chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Dysphagia, Dyspnoea
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chills-Severe, Systemic: Dizziness/Lightheadedness-Severe, Systemic: Exhaustion/Lethargy-Severe, Systemic: Flushed/Sweating-Severe, Systemic: Headache-Medium, Systemic: Weakness-Medium
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Flushing, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chills-Severe, Systemic: Dizziness/Lightheadedness-Severe, Systemic: Exhaustion/Lethargy-Severe, Systemic: Flushed/Sweating-Severe, Systemic: Headache-Medium, Systemic: Weakness-Medium
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Throat tightness
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chills-Severe, Systemic: Dizziness/Lightheadedness-Severe, Systemic: Exhaustion/Lethargy-Severe, Systemic: Flushed/Sweating-Severe, Systemic: Headache-Medium, Systemic: Weakness-Medium
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after use limitation expiration date.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: 2 days of swollen lymph nodes
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Influenza A virus test negative, Influenza B virus test, Productive cough, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Highe fever of 101.5 within 12 hrs. Then URI and severe productive cough.  Lasted three weeks.  Visited urgent care on day 8.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Upper respiratory tract infection
Clinical narrative: Highe fever of 101.5 within 12 hrs. Then URI and severe productive cough.  Lasted three weeks.  Visited urgent care on day 8.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site thrombosis
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: blood clot in left arm near elbow-Medium
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Arthritis reactive, Blood thyroid stimulating hormone normal, Borrelia test negative, C-reactive protein increased
Clinical narrative: Severe reactive arthritis started 3 months after vaccine. I?ve never had any symptoms of arthritis even mildly before this event.  Severe arthritis started in left knee overnight and has progressed to both knees and right elbow. Pain has been consistently present for 7 months with no moments of relief. It was so bad I had to start using a cane. I sought treatment immediately and have been tested for several autoimmune conditions and infections with the only diagnosis currently being that it?s reactive arthritis resulting from some viral or bacterial infection that triggered an autoimmune response. I am currently taking sulfasalasine but it has not remedied the inflammation. Currently only steroid injection gives momentary relief. Still working with rheumatologist on next plan of action.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chlamydia test negative, Crystal urine, HIV test negative, HLA-B*27 positive, Hepatitis A antibody negative
Clinical narrative: Severe reactive arthritis started 3 months after vaccine. I?ve never had any symptoms of arthritis even mildly before this event.  Severe arthritis started in left knee overnight and has progressed to both knees and right elbow. Pain has been consistently present for 7 months with no moments of relief. It was so bad I had to start using a cane. I sought treatment immediately and have been tested for several autoimmune conditions and infections with the only diagnosis currently being that it?s reactive arthritis resulting from some viral or bacterial infection that triggered an autoimmune response. I am currently taking sulfasalasine but it has not remedied the inflammation. Currently only steroid injection gives momentary relief. Still working with rheumatologist on next plan of action.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatitis B antibody negative, Neisseria test, Osteoarthritis, Red blood cell sedimentation rate increased, Rheumatoid factor increased
Clinical narrative: Severe reactive arthritis started 3 months after vaccine. I?ve never had any symptoms of arthritis even mildly before this event.  Severe arthritis started in left knee overnight and has progressed to both knees and right elbow. Pain has been consistently present for 7 months with no moments of relief. It was so bad I had to start using a cane. I sought treatment immediately and have been tested for several autoimmune conditions and infections with the only diagnosis currently being that it?s reactive arthritis resulting from some viral or bacterial infection that triggered an autoimmune response. I am currently taking sulfasalasine but it has not remedied the inflammation. Currently only steroid injection gives momentary relief. Still working with rheumatologist on next plan of action.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Dermatographia
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Tachycardia, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Tachycardia-Mild, Additional Details: Patient fainted within 5 min of vaccine.  We checked her BP and HR and had her sit so we could monitor her. She did not want to be seen by emergency dept or doctor. We monitored her for 15 min. She said she felt fine and called a friend to pick her up. We monitored her an addtional 10 min. and took down her phone number to check on her tonight.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atelectasis, COVID-19, Cardiomyopathy, Chest X-ray abnormal
Clinical narrative: Patient is fully vaccinated and boosted 12/7.  + for COVID on 12/11/2021 and 12.16/2021.  Hospitalized from 12/11- 12/17/2021.Admitted with SOB, hypoxia and COVID 19.  Acute respiratory failure with hypoxia.  CXR: Patchy left upper lobe and lingular segment of airspace disease likely infectious in etiology as well as minimal bibasilar lung atelectasis. Right upper lobe patchy airspace disease as well. No acute pulmonary embolism present. Cardiomyopathy, nonischemic. Echocardiogram demonstrated moderately reduced left ventricular function with a left ventricular ejection fraction 34%. She will require workup for cardiomyopathy with consideration of an. Patient received LifeVest .  Treatment for pneumonia: oxygen,  decadron, breo inhaler, remdesivir, albuterol nebulizer. + for Elevated troponin:  ASA and statin.  ESRD: Hemodyalisis.   discharged home.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, End stage renal disease, Haemodialysis
Clinical narrative: Patient is fully vaccinated and boosted 12/7.  + for COVID on 12/11/2021 and 12.16/2021.  Hospitalized from 12/11- 12/17/2021.Admitted with SOB, hypoxia and COVID 19.  Acute respiratory failure with hypoxia.  CXR: Patchy left upper lobe and lingular segment of airspace disease likely infectious in etiology as well as minimal bibasilar lung atelectasis. Right upper lobe patchy airspace disease as well. No acute pulmonary embolism present. Cardiomyopathy, nonischemic. Echocardiogram demonstrated moderately reduced left ventricular function with a left ventricular ejection fraction 34%. She will require workup for cardiomyopathy with consideration of an. Patient received LifeVest .  Treatment for pneumonia: oxygen,  decadron, breo inhaler, remdesivir, albuterol nebulizer. + for Elevated troponin:  ASA and statin.  ESRD: Hemodyalisis.   discharged home.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Left ventricular dysfunction, Lung disorder, Pneumonia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is fully vaccinated and boosted 12/7.  + for COVID on 12/11/2021 and 12.16/2021.  Hospitalized from 12/11- 12/17/2021.Admitted with SOB, hypoxia and COVID 19.  Acute respiratory failure with hypoxia.  CXR: Patchy left upper lobe and lingular segment of airspace disease likely infectious in etiology as well as minimal bibasilar lung atelectasis. Right upper lobe patchy airspace disease as well. No acute pulmonary embolism present. Cardiomyopathy, nonischemic. Echocardiogram demonstrated moderately reduced left ventricular function with a left ventricular ejection fraction 34%. She will require workup for cardiomyopathy with consideration of an. Patient received LifeVest .  Treatment for pneumonia: oxygen,  decadron, breo inhaler, remdesivir, albuterol nebulizer. + for Elevated troponin:  ASA and statin.  ESRD: Hemodyalisis.   discharged home.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after use limitation expiration date.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: On 1/17/2022 at 10am patient was given a dose of Pfizer 5-11 Covid Vaccine after the vaccine's beyound use date of 1/14/2022.  The vaccine had been stored properly up until the dose was given.  The patient's family was notified of the error immediately.  The incident was reported to Pfizer, our collaborative practice provider, and VARES.  The patient's mother reported no side effects or concerns on 1/19/2021.  A final draft of the collective of all these findings will be provided to the patient's family.  It is the professional conclusion that this patient has received dose 1 of the Pfizer series and should receive the 2nd shot in the series in 3 weeks.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Malaise, Pain, Tinnitus
Clinical narrative: The night of getting booster shot, I did not sleep well. I noticed my ears were ringing or buzzing constantly. I started to not feel well. The next day and night 1/5/2022, I had the usual tired/achy/chills as with previous Moderna vaccine shots. Ringing/buzzing in my ears persisted. 1/6/2022 the ringing/buzzing continued but other symptoms improved. The ringing/buzzing continued or persisted and has not gone away. It is there 24/7.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after the limit to use the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Injection site induration, Injection site nodule, Pruritus
Clinical narrative: Redness, hot, hard knot at site, itching, burning
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Redness, hot, hard knot at site, itching, burning
Age: 3.0
Sex: M
Vaccine: IPV
Symptoms: Crying, Screaming
Clinical narrative: Per parent waking up screaming and inconsolable for an hour. Self calms and is at baseline until next awakening. May be ok now 1/14/22
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hypertension
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: patient got dizzy and fell-Medium, Additional Details: 911 was called and ems said his blood pressure was high and sulfur was high
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Oligomenorrhoea
Clinical narrative: I received two shot of moderna in March 7, 2021 and second shot on April 4, 2021. I got the Pfizer booster shot on December 23, 2021. Both given at pharmacy locations.   After the booster shot I started to get my period. I have extreme issues with even getting my period due to having PCOS. I typically have 4-5 periods a year. This period was long and heavy. Then I started to get concerned because that period went from Jan 3-9, 2022 followed by another period that started 8 days later on Jan 17 and has not stopped since. This is extremely odd and concerning to me especially after I read the news about Womens menstruation cycles getting messed with due to the vaccine. Please assist or advise. Thank you.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Insomnia, Lip swelling, Peripheral swelling, Swelling face
Clinical narrative: Patient is fully vaccinated. COVID+ on 12/5/2021.  ED visit on 12/11/2021.  46-year-old female with a history of thyroid disease states she was diagnosed with Covid about 6 days ago. Last set of vitals became swollen. Today she notices the dorsum of her hands getting swollen tenderness for upper lip is now swelling. She denies any exposures. No perfumes or detergents. No new food or closed. No new medications. She is swallowing without difficulty. No shortness of breath. The patient states she had trouble sleeping last night because she is worried about this. She decided to get checked. Patient positive for facial swelling and tachycardia. BP 177/71  | Pulse 120  | Temp 98.7 °F (37.1 °C) (Oral)  | Resp 18  | SpO2 100%   Treatment:  benadryl and methylpresnisolone infection. The patient was advised to follow up with their primary care physician in 2-3 days for re-evaluation or return to the Emergency Department if there were any worsening of symptoms of other complications. Discharged.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tenderness
Clinical narrative: Patient is fully vaccinated. COVID+ on 12/5/2021.  ED visit on 12/11/2021.  46-year-old female with a history of thyroid disease states she was diagnosed with Covid about 6 days ago. Last set of vitals became swollen. Today she notices the dorsum of her hands getting swollen tenderness for upper lip is now swelling. She denies any exposures. No perfumes or detergents. No new food or closed. No new medications. She is swallowing without difficulty. No shortness of breath. The patient states she had trouble sleeping last night because she is worried about this. She decided to get checked. Patient positive for facial swelling and tachycardia. BP 177/71  | Pulse 120  | Temp 98.7 °F (37.1 °C) (Oral)  | Resp 18  | SpO2 100%   Treatment:  benadryl and methylpresnisolone infection. The patient was advised to follow up with their primary care physician in 2-3 days for re-evaluation or return to the Emergency Department if there were any worsening of symptoms of other complications. Discharged.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Nausea, Syncope, Vomiting
Clinical narrative: within hours of receiving the booster, the patient experienced ongoing nausea and vomiting and early the next morning had a syncopal event. He called a family member to help but did not seek medical attention.  Even several days after the event the pt felt unsteady on his feet.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration deadline for use.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Facial Swelling where cosmetic filler had been injected around eyes and cheeks
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Patient was administered expired second dosage of Hep B shot.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood homocysteine increased, Blood test abnormal, Cerebrovascular accident, Computerised tomogram normal, Magnetic resonance imaging normal
Clinical narrative: Branch retinal artery occlusion of right eye (small stroke).  Saw what appeared to be a blind spot in my vision in my right eye upon waking up on 1/31/21.  Thought it was a floater so didn't think much of it.  Worked on 2/1/21 but it was still there and bothering me so on 2/2/21 when it didn't go away, I called my eye doctor who sent me to a specialist to have a look.  That's where I was diagnosed with the occlusion.  I was sent for blood work, additional physician visits (primary care, neuro, cardio and hemotology) and various CTs/MRI's.  No further occlusions were found.  I'm now on low dose asprin, a multivitamin and cholesterol medication.  I've been advised not to get boosted at this time.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein C increased, Red blood cell sedimentation rate, Retinal artery occlusion, Scan with contrast normal, Visual impairment
Clinical narrative: Branch retinal artery occlusion of right eye (small stroke).  Saw what appeared to be a blind spot in my vision in my right eye upon waking up on 1/31/21.  Thought it was a floater so didn't think much of it.  Worked on 2/1/21 but it was still there and bothering me so on 2/2/21 when it didn't go away, I called my eye doctor who sent me to a specialist to have a look.  That's where I was diagnosed with the occlusion.  I was sent for blood work, additional physician visits (primary care, neuro, cardio and hemotology) and various CTs/MRI's.  No further occlusions were found.  I'm now on low dose asprin, a multivitamin and cholesterol medication.  I've been advised not to get boosted at this time.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vitamin B6
Clinical narrative: Branch retinal artery occlusion of right eye (small stroke).  Saw what appeared to be a blind spot in my vision in my right eye upon waking up on 1/31/21.  Thought it was a floater so didn't think much of it.  Worked on 2/1/21 but it was still there and bothering me so on 2/2/21 when it didn't go away, I called my eye doctor who sent me to a specialist to have a look.  That's where I was diagnosed with the occlusion.  I was sent for blood work, additional physician visits (primary care, neuro, cardio and hemotology) and various CTs/MRI's.  No further occlusions were found.  I'm now on low dose asprin, a multivitamin and cholesterol medication.  I've been advised not to get boosted at this time.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID test
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose 2 given two weeks after Dose 1 given
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood test, Cardiac monitoring, Computerised tomogram, Electrocardiogram
Clinical narrative: A month later I had face paralysis (Bell?s palsy) on the right side of my face  . And was advised my my eye doctor this could be because of the vaccination.  I can barely eat or drink , hold liquids in my mouth , speech is interrupted, blurry vision in my right eye. And a host of other things including coping emotionally.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Emotional disorder, Speech disorder, Vision blurred
Clinical narrative: A month later I had face paralysis (Bell?s palsy) on the right side of my face  . And was advised my my eye doctor this could be because of the vaccination.  I can barely eat or drink , hold liquids in my mouth , speech is interrupted, blurry vision in my right eye. And a host of other things including coping emotionally.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling, Vaccination complication
Clinical narrative: Patient received the vaccine 1/5, and on the next day 1/6, her arm begin to swell.  The swelling continued to worsen and was very painful.  She was seen at an urgent care and diagnosed it as a "post vaccination reaction" per the patient on 1/10.  She was given an injection (unknown) and  prednisone course.  She was to follow up with her primary care on 1/13 that was rescheduled until 1/19 which was also resheduled until 1/24
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Contusion, Fibromyalgia, Heart rate increased
Clinical narrative: Increased heart rate. Heart rate of 100 at all times after vaccine.  Excessive bruising on arms and legs.  Widespread inflammation and pain in muscles in joints. Fibromyalgia pain increase with little help by using medication . Never had to use medication to treat this condition prior to COVID-19 vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Myalgia
Clinical narrative: Increased heart rate. Heart rate of 100 at all times after vaccine.  Excessive bruising on arms and legs.  Widespread inflammation and pain in muscles in joints. Fibromyalgia pain increase with little help by using medication . Never had to use medication to treat this condition prior to COVID-19 vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest pain, Decreased appetite, Fatigue, Feeling hot
Clinical narrative: After receiving my second dose, I started experiencing muscle ache and fatigue, it worsened through the night. I was hot and sweaty and felt as if I had a fever throughout the night. I then started about a week later experiencing pain in my side and chest. I had a rash and experienced a lot of pain from the rash. I was fatigued and felt achiness that was debilitating. I lost my appetite and had no energy.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flank pain, Herpes zoster, Hyperhidrosis, Myalgia, Pain
Clinical narrative: After receiving my second dose, I started experiencing muscle ache and fatigue, it worsened through the night. I was hot and sweaty and felt as if I had a fever throughout the night. I then started about a week later experiencing pain in my side and chest. I had a rash and experienced a lot of pain from the rash. I was fatigued and felt achiness that was debilitating. I lost my appetite and had no energy.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: After receiving my second dose, I started experiencing muscle ache and fatigue, it worsened through the night. I was hot and sweaty and felt as if I had a fever throughout the night. I then started about a week later experiencing pain in my side and chest. I had a rash and experienced a lot of pain from the rash. I was fatigued and felt achiness that was debilitating. I lost my appetite and had no energy.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Blood iron decreased, Blood test, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Shorter time between periods and very heavy including a lot of clots. Drops iron levels to very low levels which cause adverse effects on my body
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Shorter time between periods and very heavy including a lot of clots. Drops iron levels to very low levels which cause adverse effects on my body
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Vomiting
Clinical narrative: Vomiting 3:30 pm followed by headache and tiredness through 1/18/2022
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills, Diarrhoea
Clinical narrative: 70 Y/O female, visiting her daughter here states was SOB from 12/20 and developed fever, chills, panic attacks, nausea, vomiting and diarrhea. Home Covid test was +. Symptoms improved for a few days and then started getting worse. She came to ER last night due to severe SOB and felt panicky. She was tested + by PCR and was in severe hypoxic resp failure. CXR showed Multifocal Lung infiltrates due to COVID Viral Pneumonia. She also has Hx of chronic colitis. PMHX 1) T2D 2)Chronic Colitis PSHX 1) cholecystectomy 2) BIL THA Soc Hx Divorced, Smokes 3-4 cig/daily ETOH social . Received 1 dose of J&J vaccine end of November. 12/30/2021 tested positive
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lung infiltration, Nausea, Panic attack, Pneumonia viral
Clinical narrative: 70 Y/O female, visiting her daughter here states was SOB from 12/20 and developed fever, chills, panic attacks, nausea, vomiting and diarrhea. Home Covid test was +. Symptoms improved for a few days and then started getting worse. She came to ER last night due to severe SOB and felt panicky. She was tested + by PCR and was in severe hypoxic resp failure. CXR showed Multifocal Lung infiltrates due to COVID Viral Pneumonia. She also has Hx of chronic colitis. PMHX 1) T2D 2)Chronic Colitis PSHX 1) cholecystectomy 2) BIL THA Soc Hx Divorced, Smokes 3-4 cig/daily ETOH social . Received 1 dose of J&J vaccine end of November. 12/30/2021 tested positive
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory failure, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 70 Y/O female, visiting her daughter here states was SOB from 12/20 and developed fever, chills, panic attacks, nausea, vomiting and diarrhea. Home Covid test was +. Symptoms improved for a few days and then started getting worse. She came to ER last night due to severe SOB and felt panicky. She was tested + by PCR and was in severe hypoxic resp failure. CXR showed Multifocal Lung infiltrates due to COVID Viral Pneumonia. She also has Hx of chronic colitis. PMHX 1) T2D 2)Chronic Colitis PSHX 1) cholecystectomy 2) BIL THA Soc Hx Divorced, Smokes 3-4 cig/daily ETOH social . Received 1 dose of J&J vaccine end of November. 12/30/2021 tested positive
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough
Clinical narrative: This is a 74-year-old male patient with a known medical history of type 2 diabetes, hypertension hyperlipidemia who presents to the emergency department with a 10 day complaint of worsening cough, shortness of breath as well as fatigue.  He went to go get a COVID test today which was reportedly positive.  He presents to the emergency department with acute respiratory failure secondary to COVID-19 and pneumonia, his oxygen saturation was 88% on room air currently requiring 3 L nasal cannula.  Patient states he just established with a new primary care physician, denies any new changes to his medications.  He denies any recent antibiotics or any medications taken for his upper respiratory complaints.  He does report a 10 lb weight loss in the last month, states that he has been eating and losing weight without trying.  He admits to a remote history of smoking roughly 15 years ago for a total of 2 years.  Denies any alcohol use.  It was instantly found on the chest CT ruling out PE that he has multiple strongly enhancing mass in the pancreatic body and tail segment possibly multifocal islet cell tumors or metastatic disease from a hypervascular primary.  Patient denies any history of cancer in the past.  He does state that his mother had throat cancer before she passed away.  Patient will be admitted for sepsis secondary to COVID-19 pneumonia with hypoxia as well as workup for pancreatic mass. 01/07/2022 tested positive
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hypoxia, Pancreatic mass, SARS-CoV-2 test positive
Clinical narrative: This is a 74-year-old male patient with a known medical history of type 2 diabetes, hypertension hyperlipidemia who presents to the emergency department with a 10 day complaint of worsening cough, shortness of breath as well as fatigue.  He went to go get a COVID test today which was reportedly positive.  He presents to the emergency department with acute respiratory failure secondary to COVID-19 and pneumonia, his oxygen saturation was 88% on room air currently requiring 3 L nasal cannula.  Patient states he just established with a new primary care physician, denies any new changes to his medications.  He denies any recent antibiotics or any medications taken for his upper respiratory complaints.  He does report a 10 lb weight loss in the last month, states that he has been eating and losing weight without trying.  He admits to a remote history of smoking roughly 15 years ago for a total of 2 years.  Denies any alcohol use.  It was instantly found on the chest CT ruling out PE that he has multiple strongly enhancing mass in the pancreatic body and tail segment possibly multifocal islet cell tumors or metastatic disease from a hypervascular primary.  Patient denies any history of cancer in the past.  He does state that his mother had throat cancer before she passed away.  Patient will be admitted for sepsis secondary to COVID-19 pneumonia with hypoxia as well as workup for pancreatic mass. 01/07/2022 tested positive
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Weight decreased
Clinical narrative: This is a 74-year-old male patient with a known medical history of type 2 diabetes, hypertension hyperlipidemia who presents to the emergency department with a 10 day complaint of worsening cough, shortness of breath as well as fatigue.  He went to go get a COVID test today which was reportedly positive.  He presents to the emergency department with acute respiratory failure secondary to COVID-19 and pneumonia, his oxygen saturation was 88% on room air currently requiring 3 L nasal cannula.  Patient states he just established with a new primary care physician, denies any new changes to his medications.  He denies any recent antibiotics or any medications taken for his upper respiratory complaints.  He does report a 10 lb weight loss in the last month, states that he has been eating and losing weight without trying.  He admits to a remote history of smoking roughly 15 years ago for a total of 2 years.  Denies any alcohol use.  It was instantly found on the chest CT ruling out PE that he has multiple strongly enhancing mass in the pancreatic body and tail segment possibly multifocal islet cell tumors or metastatic disease from a hypervascular primary.  Patient denies any history of cancer in the past.  He does state that his mother had throat cancer before she passed away.  Patient will be admitted for sepsis secondary to COVID-19 pneumonia with hypoxia as well as workup for pancreatic mass. 01/07/2022 tested positive
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Anion gap, Blood alkaline phosphatase increased, Blood bicarbonate decreased, Blood bilirubin increased
Clinical narrative: This is a 74-year-old female with a history GERD, depression, breast cancer in remission and osteoarthritis who was brought in via EMS has her husband stated that she had COVID and has been confused.  When EMS arrived she was hard to arouse.  Patient had a Moderna vaccines and booster.  Her husband states she was doing well up until today.  She has had no fever, cough or shortness of breath.  She has had decreased appetite but drinking water, confused and lethargic.  She denies any recent diarrhea, abdominal pain, dysuria frequency or hematuria.   In the emergency room her pH was 7.3, pCO2 23, PaO2 62, O2 sat 93% on room air.  WBC 7.14, hemoglobin 11.2, MCV 1 a 2.6, sodium 135, potassium 3.9, chloride 99, bicarb 14, anion gap 22, BUN 50, creatinine 2.79, calcium 8.3.  Troponin is 78, alkaline phosphatase 412, ALT 369, total bili 2.3 and lactic acid 8.4.  She is COVID positive.  Chest x-ray appears to be COVID pneumonia.  We do not have any baseline studies for comparison.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints.  Tested positive on 01/10/2022
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine increased, Blood lactic acid, Blood pH decreased
Clinical narrative: This is a 74-year-old female with a history GERD, depression, breast cancer in remission and osteoarthritis who was brought in via EMS has her husband stated that she had COVID and has been confused.  When EMS arrived she was hard to arouse.  Patient had a Moderna vaccines and booster.  Her husband states she was doing well up until today.  She has had no fever, cough or shortness of breath.  She has had decreased appetite but drinking water, confused and lethargic.  She denies any recent diarrhea, abdominal pain, dysuria frequency or hematuria.   In the emergency room her pH was 7.3, pCO2 23, PaO2 62, O2 sat 93% on room air.  WBC 7.14, hemoglobin 11.2, MCV 1 a 2.6, sodium 135, potassium 3.9, chloride 99, bicarb 14, anion gap 22, BUN 50, creatinine 2.79, calcium 8.3.  Troponin is 78, alkaline phosphatase 412, ALT 369, total bili 2.3 and lactic acid 8.4.  She is COVID positive.  Chest x-ray appears to be COVID pneumonia.  We do not have any baseline studies for comparison.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints.  Tested positive on 01/10/2022
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea increased, COVID-19, COVID-19 pneumonia
Clinical narrative: This is a 74-year-old female with a history GERD, depression, breast cancer in remission and osteoarthritis who was brought in via EMS has her husband stated that she had COVID and has been confused.  When EMS arrived she was hard to arouse.  Patient had a Moderna vaccines and booster.  Her husband states she was doing well up until today.  She has had no fever, cough or shortness of breath.  She has had decreased appetite but drinking water, confused and lethargic.  She denies any recent diarrhea, abdominal pain, dysuria frequency or hematuria.   In the emergency room her pH was 7.3, pCO2 23, PaO2 62, O2 sat 93% on room air.  WBC 7.14, hemoglobin 11.2, MCV 1 a 2.6, sodium 135, potassium 3.9, chloride 99, bicarb 14, anion gap 22, BUN 50, creatinine 2.79, calcium 8.3.  Troponin is 78, alkaline phosphatase 412, ALT 369, total bili 2.3 and lactic acid 8.4.  She is COVID positive.  Chest x-ray appears to be COVID pneumonia.  We do not have any baseline studies for comparison.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints.  Tested positive on 01/10/2022
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Confusional state, Decreased appetite, Depressed level of consciousness, Haemoglobin decreased
Clinical narrative: This is a 74-year-old female with a history GERD, depression, breast cancer in remission and osteoarthritis who was brought in via EMS has her husband stated that she had COVID and has been confused.  When EMS arrived she was hard to arouse.  Patient had a Moderna vaccines and booster.  Her husband states she was doing well up until today.  She has had no fever, cough or shortness of breath.  She has had decreased appetite but drinking water, confused and lethargic.  She denies any recent diarrhea, abdominal pain, dysuria frequency or hematuria.   In the emergency room her pH was 7.3, pCO2 23, PaO2 62, O2 sat 93% on room air.  WBC 7.14, hemoglobin 11.2, MCV 1 a 2.6, sodium 135, potassium 3.9, chloride 99, bicarb 14, anion gap 22, BUN 50, creatinine 2.79, calcium 8.3.  Troponin is 78, alkaline phosphatase 412, ALT 369, total bili 2.3 and lactic acid 8.4.  She is COVID positive.  Chest x-ray appears to be COVID pneumonia.  We do not have any baseline studies for comparison.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints.  Tested positive on 01/10/2022
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lethargy, Mean cell volume, PCO2 decreased, PO2 decreased, SARS-CoV-2 test positive
Clinical narrative: This is a 74-year-old female with a history GERD, depression, breast cancer in remission and osteoarthritis who was brought in via EMS has her husband stated that she had COVID and has been confused.  When EMS arrived she was hard to arouse.  Patient had a Moderna vaccines and booster.  Her husband states she was doing well up until today.  She has had no fever, cough or shortness of breath.  She has had decreased appetite but drinking water, confused and lethargic.  She denies any recent diarrhea, abdominal pain, dysuria frequency or hematuria.   In the emergency room her pH was 7.3, pCO2 23, PaO2 62, O2 sat 93% on room air.  WBC 7.14, hemoglobin 11.2, MCV 1 a 2.6, sodium 135, potassium 3.9, chloride 99, bicarb 14, anion gap 22, BUN 50, creatinine 2.79, calcium 8.3.  Troponin is 78, alkaline phosphatase 412, ALT 369, total bili 2.3 and lactic acid 8.4.  She is COVID positive.  Chest x-ray appears to be COVID pneumonia.  We do not have any baseline studies for comparison.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints.  Tested positive on 01/10/2022
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin increased, White blood cell count normal
Clinical narrative: This is a 74-year-old female with a history GERD, depression, breast cancer in remission and osteoarthritis who was brought in via EMS has her husband stated that she had COVID and has been confused.  When EMS arrived she was hard to arouse.  Patient had a Moderna vaccines and booster.  Her husband states she was doing well up until today.  She has had no fever, cough or shortness of breath.  She has had decreased appetite but drinking water, confused and lethargic.  She denies any recent diarrhea, abdominal pain, dysuria frequency or hematuria.   In the emergency room her pH was 7.3, pCO2 23, PaO2 62, O2 sat 93% on room air.  WBC 7.14, hemoglobin 11.2, MCV 1 a 2.6, sodium 135, potassium 3.9, chloride 99, bicarb 14, anion gap 22, BUN 50, creatinine 2.79, calcium 8.3.  Troponin is 78, alkaline phosphatase 412, ALT 369, total bili 2.3 and lactic acid 8.4.  She is COVID positive.  Chest x-ray appears to be COVID pneumonia.  We do not have any baseline studies for comparison.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints.  Tested positive on 01/10/2022
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Colitis ischaemic, Computerised tomogram abdomen abnormal, Constipation, Enema administration
Clinical narrative: 88 years old man who came with abdominal pain, constipation. The patient reports that his last bowel movement was on December 27. He has been having on and off abdominal pain that is severe at times. He had used multiple medication including laxity is coli stool suppository, Fleet enema with no success. A CT scan done in the emergency room showed fecal impaction, stercoral colitis and severe constipation. He has past medical history of hypertension, diabetes, systolic and diastolic CHF, paroxysmal atrial fibrillation, carotid stenosis status post carotid stent, coronary artery disease status post CABG, aortic valve replacement, chronic kidney disease stage 3,  history of CVA and Ulcerative colitis.  He also reports history of severe confusion secondary to narcotics.  He denies any history of tobacco, alcohol or drug abuse.  Family history is reviewed and noncontributory. Tested positive on 01/11/2022
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Faecaloma
Clinical narrative: 88 years old man who came with abdominal pain, constipation. The patient reports that his last bowel movement was on December 27. He has been having on and off abdominal pain that is severe at times. He had used multiple medication including laxity is coli stool suppository, Fleet enema with no success. A CT scan done in the emergency room showed fecal impaction, stercoral colitis and severe constipation. He has past medical history of hypertension, diabetes, systolic and diastolic CHF, paroxysmal atrial fibrillation, carotid stenosis status post carotid stent, coronary artery disease status post CABG, aortic valve replacement, chronic kidney disease stage 3,  history of CVA and Ulcerative colitis.  He also reports history of severe confusion secondary to narcotics.  He denies any history of tobacco, alcohol or drug abuse.  Family history is reviewed and noncontributory. Tested positive on 01/11/2022
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Hypoaesthesia oral, Rash, Throat clearing
Clinical narrative: rash, coughing and trying to clear throat, tongue felt numb
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Palpitations, Tachycardia
Clinical narrative: Beginning 17Dec2021, I have been experiencing occasional heart palpitations and tachycardia; rare mild headaches and lightheadedness.  This is still ongoing as of 20Jan2022.  I experienced similar adverse events after my 2nd dose of the Pfizer COVID-19 vaccine (vaccination date 04May2021 with AEs beginning 09May2021).
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated 3/11/21 and 4/1/21 with Pfizer. She presents via EMS to the ER reporting shortness of breath, cough, body aches states that symptoms started yesterday. She is still admitted with COVID 19 since 1/19/22
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: -this is a 49-year-old male with past medical history Down syndrome, pre diabetes, epilepsy, hyperlipidemia, morbid obesity, chronic GERD, restless leg syndrome, depression, overactive bladder, chronic hepatitis-C, anxiety, allergic rhinitis, functional quadriplegia.  He was sent to the hospital with a chief complaint of worsening cough and shortness of breath.  Most of the history was obtained from the emergency room provider and the previous medical records.  Patient nonverbal at baseline.     Call placed to the patient's group home caretaker using the number listed on the face sheet.  Phone was answered by employee.  He reported that patient is managed by his brother and provided me another phone number. I called that number but it also went into voicemail so I was not able to gather more information. Tested positive on 01/11/2022
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Coronavirus infection, Cough, Dyspnoea, Lethargy, SARS-CoV-2 test positive
Clinical narrative: Patient is a 72-year-old gentleman, who presents to Hospital Emergency Room with an increase in shortness of breath.  The patient was diagnosed with coronavirus.  He had a cough for the last several days' time accompanied by generalized lethargy.  The patient denies chest discomfort, abdominal pain, or other symptoms. Tested positive on 01/11/2022  -this is a 49-year-old male with past medical history Down syndrome, pre diabetes, epilepsy, hyperlipidemia, morbid obesity, chronic GERD, restless leg syndrome, depression, overactive bladder, chronic hepatitis-C, anxiety, allergic rhinitis, functional quadriplegia.      He was sent to the hospital with a chief complaint of worsening cough and shortness of breath.  Most of the history was obtained from the emergency room provider and the previous medical records.  Patient nonverbal at baseline.       Call placed to the patient's group home caretaker using the number listed on the sheet.  Phone was answered by person.  He reported that patient is managed by his brother and provided me another phone number.  I called that number but it also went into voicemail so I was not able to gather more information.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood gases abnormal, Blood magnesium normal, Blood sodium decreased
Clinical narrative: Presented to the ED with complaints generalized weakness prompting a call to EMS who found patient diaphoretic per report.  Patient endorses dry cough but denies any fevers, chills, chest pain, palpitations, lightheadedness or dizziness.  Upon arrival to the ED patient's initial vitals revealed hypoxia in the 80s and up to 90% on room air.  ABG revealed hypoxemia with PO2 70.6.  COVID-19 positive.  Patient was tachypneic max 22.  Mildly decreased sodium 134 and elevated serum creatinine 1.53 (baseline III to 1.5, patient with history CKD stage 3).  Decreased magnesium 1.5.   - Troponin elevated 117 with BNP 261.  EKG reveals sinus rhythm with no ST segment changes acutely. - Chest x-ra  Presented to the ED with complaints generalized weakness prompting a call to EMS who found patient diaphoretic per report.  Patient endorses dry cough but denies any fevers, chills, chest pain, palpitations, lightheadedness or dizziness.  Upon arrival to the ED patient's initial vitals revealed hypoxia in the 80s and up to 90% on room air.  ABG revealed hypoxemia with PO2 70.6.  COVID-19 positive.  Patient was tachypneic max 22.  Mildly decreased sodium 134 and elevated serum creatinine 1.53 (baseline III to 1.5, patient with history CKD stage 3).  Decreased magnesium 1.5.   - Troponin elevated 117 with BNP 261.  EKG reveals sinus rhythm with no ST segment changes acutely. - Chest x-ray pending at time of admission.   Patient is fully vaccinated against COVID-19 with Moderna x2.  Exposed to daughter who has COVID-19. Tested positive on 01/17/2022
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cough, Electrocardiogram normal, Exposure to SARS-CoV-2
Clinical narrative: Presented to the ED with complaints generalized weakness prompting a call to EMS who found patient diaphoretic per report.  Patient endorses dry cough but denies any fevers, chills, chest pain, palpitations, lightheadedness or dizziness.  Upon arrival to the ED patient's initial vitals revealed hypoxia in the 80s and up to 90% on room air.  ABG revealed hypoxemia with PO2 70.6.  COVID-19 positive.  Patient was tachypneic max 22.  Mildly decreased sodium 134 and elevated serum creatinine 1.53 (baseline III to 1.5, patient with history CKD stage 3).  Decreased magnesium 1.5.   - Troponin elevated 117 with BNP 261.  EKG reveals sinus rhythm with no ST segment changes acutely. - Chest x-ra  Presented to the ED with complaints generalized weakness prompting a call to EMS who found patient diaphoretic per report.  Patient endorses dry cough but denies any fevers, chills, chest pain, palpitations, lightheadedness or dizziness.  Upon arrival to the ED patient's initial vitals revealed hypoxia in the 80s and up to 90% on room air.  ABG revealed hypoxemia with PO2 70.6.  COVID-19 positive.  Patient was tachypneic max 22.  Mildly decreased sodium 134 and elevated serum creatinine 1.53 (baseline III to 1.5, patient with history CKD stage 3).  Decreased magnesium 1.5.   - Troponin elevated 117 with BNP 261.  EKG reveals sinus rhythm with no ST segment changes acutely. - Chest x-ray pending at time of admission.   Patient is fully vaccinated against COVID-19 with Moderna x2.  Exposed to daughter who has COVID-19. Tested positive on 01/17/2022