chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Liver function test, Loss of consciousness, Metabolic function test, Urine analysis
Clinical narrative: 02/06/2021 PASSED OUT, AMBULENCE SUMMONED, OVERNIGHT STAY, HEALTH CENTER.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 on 9/6, presented to ED on 9/14 and found to be hypotic. Patient transferred here and is currently undergoing inpatient treatment.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Vomiting
Clinical narrative: Patient felt dizzy and fainted. She ended up having to vomit and felt fine afterwards.
Age: 61.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Dizziness, Tinnitus
Clinical narrative: Since waking up morning after vaccines, I have had lightheadedness and dizziness when moving my head to quickly.  Also ringing (sounds like Cicadas) in both ears.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Migraine
Clinical narrative: COVID breakthrough case. The patient presented to the hospital on 9/14/21 claiming she had tested positive for COVID on 9/13/21. She is experiencing cough, migraine, SOB, and hypoxia. Patient placed on 3L of oxygen.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case. The patient presented to the hospital on 9/14/21 claiming she had tested positive for COVID on 9/13/21. She is experiencing cough, migraine, SOB, and hypoxia. Patient placed on 3L of oxygen.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Basedow's disease, Blood alkaline phosphatase increased, Blood thyroid stimulating hormone decreased
Clinical narrative: After the dose 1 and 2 that immediate burning sensation in chest, it got better. The 2nd time it a sat for 20min. Burning sensation in chest. Had Covid in December 2020. Had covid symptoms, headache and fatigue. 2 months later - Mother's day and was in the mountains and felt horrible and if the altitude was getting to me and went to Urgent care on 12 May. Symptoms started on 9May2021. Endocrinologist in June and was diagnosis with Graves disease. Around the time, had purple spot was diagnosed by dermatologist - Lichen Planus diagnosed on 3 sep2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Fatigue, Feeling abnormal, Full blood count normal
Clinical narrative: After the dose 1 and 2 that immediate burning sensation in chest, it got better. The 2nd time it a sat for 20min. Burning sensation in chest. Had Covid in December 2020. Had covid symptoms, headache and fatigue. 2 months later - Mother's day and was in the mountains and felt horrible and if the altitude was getting to me and went to Urgent care on 12 May. Symptoms started on 9May2021. Endocrinologist in June and was diagnosis with Graves disease. Around the time, had purple spot was diagnosed by dermatologist - Lichen Planus diagnosed on 3 sep2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hepatic enzyme increased, Immediate post-injection reaction, Lichen planus, Sinus tachycardia
Clinical narrative: After the dose 1 and 2 that immediate burning sensation in chest, it got better. The 2nd time it a sat for 20min. Burning sensation in chest. Had Covid in December 2020. Had covid symptoms, headache and fatigue. 2 months later - Mother's day and was in the mountains and felt horrible and if the altitude was getting to me and went to Urgent care on 12 May. Symptoms started on 9May2021. Endocrinologist in June and was diagnosis with Graves disease. Around the time, had purple spot was diagnosed by dermatologist - Lichen Planus diagnosed on 3 sep2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Thyroxine, Tri-iodothyronine decreased
Clinical narrative: After the dose 1 and 2 that immediate burning sensation in chest, it got better. The 2nd time it a sat for 20min. Burning sensation in chest. Had Covid in December 2020. Had covid symptoms, headache and fatigue. 2 months later - Mother's day and was in the mountains and felt horrible and if the altitude was getting to me and went to Urgent care on 12 May. Symptoms started on 9May2021. Endocrinologist in June and was diagnosis with Graves disease. Around the time, had purple spot was diagnosed by dermatologist - Lichen Planus diagnosed on 3 sep2021
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient got 2 doses of Moderna Covid-19 vaccine and tested positive
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Atrial fibrillation, Bordetella test negative, COVID-19, Chest X-ray abnormal
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Chlamydia test negative, Condition aggravated
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Coronavirus test negative, Cough, Diarrhoea, Diarrhoea infectious, Dyspnoea
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Enterovirus infection, Enterovirus test positive, Fluid intake reduced, Headache
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test positive, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Nasal congestion, Nausea, Palpitations, Pyrexia
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress, Respiratory syncytial virus test negative, Rhinovirus infection, SARS-CoV-2 test positive, Sepsis
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vomiting
Clinical narrative: ED Discharged   9/11/2021 (9 hours) Hospital ED Patient presents with ? Fever ? Chest Pain ? Cough HPI is a 60-year-old female presents today for evaluation of respiratory distress in setting of chest pain, fever and cough.  Patient states that symptom onset was abruptly tonight.  She reports history of atrial flutter.  She reports no that her heart was racing and she is unable to catch her breath.  She is having substernal chest pressure at this time.  Patient called EMS was brought to the emergency department.  Initial EKG was concerning for possible ST elevations according to EMS, however this is likely secondary to her underlying flutter.  Patient states that she has atrial flutter in the past and is currently on anticoagulants as well as Cardizem.  She states that she is normally in a sinus rhythm and is very symptomatic when she does go into atrial flutter.  She also reports nasal congestion, cough, fever and chills.  The symptoms began several days ago.  Patient reports that she is not using any supplemental oxygenation and EMS has not noted any hypoxia.  Patient found to be tachycardic upon presentation which appears to be atrial flutter.  Currently no known exacerbating or alleviating factors.   ED  Discharged  9/12/2021 - 9/14/2021 (2 days) Hospital ED   COVID-19 Nausea and vomiting, patient is a 60 y.o. female presenting to the ED with chief complaint of nausea and vomiting.  Patient states she has a history of A. fib is on Eliquis and diltiazem and was recently diagnosed with both COVID-19 as well as enterovirus.  States she just was discharged from the hospital yesterday.  Since returning home she has not been able to tolerate any fluids by mouth.  Has tried drinking Pedialyte and water and has been vomiting everything up.  Cannot keep down her home medications or Tylenol.  She states that she has been coughing frequently and still having intermittent fevers.  States that her breathing does not feel any worse than it did yesterday.  Denies any chest pain or abdominal pain.  No palpitations.  Does endorse mid throbbing headache, gradual onset.  No vision changes, speech difficulty or focal weakness.  ED to Hosp-Admission Current  9/14/2021 - present (1 day) Hospital  Atrial flutter (CMS/HCC)  COVID-19 virus infection, Rhinovirus, Paroxysmal atrial fibrillation with rapid ventricular response (CMS/HCC) Diarrhea of presumed infectious origin
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Blood test, Electrocardiogram, Palpitations, Tachycardia
Clinical narrative: Less than 48 hrs post vaccination, patient awoke at 1AM with heart racing at 188bpm for 10 minutes, then continued to have tachycardia or arrhythmia event for 1 hr. Patient visited her healthcare provider the morning after to report event and to be evaluated.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Chest X-ray abnormal, Cyanosis
Clinical narrative: Patient here with acute hypoxic respiratory failure, improved with respiratory support via BiPAP.  He is hemodynamically stable, awake and alert.  He patient has voiced clearly to myself and to multiple nursing staff, Members at the bedside that patient would not wish to be intubated and placed on mechanical ventilation should his respiratory status further deteriorate.  Patient had very little oxygen reserve with desaturations very quickly into the high 70s on room air when transitioned from stretcher into bed.  He has no prior history of cardiac or pulmonary disease.  Presentation highly suspicious for COVID-19, which was confirmed with diagnostic testing here today.  Bilateral pneumonia noted on chest XR. Likely viral in nature.  Patient presented to the emergency room at this facility by ambulance which had been summoned to his house by his sister whom happens to be a nurse practitioner.  Apparently the patient had developed upper respiratory symptoms for the last 5 days or so and at his sister had called in the prescription for Zithromax and a Medrol Pak about 3 days ago.  Apparently she went to check on him today and found him cyanotic.  When EMS arrived to assess the patient they found his oxygen saturations to be 55% on room air.  The patient was placed on a non-rebreather and improved to mid 80s and he was then placed on CPAP with improvement to the low 90s.   Upon arrival to the emergency room he was placed on a BiPAP and he has remained stable in terms of oxygenation.  Patient reports receiving 2 doses of Pfizer vaccine.  He reported not being aware of sick contacts.  I had received a call from reading radiologist the reported and small burden of blood clot in the right upper lobe of the lung besides findings compatible with pneumonia.  Patient had also been found to be in atrial fibrillation with moderate ventricular response.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pneumonia, Pneumonia viral, Positive airway pressure therapy, Pulmonary embolism
Clinical narrative: Patient here with acute hypoxic respiratory failure, improved with respiratory support via BiPAP.  He is hemodynamically stable, awake and alert.  He patient has voiced clearly to myself and to multiple nursing staff, Members at the bedside that patient would not wish to be intubated and placed on mechanical ventilation should his respiratory status further deteriorate.  Patient had very little oxygen reserve with desaturations very quickly into the high 70s on room air when transitioned from stretcher into bed.  He has no prior history of cardiac or pulmonary disease.  Presentation highly suspicious for COVID-19, which was confirmed with diagnostic testing here today.  Bilateral pneumonia noted on chest XR. Likely viral in nature.  Patient presented to the emergency room at this facility by ambulance which had been summoned to his house by his sister whom happens to be a nurse practitioner.  Apparently the patient had developed upper respiratory symptoms for the last 5 days or so and at his sister had called in the prescription for Zithromax and a Medrol Pak about 3 days ago.  Apparently she went to check on him today and found him cyanotic.  When EMS arrived to assess the patient they found his oxygen saturations to be 55% on room air.  The patient was placed on a non-rebreather and improved to mid 80s and he was then placed on CPAP with improvement to the low 90s.   Upon arrival to the emergency room he was placed on a BiPAP and he has remained stable in terms of oxygenation.  Patient reports receiving 2 doses of Pfizer vaccine.  He reported not being aware of sick contacts.  I had received a call from reading radiologist the reported and small burden of blood clot in the right upper lobe of the lung besides findings compatible with pneumonia.  Patient had also been found to be in atrial fibrillation with moderate ventricular response.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Patient here with acute hypoxic respiratory failure, improved with respiratory support via BiPAP.  He is hemodynamically stable, awake and alert.  He patient has voiced clearly to myself and to multiple nursing staff, Members at the bedside that patient would not wish to be intubated and placed on mechanical ventilation should his respiratory status further deteriorate.  Patient had very little oxygen reserve with desaturations very quickly into the high 70s on room air when transitioned from stretcher into bed.  He has no prior history of cardiac or pulmonary disease.  Presentation highly suspicious for COVID-19, which was confirmed with diagnostic testing here today.  Bilateral pneumonia noted on chest XR. Likely viral in nature.  Patient presented to the emergency room at this facility by ambulance which had been summoned to his house by his sister whom happens to be a nurse practitioner.  Apparently the patient had developed upper respiratory symptoms for the last 5 days or so and at his sister had called in the prescription for Zithromax and a Medrol Pak about 3 days ago.  Apparently she went to check on him today and found him cyanotic.  When EMS arrived to assess the patient they found his oxygen saturations to be 55% on room air.  The patient was placed on a non-rebreather and improved to mid 80s and he was then placed on CPAP with improvement to the low 90s.   Upon arrival to the emergency room he was placed on a BiPAP and he has remained stable in terms of oxygenation.  Patient reports receiving 2 doses of Pfizer vaccine.  He reported not being aware of sick contacts.  I had received a call from reading radiologist the reported and small burden of blood clot in the right upper lobe of the lung besides findings compatible with pneumonia.  Patient had also been found to be in atrial fibrillation with moderate ventricular response.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Breakthrough bleeding for about three days between menstrual cycles, and then having a regular period after that about a week earlier than typical.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Itching rash of injection site 1 week after
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PATIENT WAS ADMINISTERED 0.8 ML OF THE PFIZER COVID VACINE INSTEAD OF 0.3ML  NO ADVERSE EVENT NOTED PATIENT WAS MONITORED FOR OVER AN HOUR.  HE WAS ADVISED TO HYDRATE .  FOLLOWED UP ON PATIENT OVER THE NEXT FEW DAYS - NO ADVERSE REACTIONS REPORTED
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Chest pain, Dyspnoea, Hypoaesthesia
Clinical narrative: Chest, neck, shoulder, and jaw pain on the left side. Left side of the face felt numb. Left arm felt heavy and tingly.  Short of breath.   Took a full strength aspirin at 2PM on the 2nd of September. it alleviated symptoms but had massive anxiety to the point of being unable to hold my arms still enough to do dishes. Symptoms returned in the evening, took another full aspirin at 9PM. Went to ER at 2PM on the 3rd of September. Took a aspirin at 6AM on the 4th and the 5th of September. Symptoms went away after for the most part on the 6th of September.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Loss of personal independence in daily activities, Neck pain, Pain in jaw, Paraesthesia
Clinical narrative: Chest, neck, shoulder, and jaw pain on the left side. Left side of the face felt numb. Left arm felt heavy and tingly.  Short of breath.   Took a full strength aspirin at 2PM on the 2nd of September. it alleviated symptoms but had massive anxiety to the point of being unable to hold my arms still enough to do dishes. Symptoms returned in the evening, took another full aspirin at 9PM. Went to ER at 2PM on the 3rd of September. Took a aspirin at 6AM on the 4th and the 5th of September. Symptoms went away after for the most part on the 6th of September.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: It started with tickle in my throat that Monday and a dry cough. I went into doctor's office to do a rapid test and a PCR, rapid came back negative. I wore a N95 to work and I kept getting worse on Wednesday I woke up fever chills, and body aches, I lost my taste and smell. My PCR came back positive. Morning day 7, I popped another fever, still getting shortness of breath. I'm on day 9 my oxygen has remained good. I have been taking zinc and vitamin C.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: It started with tickle in my throat that Monday and a dry cough. I went into doctor's office to do a rapid test and a PCR, rapid came back negative. I wore a N95 to work and I kept getting worse on Wednesday I woke up fever chills, and body aches, I lost my taste and smell. My PCR came back positive. Morning day 7, I popped another fever, still getting shortness of breath. I'm on day 9 my oxygen has remained good. I have been taking zinc and vitamin C.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest pain, Painful respiration, SARS-CoV-2 test positive
Clinical narrative: 09/09/21 The patient presents with COVID-19 related sx. Pt tested positive for COVID on 8/19. Pt is experiencing weakness. Pt has had chest pain with deep breaths.  Pt has no chest pain or SOB presently. Pt usually wears oxygen at home for CHF. Pt denies any other sx.  The onset was 08/19/2021 . Risk factors consist of hypertension and CHF.  Prior episodes: none.  Therapy today: EMS.  Associated symptoms: denies chest pain, denies abdominal pain, denies nausea, denies vomiting, denies shortness of breath, denies fever, denies chills, denies headache, denies dizziness and denies back pain.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Cough, Diarrhoea, Headache, Heart rate increased
Clinical narrative: The patient presents with palpitations. Pt states today she has experiencing nausea, cough, headache, body aches, abdominal pain with vomiting and diarrhea. Notes she feels as if her heart is going to beat out of her chest it is going so fast. Pt has hx of a-fib and tried taking her medication but vomited it up shortly after due to the nausea. She denies chest pain, shortness of breath or fevers.  The onset was today.  The course/duration of symptoms is fluctuating in intensity. Risk factors consist of atrial fibrillation.   Associated symptoms: nausea, vomiting, denies syncope, denies dyspnea, denies shortness of breath and denies headache.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Palpitations, SARS-CoV-2 test, Vomiting
Clinical narrative: The patient presents with palpitations. Pt states today she has experiencing nausea, cough, headache, body aches, abdominal pain with vomiting and diarrhea. Notes she feels as if her heart is going to beat out of her chest it is going so fast. Pt has hx of a-fib and tried taking her medication but vomited it up shortly after due to the nausea. She denies chest pain, shortness of breath or fevers.  The onset was today.  The course/duration of symptoms is fluctuating in intensity. Risk factors consist of atrial fibrillation.   Associated symptoms: nausea, vomiting, denies syncope, denies dyspnea, denies shortness of breath and denies headache.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Confusional state, Dyspnoea, Infusion
Clinical narrative: 08/31/2021 The patient presents with SOB PTA. Pt was in hospital for BAM infusion when nursing noted pt o2 being in the lower 90's and 80s and wanted him to be evaluated prior to treatment. He states that he is not SOB at this time and denies CP and weakness. Patient is a 88 year old male with H/O Dementia, CAD, HTN , Hypothyroidism , GERD who tested positive for COVID 19 on 08/25/21. Several residents tested positive in the same ALF.  Sent for monoclonal antibody infusion and was noted to have low oxygen sats , requiring 2 liters of oxygen. Chest xray showed bilateral infiltrates. Patient admitted for further management.  He is unable to give history. Confused
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: 08/31/2021 The patient presents with SOB PTA. Pt was in hospital for BAM infusion when nursing noted pt o2 being in the lower 90's and 80s and wanted him to be evaluated prior to treatment. He states that he is not SOB at this time and denies CP and weakness. Patient is a 88 year old male with H/O Dementia, CAD, HTN , Hypothyroidism , GERD who tested positive for COVID 19 on 08/25/21. Several residents tested positive in the same ALF.  Sent for monoclonal antibody infusion and was noted to have low oxygen sats , requiring 2 liters of oxygen. Chest xray showed bilateral infiltrates. Patient admitted for further management.  He is unable to give history. Confused
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Blood test, Chills, Muscular weakness
Clinical narrative: CHILLS, BODY ACHES, FEVER, MUSCLE WEAKNESS, JOINT PAIN, PROLIA INJECTIONS, STOMACHE PAIN
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: CHILLS, BODY ACHES, FEVER, MUSCLE WEAKNESS, JOINT PAIN, PROLIA INJECTIONS, STOMACHE PAIN
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Dyspnoea exertional, Pulmonary embolism
Clinical narrative: 09/02/21 The patient presents with 59 y/o male with PMHx significant for HTN, HLD, DM with chief complaint of confirmed PE in the right lung. Pt reports to have tested positive for COVID-19 on 7/16/21. Pt developed double pneumonia due to COVID-19 and has been experiencing exertional short of breath since diagnosis of COVID-19. Pt was evaluated by his PCP for symptoms and sent for a CT chest with contrast at Imaging center which was performed today. Pt received results of PE in the right lung and was sent to the ED for further care.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast
Clinical narrative: 09/02/21 The patient presents with 59 y/o male with PMHx significant for HTN, HLD, DM with chief complaint of confirmed PE in the right lung. Pt reports to have tested positive for COVID-19 on 7/16/21. Pt developed double pneumonia due to COVID-19 and has been experiencing exertional short of breath since diagnosis of COVID-19. Pt was evaluated by his PCP for symptoms and sent for a CT chest with contrast at Imaging center which was performed today. Pt received results of PE in the right lung and was sent to the ED for further care.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: 09/03/21 The patient presents with COVID-19 x2 days. Per nurse, pt who has Alzheimer's was brought in by EMS after staff at his living facility noted a pulse ox in the 80s and EMS was called, once pt arrived he was put on a 2 liter nasal canula and is now resting at 97%. HPI limited due to clinical condition.  The onset was 2  days ago.  The course/duration of symptoms is unknown.  The character of symptoms is COVID-19 symptoms.  The degree at onset was unknown.  The degree at present is unknown.  Risk factors consist of Alzheimer's.  Therapy today: none.  Associated symptoms: denies chest pain, denies abdominal pain, denies nausea, denies vomiting, denies shortness of breath, denies fever, denies chills, denies headache, denies dizziness and denies back pain.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Atrial flutter, Cardiogenic shock, Death
Clinical narrative: SOB, Sudden onset Atrial Flutter March 10 2021
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, International normalised ratio increased, Troponin increased
Clinical narrative: SOB, Sudden onset Atrial Flutter March 10 2021
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Flushing, Hyperhidrosis, Nausea
Clinical narrative: dizzy, lightheaded, flushing, nausea, sweating, anxious.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Electrocardiogram, Palpitations, Sinus tachycardia
Clinical narrative: Heart palpitations, Sinus Tachycardia
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Pancreatic disorder, SARS-CoV-2 test positive
Clinical narrative: admitted from Assisted Living Facility on 9/10 through 9/14 due to pancreatic issues. coincidentally found to be COVID (+) without any symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Body temperature increased, Computerised tomogram head, Dizziness, Dysstasia
Clinical narrative: Received vaccine on a Thursday evening and had nausea within 15 minutes, lasting  thru the night. On Friday afternoon I became extremely cold, by Friday night I had a temperature of 101 with extreme body aches. On Saturday morning I woke up fever free, but had a loud "whooshing" sound in my head. Low fever again Saturday night. I felt great on Sunday with the exception of what I now know to be pulsatile tinnitis. Monday started the same until that afternoon I instantly for no reason became extremely dizzy and was unable to stand or walk. After taking Meclizine I can now function, but the sound in my head is comparable to a jet engine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Nausea, Pain, Tinnitus
Clinical narrative: Received vaccine on a Thursday evening and had nausea within 15 minutes, lasting  thru the night. On Friday afternoon I became extremely cold, by Friday night I had a temperature of 101 with extreme body aches. On Saturday morning I woke up fever free, but had a loud "whooshing" sound in my head. Low fever again Saturday night. I felt great on Sunday with the exception of what I now know to be pulsatile tinnitis. Monday started the same until that afternoon I instantly for no reason became extremely dizzy and was unable to stand or walk. After taking Meclizine I can now function, but the sound in my head is comparable to a jet engine.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Balance disorder, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: The patient presents following fall xPTA with associated right hip pain. Pt states that he was ambulating with his walker at the nursing home when his walker slipped from him, causing him to fall on his hip. Denies fever, chills, sore throat, cough, SOB, CP, abdominal pain, N/V/D, dizziness, HA, neck pain, back pain, and LOC.  The onset was just prior to arrival.  The occurrence was single episode.  The fall was described as lost balance. (Covid 19 Incidental finding)
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Walking aid user
Clinical narrative: The patient presents following fall xPTA with associated right hip pain. Pt states that he was ambulating with his walker at the nursing home when his walker slipped from him, causing him to fall on his hip. Denies fever, chills, sore throat, cough, SOB, CP, abdominal pain, N/V/D, dizziness, HA, neck pain, back pain, and LOC.  The onset was just prior to arrival.  The occurrence was single episode.  The fall was described as lost balance. (Covid 19 Incidental finding)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Breast abscess, Cardiac function test, Chest X-ray, Chest pain, Culture
Clinical narrative: Hypoxia, sats in 80's, dyspnea right chest pain s/p right breast abscess
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Full blood count, Hypoxia, Metabolic function test
Clinical narrative: Hypoxia, sats in 80's, dyspnea right chest pain s/p right breast abscess
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Hypoxia, sats in 80's, dyspnea right chest pain s/p right breast abscess
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Angiogram pulmonary abnormal, Aortic disorder, Arteriosclerosis coronary artery, Asthenia
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Bordetella test negative, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chlamydia test negative
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.