chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fibrin D dimer increased, Human metapneumovirus test, Hypertension, Hypomagnesaemia
Clinical narrative: ED to Hosp-Admission Discharged 8/27/2021 - 8/31/2021 (4 days) Hospital  (Principal) COVID-19 virus infection  Hospital Course   HPI:  Patient is a 80 y.o. male with known history of chronic hypoxic respiratory failure requiring 2 L of oxygen due to severe COPD and hypertension has presented to emergency room for evaluation of worsening shortness of breath, fevers, diarrhea, nausea & non productive cough for the last 2 days.  His wife tested positive for Covid on Monday and has been in quarantine and home.  Both him and his wife were vaccinated with Pfizer vaccine.  Upon arrival he is noted to be having hypoxia with requirement of 4 L of oxygen to keep saturation above 90% and CT chest showing bibasilar interstitial infiltrates suggestive of atypical pneumonia.d   Hospital Course:  COVID-19 pneumonia: Breakthrough case as patient was vaccinated with Pfizer back in March.  CTA showed bilateral lower lobe infiltrate but negative for PE.   Patient received on 5 days of remdesivir and dexamethasone, along with inhaler, schedule albuterol, cough medication.  We added azithromycin since procalcitonin is elevated at 0.92.  Lung exam shows decreased breath sounds at bases, add ISB, OPEP.  Procalcitonin now trending down to 0.35.  Overall clinically improved.  Oximetry showed that he will require 2 L of O2 at rest and 3 L with activity.  Patient received 4 days of azithromycin, will be discharged on 3 more days of azithromycin and 5 more days of Decadron.   AKI: Admission creatinine 1.74->1->0.9, resolved with IV fluid, resume lisinopril/hydrochlorothiazide   COPD on 2 L home O2   Hypertension   Hypomagnesemia: Replaced
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Infection, Influenza A virus test negative, Influenza B virus test, Lung infiltration
Clinical narrative: ED to Hosp-Admission Discharged 8/27/2021 - 8/31/2021 (4 days) Hospital  (Principal) COVID-19 virus infection  Hospital Course   HPI:  Patient is a 80 y.o. male with known history of chronic hypoxic respiratory failure requiring 2 L of oxygen due to severe COPD and hypertension has presented to emergency room for evaluation of worsening shortness of breath, fevers, diarrhea, nausea & non productive cough for the last 2 days.  His wife tested positive for Covid on Monday and has been in quarantine and home.  Both him and his wife were vaccinated with Pfizer vaccine.  Upon arrival he is noted to be having hypoxia with requirement of 4 L of oxygen to keep saturation above 90% and CT chest showing bibasilar interstitial infiltrates suggestive of atypical pneumonia.d   Hospital Course:  COVID-19 pneumonia: Breakthrough case as patient was vaccinated with Pfizer back in March.  CTA showed bilateral lower lobe infiltrate but negative for PE.   Patient received on 5 days of remdesivir and dexamethasone, along with inhaler, schedule albuterol, cough medication.  We added azithromycin since procalcitonin is elevated at 0.92.  Lung exam shows decreased breath sounds at bases, add ISB, OPEP.  Procalcitonin now trending down to 0.35.  Overall clinically improved.  Oximetry showed that he will require 2 L of O2 at rest and 3 L with activity.  Patient received 4 days of azithromycin, will be discharged on 3 more days of azithromycin and 5 more days of Decadron.   AKI: Admission creatinine 1.74->1->0.9, resolved with IV fluid, resume lisinopril/hydrochlorothiazide   COPD on 2 L home O2   Hypertension   Hypomagnesemia: Replaced
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oxygen saturation decreased, Procalcitonin increased, Pulmonary oedema, Pyrexia
Clinical narrative: ED to Hosp-Admission Discharged 8/27/2021 - 8/31/2021 (4 days) Hospital  (Principal) COVID-19 virus infection  Hospital Course   HPI:  Patient is a 80 y.o. male with known history of chronic hypoxic respiratory failure requiring 2 L of oxygen due to severe COPD and hypertension has presented to emergency room for evaluation of worsening shortness of breath, fevers, diarrhea, nausea & non productive cough for the last 2 days.  His wife tested positive for Covid on Monday and has been in quarantine and home.  Both him and his wife were vaccinated with Pfizer vaccine.  Upon arrival he is noted to be having hypoxia with requirement of 4 L of oxygen to keep saturation above 90% and CT chest showing bibasilar interstitial infiltrates suggestive of atypical pneumonia.d   Hospital Course:  COVID-19 pneumonia: Breakthrough case as patient was vaccinated with Pfizer back in March.  CTA showed bilateral lower lobe infiltrate but negative for PE.   Patient received on 5 days of remdesivir and dexamethasone, along with inhaler, schedule albuterol, cough medication.  We added azithromycin since procalcitonin is elevated at 0.92.  Lung exam shows decreased breath sounds at bases, add ISB, OPEP.  Procalcitonin now trending down to 0.35.  Overall clinically improved.  Oximetry showed that he will require 2 L of O2 at rest and 3 L with activity.  Patient received 4 days of azithromycin, will be discharged on 3 more days of azithromycin and 5 more days of Decadron.   AKI: Admission creatinine 1.74->1->0.9, resolved with IV fluid, resume lisinopril/hydrochlorothiazide   COPD on 2 L home O2   Hypertension   Hypomagnesemia: Replaced
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: ED to Hosp-Admission Discharged 8/27/2021 - 8/31/2021 (4 days) Hospital  (Principal) COVID-19 virus infection  Hospital Course   HPI:  Patient is a 80 y.o. male with known history of chronic hypoxic respiratory failure requiring 2 L of oxygen due to severe COPD and hypertension has presented to emergency room for evaluation of worsening shortness of breath, fevers, diarrhea, nausea & non productive cough for the last 2 days.  His wife tested positive for Covid on Monday and has been in quarantine and home.  Both him and his wife were vaccinated with Pfizer vaccine.  Upon arrival he is noted to be having hypoxia with requirement of 4 L of oxygen to keep saturation above 90% and CT chest showing bibasilar interstitial infiltrates suggestive of atypical pneumonia.d   Hospital Course:  COVID-19 pneumonia: Breakthrough case as patient was vaccinated with Pfizer back in March.  CTA showed bilateral lower lobe infiltrate but negative for PE.   Patient received on 5 days of remdesivir and dexamethasone, along with inhaler, schedule albuterol, cough medication.  We added azithromycin since procalcitonin is elevated at 0.92.  Lung exam shows decreased breath sounds at bases, add ISB, OPEP.  Procalcitonin now trending down to 0.35.  Overall clinically improved.  Oximetry showed that he will require 2 L of O2 at rest and 3 L with activity.  Patient received 4 days of azithromycin, will be discharged on 3 more days of azithromycin and 5 more days of Decadron.   AKI: Admission creatinine 1.74->1->0.9, resolved with IV fluid, resume lisinopril/hydrochlorothiazide   COPD on 2 L home O2   Hypertension   Hypomagnesemia: Replaced
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Neck pain
Clinical narrative: Extreme pain at injection site, cannot raise arm more than 1 inch and pain in the shoulder and neck area and do not get any relief from the Tylenol or ice packs.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Burning sensation, Dysphagia, Feeling abnormal, Hypoaesthesia
Clinical narrative: I started having burning sensations in my right ankle that would come and go and went on for 2.5 weeks. On 7/19, the burning was into my mouth and tongue. It was numbing. It went down my throat and it was burning and numb and hard to swallow. It was like it feels when you go to the dentist. I had body aches that day off and on. The feelings would switch between my arms and my legs. By that weekend, I had no taste (July 23-25) in my mouth and was still having burning sensations. One episode lasted for 4 hours at night and couldn't get to sleep. I had foggy feeling brain. This lasted a good week. After about week my tongue started to feel better, and could start to taste. I still had burning sensations throughout different parts of my body. July 26 I went to my doctor, did blood work which was normal. I called her back the next week to tell her that I started getting itchy spots all over my body. My doctor then gave me a prescription to try to help with the itching ( a tablet) that hasn't helped. As of today's date, the burning sensations still come and go and the itchiness all over different parts of are still here. I feel like I constantly need to scratch all over my body. The achy body symptoms are now few and far between.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Oral discomfort, Pain, Pharyngeal hypoaesthesia, Pruritus
Clinical narrative: I started having burning sensations in my right ankle that would come and go and went on for 2.5 weeks. On 7/19, the burning was into my mouth and tongue. It was numbing. It went down my throat and it was burning and numb and hard to swallow. It was like it feels when you go to the dentist. I had body aches that day off and on. The feelings would switch between my arms and my legs. By that weekend, I had no taste (July 23-25) in my mouth and was still having burning sensations. One episode lasted for 4 hours at night and couldn't get to sleep. I had foggy feeling brain. This lasted a good week. After about week my tongue started to feel better, and could start to taste. I still had burning sensations throughout different parts of my body. July 26 I went to my doctor, did blood work which was normal. I called her back the next week to tell her that I started getting itchy spots all over my body. My doctor then gave me a prescription to try to help with the itching ( a tablet) that hasn't helped. As of today's date, the burning sensations still come and go and the itchiness all over different parts of are still here. I feel like I constantly need to scratch all over my body. The achy body symptoms are now few and far between.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Throat irritation, Tongue discomfort
Clinical narrative: I started having burning sensations in my right ankle that would come and go and went on for 2.5 weeks. On 7/19, the burning was into my mouth and tongue. It was numbing. It went down my throat and it was burning and numb and hard to swallow. It was like it feels when you go to the dentist. I had body aches that day off and on. The feelings would switch between my arms and my legs. By that weekend, I had no taste (July 23-25) in my mouth and was still having burning sensations. One episode lasted for 4 hours at night and couldn't get to sleep. I had foggy feeling brain. This lasted a good week. After about week my tongue started to feel better, and could start to taste. I still had burning sensations throughout different parts of my body. July 26 I went to my doctor, did blood work which was normal. I called her back the next week to tell her that I started getting itchy spots all over my body. My doctor then gave me a prescription to try to help with the itching ( a tablet) that hasn't helped. As of today's date, the burning sensations still come and go and the itchiness all over different parts of are still here. I feel like I constantly need to scratch all over my body. The achy body symptoms are now few and far between.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization due to COVID-19 Reported per Pfizer COVID-19 Vaccine EUA
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Tachycardia
Clinical narrative: Fever to 101.6F, chills, headache, body aches, tachycardia to 140
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Body temperature increased, COVID-19
Clinical narrative: On August 15th I have a temperature elevation and deep in the lung coughing, body weakness and loss of taste and smell. August 17th, 2021, I was positive for Covid 19. No treatment was received, I was home and rested and recovered in eight days. I had maintained 98% O2 saturation throughout the week and that is all the information I have. I had contacted the Dr. on Monday August 16th and that was why I went to get tested.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, SARS-CoV-2 test positive
Clinical narrative: On August 15th I have a temperature elevation and deep in the lung coughing, body weakness and loss of taste and smell. August 17th, 2021, I was positive for Covid 19. No treatment was received, I was home and rested and recovered in eight days. I had maintained 98% O2 saturation throughout the week and that is all the information I have. I had contacted the Dr. on Monday August 16th and that was why I went to get tested.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Dyspnoea exertional
Clinical narrative: Chief Complaint  Covid + on 8/25, sent here by PCP for CXR. Not really worse, buy has HX of Pneumonia.Not able to drink due to nausea, did start on Zofran yesterday which has helped some. Pt states O2 sat at home after nap was 83%  History of Present Illness  61yo woman with h/o severe obesity, LE edema, hypothyroidism, gout, who was vaccinated for COVID-19 in March 2021 and presents with progressive weakness, nausea, headache and chills.  Tested COVID positive on 8/25/2021 and has developed DOE.  SpO2 83% on ED arrival with scant nonproductive cough.  No chest pain or other pain.  No diarrhea.  No syncope.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Oxygen saturation decreased
Clinical narrative: Chief Complaint  Covid + on 8/25, sent here by PCP for CXR. Not really worse, buy has HX of Pneumonia.Not able to drink due to nausea, did start on Zofran yesterday which has helped some. Pt states O2 sat at home after nap was 83%  History of Present Illness  61yo woman with h/o severe obesity, LE edema, hypothyroidism, gout, who was vaccinated for COVID-19 in March 2021 and presents with progressive weakness, nausea, headache and chills.  Tested COVID positive on 8/25/2021 and has developed DOE.  SpO2 83% on ED arrival with scant nonproductive cough.  No chest pain or other pain.  No diarrhea.  No syncope.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Panic attack
Clinical narrative: Panic attack
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Echocardiogram, Intensive care
Clinical narrative: Chest pain and shortness of breath started 5/26/2021, ER visit with a diagnosis of pericarditis. Admitted overnight with testing, sent home with colchicine medication.  Symptoms worsening at home over the next few days.  ER visit again on June 3, 2021, and sent from hospital to another hospital ICU by ambulance with pericardial effusion.  Procedure to drain fluids on 6/4/2021 and remained in ICU for 2 days. ER visit again on 6/22/2021 with continuing chest discomfort. Medication increased. Many Echocardiograms done during this month.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pericardial drainage, Pericardial effusion, Pericarditis
Clinical narrative: Chest pain and shortness of breath started 5/26/2021, ER visit with a diagnosis of pericarditis. Admitted overnight with testing, sent home with colchicine medication.  Symptoms worsening at home over the next few days.  ER visit again on June 3, 2021, and sent from hospital to another hospital ICU by ambulance with pericardial effusion.  Procedure to drain fluids on 6/4/2021 and remained in ICU for 2 days. ER visit again on 6/22/2021 with continuing chest discomfort. Medication increased. Many Echocardiograms done during this month.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Heart rate increased, Hyperthyroidism, Thyroid function test abnormal
Clinical narrative: Developed tremor, rapid heart rate, nervousness, breathlessness, and fatigue. Had thyroid lab values checked 3-4 weeks later and was hyperthyroid after being normal. Lowered medication and retested 8 weeks later and labs were much better though not completely back to normal. Symptoms have mostly resolved.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine free, Tremor, Tri-iodothyronine free
Clinical narrative: Developed tremor, rapid heart rate, nervousness, breathlessness, and fatigue. Had thyroid lab values checked 3-4 weeks later and was hyperthyroid after being normal. Lowered medication and retested 8 weeks later and labs were much better though not completely back to normal. Symptoms have mostly resolved.
Age: 19.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Diabetic ketoacidosis, Disease progression, Type 1 diabetes mellitus
Clinical narrative: Type 1 diabetes and DKA
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Within an hour after receiving the vaccine pt began a severe headache which has not subsided 8 days later.  Ibuprofen and a nap can temporarily (no more than 2-3 hours) reduce the impact of the headache.  This has caused missed events.  In creasing water intake is not helping.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Fatigue, Feeling of body temperature change, Hyperhidrosis, Injection site pain
Clinical narrative: Soreness at injection site, arm became swollen, golf ball size knot underneath arm, exhaustion, pain, consistent sweating, hot then cold, heaviness behind throat, chest pains
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nodule, Oropharyngeal discomfort, Pain, Peripheral swelling
Clinical narrative: Soreness at injection site, arm became swollen, golf ball size knot underneath arm, exhaustion, pain, consistent sweating, hot then cold, heaviness behind throat, chest pains
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Hypertension, Pulmonary embolism, Vaccination complication
Clinical narrative: Soreness at injection site, arm became swollen, golf ball size knot underneath arm, exhaustion, pain, consistent sweating, hot then cold, heaviness behind throat, chest pains
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Fatigue, Feeling of body temperature change, Hyperhidrosis, Injection site pain
Clinical narrative: One week later the patient developed covid arm. She also had high blood pressure, was very tired, and had breathing problems. She said she was admitted to the hospital twice. Monday Aug 30 and Monday Aug 23,2021.  The patient said she had difficulty breathing and had pulmonary embolism.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nodule, Oropharyngeal discomfort, Pain, Peripheral swelling
Clinical narrative: One week later the patient developed covid arm. She also had high blood pressure, was very tired, and had breathing problems. She said she was admitted to the hospital twice. Monday Aug 30 and Monday Aug 23,2021.  The patient said she had difficulty breathing and had pulmonary embolism.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Hypertension, Pulmonary embolism, Vaccination complication
Clinical narrative: One week later the patient developed covid arm. She also had high blood pressure, was very tired, and had breathing problems. She said she was admitted to the hospital twice. Monday Aug 30 and Monday Aug 23,2021.  The patient said she had difficulty breathing and had pulmonary embolism.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Bordetella test negative, COVID-19, COVID-19 pneumonia, Chest X-ray normal
Clinical narrative: HA, body aches, sore throat, coughing ED to Hosp-Admission Discharged 8/25/2021 - 8/27/2021 (2 days) Hospital Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath  COVID-19  Hospital Course         Patient is an 55 y.o. female with PMH of CAD, HLD, gastric bypass, COPD, emphysema who presents with nausea and vomiting and shortness of breath. Patient was well until 8/24 when she noticed that her nausea and vomiting worsen. She also noticed associated shortness of breath which has progressively worsened in the last 2 days.  Patient has associated headaches, cough which she describes as dry. Patient is vaccinated with the Pfizer vaccine x2. Patient has obstructive sleep apnea and is not compliant on her CPAP machine because she feels like she has been smothered. She uses 2L O2 at night when he goes to sleep.   Patient admitted to family medicine service. Her COVID test was positive. She was started on remdesevir and decadron. CT chest revealed COVID pneumonia without PE. Her nausea and vomiting improved overnight. Patient had a rest and exercise oximetry test which revealed that she did not have an oxygen requirement at rest or with exercise. Patient was discharged home on remote patient monitoring and VNA home health aide. Her remdesevir was discontinued and she was sent home on 8 more days of decadron for her COVID pneumonia. Patient discharged home in stable condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chlamydia test negative, Computerised tomogram thorax, Computerised tomogram thorax abnormal, Coronavirus test negative, Cough
Clinical narrative: HA, body aches, sore throat, coughing ED to Hosp-Admission Discharged 8/25/2021 - 8/27/2021 (2 days) Hospital Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath  COVID-19  Hospital Course         Patient is an 55 y.o. female with PMH of CAD, HLD, gastric bypass, COPD, emphysema who presents with nausea and vomiting and shortness of breath. Patient was well until 8/24 when she noticed that her nausea and vomiting worsen. She also noticed associated shortness of breath which has progressively worsened in the last 2 days.  Patient has associated headaches, cough which she describes as dry. Patient is vaccinated with the Pfizer vaccine x2. Patient has obstructive sleep apnea and is not compliant on her CPAP machine because she feels like she has been smothered. She uses 2L O2 at night when he goes to sleep.   Patient admitted to family medicine service. Her COVID test was positive. She was started on remdesevir and decadron. CT chest revealed COVID pneumonia without PE. Her nausea and vomiting improved overnight. Patient had a rest and exercise oximetry test which revealed that she did not have an oxygen requirement at rest or with exercise. Patient was discharged home on remote patient monitoring and VNA home health aide. Her remdesevir was discontinued and she was sent home on 8 more days of decadron for her COVID pneumonia. Patient discharged home in stable condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Dyspnoea, Enterovirus test negative, Headache, Hiatus hernia
Clinical narrative: HA, body aches, sore throat, coughing ED to Hosp-Admission Discharged 8/25/2021 - 8/27/2021 (2 days) Hospital Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath  COVID-19  Hospital Course         Patient is an 55 y.o. female with PMH of CAD, HLD, gastric bypass, COPD, emphysema who presents with nausea and vomiting and shortness of breath. Patient was well until 8/24 when she noticed that her nausea and vomiting worsen. She also noticed associated shortness of breath which has progressively worsened in the last 2 days.  Patient has associated headaches, cough which she describes as dry. Patient is vaccinated with the Pfizer vaccine x2. Patient has obstructive sleep apnea and is not compliant on her CPAP machine because she feels like she has been smothered. She uses 2L O2 at night when he goes to sleep.   Patient admitted to family medicine service. Her COVID test was positive. She was started on remdesevir and decadron. CT chest revealed COVID pneumonia without PE. Her nausea and vomiting improved overnight. Patient had a rest and exercise oximetry test which revealed that she did not have an oxygen requirement at rest or with exercise. Patient was discharged home on remote patient monitoring and VNA home health aide. Her remdesevir was discontinued and she was sent home on 8 more days of decadron for her COVID pneumonia. Patient discharged home in stable condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Lung opacity
Clinical narrative: HA, body aches, sore throat, coughing ED to Hosp-Admission Discharged 8/25/2021 - 8/27/2021 (2 days) Hospital Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath  COVID-19  Hospital Course         Patient is an 55 y.o. female with PMH of CAD, HLD, gastric bypass, COPD, emphysema who presents with nausea and vomiting and shortness of breath. Patient was well until 8/24 when she noticed that her nausea and vomiting worsen. She also noticed associated shortness of breath which has progressively worsened in the last 2 days.  Patient has associated headaches, cough which she describes as dry. Patient is vaccinated with the Pfizer vaccine x2. Patient has obstructive sleep apnea and is not compliant on her CPAP machine because she feels like she has been smothered. She uses 2L O2 at night when he goes to sleep.   Patient admitted to family medicine service. Her COVID test was positive. She was started on remdesevir and decadron. CT chest revealed COVID pneumonia without PE. Her nausea and vomiting improved overnight. Patient had a rest and exercise oximetry test which revealed that she did not have an oxygen requirement at rest or with exercise. Patient was discharged home on remote patient monitoring and VNA home health aide. Her remdesevir was discontinued and she was sent home on 8 more days of decadron for her COVID pneumonia. Patient discharged home in stable condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Nausea, Oropharyngeal pain, Pain, Respiratory syncytial virus test negative
Clinical narrative: HA, body aches, sore throat, coughing ED to Hosp-Admission Discharged 8/25/2021 - 8/27/2021 (2 days) Hospital Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath  COVID-19  Hospital Course         Patient is an 55 y.o. female with PMH of CAD, HLD, gastric bypass, COPD, emphysema who presents with nausea and vomiting and shortness of breath. Patient was well until 8/24 when she noticed that her nausea and vomiting worsen. She also noticed associated shortness of breath which has progressively worsened in the last 2 days.  Patient has associated headaches, cough which she describes as dry. Patient is vaccinated with the Pfizer vaccine x2. Patient has obstructive sleep apnea and is not compliant on her CPAP machine because she feels like she has been smothered. She uses 2L O2 at night when he goes to sleep.   Patient admitted to family medicine service. Her COVID test was positive. She was started on remdesevir and decadron. CT chest revealed COVID pneumonia without PE. Her nausea and vomiting improved overnight. Patient had a rest and exercise oximetry test which revealed that she did not have an oxygen requirement at rest or with exercise. Patient was discharged home on remote patient monitoring and VNA home health aide. Her remdesevir was discontinued and she was sent home on 8 more days of decadron for her COVID pneumonia. Patient discharged home in stable condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast abnormal, Vomiting
Clinical narrative: HA, body aches, sore throat, coughing ED to Hosp-Admission Discharged 8/25/2021 - 8/27/2021 (2 days) Hospital Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath  COVID-19  Hospital Course         Patient is an 55 y.o. female with PMH of CAD, HLD, gastric bypass, COPD, emphysema who presents with nausea and vomiting and shortness of breath. Patient was well until 8/24 when she noticed that her nausea and vomiting worsen. She also noticed associated shortness of breath which has progressively worsened in the last 2 days.  Patient has associated headaches, cough which she describes as dry. Patient is vaccinated with the Pfizer vaccine x2. Patient has obstructive sleep apnea and is not compliant on her CPAP machine because she feels like she has been smothered. She uses 2L O2 at night when he goes to sleep.   Patient admitted to family medicine service. Her COVID test was positive. She was started on remdesevir and decadron. CT chest revealed COVID pneumonia without PE. Her nausea and vomiting improved overnight. Patient had a rest and exercise oximetry test which revealed that she did not have an oxygen requirement at rest or with exercise. Patient was discharged home on remote patient monitoring and VNA home health aide. Her remdesevir was discontinued and she was sent home on 8 more days of decadron for her COVID pneumonia. Patient discharged home in stable condition.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Lip swelling, Pruritus, Rash, Rash erythematous
Clinical narrative: Swollen Lower Lip with numbness around edges of lip - Patient has never had lip filler injections. Rash of red raised bumps throughout chest, stomach, and back that itch. General itchiness throughout body. Patient tried treating with Benadryl, but that did not help.  Dermatologist prescribed topical steroid cream. If that does not work, doctor will prescribe oral steroid or injection.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Swollen Lower Lip with numbness around edges of lip - Patient has never had lip filler injections. Rash of red raised bumps throughout chest, stomach, and back that itch. General itchiness throughout body. Patient tried treating with Benadryl, but that did not help.  Dermatologist prescribed topical steroid cream. If that does not work, doctor will prescribe oral steroid or injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Pt is fully vaccinated with Pfizer as of 1/2021.  Pt reports covid symptom onset of congestion, cough, sore throat, runny nose and headache starting 8/27/21. Tested covid positive with PCR NP swab on 8/30/21.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Pt is fully vaccinated with Pfizer as of 1/2021.  Pt reports covid symptom onset of congestion, cough, sore throat, runny nose and headache starting 8/27/21. Tested covid positive with PCR NP swab on 8/30/21.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cervical discharge, Uterine haemorrhage
Clinical narrative: Less than 12 hrs after receiving the vaccine I shed my uterine wall. Discharging large clumps of tissue at a time.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Condition aggravated, Dizziness, Dyspnoea
Clinical narrative: After receiving the vaccine experienced some tingling in the hand (felt due to increased typing). Later the tingling progressed up the right arm and began feeling ?super? short of breath, feeling she couldn?t breathe. Checked oximeter: HR 172 and O2 sat fine (98-99%). Took a cold bath to bring down HR, HR did improve 122. Symptoms continued to 2- 3am as afraid if should fall asleep. Next morning felt ?usual? side effects of vaccine- fever, aches, and tiredness. Five days later began to have new onset headaches, episodes (~ 3-4) of chest pain and feeling extremely tired (sleepy). Appointment with Cardiologist: EKG- fine, with persistent tachycardia (not sure if historical or new) initiated atenolol (B-blocker). Placed on heart monitor for two weeks, and scheduled follow-up (results pending). Lab findings include elevated CRP- advised to schedule ECHO to check for pericarditis.  ~ 1 and ½ weeks ago had a dizzy/ fainting spell in the shower and plans to discuss with physician during office visit next week.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Electrocardiogram ambulatory, Fatigue, Headache, Heart rate increased
Clinical narrative: After receiving the vaccine experienced some tingling in the hand (felt due to increased typing). Later the tingling progressed up the right arm and began feeling ?super? short of breath, feeling she couldn?t breathe. Checked oximeter: HR 172 and O2 sat fine (98-99%). Took a cold bath to bring down HR, HR did improve 122. Symptoms continued to 2- 3am as afraid if should fall asleep. Next morning felt ?usual? side effects of vaccine- fever, aches, and tiredness. Five days later began to have new onset headaches, episodes (~ 3-4) of chest pain and feeling extremely tired (sleepy). Appointment with Cardiologist: EKG- fine, with persistent tachycardia (not sure if historical or new) initiated atenolol (B-blocker). Placed on heart monitor for two weeks, and scheduled follow-up (results pending). Lab findings include elevated CRP- advised to schedule ECHO to check for pericarditis.  ~ 1 and ½ weeks ago had a dizzy/ fainting spell in the shower and plans to discuss with physician during office visit next week.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pyrexia, Somnolence, Syncope
Clinical narrative: After receiving the vaccine experienced some tingling in the hand (felt due to increased typing). Later the tingling progressed up the right arm and began feeling ?super? short of breath, feeling she couldn?t breathe. Checked oximeter: HR 172 and O2 sat fine (98-99%). Took a cold bath to bring down HR, HR did improve 122. Symptoms continued to 2- 3am as afraid if should fall asleep. Next morning felt ?usual? side effects of vaccine- fever, aches, and tiredness. Five days later began to have new onset headaches, episodes (~ 3-4) of chest pain and feeling extremely tired (sleepy). Appointment with Cardiologist: EKG- fine, with persistent tachycardia (not sure if historical or new) initiated atenolol (B-blocker). Placed on heart monitor for two weeks, and scheduled follow-up (results pending). Lab findings include elevated CRP- advised to schedule ECHO to check for pericarditis.  ~ 1 and ½ weeks ago had a dizzy/ fainting spell in the shower and plans to discuss with physician during office visit next week.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: After receiving the vaccine experienced some tingling in the hand (felt due to increased typing). Later the tingling progressed up the right arm and began feeling ?super? short of breath, feeling she couldn?t breathe. Checked oximeter: HR 172 and O2 sat fine (98-99%). Took a cold bath to bring down HR, HR did improve 122. Symptoms continued to 2- 3am as afraid if should fall asleep. Next morning felt ?usual? side effects of vaccine- fever, aches, and tiredness. Five days later began to have new onset headaches, episodes (~ 3-4) of chest pain and feeling extremely tired (sleepy). Appointment with Cardiologist: EKG- fine, with persistent tachycardia (not sure if historical or new) initiated atenolol (B-blocker). Placed on heart monitor for two weeks, and scheduled follow-up (results pending). Lab findings include elevated CRP- advised to schedule ECHO to check for pericarditis.  ~ 1 and ½ weeks ago had a dizzy/ fainting spell in the shower and plans to discuss with physician during office visit next week.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Hospitalization/death due to COVID-19 Reported per Pfizer COVID-19 Vaccine EUA
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Extra dose administered, Headache
Clinical narrative: Headache, sore arm, neck, tailbone, both knees pain, left back foot, middle of right foot, right calf, and left side of my teeth, and jaw hurt,  both hands, and chest hurts.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neck pain, Pain in extremity, Pain in jaw, Toothache, Vaccine positive rechallenge
Clinical narrative: Headache, sore arm, neck, tailbone, both knees pain, left back foot, middle of right foot, right calf, and left side of my teeth, and jaw hurt,  both hands, and chest hurts.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after administered.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Crepitations, Insomnia, Neck pain, Sensory disturbance
Clinical narrative: Since my first vaccine, neck pain and every time look down neck pops. I feel like there is a pulling cord on my cervical area. Also when sleeping, I try to turn around on the bed. It is painful on neck and cervical area.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dyspnoea, X-ray normal
Clinical narrative: One day in August I went to the ER for shortness of breath. They gave me an albuterol treatment and an inhaler.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Appetite disorder, Aspartate aminotransferase increased, Asthenia
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Bacteriuria, Blood magnesium normal, Brain natriuretic peptide increased, COVID-19, Chest X-ray normal
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dizziness, Dyspnoea, Dyspnoea exertional
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fatigue, Haematology test normal, Haematuria, Headache
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.