chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin normal, White blood cell count normal
Clinical narrative: Narrative: COVID infections following completion of COVID vaccine series 02/19/21 COVID vaccine dose #1 03/12/21 COVID vaccine dose #2 05/04/21 Pt presents to care team reporting feeling unbalanced; MD recommends referral to audiology and avoid excessive use of ETOH 08/01/21 Pt brought to ER by EMS due to near syncope, AF with RVR, and HR fluctuating from 80s to 140s; reports occasional dry cough but mainly asymptomatic; EKG atrial flutter, CT head wnl, CXT suggestive of obstructive lung disease but no infiltrate identified; COVID POSITIVE; admitted inpatient and treated with metoprolol succinate, pravastatin, rivaroxaban, diltiazem 08/02/21 Pt reports feeling well and denies any complaints; discharged home and instructed to increase metroprolol succinate to 100 mg twice daily 08/04/21 Pt reports feeling well but continues to have slight cough, no fever 08/06/21 Pt reports no symptoms and opts out of daily calls
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Myalgia
Clinical narrative: Narrative: COVID infection following completion of COVID vaccine series 01/19/21 COVID vaccine dose #1 02/16/21 COVID vaccine dose #2 07/28/21 Pt calls into CC reporting COVID positive result at Pharmacy yesterday (07/27); reports sore throat, headache, fatigue 07/29/21 PT reports improving symptoms- cough, fatigue, headache, muscle pain, runny nose, sore throat that started 07/17; rx given for acetaminophen, DM/guaifenesin, throat lozenges; met criteria for resolution as 10 days has passed since first symptoms
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Narrative: COVID infection following completion of COVID vaccine series 01/19/21 COVID vaccine dose #1 02/16/21 COVID vaccine dose #2 07/28/21 Pt calls into CC reporting COVID positive result at Pharmacy yesterday (07/27); reports sore throat, headache, fatigue 07/29/21 PT reports improving symptoms- cough, fatigue, headache, muscle pain, runny nose, sore throat that started 07/17; rx given for acetaminophen, DM/guaifenesin, throat lozenges; met criteria for resolution as 10 days has passed since first symptoms
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, COVID-19, Chills, Cough
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/11/21 COVID vaccine dose #1 03/04/21 COVID vaccine dose #2 03/26/21 Pt presents to clinic reporting pain and swelling in ankles and foot since Saturday (03/20); suspected to be gout related - labs and xray ordered; advised to d/c NSAIDs and rx given for medrol dose pack 04/22/21 Pt presents to clinic reporting stomach pain that was recently evaluated in the ER; discharged from ER with antibiotics and dicyclomine; rx given for omeprazole and H. pylori antigen test and Barium exam ordered 07/22/21 Pt reports exposure to COVID positive wife; COVID NEGATIVE 07/26/21 Pt reports body aches and mild headache and exposure to COVID positive co-worker; COVID POSITIVE 07/27/21 Pt reports body aches, nasal congestion, fatigue 07/29/21 Pt reports chills, cough, fever, headache, muscle pain, runny nose, sore throat; rx given for acetaminophen, DM/guaifenesin, throat lozenges 07/30/21 Pt reports fever (temp 101.3) and continued symptoms 08/01/21 Pt reports occasional cough but is improving 08/02/21 Pt reports dry intermittent cough, loss of appetite, muscle pain 08/03/21 Pt reports he has recovered and only residual symptom is an intermittent dry cough
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Exposure to SARS-CoV-2, Fatigue, Headache, Helicobacter test
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/11/21 COVID vaccine dose #1 03/04/21 COVID vaccine dose #2 03/26/21 Pt presents to clinic reporting pain and swelling in ankles and foot since Saturday (03/20); suspected to be gout related - labs and xray ordered; advised to d/c NSAIDs and rx given for medrol dose pack 04/22/21 Pt presents to clinic reporting stomach pain that was recently evaluated in the ER; discharged from ER with antibiotics and dicyclomine; rx given for omeprazole and H. pylori antigen test and Barium exam ordered 07/22/21 Pt reports exposure to COVID positive wife; COVID NEGATIVE 07/26/21 Pt reports body aches and mild headache and exposure to COVID positive co-worker; COVID POSITIVE 07/27/21 Pt reports body aches, nasal congestion, fatigue 07/29/21 Pt reports chills, cough, fever, headache, muscle pain, runny nose, sore throat; rx given for acetaminophen, DM/guaifenesin, throat lozenges 07/30/21 Pt reports fever (temp 101.3) and continued symptoms 08/01/21 Pt reports occasional cough but is improving 08/02/21 Pt reports dry intermittent cough, loss of appetite, muscle pain 08/03/21 Pt reports he has recovered and only residual symptom is an intermittent dry cough
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Laboratory test, Myalgia, Nasal congestion, Oropharyngeal pain
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/11/21 COVID vaccine dose #1 03/04/21 COVID vaccine dose #2 03/26/21 Pt presents to clinic reporting pain and swelling in ankles and foot since Saturday (03/20); suspected to be gout related - labs and xray ordered; advised to d/c NSAIDs and rx given for medrol dose pack 04/22/21 Pt presents to clinic reporting stomach pain that was recently evaluated in the ER; discharged from ER with antibiotics and dicyclomine; rx given for omeprazole and H. pylori antigen test and Barium exam ordered 07/22/21 Pt reports exposure to COVID positive wife; COVID NEGATIVE 07/26/21 Pt reports body aches and mild headache and exposure to COVID positive co-worker; COVID POSITIVE 07/27/21 Pt reports body aches, nasal congestion, fatigue 07/29/21 Pt reports chills, cough, fever, headache, muscle pain, runny nose, sore throat; rx given for acetaminophen, DM/guaifenesin, throat lozenges 07/30/21 Pt reports fever (temp 101.3) and continued symptoms 08/01/21 Pt reports occasional cough but is improving 08/02/21 Pt reports dry intermittent cough, loss of appetite, muscle pain 08/03/21 Pt reports he has recovered and only residual symptom is an intermittent dry cough
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Rhinorrhoea
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/11/21 COVID vaccine dose #1 03/04/21 COVID vaccine dose #2 03/26/21 Pt presents to clinic reporting pain and swelling in ankles and foot since Saturday (03/20); suspected to be gout related - labs and xray ordered; advised to d/c NSAIDs and rx given for medrol dose pack 04/22/21 Pt presents to clinic reporting stomach pain that was recently evaluated in the ER; discharged from ER with antibiotics and dicyclomine; rx given for omeprazole and H. pylori antigen test and Barium exam ordered 07/22/21 Pt reports exposure to COVID positive wife; COVID NEGATIVE 07/26/21 Pt reports body aches and mild headache and exposure to COVID positive co-worker; COVID POSITIVE 07/27/21 Pt reports body aches, nasal congestion, fatigue 07/29/21 Pt reports chills, cough, fever, headache, muscle pain, runny nose, sore throat; rx given for acetaminophen, DM/guaifenesin, throat lozenges 07/30/21 Pt reports fever (temp 101.3) and continued symptoms 08/01/21 Pt reports occasional cough but is improving 08/02/21 Pt reports dry intermittent cough, loss of appetite, muscle pain 08/03/21 Pt reports he has recovered and only residual symptom is an intermittent dry cough
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, X-ray
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/11/21 COVID vaccine dose #1 03/04/21 COVID vaccine dose #2 03/26/21 Pt presents to clinic reporting pain and swelling in ankles and foot since Saturday (03/20); suspected to be gout related - labs and xray ordered; advised to d/c NSAIDs and rx given for medrol dose pack 04/22/21 Pt presents to clinic reporting stomach pain that was recently evaluated in the ER; discharged from ER with antibiotics and dicyclomine; rx given for omeprazole and H. pylori antigen test and Barium exam ordered 07/22/21 Pt reports exposure to COVID positive wife; COVID NEGATIVE 07/26/21 Pt reports body aches and mild headache and exposure to COVID positive co-worker; COVID POSITIVE 07/27/21 Pt reports body aches, nasal congestion, fatigue 07/29/21 Pt reports chills, cough, fever, headache, muscle pain, runny nose, sore throat; rx given for acetaminophen, DM/guaifenesin, throat lozenges 07/30/21 Pt reports fever (temp 101.3) and continued symptoms 08/01/21 Pt reports occasional cough but is improving 08/02/21 Pt reports dry intermittent cough, loss of appetite, muscle pain 08/03/21 Pt reports he has recovered and only residual symptom is an intermittent dry cough
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral venous thrombosis, Computerised tomogram, Ischaemia, Magnetic resonance imaging head abnormal, Migraine
Clinical narrative: Narrative: 55 yo F w/PMH significant for asymptomatic CAD, migraines resolving around menopause, and tobacco use (30+ pack year smoking history). Patient has not been getting medical care in several years and recently re-established care. Patient had recent onset of 5x/week migrainosus headaches following J&J COVID-19 vaccine that seemingly have self-resolved/decreased in 7/2021, aborted with 600mg of Motrin, nausea resolved with dose of prochlorperazine. Patient received the J&J COVID-19 outside the facility either on 4/03/2021 or 4/4/21 (both dates listed in progress notes). Per 6/2/21 general medicine clinic attending progress note, "1. headaches- history of right sided hemiplegic migraines, resulting in n, v, photophobia, phonophobia- Has had them for 30 years. Not sure if she saw a neurologist. Had a CT scan. Getting worse- having them 5 days a week. Last 1 hour of 6 hours. Sleeping doesn't always help. Denies hemiplegia. Started getting these headaches after Covid vaccine. Best treatment in past Chlorproperizine. Is anxioue about Imitrex due to CAD in family. Compazine pills and suppositories. Takes Motrin as well." Primary Care MD discussed that it was extremely unlikely cerebral venous thromboses presentation in patient currently asymptomatic and asymptomatic a few days a week over last few months given Jansen concern. Patient referred to neurology, ordered MRI, and ordered a prescription for prochlorperazine tablets & rectal suppositories for prn use. Smoking cessation consult entered and patient later ordered nicotine gum then bupropion tab by the TeleQuit program. Per 7/7/21 Outpatient Neurology clinic note, "Pt notes that following her June 2nd appointment, she began to feel significantly better with reduced headache frequency in the days that followed. For the subsequent month, she says she experienced approx. 4 headache days, each with headaches that lasted 1-2 hours." Neurology's impression is that, "Headaches appear migrainosus in quality, similarly to previous migraines, but with increased severity, lasting up to 6 hours, likely too long to be cluster headaches. Given abatement with lying down and ibuprofen as well, more likely to be migraine." 6/17/21 MRI demonstrates "significant amount of white matter disease, thought mostly more peripheral than typical of MS. Given smoking history, could represent ischemic disease vs migraine-related." Patient will be followed by outpatient neurology. Patient also noted by neurologist to have a very low vitamin D and Vitamin B12 levels when last checked in 2014. New labs entered, which patient has not yet obtained as of 8/9/21.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Phonophobia, Photophobia, Vitamin B12 decreased, Vitamin D decreased
Clinical narrative: Narrative: 55 yo F w/PMH significant for asymptomatic CAD, migraines resolving around menopause, and tobacco use (30+ pack year smoking history). Patient has not been getting medical care in several years and recently re-established care. Patient had recent onset of 5x/week migrainosus headaches following J&J COVID-19 vaccine that seemingly have self-resolved/decreased in 7/2021, aborted with 600mg of Motrin, nausea resolved with dose of prochlorperazine. Patient received the J&J COVID-19 outside the facility either on 4/03/2021 or 4/4/21 (both dates listed in progress notes). Per 6/2/21 general medicine clinic attending progress note, "1. headaches- history of right sided hemiplegic migraines, resulting in n, v, photophobia, phonophobia- Has had them for 30 years. Not sure if she saw a neurologist. Had a CT scan. Getting worse- having them 5 days a week. Last 1 hour of 6 hours. Sleeping doesn't always help. Denies hemiplegia. Started getting these headaches after Covid vaccine. Best treatment in past Chlorproperizine. Is anxioue about Imitrex due to CAD in family. Compazine pills and suppositories. Takes Motrin as well." Primary Care MD discussed that it was extremely unlikely cerebral venous thromboses presentation in patient currently asymptomatic and asymptomatic a few days a week over last few months given Jansen concern. Patient referred to neurology, ordered MRI, and ordered a prescription for prochlorperazine tablets & rectal suppositories for prn use. Smoking cessation consult entered and patient later ordered nicotine gum then bupropion tab by the TeleQuit program. Per 7/7/21 Outpatient Neurology clinic note, "Pt notes that following her June 2nd appointment, she began to feel significantly better with reduced headache frequency in the days that followed. For the subsequent month, she says she experienced approx. 4 headache days, each with headaches that lasted 1-2 hours." Neurology's impression is that, "Headaches appear migrainosus in quality, similarly to previous migraines, but with increased severity, lasting up to 6 hours, likely too long to be cluster headaches. Given abatement with lying down and ibuprofen as well, more likely to be migraine." 6/17/21 MRI demonstrates "significant amount of white matter disease, thought mostly more peripheral than typical of MS. Given smoking history, could represent ischemic disease vs migraine-related." Patient will be followed by outpatient neurology. Patient also noted by neurologist to have a very low vitamin D and Vitamin B12 levels when last checked in 2014. New labs entered, which patient has not yet obtained as of 8/9/21.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Narrative: 55 yo F w/PMH significant for asymptomatic CAD, migraines resolving around menopause, and tobacco use (30+ pack year smoking history). Patient has not been getting medical care in several years and recently re-established care. Patient had recent onset of 5x/week migrainosus headaches following J&J COVID-19 vaccine that seemingly have self-resolved/decreased in 7/2021, aborted with 600mg of Motrin, nausea resolved with dose of prochlorperazine. Patient received the J&J COVID-19 outside the facility either on 4/03/2021 or 4/4/21 (both dates listed in progress notes). Per 6/2/21 general medicine clinic attending progress note, "1. headaches- history of right sided hemiplegic migraines, resulting in n, v, photophobia, phonophobia- Has had them for 30 years. Not sure if she saw a neurologist. Had a CT scan. Getting worse- having them 5 days a week. Last 1 hour of 6 hours. Sleeping doesn't always help. Denies hemiplegia. Started getting these headaches after Covid vaccine. Best treatment in past Chlorproperizine. Is anxioue about Imitrex due to CAD in family. Compazine pills and suppositories. Takes Motrin as well." Primary Care MD discussed that it was extremely unlikely cerebral venous thromboses presentation in patient currently asymptomatic and asymptomatic a few days a week over last few months given Jansen concern. Patient referred to neurology, ordered MRI, and ordered a prescription for prochlorperazine tablets & rectal suppositories for prn use. Smoking cessation consult entered and patient later ordered nicotine gum then bupropion tab by the TeleQuit program. Per 7/7/21 Outpatient Neurology clinic note, "Pt notes that following her June 2nd appointment, she began to feel significantly better with reduced headache frequency in the days that followed. For the subsequent month, she says she experienced approx. 4 headache days, each with headaches that lasted 1-2 hours." Neurology's impression is that, "Headaches appear migrainosus in quality, similarly to previous migraines, but with increased severity, lasting up to 6 hours, likely too long to be cluster headaches. Given abatement with lying down and ibuprofen as well, more likely to be migraine." 6/17/21 MRI demonstrates "significant amount of white matter disease, thought mostly more peripheral than typical of MS. Given smoking history, could represent ischemic disease vs migraine-related." Patient will be followed by outpatient neurology. Patient also noted by neurologist to have a very low vitamin D and Vitamin B12 levels when last checked in 2014. New labs entered, which patient has not yet obtained as of 8/9/21.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Nausea, Vomiting
Clinical narrative: Narrative: Nausea, vomiting, diarrhea and headache after COVID-19 J&J vaccine
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin G, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Discussed plan with ED physician regarding instructions for patient. Patient is to quarantine for at least 10 days. Wife instructed to pick up pulse oximetry machine from ED; since they live a long distance from the facility wife will purchase 1 at store. Instructed wife to conduct pulse ox test on patient multiple times per day especially after rest or when waking up or if having dyspnea. If pulse ox is 94% or less , patient should report to ED. Exposed family members may get swabbed in 3 to 5 days to prevent false negative result unless symptomatic in which case they should seek medical attention. Patient's wife understands and questions were answered to her satisfaction.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, COVID-19 pneumonia, Cough, Decreased appetite
Clinical narrative: Narrative: Patient is 82 year old MALE CAD s/p CABG, DM 2, hypertension, hyperlipidemia, returns to the emergency room for the third time in 10 days for evaluation of worsening shortness of breath, cough, and fever. He was evaluated in our emergency department and found to have COVID-19 infection on July 3, 2021 and treated with albuterol MDI. He returned on July 9 and was prescribed Augmentin and azithromycin for pneumonia. Despite these measures he continues to feel ill. His appetite has been poor and he gets very "winded" with minimal activity. Cough is been productive of whitish yellow sputum. Denies any chest pain. Denies any nausea, vomiting or diarrhea. Denies any taste or smell loss. In the emergency room, ambulatory O2 saturation was down to 86% HOSPITAL COURSE: The patient was admitted to the medical floor and placed on COVID isolation precautions. Sepsis treated with IV fluids and empiric antibiotics. He was also started on remdesivir and dexamethasone per protocols for COVID pneumonia with hypoxic respiratory failure. Patient transferred to the ICU for increased oxygen requirements and remained in the ICU until 7/21 with O2 requirements as high as 15L on non-rebreather. Patient completed a course of dexamethasone and remdesivir. He was transferred to the medical floor on 7/21 and treatment continued. Oxygen was weaned to room air. Steroid-induced hyperglycemia treated with basal-bolus insulin which was discontinued once steroids were completed and blood glucose normalized. Patient developed hyponatremia, with urine studies consistent with SIADH. He initially did not improve with fluid restriction and salt tablets were started with eventual improvement in serum sodium. CONDITION AT DISCHARGE: At the time of discharge, patient was hemodynamically stable and afebrile. He was able to ambulate independently and did not require the use of supplemental oxygen. Sodium was 131 and patient agreeable to continued close monitoring of labs outpatient.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Hyponatraemia, Inappropriate antidiuretic hormone secretion, Intensive care
Clinical narrative: Narrative: Patient is 82 year old MALE CAD s/p CABG, DM 2, hypertension, hyperlipidemia, returns to the emergency room for the third time in 10 days for evaluation of worsening shortness of breath, cough, and fever. He was evaluated in our emergency department and found to have COVID-19 infection on July 3, 2021 and treated with albuterol MDI. He returned on July 9 and was prescribed Augmentin and azithromycin for pneumonia. Despite these measures he continues to feel ill. His appetite has been poor and he gets very "winded" with minimal activity. Cough is been productive of whitish yellow sputum. Denies any chest pain. Denies any nausea, vomiting or diarrhea. Denies any taste or smell loss. In the emergency room, ambulatory O2 saturation was down to 86% HOSPITAL COURSE: The patient was admitted to the medical floor and placed on COVID isolation precautions. Sepsis treated with IV fluids and empiric antibiotics. He was also started on remdesivir and dexamethasone per protocols for COVID pneumonia with hypoxic respiratory failure. Patient transferred to the ICU for increased oxygen requirements and remained in the ICU until 7/21 with O2 requirements as high as 15L on non-rebreather. Patient completed a course of dexamethasone and remdesivir. He was transferred to the medical floor on 7/21 and treatment continued. Oxygen was weaned to room air. Steroid-induced hyperglycemia treated with basal-bolus insulin which was discontinued once steroids were completed and blood glucose normalized. Patient developed hyponatremia, with urine studies consistent with SIADH. He initially did not improve with fluid restriction and salt tablets were started with eventual improvement in serum sodium. CONDITION AT DISCHARGE: At the time of discharge, patient was hemodynamically stable and afebrile. He was able to ambulate independently and did not require the use of supplemental oxygen. Sodium was 131 and patient agreeable to continued close monitoring of labs outpatient.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oxygen saturation decreased, Productive cough, Pyrexia, Respiratory failure
Clinical narrative: Narrative: Patient is 82 year old MALE CAD s/p CABG, DM 2, hypertension, hyperlipidemia, returns to the emergency room for the third time in 10 days for evaluation of worsening shortness of breath, cough, and fever. He was evaluated in our emergency department and found to have COVID-19 infection on July 3, 2021 and treated with albuterol MDI. He returned on July 9 and was prescribed Augmentin and azithromycin for pneumonia. Despite these measures he continues to feel ill. His appetite has been poor and he gets very "winded" with minimal activity. Cough is been productive of whitish yellow sputum. Denies any chest pain. Denies any nausea, vomiting or diarrhea. Denies any taste or smell loss. In the emergency room, ambulatory O2 saturation was down to 86% HOSPITAL COURSE: The patient was admitted to the medical floor and placed on COVID isolation precautions. Sepsis treated with IV fluids and empiric antibiotics. He was also started on remdesivir and dexamethasone per protocols for COVID pneumonia with hypoxic respiratory failure. Patient transferred to the ICU for increased oxygen requirements and remained in the ICU until 7/21 with O2 requirements as high as 15L on non-rebreather. Patient completed a course of dexamethasone and remdesivir. He was transferred to the medical floor on 7/21 and treatment continued. Oxygen was weaned to room air. Steroid-induced hyperglycemia treated with basal-bolus insulin which was discontinued once steroids were completed and blood glucose normalized. Patient developed hyponatremia, with urine studies consistent with SIADH. He initially did not improve with fluid restriction and salt tablets were started with eventual improvement in serum sodium. CONDITION AT DISCHARGE: At the time of discharge, patient was hemodynamically stable and afebrile. He was able to ambulate independently and did not require the use of supplemental oxygen. Sodium was 131 and patient agreeable to continued close monitoring of labs outpatient.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Sputum discoloured, Urine analysis abnormal
Clinical narrative: Narrative: Patient is 82 year old MALE CAD s/p CABG, DM 2, hypertension, hyperlipidemia, returns to the emergency room for the third time in 10 days for evaluation of worsening shortness of breath, cough, and fever. He was evaluated in our emergency department and found to have COVID-19 infection on July 3, 2021 and treated with albuterol MDI. He returned on July 9 and was prescribed Augmentin and azithromycin for pneumonia. Despite these measures he continues to feel ill. His appetite has been poor and he gets very "winded" with minimal activity. Cough is been productive of whitish yellow sputum. Denies any chest pain. Denies any nausea, vomiting or diarrhea. Denies any taste or smell loss. In the emergency room, ambulatory O2 saturation was down to 86% HOSPITAL COURSE: The patient was admitted to the medical floor and placed on COVID isolation precautions. Sepsis treated with IV fluids and empiric antibiotics. He was also started on remdesivir and dexamethasone per protocols for COVID pneumonia with hypoxic respiratory failure. Patient transferred to the ICU for increased oxygen requirements and remained in the ICU until 7/21 with O2 requirements as high as 15L on non-rebreather. Patient completed a course of dexamethasone and remdesivir. He was transferred to the medical floor on 7/21 and treatment continued. Oxygen was weaned to room air. Steroid-induced hyperglycemia treated with basal-bolus insulin which was discontinued once steroids were completed and blood glucose normalized. Patient developed hyponatremia, with urine studies consistent with SIADH. He initially did not improve with fluid restriction and salt tablets were started with eventual improvement in serum sodium. CONDITION AT DISCHARGE: At the time of discharge, patient was hemodynamically stable and afebrile. He was able to ambulate independently and did not require the use of supplemental oxygen. Sodium was 131 and patient agreeable to continued close monitoring of labs outpatient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Narrative:  COVID-19 breakthrough Hospitalized
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: Narrative: COVID infections following completion of COVID vaccine series 04/17/21 COVID vaccine dose #1 05/23/21 COVID vaccine dose #2 07/21/21 Pt reports no symptoms but has had exposure to COVID positive wife; COVID POSITIVE 07/22/21 Pt reports chills, cough, fatigue, headache, fever, muscle pain; rx given for acetaminophen, DM/guaifenesin; adamantly denies receiving COVID vaccine despite records indicating vaccination - nurse contacted for assistance and requested correction for HIMS 07/23/21 Pt reports cough is improving: reports subjective fever and runny nose 07/24/21 Pt reports muscle pain, subjective fever 07/25/21 Pt reports other than feeling fatigue, he feels great and all other symptoms have resolved 07/26/21 Pt is improving and is to remain isolated until 7/30
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Narrative: COVID infections following completion of COVID vaccine series 04/17/21 COVID vaccine dose #1 05/23/21 COVID vaccine dose #2 07/21/21 Pt reports no symptoms but has had exposure to COVID positive wife; COVID POSITIVE 07/22/21 Pt reports chills, cough, fatigue, headache, fever, muscle pain; rx given for acetaminophen, DM/guaifenesin; adamantly denies receiving COVID vaccine despite records indicating vaccination - nurse contacted for assistance and requested correction for HIMS 07/23/21 Pt reports cough is improving: reports subjective fever and runny nose 07/24/21 Pt reports muscle pain, subjective fever 07/25/21 Pt reports other than feeling fatigue, he feels great and all other symptoms have resolved 07/26/21 Pt is improving and is to remain isolated until 7/30
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: Narrative:  COVID infections completion of COVID vaccines series 06/16/21 COVID vaccine dose #1 07/22/21 Pt reports chills, cough, fatigue, fever, headache, loss of taste/smell, muscle pain, nausea, runny nose, shortness of breath that started 7/21; advised to report to local urgent care 07/23/21 Pt presents to ED reporting chills, fever, body aches, dry cough, headache, muscle pain; was not seen by provider due to wait time; rx given for ascorbic acid, cholecalciferol, DM/guiafenesin; COVID POSITIVE 07/26/21 Pt reports sore throat 07/28/21 Pt reports coughing fits, frequent diarrhea, significant fatigue, fever (temp 100.8), stiff neck, body aches, shortness of breath on exertion 07/31/21 Pt reports cough is mild but is worse at night, low grade fever 100.6 08/01/21 Pt reports temp 98.0 but is using ATC ibuprofen/tylenol, will attempt to stop medication to see if he remains afebrile 08/02/21 Pt clinically resolved
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Dyspnoea exertional, Fatigue, Headache
Clinical narrative: Narrative:  COVID infections completion of COVID vaccines series 06/16/21 COVID vaccine dose #1 07/22/21 Pt reports chills, cough, fatigue, fever, headache, loss of taste/smell, muscle pain, nausea, runny nose, shortness of breath that started 7/21; advised to report to local urgent care 07/23/21 Pt presents to ED reporting chills, fever, body aches, dry cough, headache, muscle pain; was not seen by provider due to wait time; rx given for ascorbic acid, cholecalciferol, DM/guiafenesin; COVID POSITIVE 07/26/21 Pt reports sore throat 07/28/21 Pt reports coughing fits, frequent diarrhea, significant fatigue, fever (temp 100.8), stiff neck, body aches, shortness of breath on exertion 07/31/21 Pt reports cough is mild but is worse at night, low grade fever 100.6 08/01/21 Pt reports temp 98.0 but is using ATC ibuprofen/tylenol, will attempt to stop medication to see if he remains afebrile 08/02/21 Pt clinically resolved
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Narrative:  COVID infections completion of COVID vaccines series 06/16/21 COVID vaccine dose #1 07/22/21 Pt reports chills, cough, fatigue, fever, headache, loss of taste/smell, muscle pain, nausea, runny nose, shortness of breath that started 7/21; advised to report to local urgent care 07/23/21 Pt presents to ED reporting chills, fever, body aches, dry cough, headache, muscle pain; was not seen by provider due to wait time; rx given for ascorbic acid, cholecalciferol, DM/guiafenesin; COVID POSITIVE 07/26/21 Pt reports sore throat 07/28/21 Pt reports coughing fits, frequent diarrhea, significant fatigue, fever (temp 100.8), stiff neck, body aches, shortness of breath on exertion 07/31/21 Pt reports cough is mild but is worse at night, low grade fever 100.6 08/01/21 Pt reports temp 98.0 but is using ATC ibuprofen/tylenol, will attempt to stop medication to see if he remains afebrile 08/02/21 Pt clinically resolved
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Narrative:  COVID infections completion of COVID vaccines series 06/16/21 COVID vaccine dose #1 07/22/21 Pt reports chills, cough, fatigue, fever, headache, loss of taste/smell, muscle pain, nausea, runny nose, shortness of breath that started 7/21; advised to report to local urgent care 07/23/21 Pt presents to ED reporting chills, fever, body aches, dry cough, headache, muscle pain; was not seen by provider due to wait time; rx given for ascorbic acid, cholecalciferol, DM/guiafenesin; COVID POSITIVE 07/26/21 Pt reports sore throat 07/28/21 Pt reports coughing fits, frequent diarrhea, significant fatigue, fever (temp 100.8), stiff neck, body aches, shortness of breath on exertion 07/31/21 Pt reports cough is mild but is worse at night, low grade fever 100.6 08/01/21 Pt reports temp 98.0 but is using ATC ibuprofen/tylenol, will attempt to stop medication to see if he remains afebrile 08/02/21 Pt clinically resolved
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia
Clinical narrative: 8/27 with temp(99.4), fatigue, myalgias Narrative:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphoedema
Clinical narrative: right lymphadema, site pain Narrative:
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Tachycardia
Clinical narrative: Headache, Tachycardia, SHORTNESS OF BREATH, HR 108, O2 SAT 100%. RESPIRATORY RATE 20. Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Impaired work ability, Myalgia, Pain
Clinical narrative: Headache, Myalgia,  chills Narrative: Per nursing report: "took 2nd dose vaccine on 8-25-21. States on Thursday morning [8/26] woke up and felt like she had been in a terrible car accident. States entire body was aching and had a terrible headache along with constant chills. States missed Thursday [8/26] and Friday [8/27] due to the side effect of the vaccine."
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: left neck pain Narrative:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Injected limb mobility decreased, Muscle tightness, Myalgia
Clinical narrative: Headache, Myalgia, Edema to left shoulder with decreased range of motion of left arm; reports "tightness" in left arm, left neck and towards left breast; diaphoretic X1 Narrative: Outcome is undetermined at this point; is being followed by a physician to see if any improvement
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema
Clinical narrative: Headache, Myalgia, Edema to left shoulder with decreased range of motion of left arm; reports "tightness" in left arm, left neck and towards left breast; diaphoretic X1 Narrative: Outcome is undetermined at this point; is being followed by a physician to see if any improvement
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Myalgia, Fever, sore throat Narrative: N/A
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Nausea, Vomiting
Clinical narrative: Headache, NauseaVomiting, arm soreness at injection site Narrative: N/A
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive>14 days post vaccine Narrative: COVID Positive>14 days post vaccine
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Hypoaesthesia oral, Tachycardia
Clinical narrative: Dizziness, HYPERtension, Tachycardia, numbness of tonuge Narrative: Employee received booster dose of Moderna, she came back one later complaining of dizziness and tongue  numbness.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Myalgia
Clinical narrative: Myalgia Fatigue, swollen lymph nodes in neck, and O2 Sats at 91% Narrative:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Myalgia, Sedation
Clinical narrative: Sedation, Myalgia, SWEATING Narrative:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Myalgia
Clinical narrative: Dizziness, Headache, Myalgia chills Narrative:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue Narrative:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Headache chills, exhaused Narrative:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Lymphadenopathy, Muscle spasms
Clinical narrative: Headache, Myalgia, Arthralgia & Fever Narrative: chills; fever; ha ; joint pain; muscle aches; swollen glands; cramps of legs
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia & Fever Narrative: chills; fever; ha ; joint pain; muscle aches; swollen glands; cramps of legs
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Headache, Myalgia CHILLS, SWEATING, Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive greater than 14 days post 2nd vaccine Narrative: tested positive greater than 14 days post 2nd vaccine
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Erythema multiforme, Headache, Nausea, Vomiting
Clinical narrative: Headache, ErythemaMultiform, Diarrhea & NauseaVomiting Narrative:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Headache FATIGUE AND CHILLS Narrative:
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt PMH includes afib, CKD, Anemia, hip replacement, cerebral infraction, asymptomatic carotid artery stenosis, HLD, BPH, ED, chronic back pain, osteoarthrosis, and DM. Pt 89y died July 25, 2021, at hospital. Vaccines not likely to be related to the event. Per outpatient death notification note the reason was not included.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Angiogram pulmonary normal, Anosmia, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/23/21 COVID vaccine dose #1 04/23/21 COVID vaccine dose #2 07/13/21 Pt reports loss of taste and smell, body aches, headache, runny nose, sinus drainage and dry cough; reveals he was exposed to 6 family members who have had COVID since 7/2/21 07/14/21 Pt reports chills, body aches, fever, sore throat, loss of taste, temp 100.2 07/15/21 COVID test performed at pharmacy 07/20/21 COVID test performed at Hospital; COVID POSITIVE 07/23/21 Pt presents to ED reporting of increased shortness of breath while other symptoms are "getting better"; denies headache, CP, nausea, vomiting or coughing; pt admitted for COVID viral pneumonia 07/24/21 Pt discharge with rx for albuterol, ascorbic acid, budesonide, cholecalciferol, dextromethorphan/guaifenesin, melatonin, omeprazole, prednisone, zinc 07/25/21 Pt reports hiccups with no COVID symptoms 07/26/21 Pt reports cough, denies chest pain, SOB, fever 07/27/21 Pt reports dry cough, fatigue but is feeling better; severe hiccups, denies fever 07/29/21 Pt is improving and quarantine ended
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/23/21 COVID vaccine dose #1 04/23/21 COVID vaccine dose #2 07/13/21 Pt reports loss of taste and smell, body aches, headache, runny nose, sinus drainage and dry cough; reveals he was exposed to 6 family members who have had COVID since 7/2/21 07/14/21 Pt reports chills, body aches, fever, sore throat, loss of taste, temp 100.2 07/15/21 COVID test performed at pharmacy 07/20/21 COVID test performed at Hospital; COVID POSITIVE 07/23/21 Pt presents to ED reporting of increased shortness of breath while other symptoms are "getting better"; denies headache, CP, nausea, vomiting or coughing; pt admitted for COVID viral pneumonia 07/24/21 Pt discharge with rx for albuterol, ascorbic acid, budesonide, cholecalciferol, dextromethorphan/guaifenesin, melatonin, omeprazole, prednisone, zinc 07/25/21 Pt reports hiccups with no COVID symptoms 07/26/21 Pt reports cough, denies chest pain, SOB, fever 07/27/21 Pt reports dry cough, fatigue but is feeling better; severe hiccups, denies fever 07/29/21 Pt is improving and quarantine ended
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hiccups, Lung opacity, Oropharyngeal pain
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/23/21 COVID vaccine dose #1 04/23/21 COVID vaccine dose #2 07/13/21 Pt reports loss of taste and smell, body aches, headache, runny nose, sinus drainage and dry cough; reveals he was exposed to 6 family members who have had COVID since 7/2/21 07/14/21 Pt reports chills, body aches, fever, sore throat, loss of taste, temp 100.2 07/15/21 COVID test performed at pharmacy 07/20/21 COVID test performed at Hospital; COVID POSITIVE 07/23/21 Pt presents to ED reporting of increased shortness of breath while other symptoms are "getting better"; denies headache, CP, nausea, vomiting or coughing; pt admitted for COVID viral pneumonia 07/24/21 Pt discharge with rx for albuterol, ascorbic acid, budesonide, cholecalciferol, dextromethorphan/guaifenesin, melatonin, omeprazole, prednisone, zinc 07/25/21 Pt reports hiccups with no COVID symptoms 07/26/21 Pt reports cough, denies chest pain, SOB, fever 07/27/21 Pt reports dry cough, fatigue but is feeling better; severe hiccups, denies fever 07/29/21 Pt is improving and quarantine ended
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Paranasal sinus hypersecretion, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/23/21 COVID vaccine dose #1 04/23/21 COVID vaccine dose #2 07/13/21 Pt reports loss of taste and smell, body aches, headache, runny nose, sinus drainage and dry cough; reveals he was exposed to 6 family members who have had COVID since 7/2/21 07/14/21 Pt reports chills, body aches, fever, sore throat, loss of taste, temp 100.2 07/15/21 COVID test performed at pharmacy 07/20/21 COVID test performed at Hospital; COVID POSITIVE 07/23/21 Pt presents to ED reporting of increased shortness of breath while other symptoms are "getting better"; denies headache, CP, nausea, vomiting or coughing; pt admitted for COVID viral pneumonia 07/24/21 Pt discharge with rx for albuterol, ascorbic acid, budesonide, cholecalciferol, dextromethorphan/guaifenesin, melatonin, omeprazole, prednisone, zinc 07/25/21 Pt reports hiccups with no COVID symptoms 07/26/21 Pt reports cough, denies chest pain, SOB, fever 07/27/21 Pt reports dry cough, fatigue but is feeling better; severe hiccups, denies fever 07/29/21 Pt is improving and quarantine ended
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: Narrative:  patient reported to primary care that he had arm swelling when he received zoster. No record of administration.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Headache, Wheezing
Clinical narrative: Headache, CoughWheeze, shortness of breath exhaustion Narrative: On 8/20/21, he experienced exhaustion, shortness of breath, cough, and headache for 5 days. Evaluated by employee health.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Headache, NauseaVomiting, FATIGUE AND MUSCLE ACHINESS Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Headache
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series:  02/13/2021 COVID vaccine dose #1 03/13/2021 COVID vaccine dose #2 07/18/2021 Pt reported onset of congestion, dry cough, rhinorrhea,  and fever 07/19/2021 COVID positive per agency nasopharyngeal swab as requested by pt 07/20/2021 Pt reported continuation of sx and onset of myalgia and HA  07/21/2021 Pt reported onset of loss of sense of taste/smell 07/26/2021 Pt reported having been self-isolated for 11 days and w/o sx for 4 days
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series:  02/13/2021 COVID vaccine dose #1 03/13/2021 COVID vaccine dose #2 07/18/2021 Pt reported onset of congestion, dry cough, rhinorrhea,  and fever 07/19/2021 COVID positive per agency nasopharyngeal swab as requested by pt 07/20/2021 Pt reported continuation of sx and onset of myalgia and HA  07/21/2021 Pt reported onset of loss of sense of taste/smell 07/26/2021 Pt reported having been self-isolated for 11 days and w/o sx for 4 days
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series:  02/13/2021 COVID vaccine dose #1 03/13/2021 COVID vaccine dose #2 07/18/2021 Pt reported onset of congestion, dry cough, rhinorrhea,  and fever 07/19/2021 COVID positive per agency nasopharyngeal swab as requested by pt 07/20/2021 Pt reported continuation of sx and onset of myalgia and HA  07/21/2021 Pt reported onset of loss of sense of taste/smell 07/26/2021 Pt reported having been self-isolated for 11 days and w/o sx for 4 days
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was administered second COVID vaccine on 2/18/21 and was found dead at his home on 3/21/21
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Eye operation, Productive cough, Pyrexia, SARS-CoV-2 RNA
Clinical narrative: Narrative: Per ID physician note: "7 y/o man with h/o CAD, COPD, HFpEF, IgG4 pulmonary/renal disease (CrCl 45), and recent retinal detachment who was admitted yesterday for ophthalmologic surgical repair. He was incidentally found to be COVID+ last Friday 7/23 (viral load <100 copies at the time), and the decision was made to proceed with surgery yesterday. The procedure was uncomplicated, but post-op he desaturated to the mid-80s. He had been on varying levels of supplemental oxygen since (2-5L), but he is currently stable on 2L O2. He has fever last night to 100.8. Per the patient's primary team, he is currently complaining of cough with sputum production. - Start IV remdesivir 200mg x 1, followed by 100mg daily starting tomorrow x 4 doses - Given that his oxygen requirements have stabilized around 2L, I do not recommend starting dexamethasone at this time, but should his respiratory status worsen, we could consider adding steroids while in-house."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative: Per ID physician note: "7 y/o man with h/o CAD, COPD, HFpEF, IgG4 pulmonary/renal disease (CrCl 45), and recent retinal detachment who was admitted yesterday for ophthalmologic surgical repair. He was incidentally found to be COVID+ last Friday 7/23 (viral load <100 copies at the time), and the decision was made to proceed with surgery yesterday. The procedure was uncomplicated, but post-op he desaturated to the mid-80s. He had been on varying levels of supplemental oxygen since (2-5L), but he is currently stable on 2L O2. He has fever last night to 100.8. Per the patient's primary team, he is currently complaining of cough with sputum production. - Start IV remdesivir 200mg x 1, followed by 100mg daily starting tomorrow x 4 doses - Given that his oxygen requirements have stabilized around 2L, I do not recommend starting dexamethasone at this time, but should his respiratory status worsen, we could consider adding steroids while in-house."
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt was 72 yr old male. PMH includes COPD, tobacco abuse, T2DM, HTN, PVD, HPL Patient died at the Community Hospital on 7/15/21. Reason not listed. Vaccines likely not related to event due to timing.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Headache & Fever Narrative: