imaging
Clinical narrative: Symptoms. Weak, severe headcahe, BP was high, numbness in fingers and ball of left foot felt funny.  then patient went to hospital. Patient was diagnosed with GBS (Guillian Barre Syndrome). In hospital trreatment for approx 30 days then to Rehab for approx 3 weeks
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Ultrasound scan
Clinical narrative: Symptoms. Weak, severe headcahe, BP was high, numbness in fingers and ball of left foot felt funny.  then patient went to hospital. Patient was diagnosed with GBS (Guillian Barre Syndrome). In hospital trreatment for approx 30 days then to Rehab for approx 3 weeks
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Immediate post-injection reaction, Injection site erythema, Injection site pain
Clinical narrative: Immediate reactions. A few hours after the vaccine I could not lift my arm from the pain.  Injection site red, hot and very sore.  Next day light headed, nauseous and vomiting.  Body aches.  Five days later I could lift my arm but sore and now have hard lumps (3).  I am extremely itchy especially on my right side and my scalp near my neck, my neck and shoulder.  The itching is sharp pain and irritated skin.  The sharp itching pain wakes me two to three times while I'm trying to sleep.  I can't sleep well at all.  I also have a severe stabbing pain at injection site at random times.  I'm very tired and not feeling good at all.  I called my primary care Dr office and they were not interested in speaking to me about this since they did not administer the vaccine.  They told me to go to the pharmacy where I received the vaccination.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Malaise, Mass, Nausea, Pain
Clinical narrative: Immediate reactions. A few hours after the vaccine I could not lift my arm from the pain.  Injection site red, hot and very sore.  Next day light headed, nauseous and vomiting.  Body aches.  Five days later I could lift my arm but sore and now have hard lumps (3).  I am extremely itchy especially on my right side and my scalp near my neck, my neck and shoulder.  The itching is sharp pain and irritated skin.  The sharp itching pain wakes me two to three times while I'm trying to sleep.  I can't sleep well at all.  I also have a severe stabbing pain at injection site at random times.  I'm very tired and not feeling good at all.  I called my primary care Dr office and they were not interested in speaking to me about this since they did not administer the vaccine.  They told me to go to the pharmacy where I received the vaccination.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin irritation, Sleep disorder, Vomiting
Clinical narrative: Immediate reactions. A few hours after the vaccine I could not lift my arm from the pain.  Injection site red, hot and very sore.  Next day light headed, nauseous and vomiting.  Body aches.  Five days later I could lift my arm but sore and now have hard lumps (3).  I am extremely itchy especially on my right side and my scalp near my neck, my neck and shoulder.  The itching is sharp pain and irritated skin.  The sharp itching pain wakes me two to three times while I'm trying to sleep.  I can't sleep well at all.  I also have a severe stabbing pain at injection site at random times.  I'm very tired and not feeling good at all.  I called my primary care Dr office and they were not interested in speaking to me about this since they did not administer the vaccine.  They told me to go to the pharmacy where I received the vaccination.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Discharged
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac failure congestive, Chills, Cough
Clinical narrative: Date of Admission  12/31/2021   Date of Discharge  01/01/2022   Reason for Hospitalization   exposed to covid, having symptoms of chills, sovb, cough and nausea for 3 days.  Hospital Course    Patient is a 55-year-old female with medical history significant for hypertension who presented to the ER with chief complaints of lightheadedness and shortness of breath. Patient tested positive for COVID19 on 12/31/2021 and was started on dexamethasone and remdesivir. We are monitoring her oxygen status and weaning it as tolerated. [1]   her condition improved overnight. Home oxygen evaluation was reassuring for no oxygen needed. patient will be discharged to complete 10 days of Decadron. instructed to come back if her symptoms gt worse  Discharge Diagnoses      1. Flu-like symptoms     2. COVID-19     3. Acute hypoxemic respiratory failure     Other Diagnoses   Ongoing  BMI 34.0-34.9,adult  Hypertension  Obesity  Vapes nicotine containing substance  Historical  No qualifying data        Discharge Disposition  home  Medications  New, Changed, or Refilled Medications  None    Medications to be Continued  aspirin (aspirin 81 mg , chewable) 81 mg, 1 Tablet(s), Daily, 0 Refill(s)    azithromycin 0 Refill(s) Comments: to finish january 2 , 2022   diltiazem (dilTIAZem (Eqv-Cardizem CD) 360 mg/24 hours , extended release) 360 mg, 1 capsule(s), Oral, Daily, 0 Refill(s)    hydroCHLOROthiazide (hydroCHLOROthiazide 25 mg) 25 mg, 1 Tablet(s), Oral, Daily, 0 Refill(s)    losartan (losartan 100 mg) 100 mg, 1 Tablet(s), Oral, Daily, 0 Refill(s)      Discontinued Medications  None  Physical Exam at Discharge  Vitals & Measurements  T: 36.4 °C  TMIN: 36.3 °C  TMAX: 36.8 °C  HR: 59  RR: 18  BP: 135/80  SpO2: 94%  WT: 101 kg  BMI: 34.9      General: Alert and appropriate Respiratory: Clear to auscultation bilaterally Cardiovascular: Normal Heart sounds, Regular rate/rhythm.No edema. Gastrointestinal: Soft, Non-distended, no organomegaly Musculoskeletal: Normal range of motion, No tenderness, No swelling Integumentary: Warm, Intact Neurologic: Awake, alert, oriented to time, place and person. No focal deficits Psychiatric: Cooperative, Appropriate mood & affect  Time Spent  I personally spent 31 minutes coordinating discharge including final face to face visit with patient and family, discharge medication reconciliation, instructions for continuing care and discharge summary        Nursing/Other Orders   Regular Diet. Ordered on 12/31/21 19:03:00 CST, Meal Start Time Supper 1615 to 1745   Intake and Output. 12/31/21 16:30:29 CST, Continuous Order, q12h. Order comment: Ordered by system rule: ORD_ADD_CHF_TASKS based on indications for congestive heart failure.   Intake and Output. 12/31/21 19:03:00 CST, Continuous Order   Activity As Tolerated. 12/31/21 19:03:00 CST, Continuous Order, activity as tolerated with patient confined to room.   Code Status. Code Status Description: Full Code    [1] Admission H & P;  12/31/2021 18:02 CST
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Exposure to SARS-CoV-2, General physical condition abnormal, Influenza like illness
Clinical narrative: Date of Admission  12/31/2021   Date of Discharge  01/01/2022   Reason for Hospitalization   exposed to covid, having symptoms of chills, sovb, cough and nausea for 3 days.  Hospital Course    Patient is a 55-year-old female with medical history significant for hypertension who presented to the ER with chief complaints of lightheadedness and shortness of breath. Patient tested positive for COVID19 on 12/31/2021 and was started on dexamethasone and remdesivir. We are monitoring her oxygen status and weaning it as tolerated. [1]   her condition improved overnight. Home oxygen evaluation was reassuring for no oxygen needed. patient will be discharged to complete 10 days of Decadron. instructed to come back if her symptoms gt worse  Discharge Diagnoses      1. Flu-like symptoms     2. COVID-19     3. Acute hypoxemic respiratory failure     Other Diagnoses   Ongoing  BMI 34.0-34.9,adult  Hypertension  Obesity  Vapes nicotine containing substance  Historical  No qualifying data        Discharge Disposition  home  Medications  New, Changed, or Refilled Medications  None    Medications to be Continued  aspirin (aspirin 81 mg , chewable) 81 mg, 1 Tablet(s), Daily, 0 Refill(s)    azithromycin 0 Refill(s) Comments: to finish january 2 , 2022   diltiazem (dilTIAZem (Eqv-Cardizem CD) 360 mg/24 hours , extended release) 360 mg, 1 capsule(s), Oral, Daily, 0 Refill(s)    hydroCHLOROthiazide (hydroCHLOROthiazide 25 mg) 25 mg, 1 Tablet(s), Oral, Daily, 0 Refill(s)    losartan (losartan 100 mg) 100 mg, 1 Tablet(s), Oral, Daily, 0 Refill(s)      Discontinued Medications  None  Physical Exam at Discharge  Vitals & Measurements  T: 36.4 °C  TMIN: 36.3 °C  TMAX: 36.8 °C  HR: 59  RR: 18  BP: 135/80  SpO2: 94%  WT: 101 kg  BMI: 34.9      General: Alert and appropriate Respiratory: Clear to auscultation bilaterally Cardiovascular: Normal Heart sounds, Regular rate/rhythm.No edema. Gastrointestinal: Soft, Non-distended, no organomegaly Musculoskeletal: Normal range of motion, No tenderness, No swelling Integumentary: Warm, Intact Neurologic: Awake, alert, oriented to time, place and person. No focal deficits Psychiatric: Cooperative, Appropriate mood & affect  Time Spent  I personally spent 31 minutes coordinating discharge including final face to face visit with patient and family, discharge medication reconciliation, instructions for continuing care and discharge summary        Nursing/Other Orders   Regular Diet. Ordered on 12/31/21 19:03:00 CST, Meal Start Time Supper 1615 to 1745   Intake and Output. 12/31/21 16:30:29 CST, Continuous Order, q12h. Order comment: Ordered by system rule: ORD_ADD_CHF_TASKS based on indications for congestive heart failure.   Intake and Output. 12/31/21 19:03:00 CST, Continuous Order   Activity As Tolerated. 12/31/21 19:03:00 CST, Continuous Order, activity as tolerated with patient confined to room.   Code Status. Code Status Description: Full Code    [1] Admission H & P;  12/31/2021 18:02 CST
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive
Clinical narrative: Date of Admission  12/31/2021   Date of Discharge  01/01/2022   Reason for Hospitalization   exposed to covid, having symptoms of chills, sovb, cough and nausea for 3 days.  Hospital Course    Patient is a 55-year-old female with medical history significant for hypertension who presented to the ER with chief complaints of lightheadedness and shortness of breath. Patient tested positive for COVID19 on 12/31/2021 and was started on dexamethasone and remdesivir. We are monitoring her oxygen status and weaning it as tolerated. [1]   her condition improved overnight. Home oxygen evaluation was reassuring for no oxygen needed. patient will be discharged to complete 10 days of Decadron. instructed to come back if her symptoms gt worse  Discharge Diagnoses      1. Flu-like symptoms     2. COVID-19     3. Acute hypoxemic respiratory failure     Other Diagnoses   Ongoing  BMI 34.0-34.9,adult  Hypertension  Obesity  Vapes nicotine containing substance  Historical  No qualifying data        Discharge Disposition  home  Medications  New, Changed, or Refilled Medications  None    Medications to be Continued  aspirin (aspirin 81 mg , chewable) 81 mg, 1 Tablet(s), Daily, 0 Refill(s)    azithromycin 0 Refill(s) Comments: to finish january 2 , 2022   diltiazem (dilTIAZem (Eqv-Cardizem CD) 360 mg/24 hours , extended release) 360 mg, 1 capsule(s), Oral, Daily, 0 Refill(s)    hydroCHLOROthiazide (hydroCHLOROthiazide 25 mg) 25 mg, 1 Tablet(s), Oral, Daily, 0 Refill(s)    losartan (losartan 100 mg) 100 mg, 1 Tablet(s), Oral, Daily, 0 Refill(s)      Discontinued Medications  None  Physical Exam at Discharge  Vitals & Measurements  T: 36.4 °C  TMIN: 36.3 °C  TMAX: 36.8 °C  HR: 59  RR: 18  BP: 135/80  SpO2: 94%  WT: 101 kg  BMI: 34.9      General: Alert and appropriate Respiratory: Clear to auscultation bilaterally Cardiovascular: Normal Heart sounds, Regular rate/rhythm.No edema. Gastrointestinal: Soft, Non-distended, no organomegaly Musculoskeletal: Normal range of motion, No tenderness, No swelling Integumentary: Warm, Intact Neurologic: Awake, alert, oriented to time, place and person. No focal deficits Psychiatric: Cooperative, Appropriate mood & affect  Time Spent  I personally spent 31 minutes coordinating discharge including final face to face visit with patient and family, discharge medication reconciliation, instructions for continuing care and discharge summary        Nursing/Other Orders   Regular Diet. Ordered on 12/31/21 19:03:00 CST, Meal Start Time Supper 1615 to 1745   Intake and Output. 12/31/21 16:30:29 CST, Continuous Order, q12h. Order comment: Ordered by system rule: ORD_ADD_CHF_TASKS based on indications for congestive heart failure.   Intake and Output. 12/31/21 19:03:00 CST, Continuous Order   Activity As Tolerated. 12/31/21 19:03:00 CST, Continuous Order, activity as tolerated with patient confined to room.   Code Status. Code Status Description: Full Code    [1] Admission H & P;  12/31/2021 18:02 CST
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Small intestinal obstruction
Clinical narrative: Small bowel obstruction. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Dermatographia
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: Low grade fever, abdominal pain, congestion, sneezing, fatigue
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: Low grade fever, abdominal pain, congestion, sneezing, fatigue
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Computerised tomogram thorax normal, Dyspnoea, Fibrin D dimer increased
Clinical narrative: Patient is fully vaccinate.  Patient complains of shortness of breath.  Was diagnosed with COVID in late December.  States that she was recently hospitalized for COVID-19.  States that she was discharged yesterday. On arrival patient was noted to be 80% on room air. Treatment: oxygen, IV Decadron, Breo, albuterol.  Positive D dimer, CT of the chest for IV contrast negative for PE, on Lovenox.  Discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast normal
Clinical narrative: Patient is fully vaccinate.  Patient complains of shortness of breath.  Was diagnosed with COVID in late December.  States that she was recently hospitalized for COVID-19.  States that she was discharged yesterday. On arrival patient was noted to be 80% on room air. Treatment: oxygen, IV Decadron, Breo, albuterol.  Positive D dimer, CT of the chest for IV contrast negative for PE, on Lovenox.  Discharged home.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test negative, Chronic spontaneous urticaria
Clinical narrative: Chronic Spontaneous Urticaria After COVID-19 Vaccine
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Vascular graft
Clinical narrative: NSTEMI, bypass. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac monitoring, Dyspnoea, Echocardiogram, Magnetic resonance imaging, Myocarditis
Clinical narrative: Severe heart palpitations and shortness of breath. Heart monitor and cardiac MRI. Diagnosed with myocarditis. Treatment: colchicine and metoprolol succinate
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: Severe heart palpitations and shortness of breath. Heart monitor and cardiac MRI. Diagnosed with myocarditis. Treatment: colchicine and metoprolol succinate
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac monitoring, Dyspnoea, Magnetic resonance imaging, Myocarditis, Palpitations
Clinical narrative: Severe heart palpitations and shortness of breath. Heart monitor and cardiac MRI. Diagnosed with myocarditis. Treatment: colchicine and metoprolol succinate
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Severe heart palpitations and shortness of breath. Heart monitor and cardiac MRI. Diagnosed with myocarditis. Treatment: colchicine and metoprolol succinate
Age: 1.75
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Blister, Erythema
Clinical narrative: 4 cm redness with blisters in the center.
Age: 2.0
Sex: F
Vaccine: HIBV, MMR, PNC13
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Right arm deltoid area red, swelling and skin rashes.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Immunodeficiency, No adverse event
Clinical narrative: I had NO adverse reaction to this Covid vaccination. I just thought you might want to know how a person who is considered immunosuppressed reacted to the 4th dose (1st booster) after 3 Primary shots. My arm wasn;t even as sore with this shot as it was with the 3rd Primary.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral artery thrombosis, Cerebrovascular accident, Endotracheal intubation, Intensive care, Surgery
Clinical narrative: Patient was admitted as Inpatient on 2/1/2022 due to Acute ischemic right MCA stroke. Patient was intubated in the ER due to concern for airway management. Patient received tPA and was taken to IR. Patient was found to have extensive thrombus to ICA extending into the MCA and ACA, ACA partially reopened, unable to open MCA, potential vascular perforation during procedure. Patient was admitted to CCU post-operative intubated and sedated.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Nausea, Pain, Pain in extremity
Clinical narrative: Severe Joint pain, shooting pain from fingertips to shoulder, Nausea
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received the pediatric formulation instead of the teenage/adult formulation. This 15 year old received 10 mcg of mRNA Pfizer instead of the recommended 30 mcg mRNA Pfizer  for 12 and over.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Disturbance in attention, Feeling abnormal, Interchange of vaccine products, Memory impairment
Clinical narrative: intense brain fog, concentration, and memory issues beginning 2 days post vaccine. It has been way more intense than after my first two doses of Moderna in spring 2021. Last time, it lasted 5 months.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Intestinal resection, Intussusception, Laboratory test normal, Mass
Clinical narrative: Intussusception.   12 cm located in small bowel.   3 hour emergency surgery also removed 75 cm of intestines.   A mass was tested, there was no tumor or cancer .
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Surgery
Clinical narrative: Intussusception.   12 cm located in small bowel.   3 hour emergency surgery also removed 75 cm of intestines.   A mass was tested, there was no tumor or cancer .
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol Discharged
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Received Pfizer vaccines on  1/27, 2/17, 10/26/21 COVID-19 positive by PCR on  2/2/22 Admitted to hospital 2/2/22 d/t STEMI, CXR w/ airspace opacities, acute respiratory failure w/ hypoxia, pneumonia d/t COVID  underlying emphysema, CAD, HTN, CKD
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  1/27, 2/17, 10/26/21 COVID-19 positive by PCR on  2/2/22 Admitted to hospital 2/2/22 d/t STEMI, CXR w/ airspace opacities, acute respiratory failure w/ hypoxia, pneumonia d/t COVID  underlying emphysema, CAD, HTN, CKD
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Pyelonephritis acute, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient was admitted  after being diagnosed with acute pyelonephritis with sepsis. Per routine screening protocol for transfers he was tested for Covid and was incidentally positive. He was asymptomatic.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Fatigue, Nasal congestion
Clinical narrative: Fever of 100.5 and higher. Body aches, sinus passages filled, difficulty breathing. Fever lasted for over 4 days. Stuffy nose, fatigue, and difficulty breathing along with cough continues. Going on 8 days. Making an appointment with family doctor.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sinus congestion
Clinical narrative: Fever of 100.5 and higher. Body aches, sinus passages filled, difficulty breathing. Fever lasted for over 4 days. Stuffy nose, fatigue, and difficulty breathing along with cough continues. Going on 8 days. Making an appointment with family doctor.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site discomfort, Injection site pain, Limb discomfort, Pain in extremity, X-ray
Clinical narrative: The day after I received the first dose I started experiencing a tightness and intense pain. It is now almost a year later and the pain has not subsided. It travels throughout my left arm and into my shoulder blade. I have seen my doctor several times and an orthopedic doctor.  I received a cortisone shot, did not work. Prescribed flexeril, again did not work
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest X-ray, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated and boosted on 10/14/2021.  COVID + 1/13/2022 at hospitalization. 75y.o. male with a PMHx of hypertension, hyperlipidemia, diabetes, history of CVA, or concerns disease, CHF, A. fib and migraines who presents to the ER with complaints of shortness of breath.Patient wears 3 L cannula at home. Has been having increased shortness of breath over the past 2 days. He was satting 83% upon arrival to the ER and was placed on 5 L with improvement. CXR: stable.  Completed baricitinib/remdesivir. Toprol 75mg BID ; Eliquis , Digoxin,metoprolol, cardizem. Discharged home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: I took my booster on 11/24/2021. On Dec 17th I had sharp ringing in ears and felt dizzy. Dizzy never happened again but the ringing is on continuously, Not sure if its the side effect of the vaccine taken.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Dermatographia
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Swollen, red, hot to touch.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Discomfort, Paraesthesia, Rash
Clinical narrative: After I got my Moderna Booster (dose 1 was 1/12/21, dose 2 was 2/9/21) I began developing rashes and welts that appear and disappear all over my body. Consulted with dermatologist and began taking allergy medicine daily. It only helps a little.  The rashes can appear anywhere (face, inside of arm, hand, foot, back, lips etc.). It starts with a tingling feeling and then the rash or welt blooms (sometimes raised sometimes not). It's itchy and uncomfortable. They go away after several minutes.  This is still going on, and my physician told me to consult with an allergist and immunologist next.  I am only reaching out now as I just heard of a friend who has the same outcome after her booster.  It is debilitating.  I have tested myself throughout the pandemic and followed CDC guidelines as well as possible.  Just tested positive for the first (and hopefully only ) time for COVID-19 on Jan 10, 2022 and recovered but the rashes are still persisting.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, SARS-CoV-2 test positive, Urticaria
Clinical narrative: After I got my Moderna Booster (dose 1 was 1/12/21, dose 2 was 2/9/21) I began developing rashes and welts that appear and disappear all over my body. Consulted with dermatologist and began taking allergy medicine daily. It only helps a little.  The rashes can appear anywhere (face, inside of arm, hand, foot, back, lips etc.). It starts with a tingling feeling and then the rash or welt blooms (sometimes raised sometimes not). It's itchy and uncomfortable. They go away after several minutes.  This is still going on, and my physician told me to consult with an allergist and immunologist next.  I am only reaching out now as I just heard of a friend who has the same outcome after her booster.  It is debilitating.  I have tested myself throughout the pandemic and followed CDC guidelines as well as possible.  Just tested positive for the first (and hopefully only ) time for COVID-19 on Jan 10, 2022 and recovered but the rashes are still persisting.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: dermatographia
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Autoimmune disorder, Blood test, Condition aggravated, Dysstasia
Clinical narrative: It started whenever I would get up from being in a sedentary position; every joint in my body ached. It took time for me to get up and I had to tread slowly until everything loosened up to be fully mobile. When I would go for walks, my shoulders would begin to hurt to where I would have to tuck my arms in so it wouldn't hurt. I couldn't reach for anything, and I had trouble sleeping. Even though I was on Botox treatment for migraines, I started waking up with headaches. My jaw would be painful to eat or take a bite of food to chew. The pain was mainly in the shoulders and arm and neck. This all began the first week of post-vaccination. I went to my PCP who completed bloodwork and indicated my autoimmune markers were out of range and referred me to a rheumatologist. Prior to that, I did have 2 other autoimmune conditions, so I was advised to see one to investigate whether it was from my past conditions or new developing ones. In December, I contacted my neurologist because of the constant headaches and migraines and was put on a steroid antibiotics for 5 days that helped drastically improve the muscle stiffness. I saw my rheumatologist on 01/25/2022 who mentioned because of the steroid improving my condition, she diagnosed me with PMR and GCA and I was put on a higher dose of steroids for the next 30 days and for another bloodwork appointment to see my PMR and GCA numbers during the course of the steroid intake.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Giant cell arteritis, Headache, Insomnia, Mastication disorder
Clinical narrative: It started whenever I would get up from being in a sedentary position; every joint in my body ached. It took time for me to get up and I had to tread slowly until everything loosened up to be fully mobile. When I would go for walks, my shoulders would begin to hurt to where I would have to tuck my arms in so it wouldn't hurt. I couldn't reach for anything, and I had trouble sleeping. Even though I was on Botox treatment for migraines, I started waking up with headaches. My jaw would be painful to eat or take a bite of food to chew. The pain was mainly in the shoulders and arm and neck. This all began the first week of post-vaccination. I went to my PCP who completed bloodwork and indicated my autoimmune markers were out of range and referred me to a rheumatologist. Prior to that, I did have 2 other autoimmune conditions, so I was advised to see one to investigate whether it was from my past conditions or new developing ones. In December, I contacted my neurologist because of the constant headaches and migraines and was put on a steroid antibiotics for 5 days that helped drastically improve the muscle stiffness. I saw my rheumatologist on 01/25/2022 who mentioned because of the steroid improving my condition, she diagnosed me with PMR and GCA and I was put on a higher dose of steroids for the next 30 days and for another bloodwork appointment to see my PMR and GCA numbers during the course of the steroid intake.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Mobility decreased, Musculoskeletal stiffness, Neck pain, Pain
Clinical narrative: It started whenever I would get up from being in a sedentary position; every joint in my body ached. It took time for me to get up and I had to tread slowly until everything loosened up to be fully mobile. When I would go for walks, my shoulders would begin to hurt to where I would have to tuck my arms in so it wouldn't hurt. I couldn't reach for anything, and I had trouble sleeping. Even though I was on Botox treatment for migraines, I started waking up with headaches. My jaw would be painful to eat or take a bite of food to chew. The pain was mainly in the shoulders and arm and neck. This all began the first week of post-vaccination. I went to my PCP who completed bloodwork and indicated my autoimmune markers were out of range and referred me to a rheumatologist. Prior to that, I did have 2 other autoimmune conditions, so I was advised to see one to investigate whether it was from my past conditions or new developing ones. In December, I contacted my neurologist because of the constant headaches and migraines and was put on a steroid antibiotics for 5 days that helped drastically improve the muscle stiffness. I saw my rheumatologist on 01/25/2022 who mentioned because of the steroid improving my condition, she diagnosed me with PMR and GCA and I was put on a higher dose of steroids for the next 30 days and for another bloodwork appointment to see my PMR and GCA numbers during the course of the steroid intake.