chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anxiety, COVID-19, Cough, Malaise, Pyrexia
Clinical narrative: Early on in week I had major unexplained anxiety. Began not feeling well on 12/15 and was running fever. 12/16 took at home COVID-19 test and it was negative. Went to winter cabin. Began having severe congestion and coughing. Spent entire weekend in bed. Monday returned home from cabin and I was feeling better but two people that were with us were experiencing cough and fatigue. When I arrived home I tested again for COVID-19 and was positive. I went to a run test and treat facility. Tested positive again and was prescribed PAXLOVID. Symptoms are still present much much milder than in the beginning.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Early on in week I had major unexplained anxiety. Began not feeling well on 12/15 and was running fever. 12/16 took at home COVID-19 test and it was negative. Went to winter cabin. Began having severe congestion and coughing. Spent entire weekend in bed. Monday returned home from cabin and I was feeling better but two people that were with us were experiencing cough and fatigue. When I arrived home I tested again for COVID-19 and was positive. I went to a run test and treat facility. Tested positive again and was prescribed PAXLOVID. Symptoms are still present much much milder than in the beginning.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Chest pain
Clinical narrative: Chest pains stable, angina
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Anosmia, COVID-19, Chills, Cough, Diarrhoea
Clinical narrative: 12/01/2022, on Thursday evening, I had had sniffles and was sneezing and coughing quite a bit, that night I had chills, headache and I just went to bed. A week before I tested for COVID-19, and it was negative. I tested 2 days later, 12/03/2022 and the result was positive. Severe exhaustion and the next day I was in bed all day and coughing like crazy. I called the nurse line and they prescribed PAXLOVID. I picked up the PAXLOVID on Sunday 12/04/2022 and took the first dose in the late morning and I started feeling better within an hour or two of taking the first dose. I was feeling quite a bit better by the fifth day. I was still coughing and feeling crummy for at least another 5 days or so. The PAXLOVID had a metallic taste, lost my sense of smell and I am getting it better, I was told that loss of smell was a side effect of PAXLOVID. I also had diarrhea which was a side effect of the PAXLOVID. The metallic taste and the diarrhea went away when I completed taking the PAXLOVID. And my sense of smell is coming back.
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Feeling abnormal, Headache, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: 12/01/2022, on Thursday evening, I had had sniffles and was sneezing and coughing quite a bit, that night I had chills, headache and I just went to bed. A week before I tested for COVID-19, and it was negative. I tested 2 days later, 12/03/2022 and the result was positive. Severe exhaustion and the next day I was in bed all day and coughing like crazy. I called the nurse line and they prescribed PAXLOVID. I picked up the PAXLOVID on Sunday 12/04/2022 and took the first dose in the late morning and I started feeling better within an hour or two of taking the first dose. I was feeling quite a bit better by the fifth day. I was still coughing and feeling crummy for at least another 5 days or so. The PAXLOVID had a metallic taste, lost my sense of smell and I am getting it better, I was told that loss of smell was a side effect of PAXLOVID. I also had diarrhea which was a side effect of the PAXLOVID. The metallic taste and the diarrhea went away when I completed taking the PAXLOVID. And my sense of smell is coming back.
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: During an appointment with a different focus, patient informed staff that she had never received 3rd dose of HPV vaccine. Vaccine was administered, and after vaccine had already been given, it was determined based on previous records that the patient had already received the 3rd dose of this vaccine.
Age: 58.0
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Administered expired vaccine product
Age: 19.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Dizziness, Eye movement disorder, Posture abnormal, Seizure, Tremor
Clinical narrative: She said she felt faint, we had her sit down, take off her jacket and drink water. She slumped over, eyes rolled back and started shaking. It appeared she had a seizure. Called 911. Laid her down on the floor and she was responsive and talking in a couple of minutes. BP and blood ox was normal when EMTs arrived. Pt refused trip to hospital.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Immunization Transactions & Services that this dose of monovalent vaccine was no longer recommended.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Tinnitus
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Electroencephalogram abnormal, SARS-CoV-2 test positive, Seizure
Clinical narrative: p/t diagnosed with covid 11/2022 after completing primary series @ a local  Vaccine Clinic .  received pfizer booster 4/2021 @ the local DOH. +covid11/2022; suffering seizures 12/6/2022. Hospitalized from 12/6-12/15/2022.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Cough, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: Hospitalized 1/7/22-1/12/22 Abdominal swelling, SOB, hypoxia, fatigue, cough, decreased appetite, PNA, UTI
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pneumonia, Urinary tract infection
Clinical narrative: Hospitalized 1/7/22-1/12/22 Abdominal swelling, SOB, hypoxia, fatigue, cough, decreased appetite, PNA, UTI
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified by local Registry of Immunization Transactions that this dose of monovalent vaccine was no longer recommended by FDA.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Poor quality product administered, Product storage error
Clinical narrative: Patient received the vaccine approx 23 hours after vial puncture. Vial was kept in the fridge after puncture. I contacted Moderna who verified the vaccine efficacy was maintained due to refrigeration, however, due to no preservatives in the vial, sterility may be compromised after 12 hours from puncture. This would increase risk for microbial contamination in the vial.  Vaccine was administered 12/20/22.  Pt was notified of error on 12/23/22. Pt aware the vaccine was viable , but risk of microbial contamination. Patient denied any signs or symptoms of infection at the injection site.  Pt advised to contact the doctor is she experiences any signs or symptoms of infection.   Pt verbalized understanding.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Mobility decreased, Neck pain
Clinical narrative: I received the second dose of the Moderna COVID-19 vaccine sometime in the morning of 5/15/2021. By the afternoon, I started having soreness in the arm where I received the vaccine, and it spread to the neck and shoulder area. By the morning of 5/16/2021, I was having a lot of pain and fatigue. I had trouble raising my left arm, and I had numbness in the left arm and shooting pains that started in the neck and extended down to the left arm. I couldn't lie on my left side or apply pressure to my neck, left shoulder, and left arm. I continued to have these symptoms for about a week before I contacted my doctor's office, and I was told that my symptoms sounded like a possible side effect of the vaccine. I used TYLENOL and topical lidocaine to treat the pain, plus I applied a heating pad to the affected area. They helped temporarily with the pain, but they didn't do anything to help the numbness or the inability to raise my arm. The symptoms continued for about a week or so longer and gradually got better. After getting the second dose of the Moderna vaccine and experiencing the aforementioned symptoms, it took me about 2 weeks or more to get back to my baseline.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: I received the second dose of the Moderna COVID-19 vaccine sometime in the morning of 5/15/2021. By the afternoon, I started having soreness in the arm where I received the vaccine, and it spread to the neck and shoulder area. By the morning of 5/16/2021, I was having a lot of pain and fatigue. I had trouble raising my left arm, and I had numbness in the left arm and shooting pains that started in the neck and extended down to the left arm. I couldn't lie on my left side or apply pressure to my neck, left shoulder, and left arm. I continued to have these symptoms for about a week before I contacted my doctor's office, and I was told that my symptoms sounded like a possible side effect of the vaccine. I used TYLENOL and topical lidocaine to treat the pain, plus I applied a heating pad to the affected area. They helped temporarily with the pain, but they didn't do anything to help the numbness or the inability to raise my arm. The symptoms continued for about a week or so longer and gradually got better. After getting the second dose of the Moderna vaccine and experiencing the aforementioned symptoms, it took me about 2 weeks or more to get back to my baseline.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I was positive for Covid-19 I had a headache; sore throat and runny nose.
Age: 40.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Feeling abnormal, Malaise, Nasopharyngitis
Clinical narrative: On 11/23/22 I was feeling ill, I took a home COVID-19 test that came negative. I started to feel better by 11/25/22, then on 11/27/22 I started to feel bad again. I had a runny nose, foggy brain, little to no cough. I took a home COVID-19 test that came back positive. I called the nurse line from my insurance and had a telehealth visit and was prescribed PAXLOVID. I was able to start that immediately. I was testing negative by 12/02/22. It felt like I had a mild cold.
Age: 40.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 11/23/22 I was feeling ill, I took a home COVID-19 test that came negative. I started to feel better by 11/25/22, then on 11/27/22 I started to feel bad again. I had a runny nose, foggy brain, little to no cough. I took a home COVID-19 test that came back positive. I called the nurse line from my insurance and had a telehealth visit and was prescribed PAXLOVID. I was able to start that immediately. I was testing negative by 12/02/22. It felt like I had a mild cold.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, C-reactive protein increased, COVID-19, Chest X-ray normal
Clinical narrative: Patient is a 81 y.o. male patient of MD.   Patient states he hasn't been feeling well past few days. He was positive for covid on home test 11/8. Discussed with family member and she reports he has had several falls at home over the past 2 weeks. No known injuries occurred. Troponin elevated on admission, pt denies CP or anginal equivalent.    Hospital course as below.  Patient improved medical treatment.  Patient was discharged to SNF in stable condition.  1. COVID, +11/8, symptoms roughly 11/6: -CXR no PNA -on RA, no indication for remdesivir or decadron currently -heparin DVT prophylaxis -crp somewhat elevated   2. Generalized weakness, recurrent falls: -secondary to above -PT/OT -SW for dc needs   3. Elevated troponin: -cardio consulted, likely type II in setting of COVID and AKI -pt denies CP -troponin max 128 -EKG no acute ischemic changes, ACS ruled out -11/9 ECHO EF 46%, grade 1 diastolic dysfunction (no prior in chart to compare to) -consideration for stress test outpatient    4. Dementia: -cont home meds -delirium precautions   5. AKI on CKD: -neph following -renal US WNL -IVF -hold home ACE and HCTZ   6. Other chronic medical conditions: anxiety, T2DM, HTN, HLD, CKD
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Diastolic dysfunction, Echocardiogram abnormal, Ejection fraction, Electrocardiogram normal, Fall
Clinical narrative: Patient is a 81 y.o. male patient of MD.   Patient states he hasn't been feeling well past few days. He was positive for covid on home test 11/8. Discussed with family member and she reports he has had several falls at home over the past 2 weeks. No known injuries occurred. Troponin elevated on admission, pt denies CP or anginal equivalent.    Hospital course as below.  Patient improved medical treatment.  Patient was discharged to SNF in stable condition.  1. COVID, +11/8, symptoms roughly 11/6: -CXR no PNA -on RA, no indication for remdesivir or decadron currently -heparin DVT prophylaxis -crp somewhat elevated   2. Generalized weakness, recurrent falls: -secondary to above -PT/OT -SW for dc needs   3. Elevated troponin: -cardio consulted, likely type II in setting of COVID and AKI -pt denies CP -troponin max 128 -EKG no acute ischemic changes, ACS ruled out -11/9 ECHO EF 46%, grade 1 diastolic dysfunction (no prior in chart to compare to) -consideration for stress test outpatient    4. Dementia: -cont home meds -delirium precautions   5. AKI on CKD: -neph following -renal US WNL -IVF -hold home ACE and HCTZ   6. Other chronic medical conditions: anxiety, T2DM, HTN, HLD, CKD
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive, Troponin increased, Ultrasound kidney normal
Clinical narrative: Patient is a 81 y.o. male patient of MD.   Patient states he hasn't been feeling well past few days. He was positive for covid on home test 11/8. Discussed with family member and she reports he has had several falls at home over the past 2 weeks. No known injuries occurred. Troponin elevated on admission, pt denies CP or anginal equivalent.    Hospital course as below.  Patient improved medical treatment.  Patient was discharged to SNF in stable condition.  1. COVID, +11/8, symptoms roughly 11/6: -CXR no PNA -on RA, no indication for remdesivir or decadron currently -heparin DVT prophylaxis -crp somewhat elevated   2. Generalized weakness, recurrent falls: -secondary to above -PT/OT -SW for dc needs   3. Elevated troponin: -cardio consulted, likely type II in setting of COVID and AKI -pt denies CP -troponin max 128 -EKG no acute ischemic changes, ACS ruled out -11/9 ECHO EF 46%, grade 1 diastolic dysfunction (no prior in chart to compare to) -consideration for stress test outpatient    4. Dementia: -cont home meds -delirium precautions   5. AKI on CKD: -neph following -renal US WNL -IVF -hold home ACE and HCTZ   6. Other chronic medical conditions: anxiety, T2DM, HTN, HLD, CKD
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray, Chest discomfort, Computerised tomogram, Condition aggravated
Clinical narrative: Sudden difficulty breathing. Heaviness and tightness in chest followed by an exacerbation of CHF that led to hospitalizations.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Full blood count, Metabolic function test
Clinical narrative: Sudden difficulty breathing. Heaviness and tightness in chest followed by an exacerbation of CHF that led to hospitalizations.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I contacted Covid-19 after receiving a 2nd booster shot.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood gases, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Clinical Summary Patient is a 71 y.o. female with a history of right MCA  with residual L-sided hemiparesis (2019), chronic LLE DVT and epilepsy who presented to HCF 11/13/2022 with complaints of shortness of breath and cough. Labs showed positive COVID PCR with acute hypoxemic and hypercapnic respiratory failure. Required brief ICU stay for BiPAP. HCF assumed care upon transfer.     1. Acute on chronic hypoxemic and hypercapnic respiratory failure:  Secondary to viral pneumonia. Intermittently uses 2L NC at home.  Initial ABG: 7.27 / 72. CXR 11/13 showed congestion with patchy bilateral infiltrates. S/p ICU for continuous BiPAP now on LFNC. Has oxygen prescription at home. 2. COVID-19 pneumonia: Status post vaccinated x2 with Pfizer.  Previously admitted 4/29-5/3/22 for Covid. Since then has required intermittent home O2. Covid pos again on 11/13/2022. Completed 5 days of remdesivir on 11/17.  Continued Decadron through 11/22. 3. Leukocytosis: WBC 13-19 from use of systemic steroids as above. Stable. 4. Chronic DVT: LLE DVT in August 2019, continued home Eliquis. 5. History of stroke: In 2019.  Right MCA with residual left-sided hemiparesis, dysphagia and dysarthria.  Continued aspirin and Lipitor.  SLP followed. 6. Hypertension: BP stable on home amlodipine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Intensive care, Leukocytosis, Lung infiltration
Clinical narrative: Clinical Summary Patient is a 71 y.o. female with a history of right MCA  with residual L-sided hemiparesis (2019), chronic LLE DVT and epilepsy who presented to HCF 11/13/2022 with complaints of shortness of breath and cough. Labs showed positive COVID PCR with acute hypoxemic and hypercapnic respiratory failure. Required brief ICU stay for BiPAP. HCF assumed care upon transfer.     1. Acute on chronic hypoxemic and hypercapnic respiratory failure:  Secondary to viral pneumonia. Intermittently uses 2L NC at home.  Initial ABG: 7.27 / 72. CXR 11/13 showed congestion with patchy bilateral infiltrates. S/p ICU for continuous BiPAP now on LFNC. Has oxygen prescription at home. 2. COVID-19 pneumonia: Status post vaccinated x2 with Pfizer.  Previously admitted 4/29-5/3/22 for Covid. Since then has required intermittent home O2. Covid pos again on 11/13/2022. Completed 5 days of remdesivir on 11/17.  Continued Decadron through 11/22. 3. Leukocytosis: WBC 13-19 from use of systemic steroids as above. Stable. 4. Chronic DVT: LLE DVT in August 2019, continued home Eliquis. 5. History of stroke: In 2019.  Right MCA with residual left-sided hemiparesis, dysphagia and dysarthria.  Continued aspirin and Lipitor.  SLP followed. 6. Hypertension: BP stable on home amlodipine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia viral, Positive airway pressure therapy, Respiratory failure, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Clinical Summary Patient is a 71 y.o. female with a history of right MCA  with residual L-sided hemiparesis (2019), chronic LLE DVT and epilepsy who presented to HCF 11/13/2022 with complaints of shortness of breath and cough. Labs showed positive COVID PCR with acute hypoxemic and hypercapnic respiratory failure. Required brief ICU stay for BiPAP. HCF assumed care upon transfer.     1. Acute on chronic hypoxemic and hypercapnic respiratory failure:  Secondary to viral pneumonia. Intermittently uses 2L NC at home.  Initial ABG: 7.27 / 72. CXR 11/13 showed congestion with patchy bilateral infiltrates. S/p ICU for continuous BiPAP now on LFNC. Has oxygen prescription at home. 2. COVID-19 pneumonia: Status post vaccinated x2 with Pfizer.  Previously admitted 4/29-5/3/22 for Covid. Since then has required intermittent home O2. Covid pos again on 11/13/2022. Completed 5 days of remdesivir on 11/17.  Continued Decadron through 11/22. 3. Leukocytosis: WBC 13-19 from use of systemic steroids as above. Stable. 4. Chronic DVT: LLE DVT in August 2019, continued home Eliquis. 5. History of stroke: In 2019.  Right MCA with residual left-sided hemiparesis, dysphagia and dysarthria.  Continued aspirin and Lipitor.  SLP followed. 6. Hypertension: BP stable on home amlodipine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Clinical Summary Patient is a 71 y.o. female with a history of right MCA  with residual L-sided hemiparesis (2019), chronic LLE DVT and epilepsy who presented to HCF 11/13/2022 with complaints of shortness of breath and cough. Labs showed positive COVID PCR with acute hypoxemic and hypercapnic respiratory failure. Required brief ICU stay for BiPAP. HCF assumed care upon transfer.     1. Acute on chronic hypoxemic and hypercapnic respiratory failure:  Secondary to viral pneumonia. Intermittently uses 2L NC at home.  Initial ABG: 7.27 / 72. CXR 11/13 showed congestion with patchy bilateral infiltrates. S/p ICU for continuous BiPAP now on LFNC. Has oxygen prescription at home. 2. COVID-19 pneumonia: Status post vaccinated x2 with Pfizer.  Previously admitted 4/29-5/3/22 for Covid. Since then has required intermittent home O2. Covid pos again on 11/13/2022. Completed 5 days of remdesivir on 11/17.  Continued Decadron through 11/22. 3. Leukocytosis: WBC 13-19 from use of systemic steroids as above. Stable. 4. Chronic DVT: LLE DVT in August 2019, continued home Eliquis. 5. History of stroke: In 2019.  Right MCA with residual left-sided hemiparesis, dysphagia and dysarthria.  Continued aspirin and Lipitor.  SLP followed. 6. Hypertension: BP stable on home amlodipine.
Age: 1.17
Sex: M
Vaccine: COVID19-2
Symptoms: Hypersomnia, Lethargy, Pyrexia
Clinical narrative: On the day following dose 3 he slept longer than usual.  He had a low-grade fever.  As the day progressed, he became very lethargic, and his fever peaked at 101.7 mid-day.  We consulted the pediatritian on 12/22/2022.   We gave him medicine at about Noon and continued as needed.  His fever decreased that afternoon but returned throughout the day.  The symptoms have continued until today.  He has been a bit more playful today.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Bone graft, Bone infarction, Bone pain, Laboratory test normal
Clinical narrative: Patient received 2 Pfizer doses and 1 Pfizer booster in 12/01/2021. A few months after booster, patient complained of hip pain. Began PT & hip pain worsened. MRI was taken and revealed avascular necrosis of right femoral head pre-collapse stage. Not bilateral. Core decompression w/ bone grafting surgery was done July 25, 2022. After surgery, patient complained about knee pain. MRI ordered and showed bone infarct (avascular necrosis) at distal femur and proximal tibia. Treated with core decompression. Date of surgery was December 8, 2022.  Patient is now complaining about right lower rib-fib and ankle pain. MRI ordered, scheduled for 01/07/2023.    Patient was evaluated by hematologist to check for clotting disorders and variety of other causes. Labs were unremarkable and no clotting disorders identified. Negative for Lupus and Sjogren's syndrome.   Patient was competitive athlete in teen years and early 20s. No serious injuries aside from left ankle medial malleolus fracture in 2017, which was surgically corrected in 2017 with ankle ORIF surgery.  PATIENT HAS NO HISTORY OF ANY CLOTS OR MICRO CLOTS PRIOR TO RECEIVING COVID VACCINES.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Osteonecrosis, Surgery
Clinical narrative: Patient received 2 Pfizer doses and 1 Pfizer booster in 12/01/2021. A few months after booster, patient complained of hip pain. Began PT & hip pain worsened. MRI was taken and revealed avascular necrosis of right femoral head pre-collapse stage. Not bilateral. Core decompression w/ bone grafting surgery was done July 25, 2022. After surgery, patient complained about knee pain. MRI ordered and showed bone infarct (avascular necrosis) at distal femur and proximal tibia. Treated with core decompression. Date of surgery was December 8, 2022.  Patient is now complaining about right lower rib-fib and ankle pain. MRI ordered, scheduled for 01/07/2023.    Patient was evaluated by hematologist to check for clotting disorders and variety of other causes. Labs were unremarkable and no clotting disorders identified. Negative for Lupus and Sjogren's syndrome.   Patient was competitive athlete in teen years and early 20s. No serious injuries aside from left ankle medial malleolus fracture in 2017, which was surgically corrected in 2017 with ankle ORIF surgery.  PATIENT HAS NO HISTORY OF ANY CLOTS OR MICRO CLOTS PRIOR TO RECEIVING COVID VACCINES.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Euphoric mood, Hypoacusis, Visual impairment
Clinical narrative: Patient reported feeling if highness after vaccination.  Visual disturbances and hearing disturbances.  No loss of balance. Patient sat in chair for 30 minutes. Patient alert. Patient felt well enough to leave pharmacy after 30 minutes. Explained that this happens with each COVID vaccine she has received. Usually lasts for a few hours and then goes away.
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chills, Cough, Headache, Malaise
Clinical narrative: I received the bivalent vaccine late September 2022. I got COVID-19 on 12/19/2022.  I started with tickle in my throat and on Tuesday 12/20/2022 when I woke up I felt very ill.  I felt achy, low grade fever, chills, cough. The mornings are the worst and get bad headaches and feel nauseous as well. I had a tele visit on 12/21/2022.  I took Advil the first night and Naproxen last night. My PA also prescribed the Paxlovid but I did not take it mainly due to the side effects. I continue to have my COVID-19 symptoms today.
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Nausea, Pain, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I received the bivalent vaccine late September 2022. I got COVID-19 on 12/19/2022.  I started with tickle in my throat and on Tuesday 12/20/2022 when I woke up I felt very ill.  I felt achy, low grade fever, chills, cough. The mornings are the worst and get bad headaches and feel nauseous as well. I had a tele visit on 12/21/2022.  I took Advil the first night and Naproxen last night. My PA also prescribed the Paxlovid but I did not take it mainly due to the side effects. I continue to have my COVID-19 symptoms today.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Dyspnoea, Hot flush, Nausea, Night sweats
Clinical narrative: About 2 days after each shot, I experienced an increase in frequency and severity of hot flashes/night sweats. After the first two shots the side effects lasted 4-10 weeks and they seemed to subside. After the booster (third shot) the hot flashes and Nightsweats have not subsided. They have continually gotten worse. I experience nausea, shortness of breath, difficulty breathing and weakness. Sometimes feeling so weak it is necessary to stop, sit down and focus on breathing until the hot flash goes away. It can take one to five minutes to recover. At night the night sweats are so bad they wake me up at least 5 to 6 times a night. For a couple of hours, they seem to run in a cycle going up and down but not really stopping. They calm down but then increase and then calm down and then increase.  It severely impacts my sleep.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: About 2 days after each shot, I experienced an increase in frequency and severity of hot flashes/night sweats. After the first two shots the side effects lasted 4-10 weeks and they seemed to subside. After the booster (third shot) the hot flashes and Nightsweats have not subsided. They have continually gotten worse. I experience nausea, shortness of breath, difficulty breathing and weakness. Sometimes feeling so weak it is necessary to stop, sit down and focus on breathing until the hot flash goes away. It can take one to five minutes to recover. At night the night sweats are so bad they wake me up at least 5 to 6 times a night. For a couple of hours, they seem to run in a cycle going up and down but not really stopping. They calm down but then increase and then calm down and then increase.  It severely impacts my sleep.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Ear pain, Feeling abnormal, Headache
Clinical narrative: On 11/13/2022, I was having a scratchy throat. I tested at home and is was negative. I tested again on the third day, and I was feeling like I get hit by a truck. I had wheezing, earache sore throat, coughing and nasal congestion. I tested on that Friday, and it was positive. I went to a care clinic. I was prescribed Paxlovid. I was weighing the risk of having a rebound because of my age. I took it on Friday evening and through five days into that Wednesday morning. It was a few side effects of very bitter taste, and nausea, diarrhea and headache.  I finished it all and I have no more side effects now. I have very mild symptoms at this point, with a minor cough and headache. It worse at night. The COVID-19 symptoms have gone away.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive, Throat irritation, Wheezing
Clinical narrative: On 11/13/2022, I was having a scratchy throat. I tested at home and is was negative. I tested again on the third day, and I was feeling like I get hit by a truck. I had wheezing, earache sore throat, coughing and nasal congestion. I tested on that Friday, and it was positive. I went to a care clinic. I was prescribed Paxlovid. I was weighing the risk of having a rebound because of my age. I took it on Friday evening and through five days into that Wednesday morning. It was a few side effects of very bitter taste, and nausea, diarrhea and headache.  I finished it all and I have no more side effects now. I have very mild symptoms at this point, with a minor cough and headache. It worse at night. The COVID-19 symptoms have gone away.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, COVID-19, Dyspnoea, Exposure to SARS-CoV-2, Laboratory test
Clinical narrative: After testing positive for Covid19 in the while on family visit. I developed Covid19 and slowly Pneumonia which got very bad and included severe sinusinfection. The person who infected me had Covid, but not Pneumonia. My symptoms needed medical attention where I begged the MD to give me AUGMENTIN. The medical system there is very different and confusing. However I suspected my symptoms to be a secondary bacterial infection. I had researched online which drugs woyld be legal and available within their system and saw Augmentin should be a possible option. Many drugs approved in hometown are over the counter are disallowed there. And I found myself fighting for my life while being ridiculled. Once I drove myself to the nearest hospital guided by GPS and on the promise of a GP MD that they had made an appointment for me, I was greeted by a locked door. I tried to explain my situation thru a glass door with an intercom. Once I stated the name of the MD and my family in said country, they let me in an started a physical exam, took blood and listened to my lungs. They confirmed the diagnosis by blood evidence and physical exam, but never took a radiograph or admitted me. They tried to offer me amoxiclilan and I told them I knew it would not be strong enough for what was going on. I was aware of the possibility of myocarditis or fluud around the heart, since I have had this condituon before, was very short of breath and had to spend the pruir 5 days in an upright positiin in bed
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pneumonia, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: After testing positive for Covid19 in the while on family visit. I developed Covid19 and slowly Pneumonia which got very bad and included severe sinusinfection. The person who infected me had Covid, but not Pneumonia. My symptoms needed medical attention where I begged the MD to give me AUGMENTIN. The medical system there is very different and confusing. However I suspected my symptoms to be a secondary bacterial infection. I had researched online which drugs woyld be legal and available within their system and saw Augmentin should be a possible option. Many drugs approved in hometown are over the counter are disallowed there. And I found myself fighting for my life while being ridiculled. Once I drove myself to the nearest hospital guided by GPS and on the promise of a GP MD that they had made an appointment for me, I was greeted by a locked door. I tried to explain my situation thru a glass door with an intercom. Once I stated the name of the MD and my family in said country, they let me in an started a physical exam, took blood and listened to my lungs. They confirmed the diagnosis by blood evidence and physical exam, but never took a radiograph or admitted me. They tried to offer me amoxiclilan and I told them I knew it would not be strong enough for what was going on. I was aware of the possibility of myocarditis or fluud around the heart, since I have had this condituon before, was very short of breath and had to spend the pruir 5 days in an upright positiin in bed
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Feeling hot, Formication, Neuralgia, Pain
Clinical narrative: About 2 hours after the shot, my hands got very hot, itchy and tingly.  Several minutes after that, the same started in my feet.  So itchy and hot, but no amount of scratching helped. I took a benadryl.  A few minuted went by and I started to get the same sensation on my back, but it was worse.  The itching was maddening and that's when I noticed rashy bumps were starting to appear.  Just a few at first - but it didn't take long for my back to be covered in them.  I took another benadryl, chewing it this time and waited to see if it would kick in.  Took a while, but the rash disappeared and the itch calmed enough.  Since then, nearly every day, my hands and feet still get hot  and itchy out of nowhere. My back has h itchy nerve pain ever since and nothing seems to calm it except laying on an accupressure mat.  The pain and itch are driving me nuts daily because the feeling is moving every time.  Some days it may just be primarily on one side, another day it might be the other side - some days it's both.  It's got that crawling feeling to it.  It sort of feels like I've leaned up against a chair for too long and by back is asleep and waking up.  I had absolutely nothing like this happen with the other shots - just the normal aches and pains.  This hasn't let up and it's been nearly 3 months now.  I did not seek medical help when it happened since I didn't think it qualified as a sever reaction, but will in the future.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia, Pruritus, Rash, Skin warm
Clinical narrative: About 2 hours after the shot, my hands got very hot, itchy and tingly.  Several minutes after that, the same started in my feet.  So itchy and hot, but no amount of scratching helped. I took a benadryl.  A few minuted went by and I started to get the same sensation on my back, but it was worse.  The itching was maddening and that's when I noticed rashy bumps were starting to appear.  Just a few at first - but it didn't take long for my back to be covered in them.  I took another benadryl, chewing it this time and waited to see if it would kick in.  Took a while, but the rash disappeared and the itch calmed enough.  Since then, nearly every day, my hands and feet still get hot  and itchy out of nowhere. My back has h itchy nerve pain ever since and nothing seems to calm it except laying on an accupressure mat.  The pain and itch are driving me nuts daily because the feeling is moving every time.  Some days it may just be primarily on one side, another day it might be the other side - some days it's both.  It's got that crawling feeling to it.  It sort of feels like I've leaned up against a chair for too long and by back is asleep and waking up.  I had absolutely nothing like this happen with the other shots - just the normal aches and pains.  This hasn't let up and it's been nearly 3 months now.  I did not seek medical help when it happened since I didn't think it qualified as a sever reaction, but will in the future.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, COVID-19, Dyspnoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 11/22/2022. Within an hour of getting the shot, I started to have pain in the right arm that extended to the neck and shoulders, fatigue, and headache. On 11/26/2022, I started to get severe vertigo with nausea and vomiting, which lasted for about 3 days. The pain in the neck, arm, and shoulders, the fatigue, and the headache also continued at this time, and it wasn't until about 11/29/2022 that I was back at my baseline. On 12/4/2022, I woke up with a very sore throat, increased nasal congestion, headache, and fatigue. I didn't yet have a fever, but my temperature was about a degree higher than normal. I wasn't really sure what was happening, so I just drank warm fluids to soothe my throat and rested. When I woke up on 12/5/2022, I still had the same symptoms, but they were intensified. I took my temperature, which was 101. I took a home antigen test and got a positive result. From that point, I began isolating. I had a telehealth appointment later that day and was prescribed Paxlovid, which I began taking the evening of 12/6/2022. I continued to have a fever on and off through about 12/15/2022. My sore throat waxed and waned, and at the time of this writing, I still sometimes have a sore throat. My congestion is now better, but not completely gone. I still have fatigue, plus I have increased neuropathy, especially in the fingertips of both hands. On 12/16/2022, I took a home antigen test, which yielded a negative result. I also got a negative result when I tested again on 12/18/2022. I also continue to have increased shortness of breath and tachycardia with any activity; these symptoms became more pronounced when I developed other COVID-19 symptoms on 12/4/2022. I would like to add that I believe I was exposed to COVID-19 on 11/25/2022 or earlier, because I had not left my home since 11/25/2022.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Nasal congestion, Nausea, Neck pain, Neuropathy peripheral
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 11/22/2022. Within an hour of getting the shot, I started to have pain in the right arm that extended to the neck and shoulders, fatigue, and headache. On 11/26/2022, I started to get severe vertigo with nausea and vomiting, which lasted for about 3 days. The pain in the neck, arm, and shoulders, the fatigue, and the headache also continued at this time, and it wasn't until about 11/29/2022 that I was back at my baseline. On 12/4/2022, I woke up with a very sore throat, increased nasal congestion, headache, and fatigue. I didn't yet have a fever, but my temperature was about a degree higher than normal. I wasn't really sure what was happening, so I just drank warm fluids to soothe my throat and rested. When I woke up on 12/5/2022, I still had the same symptoms, but they were intensified. I took my temperature, which was 101. I took a home antigen test and got a positive result. From that point, I began isolating. I had a telehealth appointment later that day and was prescribed Paxlovid, which I began taking the evening of 12/6/2022. I continued to have a fever on and off through about 12/15/2022. My sore throat waxed and waned, and at the time of this writing, I still sometimes have a sore throat. My congestion is now better, but not completely gone. I still have fatigue, plus I have increased neuropathy, especially in the fingertips of both hands. On 12/16/2022, I took a home antigen test, which yielded a negative result. I also got a negative result when I tested again on 12/18/2022. I also continue to have increased shortness of breath and tachycardia with any activity; these symptoms became more pronounced when I developed other COVID-19 symptoms on 12/4/2022. I would like to add that I believe I was exposed to COVID-19 on 11/25/2022 or earlier, because I had not left my home since 11/25/2022.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pain in extremity, Pyrexia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 11/22/2022. Within an hour of getting the shot, I started to have pain in the right arm that extended to the neck and shoulders, fatigue, and headache. On 11/26/2022, I started to get severe vertigo with nausea and vomiting, which lasted for about 3 days. The pain in the neck, arm, and shoulders, the fatigue, and the headache also continued at this time, and it wasn't until about 11/29/2022 that I was back at my baseline. On 12/4/2022, I woke up with a very sore throat, increased nasal congestion, headache, and fatigue. I didn't yet have a fever, but my temperature was about a degree higher than normal. I wasn't really sure what was happening, so I just drank warm fluids to soothe my throat and rested. When I woke up on 12/5/2022, I still had the same symptoms, but they were intensified. I took my temperature, which was 101. I took a home antigen test and got a positive result. From that point, I began isolating. I had a telehealth appointment later that day and was prescribed Paxlovid, which I began taking the evening of 12/6/2022. I continued to have a fever on and off through about 12/15/2022. My sore throat waxed and waned, and at the time of this writing, I still sometimes have a sore throat. My congestion is now better, but not completely gone. I still have fatigue, plus I have increased neuropathy, especially in the fingertips of both hands. On 12/16/2022, I took a home antigen test, which yielded a negative result. I also got a negative result when I tested again on 12/18/2022. I also continue to have increased shortness of breath and tachycardia with any activity; these symptoms became more pronounced when I developed other COVID-19 symptoms on 12/4/2022. I would like to add that I believe I was exposed to COVID-19 on 11/25/2022 or earlier, because I had not left my home since 11/25/2022.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo, Vomiting
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 11/22/2022. Within an hour of getting the shot, I started to have pain in the right arm that extended to the neck and shoulders, fatigue, and headache. On 11/26/2022, I started to get severe vertigo with nausea and vomiting, which lasted for about 3 days. The pain in the neck, arm, and shoulders, the fatigue, and the headache also continued at this time, and it wasn't until about 11/29/2022 that I was back at my baseline. On 12/4/2022, I woke up with a very sore throat, increased nasal congestion, headache, and fatigue. I didn't yet have a fever, but my temperature was about a degree higher than normal. I wasn't really sure what was happening, so I just drank warm fluids to soothe my throat and rested. When I woke up on 12/5/2022, I still had the same symptoms, but they were intensified. I took my temperature, which was 101. I took a home antigen test and got a positive result. From that point, I began isolating. I had a telehealth appointment later that day and was prescribed Paxlovid, which I began taking the evening of 12/6/2022. I continued to have a fever on and off through about 12/15/2022. My sore throat waxed and waned, and at the time of this writing, I still sometimes have a sore throat. My congestion is now better, but not completely gone. I still have fatigue, plus I have increased neuropathy, especially in the fingertips of both hands. On 12/16/2022, I took a home antigen test, which yielded a negative result. I also got a negative result when I tested again on 12/18/2022. I also continue to have increased shortness of breath and tachycardia with any activity; these symptoms became more pronounced when I developed other COVID-19 symptoms on 12/4/2022. I would like to add that I believe I was exposed to COVID-19 on 11/25/2022 or earlier, because I had not left my home since 11/25/2022.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Diarrhoea, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 12/19/22. I had a scratchy throat, congestion, runny nose, and diarrhea, but I don't know if that was related. I contacted my doctor and was prescribed Paxlovid, but I did not take it. The symptoms have lasted for about 5 days now. I am feeling much better.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Throat irritation
Clinical narrative: I tested positive for COVID-19 on 12/19/22. I had a scratchy throat, congestion, runny nose, and diarrhea, but I don't know if that was related. I contacted my doctor and was prescribed Paxlovid, but I did not take it. The symptoms have lasted for about 5 days now. I am feeling much better.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, Back pain, Blood sodium decreased, Brain natriuretic peptide increased
Clinical narrative: Patient is a 91 y.o. female patient of MD with history of hypertension, hyperlipidemia, ovarian cancer presented to Doctors Hospital with generalized body aches, chills, cough.   Covid-19 virus infection - Improved  Date of onset of symptoms: 11/06 Symptoms present on admission: Yes Date of covid positive test: 11/08 per patient at her Doctor's office.  Unable to view results. Vaccination status: vaccinated Imaging: CTPA: No evidence of PE.  Linear bibasilar opacities are most consistent with atelectasis.  Superimposed infection is not entirely excluded in the appropriate clinical setting. Cardiomegaly without pulmonary edema.  And age-indeterminate compression deformity of T8 5 vertebral body which is new in comparison to February 2019 CT. Oxygen requirements on admission: 2 L nasal cannula Current oxygen requirements: RA  Medical therapy: remdesivir and steroids Consultants following: None Anticipated special isolation end date: 11/18  antitussives, IS   Out of Special isolation    Back pain Compression fracture T5 Today, patient complains of both upper and lower back pain Received IV Toradol as patient does have multiple medication allergies Lidocaine patch added Added ultram  Continues to have pain  MRI thoracic spine Acute compression fracture at T5 with 75% loss of vertebral body height.  Vertebral body height loss at this level is worse than on the CT of the chest from 11/13/2022. mild retropulsion of the posterior aspect of T5 into the canal with mild effacement of the thecal sac.  No significant spinal stenosis.  No compression of the thoracic spinal cord. Neurosurgery consulted - recommended CTO brace and f/u outpatient in 2 weeks   Hyponatremia  Euvolemic 127-- >129-- >130->130-- >128 S/b Nephrology, suspected SIADH physiology  Recommended 1.5 L fluid restriction  Patient to have repeat BMP in 1 week with PCP  Hypertension Resume amlodipine as per home regimen. Low blood pressure this morning after receiving hydralazine.  Dropped blood pressure in the 70s received fluid boluses much improved Continue to monitor   Hyperlipidemia Resume statin    Hypokalemia K replaced Monitor   Elevated troponin Chest pain  Troponin 17-- >18 Patient denies any chest pain.  She has bilateral rib pain with coughing. EKG: Sinus rhythm with nonspecific ST-T changes. EKG shows Left anterior fasicular block seen on previous EKG  Troponin 22-- >21  Pain likely musculoskeletal    Elevated BNP NT proBNP 696 She appears euvolemic on exam Monitor   Constipation Continue MiraLAX and senna/docusate added home milk of mag Monitor