chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sinus congestion
Clinical narrative: 77 year old man with PMH of hypothyroid, HPLD, C-Spine surgeries who presents with cough, ShOB, weakness. He initially started with a cough about 1 week ago. It was a dry cough. He states that his cough improved, however he became more ShOB and weak over the last three days. Says that his ShOB is worse with exertion. No orthopnea. He has not had fevers, chills, he has some sinus congestion, no sore throat, no problems swallowing, no CP, palpitations, no nausea, vomiting, diarrhea, constipation, no dysuria, no LE edema. He has been vaccinated against COVID. He unsure when he received his vaccine, he has not had a booster.  On arrival to the ER, he had a temperature of 97.9°, heart rate of 98, blood pressure 124/70.  CBC relatively unremarkable as is his BMP.  His alk-phos is elevated 127, AST little up at 55.  His D-dimer is 2376.  ABG is 7.43/39/66/93% on 6 L. he is COVID positive.  Chest x-ray is read its course bilateral peripheral pulmonary infiltrates suggestive of COVID-19.    PT IS INPATIENT AT THIS TIME.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Anion gap, Aspartate aminotransferase increased, Blood bicarbonate decreased, Blood calcium increased
Clinical narrative: 77 year old man with PMH of dementia.  He is acutely confused, history obtained from his wife who is a poor historian herself.  Has had worsening confusion over the past week. Has had decreased PO intake for about 3 days. No fevers, chills. Has chronic sinus issues. Has a little bit of a cough. No CP. He has been constipated. No vomiting.  He has been falling a lot lately. May have some coughing with eating. He has been vaccinated and boosted, moderna, booster on 12/10/21.  On arrival to the ED, he had a T of 97.2, heart rate of 120, blood pressure 126/74.  Labs show white count 15.9, hemoglobin 17, platelets 180.  Chemistry with sodium 160, potassium 4.8, chloride 118, bicarb 17, anion gap 25, BUN 69, creatinine 3.4 (baseline 0.8 in 2020) calcium 11.4, magnesium 3.4, AST 107, ALT 45, lactate 6.5, procalcitonin 7.16, troponin 96.  ABG on room air 7.47/27/68/95%.  He is COVID positive.  Chest x-ray with low lung volumes with possible left basilar infiltrate.  CT head with severe cerebral atrophy with frontotemporal predominance in no acute intracranial process.  PT IS INPATIENT AT THIS TIME.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood chloride increased, Blood creatinine increased, Blood gases, Blood lactic acid, Blood magnesium increased
Clinical narrative: 77 year old man with PMH of dementia.  He is acutely confused, history obtained from his wife who is a poor historian herself.  Has had worsening confusion over the past week. Has had decreased PO intake for about 3 days. No fevers, chills. Has chronic sinus issues. Has a little bit of a cough. No CP. He has been constipated. No vomiting.  He has been falling a lot lately. May have some coughing with eating. He has been vaccinated and boosted, moderna, booster on 12/10/21.  On arrival to the ED, he had a T of 97.2, heart rate of 120, blood pressure 126/74.  Labs show white count 15.9, hemoglobin 17, platelets 180.  Chemistry with sodium 160, potassium 4.8, chloride 118, bicarb 17, anion gap 25, BUN 69, creatinine 3.4 (baseline 0.8 in 2020) calcium 11.4, magnesium 3.4, AST 107, ALT 45, lactate 6.5, procalcitonin 7.16, troponin 96.  ABG on room air 7.47/27/68/95%.  He is COVID positive.  Chest x-ray with low lung volumes with possible left basilar infiltrate.  CT head with severe cerebral atrophy with frontotemporal predominance in no acute intracranial process.  PT IS INPATIENT AT THIS TIME.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium increased, Blood urea increased, COVID-19, Cerebral atrophy
Clinical narrative: 77 year old man with PMH of dementia.  He is acutely confused, history obtained from his wife who is a poor historian herself.  Has had worsening confusion over the past week. Has had decreased PO intake for about 3 days. No fevers, chills. Has chronic sinus issues. Has a little bit of a cough. No CP. He has been constipated. No vomiting.  He has been falling a lot lately. May have some coughing with eating. He has been vaccinated and boosted, moderna, booster on 12/10/21.  On arrival to the ED, he had a T of 97.2, heart rate of 120, blood pressure 126/74.  Labs show white count 15.9, hemoglobin 17, platelets 180.  Chemistry with sodium 160, potassium 4.8, chloride 118, bicarb 17, anion gap 25, BUN 69, creatinine 3.4 (baseline 0.8 in 2020) calcium 11.4, magnesium 3.4, AST 107, ALT 45, lactate 6.5, procalcitonin 7.16, troponin 96.  ABG on room air 7.47/27/68/95%.  He is COVID positive.  Chest x-ray with low lung volumes with possible left basilar infiltrate.  CT head with severe cerebral atrophy with frontotemporal predominance in no acute intracranial process.  PT IS INPATIENT AT THIS TIME.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head abnormal, Confusional state, Constipation, Cough
Clinical narrative: 77 year old man with PMH of dementia.  He is acutely confused, history obtained from his wife who is a poor historian herself.  Has had worsening confusion over the past week. Has had decreased PO intake for about 3 days. No fevers, chills. Has chronic sinus issues. Has a little bit of a cough. No CP. He has been constipated. No vomiting.  He has been falling a lot lately. May have some coughing with eating. He has been vaccinated and boosted, moderna, booster on 12/10/21.  On arrival to the ED, he had a T of 97.2, heart rate of 120, blood pressure 126/74.  Labs show white count 15.9, hemoglobin 17, platelets 180.  Chemistry with sodium 160, potassium 4.8, chloride 118, bicarb 17, anion gap 25, BUN 69, creatinine 3.4 (baseline 0.8 in 2020) calcium 11.4, magnesium 3.4, AST 107, ALT 45, lactate 6.5, procalcitonin 7.16, troponin 96.  ABG on room air 7.47/27/68/95%.  He is COVID positive.  Chest x-ray with low lung volumes with possible left basilar infiltrate.  CT head with severe cerebral atrophy with frontotemporal predominance in no acute intracranial process.  PT IS INPATIENT AT THIS TIME.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Haemoglobin normal, Hypophagia, Laboratory test abnormal, Lung disorder
Clinical narrative: 77 year old man with PMH of dementia.  He is acutely confused, history obtained from his wife who is a poor historian herself.  Has had worsening confusion over the past week. Has had decreased PO intake for about 3 days. No fevers, chills. Has chronic sinus issues. Has a little bit of a cough. No CP. He has been constipated. No vomiting.  He has been falling a lot lately. May have some coughing with eating. He has been vaccinated and boosted, moderna, booster on 12/10/21.  On arrival to the ED, he had a T of 97.2, heart rate of 120, blood pressure 126/74.  Labs show white count 15.9, hemoglobin 17, platelets 180.  Chemistry with sodium 160, potassium 4.8, chloride 118, bicarb 17, anion gap 25, BUN 69, creatinine 3.4 (baseline 0.8 in 2020) calcium 11.4, magnesium 3.4, AST 107, ALT 45, lactate 6.5, procalcitonin 7.16, troponin 96.  ABG on room air 7.47/27/68/95%.  He is COVID positive.  Chest x-ray with low lung volumes with possible left basilar infiltrate.  CT head with severe cerebral atrophy with frontotemporal predominance in no acute intracranial process.  PT IS INPATIENT AT THIS TIME.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Platelet count normal, Procalcitonin, SARS-CoV-2 test positive, Sinus disorder, Troponin
Clinical narrative: 77 year old man with PMH of dementia.  He is acutely confused, history obtained from his wife who is a poor historian herself.  Has had worsening confusion over the past week. Has had decreased PO intake for about 3 days. No fevers, chills. Has chronic sinus issues. Has a little bit of a cough. No CP. He has been constipated. No vomiting.  He has been falling a lot lately. May have some coughing with eating. He has been vaccinated and boosted, moderna, booster on 12/10/21.  On arrival to the ED, he had a T of 97.2, heart rate of 120, blood pressure 126/74.  Labs show white count 15.9, hemoglobin 17, platelets 180.  Chemistry with sodium 160, potassium 4.8, chloride 118, bicarb 17, anion gap 25, BUN 69, creatinine 3.4 (baseline 0.8 in 2020) calcium 11.4, magnesium 3.4, AST 107, ALT 45, lactate 6.5, procalcitonin 7.16, troponin 96.  ABG on room air 7.47/27/68/95%.  He is COVID positive.  Chest x-ray with low lung volumes with possible left basilar infiltrate.  CT head with severe cerebral atrophy with frontotemporal predominance in no acute intracranial process.  PT IS INPATIENT AT THIS TIME.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 77 year old man with PMH of dementia.  He is acutely confused, history obtained from his wife who is a poor historian herself.  Has had worsening confusion over the past week. Has had decreased PO intake for about 3 days. No fevers, chills. Has chronic sinus issues. Has a little bit of a cough. No CP. He has been constipated. No vomiting.  He has been falling a lot lately. May have some coughing with eating. He has been vaccinated and boosted, moderna, booster on 12/10/21.  On arrival to the ED, he had a T of 97.2, heart rate of 120, blood pressure 126/74.  Labs show white count 15.9, hemoglobin 17, platelets 180.  Chemistry with sodium 160, potassium 4.8, chloride 118, bicarb 17, anion gap 25, BUN 69, creatinine 3.4 (baseline 0.8 in 2020) calcium 11.4, magnesium 3.4, AST 107, ALT 45, lactate 6.5, procalcitonin 7.16, troponin 96.  ABG on room air 7.47/27/68/95%.  He is COVID positive.  Chest x-ray with low lung volumes with possible left basilar infiltrate.  CT head with severe cerebral atrophy with frontotemporal predominance in no acute intracranial process.  PT IS INPATIENT AT THIS TIME.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adrenal adenoma, Atelectasis, Blood glucose normal, Bronchitis, Cardiomegaly
Clinical narrative: 85 year old lady with PMH of COPD, CHF, pAF, DM2, COVID PNA in 9/2020, and DM who states that she is here for bronchitis and pneumonia. She says she has had bronchitis for at least two weeks. She has been coughing, it has been productive of thick yellow sputum. She thinks that she has only been treated with a steroid, no abx. States that she was better at first but has then gotten worse again. States that she came to the ED today because her body feels tired. She has not had any fevers. She feels ShOB. She has orthopnea. No PND. She has pedal edema. She has sinus congestion, no sore throat, no trouble swallowing. No CP, no palpitations, no nausea, no vomiting, no dysuria.  Arrived to the ER, she had a temperature 98.2°, heart rate of 110, blood pressure 123/86.  CBC significant for white count of 16.36, increased granulocytes, BMP relatively unremarkable, potassium is pending though, glucose 149.  COVID swab is negative.  Chest x-ray read as stable cardiomegaly without any other acute findings.  CT of the chest the nonspecific 2.3 cm area of soft tissue fullness of the right hilum, patchy bilateral airspace disease, small pleural effusions with compressive atelectasis, cirrhosis of the liver, left adrenal adenoma.  PT IS STILL INPATIENT AT THIS TIME.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Fatigue, Granulocyte count increased
Clinical narrative: 85 year old lady with PMH of COPD, CHF, pAF, DM2, COVID PNA in 9/2020, and DM who states that she is here for bronchitis and pneumonia. She says she has had bronchitis for at least two weeks. She has been coughing, it has been productive of thick yellow sputum. She thinks that she has only been treated with a steroid, no abx. States that she was better at first but has then gotten worse again. States that she came to the ED today because her body feels tired. She has not had any fevers. She feels ShOB. She has orthopnea. No PND. She has pedal edema. She has sinus congestion, no sore throat, no trouble swallowing. No CP, no palpitations, no nausea, no vomiting, no dysuria.  Arrived to the ER, she had a temperature 98.2°, heart rate of 110, blood pressure 123/86.  CBC significant for white count of 16.36, increased granulocytes, BMP relatively unremarkable, potassium is pending though, glucose 149.  COVID swab is negative.  Chest x-ray read as stable cardiomegaly without any other acute findings.  CT of the chest the nonspecific 2.3 cm area of soft tissue fullness of the right hilum, patchy bilateral airspace disease, small pleural effusions with compressive atelectasis, cirrhosis of the liver, left adrenal adenoma.  PT IS STILL INPATIENT AT THIS TIME.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hepatic cirrhosis, Lung disorder, Lung opacity, Metabolic function test normal, Oedema peripheral
Clinical narrative: 85 year old lady with PMH of COPD, CHF, pAF, DM2, COVID PNA in 9/2020, and DM who states that she is here for bronchitis and pneumonia. She says she has had bronchitis for at least two weeks. She has been coughing, it has been productive of thick yellow sputum. She thinks that she has only been treated with a steroid, no abx. States that she was better at first but has then gotten worse again. States that she came to the ED today because her body feels tired. She has not had any fevers. She feels ShOB. She has orthopnea. No PND. She has pedal edema. She has sinus congestion, no sore throat, no trouble swallowing. No CP, no palpitations, no nausea, no vomiting, no dysuria.  Arrived to the ER, she had a temperature 98.2°, heart rate of 110, blood pressure 123/86.  CBC significant for white count of 16.36, increased granulocytes, BMP relatively unremarkable, potassium is pending though, glucose 149.  COVID swab is negative.  Chest x-ray read as stable cardiomegaly without any other acute findings.  CT of the chest the nonspecific 2.3 cm area of soft tissue fullness of the right hilum, patchy bilateral airspace disease, small pleural effusions with compressive atelectasis, cirrhosis of the liver, left adrenal adenoma.  PT IS STILL INPATIENT AT THIS TIME.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Orthopnoea, Pleural effusion, Pneumonia, Productive cough, Pulmonary hilum mass
Clinical narrative: 85 year old lady with PMH of COPD, CHF, pAF, DM2, COVID PNA in 9/2020, and DM who states that she is here for bronchitis and pneumonia. She says she has had bronchitis for at least two weeks. She has been coughing, it has been productive of thick yellow sputum. She thinks that she has only been treated with a steroid, no abx. States that she was better at first but has then gotten worse again. States that she came to the ED today because her body feels tired. She has not had any fevers. She feels ShOB. She has orthopnea. No PND. She has pedal edema. She has sinus congestion, no sore throat, no trouble swallowing. No CP, no palpitations, no nausea, no vomiting, no dysuria.  Arrived to the ER, she had a temperature 98.2°, heart rate of 110, blood pressure 123/86.  CBC significant for white count of 16.36, increased granulocytes, BMP relatively unremarkable, potassium is pending though, glucose 149.  COVID swab is negative.  Chest x-ray read as stable cardiomegaly without any other acute findings.  CT of the chest the nonspecific 2.3 cm area of soft tissue fullness of the right hilum, patchy bilateral airspace disease, small pleural effusions with compressive atelectasis, cirrhosis of the liver, left adrenal adenoma.  PT IS STILL INPATIENT AT THIS TIME.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Sinus congestion, Soft tissue mass, Sputum discoloured, White blood cell count increased
Clinical narrative: 85 year old lady with PMH of COPD, CHF, pAF, DM2, COVID PNA in 9/2020, and DM who states that she is here for bronchitis and pneumonia. She says she has had bronchitis for at least two weeks. She has been coughing, it has been productive of thick yellow sputum. She thinks that she has only been treated with a steroid, no abx. States that she was better at first but has then gotten worse again. States that she came to the ED today because her body feels tired. She has not had any fevers. She feels ShOB. She has orthopnea. No PND. She has pedal edema. She has sinus congestion, no sore throat, no trouble swallowing. No CP, no palpitations, no nausea, no vomiting, no dysuria.  Arrived to the ER, she had a temperature 98.2°, heart rate of 110, blood pressure 123/86.  CBC significant for white count of 16.36, increased granulocytes, BMP relatively unremarkable, potassium is pending though, glucose 149.  COVID swab is negative.  Chest x-ray read as stable cardiomegaly without any other acute findings.  CT of the chest the nonspecific 2.3 cm area of soft tissue fullness of the right hilum, patchy bilateral airspace disease, small pleural effusions with compressive atelectasis, cirrhosis of the liver, left adrenal adenoma.  PT IS STILL INPATIENT AT THIS TIME.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: 10days after the vaccine my scalp was very itchy 8am the next day my entire upper body broke into red itchy hives  -still happening till this day Diagnosed  by the dermatologist with Hives today 01/28/2022
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Asymptomatic COVID-19, Blood creatinine normal, Blood glucose decreased
Clinical narrative: Patient is an 88 y/o female who was sent from memory unit for altered mental status. Patient has a past medical history of advanced dementia with behavioral disturbances. History obtained from ED provider and review of chart. Patient reportedly was in her usual state of health last night around 8pm. This morning when staff went to check on her she was unresponsive with a GCS of 3. There was concern for acute stroke and patient was sent here for further evaluation. In the emergency department patient underwent CT head and CTA head/neck which were unrevealing for acute process. She has known chronic small vessel ischemic disease. Patient apparently has been seen in our ED 3 times in the past month with past month with similar presentation and workup has been fairly unrevealing. Today, patient was noted to be hemodynamically stable, afebrile, and oxygenating well on room air. Her CBC showed mild thrombocytopenia. Chemistry with slightly elevated BUN, creatinine stable. Her glucose on presentation 85- repeat glucose 45. 1smp D50 ordered. On telemetry patient has bradycardia with HR in the 40s, ED provider noted one dip into the upper 30s though not in our EHR. Looks like on previous visits her HR rune 50-60s. Hospitalist service asked to admit for further evaluation of AMS.   To note patient tested positive for COVID19 on 1/13/22 and was treated with doxycycline and dexamethasone. She was retested in the ED and positive. Patient is asymptomatic and oxygenating on room air.  PT REMAINS IN PATIENT AT THIS TIME.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea increased, Bradycardia, Cardiac telemetry abnormal, Coma scale, Computerised tomogram head
Clinical narrative: Patient is an 88 y/o female who was sent from memory unit for altered mental status. Patient has a past medical history of advanced dementia with behavioral disturbances. History obtained from ED provider and review of chart. Patient reportedly was in her usual state of health last night around 8pm. This morning when staff went to check on her she was unresponsive with a GCS of 3. There was concern for acute stroke and patient was sent here for further evaluation. In the emergency department patient underwent CT head and CTA head/neck which were unrevealing for acute process. She has known chronic small vessel ischemic disease. Patient apparently has been seen in our ED 3 times in the past month with past month with similar presentation and workup has been fairly unrevealing. Today, patient was noted to be hemodynamically stable, afebrile, and oxygenating well on room air. Her CBC showed mild thrombocytopenia. Chemistry with slightly elevated BUN, creatinine stable. Her glucose on presentation 85- repeat glucose 45. 1smp D50 ordered. On telemetry patient has bradycardia with HR in the 40s, ED provider noted one dip into the upper 30s though not in our EHR. Looks like on previous visits her HR rune 50-60s. Hospitalist service asked to admit for further evaluation of AMS.   To note patient tested positive for COVID19 on 1/13/22 and was treated with doxycycline and dexamethasone. She was retested in the ED and positive. Patient is asymptomatic and oxygenating on room air.  PT REMAINS IN PATIENT AT THIS TIME.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count abnormal, Laboratory test abnormal, Mental status changes, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Patient is an 88 y/o female who was sent from memory unit for altered mental status. Patient has a past medical history of advanced dementia with behavioral disturbances. History obtained from ED provider and review of chart. Patient reportedly was in her usual state of health last night around 8pm. This morning when staff went to check on her she was unresponsive with a GCS of 3. There was concern for acute stroke and patient was sent here for further evaluation. In the emergency department patient underwent CT head and CTA head/neck which were unrevealing for acute process. She has known chronic small vessel ischemic disease. Patient apparently has been seen in our ED 3 times in the past month with past month with similar presentation and workup has been fairly unrevealing. Today, patient was noted to be hemodynamically stable, afebrile, and oxygenating well on room air. Her CBC showed mild thrombocytopenia. Chemistry with slightly elevated BUN, creatinine stable. Her glucose on presentation 85- repeat glucose 45. 1smp D50 ordered. On telemetry patient has bradycardia with HR in the 40s, ED provider noted one dip into the upper 30s though not in our EHR. Looks like on previous visits her HR rune 50-60s. Hospitalist service asked to admit for further evaluation of AMS.   To note patient tested positive for COVID19 on 1/13/22 and was treated with doxycycline and dexamethasone. She was retested in the ED and positive. Patient is asymptomatic and oxygenating on room air.  PT REMAINS IN PATIENT AT THIS TIME.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient is an 88 y/o female who was sent from memory unit for altered mental status. Patient has a past medical history of advanced dementia with behavioral disturbances. History obtained from ED provider and review of chart. Patient reportedly was in her usual state of health last night around 8pm. This morning when staff went to check on her she was unresponsive with a GCS of 3. There was concern for acute stroke and patient was sent here for further evaluation. In the emergency department patient underwent CT head and CTA head/neck which were unrevealing for acute process. She has known chronic small vessel ischemic disease. Patient apparently has been seen in our ED 3 times in the past month with past month with similar presentation and workup has been fairly unrevealing. Today, patient was noted to be hemodynamically stable, afebrile, and oxygenating well on room air. Her CBC showed mild thrombocytopenia. Chemistry with slightly elevated BUN, creatinine stable. Her glucose on presentation 85- repeat glucose 45. 1smp D50 ordered. On telemetry patient has bradycardia with HR in the 40s, ED provider noted one dip into the upper 30s though not in our EHR. Looks like on previous visits her HR rune 50-60s. Hospitalist service asked to admit for further evaluation of AMS.   To note patient tested positive for COVID19 on 1/13/22 and was treated with doxycycline and dexamethasone. She was retested in the ED and positive. Patient is asymptomatic and oxygenating on room air.  PT REMAINS IN PATIENT AT THIS TIME.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Cough, Dyspnoea, Fatigue
Clinical narrative: Initial ones within 6 hours: sore arm, fatigue, headache, nausea, fever (101.8), body aches - these worsened for 3 days.   Then on 1/17 or 1/18 I had chest pain, cough, shortness of breath, worsened fatigue, and mild fever persisted.   Then 1/23 I had a rheumatoid arthritis flare and genital herpes outbreak.   As of today, 1/28, I still have mild chest pain (gets better after 10 minutes of slow deep breathing and focused attention on my heart and lungs).  The third dose for me was a full dose of the vaccine because I have R.A. I did not know this would happen until they administered it. Now I worry about future boosters.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Genital herpes, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: Initial ones within 6 hours: sore arm, fatigue, headache, nausea, fever (101.8), body aches - these worsened for 3 days.   Then on 1/17 or 1/18 I had chest pain, cough, shortness of breath, worsened fatigue, and mild fever persisted.   Then 1/23 I had a rheumatoid arthritis flare and genital herpes outbreak.   As of today, 1/28, I still have mild chest pain (gets better after 10 minutes of slow deep breathing and focused attention on my heart and lungs).  The third dose for me was a full dose of the vaccine because I have R.A. I did not know this would happen until they administered it. Now I worry about future boosters.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rheumatoid arthritis
Clinical narrative: Initial ones within 6 hours: sore arm, fatigue, headache, nausea, fever (101.8), body aches - these worsened for 3 days.   Then on 1/17 or 1/18 I had chest pain, cough, shortness of breath, worsened fatigue, and mild fever persisted.   Then 1/23 I had a rheumatoid arthritis flare and genital herpes outbreak.   As of today, 1/28, I still have mild chest pain (gets better after 10 minutes of slow deep breathing and focused attention on my heart and lungs).  The third dose for me was a full dose of the vaccine because I have R.A. I did not know this would happen until they administered it. Now I worry about future boosters.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Mental status changes, Speech disorder
Clinical narrative: 83-year-old woman has a history of dementia who was brought in by family due to increasing weakness and slight change in her mentation.  She does have fairly advanced dementia but they states she was talking significantly less today and hardly spoke to him at all which is unusual for her.  She also was profoundly weaker today than her baseline.  It difficulty getting her up without significant assistance and typically she does not use any assistance device to ambulate throughout their home.  She was diagnosed with COVID on 01/27/22 with an at home test and was prescribed Paxlovid by her PCP.  However due to the continuing weakness she was brought to the ED.  In the ED she was not very talkative but was otherwise stable.  She did have significant weakness in family felt unsafe returning back home due to her increasing weakness.  Admission was requested.  During my evaluation the patient was alone and did not speak with me.     PT IS CURRENTLY INPATIENT.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Bronchiectasis, COVID-19, COVID-19 pneumonia
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/23/2021 and 2/23/2021. On 1/14/2022 presented to physician office, COVID positive with O2 sat of 88%. Sent to ED.  Reported 5 days of HA, sore throat, body aches, and cough. Afebrile in ED but tachypnea required 4L NC admitted for acute respiratory failure due to Covid PNA. CT chest negative for acute thromboembolism, positive for COVID PNA on chronic bronchiectasis. CT Chest with contrast revealed the presence of pulmonary thrombi treated w/heparin. Covid treated w/remdesivir and decadron. Respiratory status declined. Transitioned to palliative care 1/21/22, expired 1/22/22.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Cough, Death, Headache
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/23/2021 and 2/23/2021. On 1/14/2022 presented to physician office, COVID positive with O2 sat of 88%. Sent to ED.  Reported 5 days of HA, sore throat, body aches, and cough. Afebrile in ED but tachypnea required 4L NC admitted for acute respiratory failure due to Covid PNA. CT chest negative for acute thromboembolism, positive for COVID PNA on chronic bronchiectasis. CT Chest with contrast revealed the presence of pulmonary thrombi treated w/heparin. Covid treated w/remdesivir and decadron. Respiratory status declined. Transitioned to palliative care 1/21/22, expired 1/22/22.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Oropharyngeal pain, Pain, Pulmonary thrombosis, Respiratory disorder
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/23/2021 and 2/23/2021. On 1/14/2022 presented to physician office, COVID positive with O2 sat of 88%. Sent to ED.  Reported 5 days of HA, sore throat, body aches, and cough. Afebrile in ED but tachypnea required 4L NC admitted for acute respiratory failure due to Covid PNA. CT chest negative for acute thromboembolism, positive for COVID PNA on chronic bronchiectasis. CT Chest with contrast revealed the presence of pulmonary thrombi treated w/heparin. Covid treated w/remdesivir and decadron. Respiratory status declined. Transitioned to palliative care 1/21/22, expired 1/22/22.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast abnormal, Tachypnoea
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/23/2021 and 2/23/2021. On 1/14/2022 presented to physician office, COVID positive with O2 sat of 88%. Sent to ED.  Reported 5 days of HA, sore throat, body aches, and cough. Afebrile in ED but tachypnea required 4L NC admitted for acute respiratory failure due to Covid PNA. CT chest negative for acute thromboembolism, positive for COVID PNA on chronic bronchiectasis. CT Chest with contrast revealed the presence of pulmonary thrombi treated w/heparin. Covid treated w/remdesivir and decadron. Respiratory status declined. Transitioned to palliative care 1/21/22, expired 1/22/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeding disorder, Feeling cold, Feeling hot, Nausea
Clinical narrative: An hour later I got chills that lasted for about 40 minutes. I felt fine. Then I woke up about 3 or 4 in the morning, and I was really burning hot. I went outside because it was winter at that time to cool off. I came in then I felt like I was freezing cold. I was nauseated and didn't hardly eat anything for 2 days. I also felt achy.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: An hour later I got chills that lasted for about 40 minutes. I felt fine. Then I woke up about 3 or 4 in the morning, and I was really burning hot. I went outside because it was winter at that time to cool off. I came in then I felt like I was freezing cold. I was nauseated and didn't hardly eat anything for 2 days. I also felt achy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Wound
Clinical narrative: Red bumps severe itching open wounds everything 0tc did not work went to the dermatologist and got prescription creams and ointments and those do not work.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Peripheral swelling
Clinical narrative: Feet swelled up and diarrhea on the third day.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Computerised tomogram head normal, Electroencephalogram normal, Endotracheal intubation, Generalised tonic-clonic seizure
Clinical narrative: Presented to hospital after witnessed GTC seizure. Admitted with status epilepticus. Intubated for airway protection in setting of seizures.  Extubated 1/27 PM.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Status epilepticus, Toxicologic test normal
Clinical narrative: Presented to hospital after witnessed GTC seizure. Admitted with status epilepticus. Intubated for airway protection in setting of seizures.  Extubated 1/27 PM.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: After vaccine was administered patient had a near syncopal episode. Patient was seated and then vomited twice. Patient was advised to stay seated for an additional 30 minutes, after which they felt comfortable enough to leave with his mother and two brothers. Patient seemed to be doing okay after calling their home for a follow-up 2 hours after vaccine event.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Discomfort, Hypertension, Hypoaesthesia, Pain
Clinical narrative: Inflamation in skin, hives, swelling of extremidies; took 2nd dose (1/25/2021, Pfizer, EN5318, IM, LA) Worsening of Psorisis (covering entire body) Extreme pain, discomfort, itching, restlessness, Tingling all over body, numbness in arms and hands, sometimes in feet. Heart palpatations, intermitted hypertension
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Peripheral swelling, Pruritus, Psoriasis
Clinical narrative: Inflamation in skin, hives, swelling of extremidies; took 2nd dose (1/25/2021, Pfizer, EN5318, IM, LA) Worsening of Psorisis (covering entire body) Extreme pain, discomfort, itching, restlessness, Tingling all over body, numbness in arms and hands, sometimes in feet. Heart palpatations, intermitted hypertension
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness, Urticaria
Clinical narrative: Inflamation in skin, hives, swelling of extremidies; took 2nd dose (1/25/2021, Pfizer, EN5318, IM, LA) Worsening of Psorisis (covering entire body) Extreme pain, discomfort, itching, restlessness, Tingling all over body, numbness in arms and hands, sometimes in feet. Heart palpatations, intermitted hypertension
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BEYOND USE DATE
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENTS NOTED.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Hospitalization -> death
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Symptoms 12/21/2021- antigen test 12/22/2021 PCR on 12/28/2021- Positive Covid Case. Isolated until the 12/21/2021- 12/31/2021. 4-5 days having issue with breathing talked with pomologist. Added Med 12/24/2021 Albuterol 108 mcg two puffs every 4-5 hours, Prednisone tapper 8 day treatment,
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Nasal discomfort, Nasal mucosal blistering, Skin discomfort
Clinical narrative: Patient broke out in blisters around his mouth chin and inside his nose. He also had blisters on his elbows. It was not itchy but the ones in his nose and on his elbows bothered him. He insisted we put bandaids on his elbows.  I took pictures about 2 days after. Now they are drying up, but they still bother him if you try to touch it.  I just thought I should report it.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Full on covid.  This also happened after my first dose.  I felt totally fine before the vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase increased, Basophil count decreased, Basophil percentage
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin decreased, Blood calcium decreased, Blood chloride normal
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urea normal, Carbon dioxide normal, Chest X-ray normal, Chest pain, Computerised tomogram head normal
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Differential white blood cell count abnormal, Discomfort, Dizziness, Dizziness postural
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eosinophil count normal, Eosinophil percentage, Full blood count abnormal, Gait disturbance
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate normal, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Hypertension
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immature granulocyte count, International normalised ratio normal, Lymphocyte count, Lymphocyte percentage increased, Mean cell haemoglobin concentration normal
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test, Monocyte count
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Monocyte percentage increased, N-terminal prohormone brain natriuretic peptide normal, Neutrophil count decreased, Neutrophil percentage decreased, Platelet count normal
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein total normal, Prothrombin time shortened, Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width
Clinical narrative: Patient is a 59 y/o M who presents to the ED for evaluation of dizziness that onset today at 0730. Movement exacerbates sxs and lying down alleviates it. Pt reports visiting for work and started to feel short of breath. He states he had to hold his stair railing due to his dizziness, described as "rushing forward." He stumbled to walk towards in car, and symptoms started to resolve with rest. He states his dizziness worsened as he began driving on faster. He felt short of breath, lightheaded, dizzy, confused, and neck heaviness when driving. Pt called his wife, and she states he could not talk in full sentences. Symptoms improved in ED. He notes he was diagnosed with HTN and was recently removed from his HTN meds due to improving BP. He denies facial droop, visual changes, and weakness. He denies fever, cough, and chest pain.