chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Nucleic acid test, Respiratory syncytial virus test negative, SARS-CoV-2 test
Clinical narrative: This is a 75y.o. male with PMHx significant for Afib s/p AV nodal ablation, heart failure with preserved ejection fraction, hypertension, hyperlipidemia, BPH, arthritis and other comorbidities. Patient present to the ED with White's of left-sided hemiparesis with left-sided facial droop. Patient stated his visiting physician was at his home when he began developing left-sided hemiparesis and left-sided facial droop. The physician called EMS and the patient was transported to the hospital. Upon arrival patient's symptoms had resolved. During the encounter patient was neurologically intact. Patient was able tentatively move all extremities, and no facial droop was present. Patient noted he is expecting some shortness of breath with activity and intermittent chest pain. He denies any fever, chills, cough, nausea vomiting or diarrhea. Patient has received 2 doses of Covid vaccination, however no booster.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5 mls instead od 0.25mls
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node in rt axilla enlarged the day after vaccine.  No local reaction at the injectionsite.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Covid vaccine inadvertently given one day beyond use date (72 days refrigerated).  Physician aware and they notified parent.  Parents are not redosing at this time
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Feeling abnormal, Flatulence
Clinical narrative: Covid symptoms started on 01/13/2022 with mild upper respiratory symptoms, a little bit of a runny nose, post nasal drop, and that's about it. On the evening of 01/15/2022 I started having terrible gastrointestinal symptoms like painful gas, frequent diarrhea at least 2 times an hour. I had that all throughout Saturday night and into Sunday morning. I also had several episodes of vomiting. It was miserable. I ended up going to the ER on Sunday 01/16/2022 and they gave me an injection of Zofran and about a half a bag of fluids. It was a horrible patient care experience and I ended up leaving. I went home and basically rode it out and pretty much threw up everything. The next couple of days I was basically just sipping water and Gatorade and didn't have anything to eat. I did have applesauce on Tuesday morning but that's it. That persisted but I felt better and started eating normally on the 21st and then I was back to work on the 24th. I did have some lingering fatigue for the first 3 days back to work, but by 01/27/2022 I was close to 100% by then.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Nasopharyngitis, Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Covid symptoms started on 01/13/2022 with mild upper respiratory symptoms, a little bit of a runny nose, post nasal drop, and that's about it. On the evening of 01/15/2022 I started having terrible gastrointestinal symptoms like painful gas, frequent diarrhea at least 2 times an hour. I had that all throughout Saturday night and into Sunday morning. I also had several episodes of vomiting. It was miserable. I ended up going to the ER on Sunday 01/16/2022 and they gave me an injection of Zofran and about a half a bag of fluids. It was a horrible patient care experience and I ended up leaving. I went home and basically rode it out and pretty much threw up everything. The next couple of days I was basically just sipping water and Gatorade and didn't have anything to eat. I did have applesauce on Tuesday morning but that's it. That persisted but I felt better and started eating normally on the 21st and then I was back to work on the 24th. I did have some lingering fatigue for the first 3 days back to work, but by 01/27/2022 I was close to 100% by then.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome, Vomiting
Clinical narrative: Covid symptoms started on 01/13/2022 with mild upper respiratory symptoms, a little bit of a runny nose, post nasal drop, and that's about it. On the evening of 01/15/2022 I started having terrible gastrointestinal symptoms like painful gas, frequent diarrhea at least 2 times an hour. I had that all throughout Saturday night and into Sunday morning. I also had several episodes of vomiting. It was miserable. I ended up going to the ER on Sunday 01/16/2022 and they gave me an injection of Zofran and about a half a bag of fluids. It was a horrible patient care experience and I ended up leaving. I went home and basically rode it out and pretty much threw up everything. The next couple of days I was basically just sipping water and Gatorade and didn't have anything to eat. I did have applesauce on Tuesday morning but that's it. That persisted but I felt better and started eating normally on the 21st and then I was back to work on the 24th. I did have some lingering fatigue for the first 3 days back to work, but by 01/27/2022 I was close to 100% by then.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Feeling hot, Hyperhidrosis, Nausea
Clinical narrative: Patient received her booster dose to the Moderna vaccine. About 5 minutes after administration, reported nausea, dizziness, feeling hot, and sweating. This had not occurred before with other vaccines, or the first 2 doses to the Moderna Vaccine. Patient was sat down, given a cold bottle of water to drink, and a snack due to the patient not eating breakfast or lunch. Blood pressure, heart rate and blood sugars were checked and within normal limits. After about 15 more minutes, the patient felt better and visually looked better. A significant other arrived to take the patient home, and they were advised to follow-up with a doctor if additional symptoms/side effects occur.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Laboratory test normal, Pain
Clinical narrative: This is a 95y.o. female admitted through the emergency room with complaint of generalized fatigue, body aches and mild dry cough.  She was seen by her primary care physician, yesterday and tested positive for COVID-19.  History of 2 shot COVID vaccination without booster vaccine.  Compliant with home medication program. Feeling much better this morning.  No fever, chills.  No shortness of breath or cough.  Stable oxygenation status. Laboratory studies reviewed. COVID19 LABS   Lab Results Component Value Date   COVID19 Positive 01/12/2022   COVID19 Sofia2 01/12/2022   FLRA Negative 01/12/2022   FLRB Negative 01/12/2022   FLRR Not Detected 11/03/2021
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This is a 95y.o. female admitted through the emergency room with complaint of generalized fatigue, body aches and mild dry cough.  She was seen by her primary care physician, yesterday and tested positive for COVID-19.  History of 2 shot COVID vaccination without booster vaccine.  Compliant with home medication program. Feeling much better this morning.  No fever, chills.  No shortness of breath or cough.  Stable oxygenation status. Laboratory studies reviewed. COVID19 LABS   Lab Results Component Value Date   COVID19 Positive 01/12/2022   COVID19 Sofia2 01/12/2022   FLRA Negative 01/12/2022   FLRB Negative 01/12/2022   FLRR Not Detected 11/03/2021
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Within a few minutes of receiving the shot, the left side of my lower lip started to go numb.   I received the shot in my left arm.  I am allergic to bees and this is the reaction that I get when I get stung.  I started a regiment of Benadryl and Pepcid. the same as I do when stung with a bee.  I reached out to my physician the next morning.  He instructed me to continue with the regiment.  Each day the numbness did decrease.  Today is day 6 after my shot, and I only have an area smaller than a finger tip that is numb feeling in the middle of my lip.    I originally had the J & J shot in March 2021.  I had the same reaction, but it was gone within 18 hours.  The J & J shot was in my right arm and I had the reaction on the right side of my lower lip.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac index decreased, Dyspnoea, Ejection fraction decreased, Loss of personal independence in daily activities, Lung assist device therapy
Clinical narrative: Pt presented 1/25 with symptoms of shortness of breath x 1 day. Found to be in SVT with EF 15% CI 1.3 myocarditis of unclear etiology:  possibly tachycarrhythmia-mediated vs fulminant viral myocarditis vs sequelae of connective tissue disorder. Patient was previously working and active 1/23. Pt now requiring ecmo plan to transition to  LVAD/ RVAD.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Supraventricular tachycardia
Clinical narrative: Pt presented 1/25 with symptoms of shortness of breath x 1 day. Found to be in SVT with EF 15% CI 1.3 myocarditis of unclear etiology:  possibly tachycarrhythmia-mediated vs fulminant viral myocarditis vs sequelae of connective tissue disorder. Patient was previously working and active 1/23. Pt now requiring ecmo plan to transition to  LVAD/ RVAD.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Imaging procedure, Laboratory test, Lumbar puncture, Peroneal nerve palsy
Clinical narrative: Two weeks following the booster (above), had left foot drop.  The symptoms became worse over the next 10- 14 days and were similar to guillain-barre.  This resulted in several physician appointments, and emergency room visit with ambulance transfer to tertiary care center.  Inpatient hospitalization for 3 days.
Age: 12.0
Sex: M
Vaccine: COVID19, HPV9
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: 1) patient should not have received Moderna COVID 19 vaccine based on his age. He should have received Pfizer COVID 19 vaccine.  2) he developed sore arm the following day. This resolved within 24 hours.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Did not notify employer, posted on Facebook that she had heart palpitations and shortness of breath that started 16 hours after vaccination, but also stated that she had similar episodes two weeks prior to vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthritis, Ascites, Asymptomatic COVID-19, Deep vein thrombosis
Clinical narrative: Patient was admitted due to lower extremity weakness and redness with pain. Patient was diagnosed with right lower extremity DVT by his oncologist. During this hospitalization initially required heparin drip, then was placed on Eliquis. He tested positive to COVID-19 infection he remained asymptomatic on room air. He didn't require any steroids or oxygen use.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Muscular weakness, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted due to lower extremity weakness and redness with pain. Patient was diagnosed with right lower extremity DVT by his oncologist. During this hospitalization initially required heparin drip, then was placed on Eliquis. He tested positive to COVID-19 infection he remained asymptomatic on room air. He didn't require any steroids or oxygen use.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Blood test, Computerised tomogram, Surgery
Clinical narrative: Appendicitis began 28 hours later , had appendectomy
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Appendicitis began 28 hours later , had appendectomy
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena
Clinical narrative: Seizure-like activity occurred approximately 16 hours after the booster shot was given
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest X-ray, Diarrhoea, Full blood count, Lipase
Clinical narrative: Severe abdominal pain with nausea and vomiting with diarrhea
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Nausea, Vomiting
Clinical narrative: Severe abdominal pain with nausea and vomiting with diarrhea
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Interchange of vaccine products, Palpitations, Troponin normal
Clinical narrative: I was barely pregnant at the time, but didn't know it.  Due date is October 16, 2022.  I had a previous reaction to the Covid moderna vaccine in July 2021 with chest pain and heart palpitations for a week.  The day after I received the Janssen vaccine I woke up in the middle of the night with severe heart palpitations that felt life-threatening.  They woke me up multiple times that night and another night a couple of nights later.  I experienced more severe palpitations on and off during the days for 2 weeks following the vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Chest pain, Condition aggravated, Device difficult to use
Clinical narrative: 10:00am: Sudden onset severe chest pain, shortness of breath, diaphoretic, lightheaded. 911 called. On monitor Rapid Afib heart rate  of 220. Taken to ER by rescue squad. Difficulty inserting IV. On the way the ambulance hit a bumb  & rate decreased to 140's afib, chest pain , diaphoresis, shortness of breath, lightheadedness subsided. Evaluated in ER at Hospital by cardiologist, Released home in "stable afib",, doubled flecainaide dose, hoping it will convert to sinus rythm over the weekend. To see cardiologist in office Monday. Monday AM approx 9:30am, had another epidode of chest pain, light headedness, diaphoresis. Cardiologist Dr said to meet him at hospital for a Cardioversion. Still remained in persistant symptomatic atrial  fibrillation & was cardioverted on the 1st attempt under sedation, and was released from hospital in normal sinus rythm. Was told to stop taking flecainaide.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram normal, Hyperhidrosis, Magnetic resonance imaging heart
Clinical narrative: 10:00am: Sudden onset severe chest pain, shortness of breath, diaphoretic, lightheaded. 911 called. On monitor Rapid Afib heart rate  of 220. Taken to ER by rescue squad. Difficulty inserting IV. On the way the ambulance hit a bumb  & rate decreased to 140's afib, chest pain , diaphoresis, shortness of breath, lightheadedness subsided. Evaluated in ER at Hospital by cardiologist, Released home in "stable afib",, doubled flecainaide dose, hoping it will convert to sinus rythm over the weekend. To see cardiologist in office Monday. Monday AM approx 9:30am, had another epidode of chest pain, light headedness, diaphoresis. Cardiologist Dr said to meet him at hospital for a Cardioversion. Still remained in persistant symptomatic atrial  fibrillation & was cardioverted on the 1st attempt under sedation, and was released from hospital in normal sinus rythm. Was told to stop taking flecainaide.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Covid vaccine x 3.  Tested positive for Covid on 02/11/22. Admitted to Hospital on 02/10/2022. Expired on 02/14/2022 while still hospitalized.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Atrial fibrillation, COVID-19, COVID-19 pneumonia
Clinical narrative: "The patient is a 79 y.o. female who presented with SOA.  She has had increased dyspnea and fatigue for the past few days.  Tested positive for COVID yesterday.  Has had subjective fevers at home.  Not eating or drinking much.  No chest pain.  On 2L NC here, no home O2."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute hypoxemic respiratory failure due to COVID-19 Description of the Problem/Progression:  Plan: o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 and transitioned IV Decadron to PO. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Patient continues with hypoxia requiring 2 L of oxygen by nasal cannula. Wean off oxygen as tolerated. IV antibiotics empirically for possible bacterial pneumonia. Sputum culture ordered. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Follow up outpatient with PCP. Ambulatory care manager referral given. o Hypokalemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral K replacement until normalized. o Oral thrush. Nystatin Swish and swallow. Chloraseptic.  o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o Paroxysmal atrial fibrillation. Continue to monitor on telemetry. Remains controlled. Continue home medications regimen including oral anticoagulation.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Fluid intake reduced, Hypertension
Clinical narrative: "The patient is a 79 y.o. female who presented with SOA.  She has had increased dyspnea and fatigue for the past few days.  Tested positive for COVID yesterday.  Has had subjective fevers at home.  Not eating or drinking much.  No chest pain.  On 2L NC here, no home O2."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute hypoxemic respiratory failure due to COVID-19 Description of the Problem/Progression:  Plan: o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 and transitioned IV Decadron to PO. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Patient continues with hypoxia requiring 2 L of oxygen by nasal cannula. Wean off oxygen as tolerated. IV antibiotics empirically for possible bacterial pneumonia. Sputum culture ordered. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Follow up outpatient with PCP. Ambulatory care manager referral given. o Hypokalemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral K replacement until normalized. o Oral thrush. Nystatin Swish and swallow. Chloraseptic.  o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o Paroxysmal atrial fibrillation. Continue to monitor on telemetry. Remains controlled. Continue home medications regimen including oral anticoagulation.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Oral candidiasis, Pneumonia bacterial, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: "The patient is a 79 y.o. female who presented with SOA.  She has had increased dyspnea and fatigue for the past few days.  Tested positive for COVID yesterday.  Has had subjective fevers at home.  Not eating or drinking much.  No chest pain.  On 2L NC here, no home O2."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute hypoxemic respiratory failure due to COVID-19 Description of the Problem/Progression:  Plan: o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 and transitioned IV Decadron to PO. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Patient continues with hypoxia requiring 2 L of oxygen by nasal cannula. Wean off oxygen as tolerated. IV antibiotics empirically for possible bacterial pneumonia. Sputum culture ordered. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Follow up outpatient with PCP. Ambulatory care manager referral given. o Hypokalemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral K replacement until normalized. o Oral thrush. Nystatin Swish and swallow. Chloraseptic.  o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o Paroxysmal atrial fibrillation. Continue to monitor on telemetry. Remains controlled. Continue home medications regimen including oral anticoagulation.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: severe welting hives all over my body and face. The hives were extremely itchy and unbearable. They would resolve with Benadryl but then return once the Benadryl wore off. This lasted for multiple days until I was finally able to make it to see an allergist. as per allargist most likely a reaction to the covid booster I received 12 days prior to the start of the hives. as of 2/14/22 still being treated for the hives and I'm feeling much better but still developing them from time to time.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: extreme hives, itching, all over the body, including torso, front and back, extremities. Dr. prescribed prednisone 20 mg for 1 week, with a tapering by the 7th day along with liquid certrizine 10 ml twice a day. This dx and treatment was made on Dec 30, 2021 and the patient is still taking 10 ml of certrizine at least once a day.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Headache, Immediate post-injection reaction, Nausea, Pruritus
Clinical narrative: I got the  vaccination shot I started to itch all over and severe headache develop with nausea and could not hold down any food,  the next day I went to the ER where I received IV fluids, I was discharged they suggested Benadryl and prescribed medicine for nausea.  The ER physician encouraged me to get second dose ,  I received second dose two weeks later,  I began to itch all over immediately and a rash developed right after the 15 minute waiting period.  While driving my face began to swell, my eyes swelled closing them and impairing my vision went back the ER no treatment at that time because the situation did not worsen.   A week later I went to a ( Urgent Care )  they prescribed me cream for the rash, three days after I reported to my primary care physician for three visits the swelling remained for over month,  these symptoms did not subside until mid- August.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face, Visual impairment, Vomiting
Clinical narrative: I got the  vaccination shot I started to itch all over and severe headache develop with nausea and could not hold down any food,  the next day I went to the ER where I received IV fluids, I was discharged they suggested Benadryl and prescribed medicine for nausea.  The ER physician encouraged me to get second dose ,  I received second dose two weeks later,  I began to itch all over immediately and a rash developed right after the 15 minute waiting period.  While driving my face began to swell, my eyes swelled closing them and impairing my vision went back the ER no treatment at that time because the situation did not worsen.   A week later I went to a ( Urgent Care )  they prescribed me cream for the rash, three days after I reported to my primary care physician for three visits the swelling remained for over month,  these symptoms did not subside until mid- August.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Blood urine present, Influenza A virus test negative, Influenza B virus test, Mental impairment
Clinical narrative: Altered Mental Status      per family he has been acting altered the past couple days.      HPI Patient is an 89-year-old male with a past medical history of COPD, CKD, CHF, CAD, dementia, diabetes, hypertension and cardiomyopathy who presents for altered mental status. Family reports that the patient has been having a lot of blood in his urine and over the past couple days his mental status has been progressively decreasing. Over the past 1-2 hours his mental status has decreased even further. He is typically alert and can tell you his name, date of birth and location. History is limited at this time due to patient's history of dementia and current altered mental status, however he is complaining any pain, fevers, nausea at this time.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Nausea, Nucleic acid test, Pain, Pyrexia
Clinical narrative: Altered Mental Status      per family he has been acting altered the past couple days.      HPI Patient is an 89-year-old male with a past medical history of COPD, CKD, CHF, CAD, dementia, diabetes, hypertension and cardiomyopathy who presents for altered mental status. Family reports that the patient has been having a lot of blood in his urine and over the past couple days his mental status has been progressively decreasing. Over the past 1-2 hours his mental status has decreased even further. He is typically alert and can tell you his name, date of birth and location. History is limited at this time due to patient's history of dementia and current altered mental status, however he is complaining any pain, fevers, nausea at this time.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Altered Mental Status      per family he has been acting altered the past couple days.      HPI Patient is an 89-year-old male with a past medical history of COPD, CKD, CHF, CAD, dementia, diabetes, hypertension and cardiomyopathy who presents for altered mental status. Family reports that the patient has been having a lot of blood in his urine and over the past couple days his mental status has been progressively decreasing. Over the past 1-2 hours his mental status has decreased even further. He is typically alert and can tell you his name, date of birth and location. History is limited at this time due to patient's history of dementia and current altered mental status, however he is complaining any pain, fevers, nausea at this time.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Tenderness, Ultrasound scan
Clinical narrative: The glands in my neck swelled on the left side and were very tender. They lasted for about a month. I was going to have a sonogram of the neck but by the time the appointment they went away.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropod sting, COVID-19, Cough, Erythema, Fatigue
Clinical narrative: After receiving the vaccine my left arm was sore. When I tried lifting my arm it was sore and felt weak or stiff. The gland in my armpit was sore and had bumped up. The more I tried using the arm it started to get better. By the end of the day I could ease my arm up and use it. The soreness was gone by the next day. I started to get a rash around April. I had red bumps that itch around my lower legs, eyes, and possibly my arms too. I got a prescription for it. It never went completely away around my inner knee. Around August and September the rash had came back even worse on my lower legs and arms, but it was not on my face. It was really red, bumpy, and itchy. I tried anti-itch creams , Benadryl, alcohol, and other stuff to try to help it. I tried some hand sanitizer that had CBD oil in it and that helped the most. I was prescribed Prednisone 20mg on September 9th for a 7 day supply. I also had a prescription for something else similar to Benadryl as well. I was also prescribed azithromycin 250mg tablets on  September 10th  for 5 days. Then I had caught covid in November. I had a persistent bad cough  with no phlegm just a lot of coughing. I could cough for about 5 minutes straight when I went into a coughing spell.  That only happened twice. I was taking cough drops as well. I also had a sore throat. I took Augmentin for that. I also had fatigue, and I still have that now. I also have a hard time staying awake. I also wasn't allergic to bee stings before but then I got stung on  October 5th 2021 and then I became allergic to bees. My arm was extremely swelled up and red. It hurt where the sting was. My skin was hot to the touch. I got stung in both arms so both arms were like that. It lasted a couple of days so I went to the ER. They gave me medicine and it cleared up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Lymph node pain, Lymphadenopathy, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: After receiving the vaccine my left arm was sore. When I tried lifting my arm it was sore and felt weak or stiff. The gland in my armpit was sore and had bumped up. The more I tried using the arm it started to get better. By the end of the day I could ease my arm up and use it. The soreness was gone by the next day. I started to get a rash around April. I had red bumps that itch around my lower legs, eyes, and possibly my arms too. I got a prescription for it. It never went completely away around my inner knee. Around August and September the rash had came back even worse on my lower legs and arms, but it was not on my face. It was really red, bumpy, and itchy. I tried anti-itch creams , Benadryl, alcohol, and other stuff to try to help it. I tried some hand sanitizer that had CBD oil in it and that helped the most. I was prescribed Prednisone 20mg on September 9th for a 7 day supply. I also had a prescription for something else similar to Benadryl as well. I was also prescribed azithromycin 250mg tablets on  September 10th  for 5 days. Then I had caught covid in November. I had a persistent bad cough  with no phlegm just a lot of coughing. I could cough for about 5 minutes straight when I went into a coughing spell.  That only happened twice. I was taking cough drops as well. I also had a sore throat. I took Augmentin for that. I also had fatigue, and I still have that now. I also have a hard time staying awake. I also wasn't allergic to bee stings before but then I got stung on  October 5th 2021 and then I became allergic to bees. My arm was extremely swelled up and red. It hurt where the sting was. My skin was hot to the touch. I got stung in both arms so both arms were like that. It lasted a couple of days so I went to the ER. They gave me medicine and it cleared up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: After receiving the vaccine my left arm was sore. When I tried lifting my arm it was sore and felt weak or stiff. The gland in my armpit was sore and had bumped up. The more I tried using the arm it started to get better. By the end of the day I could ease my arm up and use it. The soreness was gone by the next day. I started to get a rash around April. I had red bumps that itch around my lower legs, eyes, and possibly my arms too. I got a prescription for it. It never went completely away around my inner knee. Around August and September the rash had came back even worse on my lower legs and arms, but it was not on my face. It was really red, bumpy, and itchy. I tried anti-itch creams , Benadryl, alcohol, and other stuff to try to help it. I tried some hand sanitizer that had CBD oil in it and that helped the most. I was prescribed Prednisone 20mg on September 9th for a 7 day supply. I also had a prescription for something else similar to Benadryl as well. I was also prescribed azithromycin 250mg tablets on  September 10th  for 5 days. Then I had caught covid in November. I had a persistent bad cough  with no phlegm just a lot of coughing. I could cough for about 5 minutes straight when I went into a coughing spell.  That only happened twice. I was taking cough drops as well. I also had a sore throat. I took Augmentin for that. I also had fatigue, and I still have that now. I also have a hard time staying awake. I also wasn't allergic to bee stings before but then I got stung on  October 5th 2021 and then I became allergic to bees. My arm was extremely swelled up and red. It hurt where the sting was. My skin was hot to the touch. I got stung in both arms so both arms were like that. It lasted a couple of days so I went to the ER. They gave me medicine and it cleared up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic, SARS-CoV-2 test positive, Skin warm
Clinical narrative: After receiving the vaccine my left arm was sore. When I tried lifting my arm it was sore and felt weak or stiff. The gland in my armpit was sore and had bumped up. The more I tried using the arm it started to get better. By the end of the day I could ease my arm up and use it. The soreness was gone by the next day. I started to get a rash around April. I had red bumps that itch around my lower legs, eyes, and possibly my arms too. I got a prescription for it. It never went completely away around my inner knee. Around August and September the rash had came back even worse on my lower legs and arms, but it was not on my face. It was really red, bumpy, and itchy. I tried anti-itch creams , Benadryl, alcohol, and other stuff to try to help it. I tried some hand sanitizer that had CBD oil in it and that helped the most. I was prescribed Prednisone 20mg on September 9th for a 7 day supply. I also had a prescription for something else similar to Benadryl as well. I was also prescribed azithromycin 250mg tablets on  September 10th  for 5 days. Then I had caught covid in November. I had a persistent bad cough  with no phlegm just a lot of coughing. I could cough for about 5 minutes straight when I went into a coughing spell.  That only happened twice. I was taking cough drops as well. I also had a sore throat. I took Augmentin for that. I also had fatigue, and I still have that now. I also have a hard time staying awake. I also wasn't allergic to bee stings before but then I got stung on  October 5th 2021 and then I became allergic to bees. My arm was extremely swelled up and red. It hurt where the sting was. My skin was hot to the touch. I got stung in both arms so both arms were like that. It lasted a couple of days so I went to the ER. They gave me medicine and it cleared up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: After receiving the vaccine my left arm was sore. When I tried lifting my arm it was sore and felt weak or stiff. The gland in my armpit was sore and had bumped up. The more I tried using the arm it started to get better. By the end of the day I could ease my arm up and use it. The soreness was gone by the next day. I started to get a rash around April. I had red bumps that itch around my lower legs, eyes, and possibly my arms too. I got a prescription for it. It never went completely away around my inner knee. Around August and September the rash had came back even worse on my lower legs and arms, but it was not on my face. It was really red, bumpy, and itchy. I tried anti-itch creams , Benadryl, alcohol, and other stuff to try to help it. I tried some hand sanitizer that had CBD oil in it and that helped the most. I was prescribed Prednisone 20mg on September 9th for a 7 day supply. I also had a prescription for something else similar to Benadryl as well. I was also prescribed azithromycin 250mg tablets on  September 10th  for 5 days. Then I had caught covid in November. I had a persistent bad cough  with no phlegm just a lot of coughing. I could cough for about 5 minutes straight when I went into a coughing spell.  That only happened twice. I was taking cough drops as well. I also had a sore throat. I took Augmentin for that. I also had fatigue, and I still have that now. I also have a hard time staying awake. I also wasn't allergic to bee stings before but then I got stung on  October 5th 2021 and then I became allergic to bees. My arm was extremely swelled up and red. It hurt where the sting was. My skin was hot to the touch. I got stung in both arms so both arms were like that. It lasted a couple of days so I went to the ER. They gave me medicine and it cleared up.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Full blood count normal, Lymphadenopathy, Metabolic function test normal, Vertigo
Clinical narrative: weak, mild vertigo. LAN
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, SARS-CoV-2 test positive
Clinical narrative: Undergoing experimental treatment at local Clinic. Tested positive for COVID-19 on the 8th of February, qualify for monoclonal antibody therapy, received monoclonal antibody therapy this morning. Began to develop chills at the time of infusion, and subsequently completed the infusion.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Condition aggravated, Electrocardiogram, Hypertension
Clinical narrative: Following injection patient developed heart arrhythmia, and severely worsened hypertension
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: recent diagnosis of COVID pneumonia on 1/30/22 in the setting of increasing fatigue, sore throat, cough, wheezing, shortness of breath, abdominal pain, and generalized weakness. She was hospitalized from 1/30 - 2/06/22 in the setting of her pneumonia and was discharged home with new oxygen requirements. Patient states that she normally does not use oxygen at home, but has been using 1L of supplemental oxygen since her COVID diagnosis. She endorses an ongoing cough, wheezing, and shortness of breath but has otherwise been back to her normal state of health.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Wheezing
Clinical narrative: recent diagnosis of COVID pneumonia on 1/30/22 in the setting of increasing fatigue, sore throat, cough, wheezing, shortness of breath, abdominal pain, and generalized weakness. She was hospitalized from 1/30 - 2/06/22 in the setting of her pneumonia and was discharged home with new oxygen requirements. Patient states that she normally does not use oxygen at home, but has been using 1L of supplemental oxygen since her COVID diagnosis. She endorses an ongoing cough, wheezing, and shortness of breath but has otherwise been back to her normal state of health.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Deep vein thrombosis
Clinical narrative: Has second bout of covid infection, after 5-week hospitalization for covid pneumonia with PE/DVTs, 11 & 12/2021.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Hypotension, Hypoxia, Malaise
Clinical narrative: Has second bout of covid infection, after 5-week hospitalization for covid pneumonia with PE/DVTs, 11 & 12/2021.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Tachycardia
Clinical narrative: Has second bout of covid infection, after 5-week hospitalization for covid pneumonia with PE/DVTs, 11 & 12/2021.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Dyspnoea, Hypoxia
Clinical narrative: This is a 73y.o. male who presents to a local HCF ER due to shortness of breath.  He reports that he had recently been treated for pneumonia, and had tested negative for COVID-19 at that time.  He completed his antibiotics, but felt no improvement in his breathing.  In the emergency department he was found to be hypoxic.  COVID-19 testing was positive.  The patient was also noted to have an elevated troponin level.  He was placed on BiPAP for respiratory support.  He was noted to be in atrial fibrillation with rapid ventricular response.  He has been started on IV heparin and has required amiodarone loading, which is in progress, for persistent atrial fibrillation with rapid ventricular response and borderline blood pressures.  Cardiology has already evaluated him and infectious disease has also been consulted.  At the time of my evaluation the patient was a somewhat limited historian due to the BiPAP, but he reports his breathing is improved I am of his admission largely due to to the reduced work of breathing from the BiPAP. still in critical care at this time- he has been here 30 days
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Intensive care, Pneumonia, Positive airway pressure therapy
Clinical narrative: This is a 73y.o. male who presents to a local HCF ER due to shortness of breath.  He reports that he had recently been treated for pneumonia, and had tested negative for COVID-19 at that time.  He completed his antibiotics, but felt no improvement in his breathing.  In the emergency department he was found to be hypoxic.  COVID-19 testing was positive.  The patient was also noted to have an elevated troponin level.  He was placed on BiPAP for respiratory support.  He was noted to be in atrial fibrillation with rapid ventricular response.  He has been started on IV heparin and has required amiodarone loading, which is in progress, for persistent atrial fibrillation with rapid ventricular response and borderline blood pressures.  Cardiology has already evaluated him and infectious disease has also been consulted.  At the time of my evaluation the patient was a somewhat limited historian due to the BiPAP, but he reports his breathing is improved I am of his admission largely due to to the reduced work of breathing from the BiPAP. still in critical care at this time- he has been here 30 days
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: This is a 73y.o. male who presents to a local HCF ER due to shortness of breath.  He reports that he had recently been treated for pneumonia, and had tested negative for COVID-19 at that time.  He completed his antibiotics, but felt no improvement in his breathing.  In the emergency department he was found to be hypoxic.  COVID-19 testing was positive.  The patient was also noted to have an elevated troponin level.  He was placed on BiPAP for respiratory support.  He was noted to be in atrial fibrillation with rapid ventricular response.  He has been started on IV heparin and has required amiodarone loading, which is in progress, for persistent atrial fibrillation with rapid ventricular response and borderline blood pressures.  Cardiology has already evaluated him and infectious disease has also been consulted.  At the time of my evaluation the patient was a somewhat limited historian due to the BiPAP, but he reports his breathing is improved I am of his admission largely due to to the reduced work of breathing from the BiPAP. still in critical care at this time- he has been here 30 days
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fall, Neurological examination normal, SARS-CoV-2 test positive
Clinical narrative: fell yesterday while making cookies  On exam she is neurologically intact. She is also COVID positive.
Age: 42.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Expired product administered
Clinical narrative: injected with an expired Moderna vial
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Dyspnoea, Productive cough
Clinical narrative: female calling regarding Cough. was diagnosed with COVID on January 26th. increasing shortness of breath over the last few days with new onset chest tightness this morning. Chest tightness non-radiating, described as a band around her lower chest. Associated productive cough, with clear coloured sputum, 3lb weight gain, low grade fevers and chills over last few days.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Weight increased
Clinical narrative: female calling regarding Cough. was diagnosed with COVID on January 26th. increasing shortness of breath over the last few days with new onset chest tightness this morning. Chest tightness non-radiating, described as a band around her lower chest. Associated productive cough, with clear coloured sputum, 3lb weight gain, low grade fevers and chills over last few days.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: He presented with one week of progressive symptoms of generalized weakness and shortness of breath. COVID-19 testing was positive.  Patient is vaccinated and boosted for COVID-19.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac stress test normal, Cardiac telemetry normal, Chest X-ray normal, Dyspnoea
Clinical narrative: The patient is a 72 y.o. male who presented with dyspnea on exertion.  Pt c/o severe breathlessness with minimal exertion that started 2-3 days ago.  He denies dyspnea at rest.  Denies CP.  No fevers or cough.  Has history of CAD.  Was found to be COVID positive.  No hypoxia and no infiltrates on CXR.  He is vaccinated.  "   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.      * Dyspnea on exertion o Dyspnea on exertion with concern about possible angina equivalent. He is Covid positive and fully vaccinated. No IV Remdesivir or steroids initiated on admission. Chest x-ray showed no focal consolidation. Patient reported feeling better following admission with progressive resolution of his shortness of breath. His serial cardiac enzymes remained negative ruling out acute coronary syndrome. Telemetry was uneventful. Echocardiogram was done showing normal ejection fraction. Myoview cardiac stress test was done showing normal study. With patient's symptoms gradually resolving and the absence of chest pain patient was discharged home to follow up on outpatient basis. o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o Foot wound. Followed outpatient. Currently on doxycycline. Continue course as prescribed.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Echocardiogram normal, Ejection fraction normal, Limb injury, Myocardial necrosis marker normal
Clinical narrative: The patient is a 72 y.o. male who presented with dyspnea on exertion.  Pt c/o severe breathlessness with minimal exertion that started 2-3 days ago.  He denies dyspnea at rest.  Denies CP.  No fevers or cough.  Has history of CAD.  Was found to be COVID positive.  No hypoxia and no infiltrates on CXR.  He is vaccinated.  "   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.      * Dyspnea on exertion o Dyspnea on exertion with concern about possible angina equivalent. He is Covid positive and fully vaccinated. No IV Remdesivir or steroids initiated on admission. Chest x-ray showed no focal consolidation. Patient reported feeling better following admission with progressive resolution of his shortness of breath. His serial cardiac enzymes remained negative ruling out acute coronary syndrome. Telemetry was uneventful. Echocardiogram was done showing normal ejection fraction. Myoview cardiac stress test was done showing normal study. With patient's symptoms gradually resolving and the absence of chest pain patient was discharged home to follow up on outpatient basis. o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o Foot wound. Followed outpatient. Currently on doxycycline. Continue course as prescribed.