chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Illness, Impaired gastric emptying, Impaired work ability, Irritable bowel syndrome
Clinical narrative: She got her vaccine, had headaches, fever, chills, shakes, shivers, nausea and diarrhea.  She has never recovered, had fever over a week, called the pediatrician and told her to drink a coke to coat her stomach, never got better, continued throwing up.  Went to the ER and hooked up to an IV for several hours, dehydrated and treated her.  She is still having dizziness, nauseous and not keeping anything down, was given another drip and then admitted for 3 days for severe dehydration.  Upon that admission they did a pregnancy test, to see if she had a ruptured ovarian cyst, took X-rays of her appendix and other tests.  After being treated for 3 days sent her home, felt a little better.  She then got sick again and has an appointment with a gastroenterologist.    She has not been to school since January do to this, she has lost her job.  She tried to go to school and has a plan for her to be home schooled.  She has missed out of 1/2 of her year of school so far.    She saw the gastroenterologist, put her on erythromycin, given Zofran for a while.  put her on Prilosec which did not work either.  She had an endoscopy and colonoscopy on 2/14/22 and did cancer screenings as well, scans lit up.  Th colonoscopy showed sevearl lesions around the colon and EGD showed lesions along the esophageal tract.  They tested her for Crohn's.  She was diagnosed with IBS.  She was then back in the ER vomiting blood and having diarrhea.  She had a motility test and is having motility problems, and her esophagus is not connected with the digestive tract.  She was diagnosed with gastroparesis.  She was put on a liquid medication as she can now not able to swallow pills.  She is now 17 years old, and she has an NG tube coming out of her nose and a stimulator to stimulate her stomach about 3 weeks ago.    The stimulator right now that she has is temporary and now being 17 they will not see her, and she has 2 choices to go to another state or to go 3 hours away, and has decided to that.  Mom has now taken off about 21 days of work due to her daughter's illness.  Next Friday she is scheduled for a permanent stimulator where she will have 5 years of relief, and will still be on medication to help her.  She is at a point that she cannot take the medication anymore as it can cause neurological issues as well.  She has also been in counseling due to the events, missing school and may not be able to take her tests.    She was healthy prior to her vaccines, never saw doctors due to the PCOS, but otherwise healthy.  Mother said she got the 3rd shot at 4:00 PM and woke up the next day not the same and continues with these symptoms.  She has had numerous COVID tests, and many tests.  She has had the nuclear scan to see how her digestive tract is working several times.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Large intestine polyp, Loss of personal independence in daily activities, Malaise, Nausea
Clinical narrative: She got her vaccine, had headaches, fever, chills, shakes, shivers, nausea and diarrhea.  She has never recovered, had fever over a week, called the pediatrician and told her to drink a coke to coat her stomach, never got better, continued throwing up.  Went to the ER and hooked up to an IV for several hours, dehydrated and treated her.  She is still having dizziness, nauseous and not keeping anything down, was given another drip and then admitted for 3 days for severe dehydration.  Upon that admission they did a pregnancy test, to see if she had a ruptured ovarian cyst, took X-rays of her appendix and other tests.  After being treated for 3 days sent her home, felt a little better.  She then got sick again and has an appointment with a gastroenterologist.    She has not been to school since January do to this, she has lost her job.  She tried to go to school and has a plan for her to be home schooled.  She has missed out of 1/2 of her year of school so far.    She saw the gastroenterologist, put her on erythromycin, given Zofran for a while.  put her on Prilosec which did not work either.  She had an endoscopy and colonoscopy on 2/14/22 and did cancer screenings as well, scans lit up.  Th colonoscopy showed sevearl lesions around the colon and EGD showed lesions along the esophageal tract.  They tested her for Crohn's.  She was diagnosed with IBS.  She was then back in the ER vomiting blood and having diarrhea.  She had a motility test and is having motility problems, and her esophagus is not connected with the digestive tract.  She was diagnosed with gastroparesis.  She was put on a liquid medication as she can now not able to swallow pills.  She is now 17 years old, and she has an NG tube coming out of her nose and a stimulator to stimulate her stomach about 3 weeks ago.    The stimulator right now that she has is temporary and now being 17 they will not see her, and she has 2 choices to go to another state or to go 3 hours away, and has decided to that.  Mom has now taken off about 21 days of work due to her daughter's illness.  Next Friday she is scheduled for a permanent stimulator where she will have 5 years of relief, and will still be on medication to help her.  She is at a point that she cannot take the medication anymore as it can cause neurological issues as well.  She has also been in counseling due to the events, missing school and may not be able to take her tests.    She was healthy prior to her vaccines, never saw doctors due to the PCOS, but otherwise healthy.  Mother said she got the 3rd shot at 4:00 PM and woke up the next day not the same and continues with these symptoms.  She has had numerous COVID tests, and many tests.  She has had the nuclear scan to see how her digestive tract is working several times.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Neuroprosthesis implantation, Oesophageal disorder, Oesophageal motility test, Oesophageal polyp, Oesophagogastroduodenoscopy abnormal
Clinical narrative: She got her vaccine, had headaches, fever, chills, shakes, shivers, nausea and diarrhea.  She has never recovered, had fever over a week, called the pediatrician and told her to drink a coke to coat her stomach, never got better, continued throwing up.  Went to the ER and hooked up to an IV for several hours, dehydrated and treated her.  She is still having dizziness, nauseous and not keeping anything down, was given another drip and then admitted for 3 days for severe dehydration.  Upon that admission they did a pregnancy test, to see if she had a ruptured ovarian cyst, took X-rays of her appendix and other tests.  After being treated for 3 days sent her home, felt a little better.  She then got sick again and has an appointment with a gastroenterologist.    She has not been to school since January do to this, she has lost her job.  She tried to go to school and has a plan for her to be home schooled.  She has missed out of 1/2 of her year of school so far.    She saw the gastroenterologist, put her on erythromycin, given Zofran for a while.  put her on Prilosec which did not work either.  She had an endoscopy and colonoscopy on 2/14/22 and did cancer screenings as well, scans lit up.  Th colonoscopy showed sevearl lesions around the colon and EGD showed lesions along the esophageal tract.  They tested her for Crohn's.  She was diagnosed with IBS.  She was then back in the ER vomiting blood and having diarrhea.  She had a motility test and is having motility problems, and her esophagus is not connected with the digestive tract.  She was diagnosed with gastroparesis.  She was put on a liquid medication as she can now not able to swallow pills.  She is now 17 years old, and she has an NG tube coming out of her nose and a stimulator to stimulate her stomach about 3 weeks ago.    The stimulator right now that she has is temporary and now being 17 they will not see her, and she has 2 choices to go to another state or to go 3 hours away, and has decided to that.  Mom has now taken off about 21 days of work due to her daughter's illness.  Next Friday she is scheduled for a permanent stimulator where she will have 5 years of relief, and will still be on medication to help her.  She is at a point that she cannot take the medication anymore as it can cause neurological issues as well.  She has also been in counseling due to the events, missing school and may not be able to take her tests.    She was healthy prior to her vaccines, never saw doctors due to the PCOS, but otherwise healthy.  Mother said she got the 3rd shot at 4:00 PM and woke up the next day not the same and continues with these symptoms.  She has had numerous COVID tests, and many tests.  She has had the nuclear scan to see how her digestive tract is working several times.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Polycystic ovaries, Pregnancy test, Pyrexia, SARS-CoV-2 test, Tremor
Clinical narrative: She got her vaccine, had headaches, fever, chills, shakes, shivers, nausea and diarrhea.  She has never recovered, had fever over a week, called the pediatrician and told her to drink a coke to coat her stomach, never got better, continued throwing up.  Went to the ER and hooked up to an IV for several hours, dehydrated and treated her.  She is still having dizziness, nauseous and not keeping anything down, was given another drip and then admitted for 3 days for severe dehydration.  Upon that admission they did a pregnancy test, to see if she had a ruptured ovarian cyst, took X-rays of her appendix and other tests.  After being treated for 3 days sent her home, felt a little better.  She then got sick again and has an appointment with a gastroenterologist.    She has not been to school since January do to this, she has lost her job.  She tried to go to school and has a plan for her to be home schooled.  She has missed out of 1/2 of her year of school so far.    She saw the gastroenterologist, put her on erythromycin, given Zofran for a while.  put her on Prilosec which did not work either.  She had an endoscopy and colonoscopy on 2/14/22 and did cancer screenings as well, scans lit up.  Th colonoscopy showed sevearl lesions around the colon and EGD showed lesions along the esophageal tract.  They tested her for Crohn's.  She was diagnosed with IBS.  She was then back in the ER vomiting blood and having diarrhea.  She had a motility test and is having motility problems, and her esophagus is not connected with the digestive tract.  She was diagnosed with gastroparesis.  She was put on a liquid medication as she can now not able to swallow pills.  She is now 17 years old, and she has an NG tube coming out of her nose and a stimulator to stimulate her stomach about 3 weeks ago.    The stimulator right now that she has is temporary and now being 17 they will not see her, and she has 2 choices to go to another state or to go 3 hours away, and has decided to that.  Mom has now taken off about 21 days of work due to her daughter's illness.  Next Friday she is scheduled for a permanent stimulator where she will have 5 years of relief, and will still be on medication to help her.  She is at a point that she cannot take the medication anymore as it can cause neurological issues as well.  She has also been in counseling due to the events, missing school and may not be able to take her tests.    She was healthy prior to her vaccines, never saw doctors due to the PCOS, but otherwise healthy.  Mother said she got the 3rd shot at 4:00 PM and woke up the next day not the same and continues with these symptoms.  She has had numerous COVID tests, and many tests.  She has had the nuclear scan to see how her digestive tract is working several times.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: She got her vaccine, had headaches, fever, chills, shakes, shivers, nausea and diarrhea.  She has never recovered, had fever over a week, called the pediatrician and told her to drink a coke to coat her stomach, never got better, continued throwing up.  Went to the ER and hooked up to an IV for several hours, dehydrated and treated her.  She is still having dizziness, nauseous and not keeping anything down, was given another drip and then admitted for 3 days for severe dehydration.  Upon that admission they did a pregnancy test, to see if she had a ruptured ovarian cyst, took X-rays of her appendix and other tests.  After being treated for 3 days sent her home, felt a little better.  She then got sick again and has an appointment with a gastroenterologist.    She has not been to school since January do to this, she has lost her job.  She tried to go to school and has a plan for her to be home schooled.  She has missed out of 1/2 of her year of school so far.    She saw the gastroenterologist, put her on erythromycin, given Zofran for a while.  put her on Prilosec which did not work either.  She had an endoscopy and colonoscopy on 2/14/22 and did cancer screenings as well, scans lit up.  Th colonoscopy showed sevearl lesions around the colon and EGD showed lesions along the esophageal tract.  They tested her for Crohn's.  She was diagnosed with IBS.  She was then back in the ER vomiting blood and having diarrhea.  She had a motility test and is having motility problems, and her esophagus is not connected with the digestive tract.  She was diagnosed with gastroparesis.  She was put on a liquid medication as she can now not able to swallow pills.  She is now 17 years old, and she has an NG tube coming out of her nose and a stimulator to stimulate her stomach about 3 weeks ago.    The stimulator right now that she has is temporary and now being 17 they will not see her, and she has 2 choices to go to another state or to go 3 hours away, and has decided to that.  Mom has now taken off about 21 days of work due to her daughter's illness.  Next Friday she is scheduled for a permanent stimulator where she will have 5 years of relief, and will still be on medication to help her.  She is at a point that she cannot take the medication anymore as it can cause neurological issues as well.  She has also been in counseling due to the events, missing school and may not be able to take her tests.    She was healthy prior to her vaccines, never saw doctors due to the PCOS, but otherwise healthy.  Mother said she got the 3rd shot at 4:00 PM and woke up the next day not the same and continues with these symptoms.  She has had numerous COVID tests, and many tests.  She has had the nuclear scan to see how her digestive tract is working several times.
Age: 7.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Conjunctivitis, Echocardiogram normal, Fatigue, Immunoglobulin therapy, Lymphadenopathy
Clinical narrative: Fever, bilateral conjunctivitis, rash, fatigue, cervical lymphadenopathy, neck pain. Diagnosed and treated for MIS-C with IVIG x 1, IV Methylprednisolone x 3 days, followed by Prednisolone taper. Normal echocardiograms x 3. Discharged home after 4 days of admission to complete steroid taper. Received 2nd Pfizer COVID vaccine on 1/18/2022.
Age: 7.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Multisystem inflammatory syndrome in children, Neck pain, Pyrexia, Rash, SARS-CoV-2 antibody test positive
Clinical narrative: Fever, bilateral conjunctivitis, rash, fatigue, cervical lymphadenopathy, neck pain. Diagnosed and treated for MIS-C with IVIG x 1, IV Methylprednisolone x 3 days, followed by Prednisolone taper. Normal echocardiograms x 3. Discharged home after 4 days of admission to complete steroid taper. Received 2nd Pfizer COVID vaccine on 1/18/2022.
Age: 7.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Fever, bilateral conjunctivitis, rash, fatigue, cervical lymphadenopathy, neck pain. Diagnosed and treated for MIS-C with IVIG x 1, IV Methylprednisolone x 3 days, followed by Prednisolone taper. Normal echocardiograms x 3. Discharged home after 4 days of admission to complete steroid taper. Received 2nd Pfizer COVID vaccine on 1/18/2022.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, COVID-19, COVID-19 pneumonia, Cerebrovascular accident
Clinical narrative: Hospitalized 04/07/2022-04/11/2022; COVID-19 positive 04/07/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/7/2022 Discharge Date: 4/11/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. male admitted with worsening dyspnea from COVID-19..Patient was previously vaccinated for COVID-19. Initially, he developed symptoms on March 8th.  Had positive COVID test on March 12. At that time felt he was recovered from the illness and was doing better.       Over the previous 2-3 weeks prior to admission he had significant worsening of of symptoms including shortness of breath, increasing fatigue, malaise, body aches, intermittently productive cough with yellow sputum, and exertional dyspnea.  In recent weeks, seen by his primary care provider and given antibiotics for suspected bacterial pneumonia.     In addition, patient was admitted to Hospital April 1st for suspected acute CVA.  No evidence of acute brain CVA/ injury noted.  Positive COVID test again noted at that time.  Chest x-ray-April 1st, showed stringyand patch infiltrates.  Patient was discharged home.    Emergency department patient was tachycardic mildly hypotensive and on 2 L per nasal cannula.  Chest x-ray appearance was consistent with COVID-19 pneumonia.  Patient was outside the window of and the severe but admitted to hospital and placed on IV Decadron.  During hospitalization oxygenation initially worsen to up to 6 L per nasal cannula.  Patient was given gentle diuresis with good results.  Patient's oxygenation started to improve and over a 2 day.  Patient went from 6 L per nasal cannula to room air.  Prior to discharge patient did have a home oxygen evaluation and maintain adequate oxygen saturations are 97%.  Patient is being discharged to home.  He will complete a 10 day course of steroids.  Patient should follow up with his primary care physician in 1 week.  Patient was evaluated by Occupational therapy and Physical therapy prior to discharge in May had no further recommendations.  Patient states he is doing well and is anxious for discharge to home.  Discharge instructions were explained all patient's questions were answered.  Course the patient has worsening shortness of breath worsening cough developed high fevers chills or feels his clinical condition is deteriorating in any way he should call his primary care physician or return to the emergency department immediately for further evaluation
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cognitive disorder, Computerised tomogram head normal, Device malfunction, Dyspnoea
Clinical narrative: Hospitalized 04/07/2022-04/11/2022; COVID-19 positive 04/07/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/7/2022 Discharge Date: 4/11/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. male admitted with worsening dyspnea from COVID-19..Patient was previously vaccinated for COVID-19. Initially, he developed symptoms on March 8th.  Had positive COVID test on March 12. At that time felt he was recovered from the illness and was doing better.       Over the previous 2-3 weeks prior to admission he had significant worsening of of symptoms including shortness of breath, increasing fatigue, malaise, body aches, intermittently productive cough with yellow sputum, and exertional dyspnea.  In recent weeks, seen by his primary care provider and given antibiotics for suspected bacterial pneumonia.     In addition, patient was admitted to Hospital April 1st for suspected acute CVA.  No evidence of acute brain CVA/ injury noted.  Positive COVID test again noted at that time.  Chest x-ray-April 1st, showed stringyand patch infiltrates.  Patient was discharged home.    Emergency department patient was tachycardic mildly hypotensive and on 2 L per nasal cannula.  Chest x-ray appearance was consistent with COVID-19 pneumonia.  Patient was outside the window of and the severe but admitted to hospital and placed on IV Decadron.  During hospitalization oxygenation initially worsen to up to 6 L per nasal cannula.  Patient was given gentle diuresis with good results.  Patient's oxygenation started to improve and over a 2 day.  Patient went from 6 L per nasal cannula to room air.  Prior to discharge patient did have a home oxygen evaluation and maintain adequate oxygen saturations are 97%.  Patient is being discharged to home.  He will complete a 10 day course of steroids.  Patient should follow up with his primary care physician in 1 week.  Patient was evaluated by Occupational therapy and Physical therapy prior to discharge in May had no further recommendations.  Patient states he is doing well and is anxious for discharge to home.  Discharge instructions were explained all patient's questions were answered.  Course the patient has worsening shortness of breath worsening cough developed high fevers chills or feels his clinical condition is deteriorating in any way he should call his primary care physician or return to the emergency department immediately for further evaluation
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram ST-T change, Fatigue, Hypotension, Hypoxia
Clinical narrative: Hospitalized 04/07/2022-04/11/2022; COVID-19 positive 04/07/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/7/2022 Discharge Date: 4/11/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. male admitted with worsening dyspnea from COVID-19..Patient was previously vaccinated for COVID-19. Initially, he developed symptoms on March 8th.  Had positive COVID test on March 12. At that time felt he was recovered from the illness and was doing better.       Over the previous 2-3 weeks prior to admission he had significant worsening of of symptoms including shortness of breath, increasing fatigue, malaise, body aches, intermittently productive cough with yellow sputum, and exertional dyspnea.  In recent weeks, seen by his primary care provider and given antibiotics for suspected bacterial pneumonia.     In addition, patient was admitted to Hospital April 1st for suspected acute CVA.  No evidence of acute brain CVA/ injury noted.  Positive COVID test again noted at that time.  Chest x-ray-April 1st, showed stringyand patch infiltrates.  Patient was discharged home.    Emergency department patient was tachycardic mildly hypotensive and on 2 L per nasal cannula.  Chest x-ray appearance was consistent with COVID-19 pneumonia.  Patient was outside the window of and the severe but admitted to hospital and placed on IV Decadron.  During hospitalization oxygenation initially worsen to up to 6 L per nasal cannula.  Patient was given gentle diuresis with good results.  Patient's oxygenation started to improve and over a 2 day.  Patient went from 6 L per nasal cannula to room air.  Prior to discharge patient did have a home oxygen evaluation and maintain adequate oxygen saturations are 97%.  Patient is being discharged to home.  He will complete a 10 day course of steroids.  Patient should follow up with his primary care physician in 1 week.  Patient was evaluated by Occupational therapy and Physical therapy prior to discharge in May had no further recommendations.  Patient states he is doing well and is anxious for discharge to home.  Discharge instructions were explained all patient's questions were answered.  Course the patient has worsening shortness of breath worsening cough developed high fevers chills or feels his clinical condition is deteriorating in any way he should call his primary care physician or return to the emergency department immediately for further evaluation
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Lung infiltration, Malaise, Mental status changes, Pain
Clinical narrative: Hospitalized 04/07/2022-04/11/2022; COVID-19 positive 04/07/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/7/2022 Discharge Date: 4/11/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. male admitted with worsening dyspnea from COVID-19..Patient was previously vaccinated for COVID-19. Initially, he developed symptoms on March 8th.  Had positive COVID test on March 12. At that time felt he was recovered from the illness and was doing better.       Over the previous 2-3 weeks prior to admission he had significant worsening of of symptoms including shortness of breath, increasing fatigue, malaise, body aches, intermittently productive cough with yellow sputum, and exertional dyspnea.  In recent weeks, seen by his primary care provider and given antibiotics for suspected bacterial pneumonia.     In addition, patient was admitted to Hospital April 1st for suspected acute CVA.  No evidence of acute brain CVA/ injury noted.  Positive COVID test again noted at that time.  Chest x-ray-April 1st, showed stringyand patch infiltrates.  Patient was discharged home.    Emergency department patient was tachycardic mildly hypotensive and on 2 L per nasal cannula.  Chest x-ray appearance was consistent with COVID-19 pneumonia.  Patient was outside the window of and the severe but admitted to hospital and placed on IV Decadron.  During hospitalization oxygenation initially worsen to up to 6 L per nasal cannula.  Patient was given gentle diuresis with good results.  Patient's oxygenation started to improve and over a 2 day.  Patient went from 6 L per nasal cannula to room air.  Prior to discharge patient did have a home oxygen evaluation and maintain adequate oxygen saturations are 97%.  Patient is being discharged to home.  He will complete a 10 day course of steroids.  Patient should follow up with his primary care physician in 1 week.  Patient was evaluated by Occupational therapy and Physical therapy prior to discharge in May had no further recommendations.  Patient states he is doing well and is anxious for discharge to home.  Discharge instructions were explained all patient's questions were answered.  Course the patient has worsening shortness of breath worsening cough developed high fevers chills or feels his clinical condition is deteriorating in any way he should call his primary care physician or return to the emergency department immediately for further evaluation
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Perfusion brain scan normal, Pneumonia bacterial, Productive cough, SARS-CoV-2 test positive, Speech disorder
Clinical narrative: Hospitalized 04/07/2022-04/11/2022; COVID-19 positive 04/07/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/7/2022 Discharge Date: 4/11/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. male admitted with worsening dyspnea from COVID-19..Patient was previously vaccinated for COVID-19. Initially, he developed symptoms on March 8th.  Had positive COVID test on March 12. At that time felt he was recovered from the illness and was doing better.       Over the previous 2-3 weeks prior to admission he had significant worsening of of symptoms including shortness of breath, increasing fatigue, malaise, body aches, intermittently productive cough with yellow sputum, and exertional dyspnea.  In recent weeks, seen by his primary care provider and given antibiotics for suspected bacterial pneumonia.     In addition, patient was admitted to Hospital April 1st for suspected acute CVA.  No evidence of acute brain CVA/ injury noted.  Positive COVID test again noted at that time.  Chest x-ray-April 1st, showed stringyand patch infiltrates.  Patient was discharged home.    Emergency department patient was tachycardic mildly hypotensive and on 2 L per nasal cannula.  Chest x-ray appearance was consistent with COVID-19 pneumonia.  Patient was outside the window of and the severe but admitted to hospital and placed on IV Decadron.  During hospitalization oxygenation initially worsen to up to 6 L per nasal cannula.  Patient was given gentle diuresis with good results.  Patient's oxygenation started to improve and over a 2 day.  Patient went from 6 L per nasal cannula to room air.  Prior to discharge patient did have a home oxygen evaluation and maintain adequate oxygen saturations are 97%.  Patient is being discharged to home.  He will complete a 10 day course of steroids.  Patient should follow up with his primary care physician in 1 week.  Patient was evaluated by Occupational therapy and Physical therapy prior to discharge in May had no further recommendations.  Patient states he is doing well and is anxious for discharge to home.  Discharge instructions were explained all patient's questions were answered.  Course the patient has worsening shortness of breath worsening cough developed high fevers chills or feels his clinical condition is deteriorating in any way he should call his primary care physician or return to the emergency department immediately for further evaluation
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sputum discoloured, Tachycardia
Clinical narrative: Hospitalized 04/07/2022-04/11/2022; COVID-19 positive 04/07/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/7/2022 Discharge Date: 4/11/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. male admitted with worsening dyspnea from COVID-19..Patient was previously vaccinated for COVID-19. Initially, he developed symptoms on March 8th.  Had positive COVID test on March 12. At that time felt he was recovered from the illness and was doing better.       Over the previous 2-3 weeks prior to admission he had significant worsening of of symptoms including shortness of breath, increasing fatigue, malaise, body aches, intermittently productive cough with yellow sputum, and exertional dyspnea.  In recent weeks, seen by his primary care provider and given antibiotics for suspected bacterial pneumonia.     In addition, patient was admitted to Hospital April 1st for suspected acute CVA.  No evidence of acute brain CVA/ injury noted.  Positive COVID test again noted at that time.  Chest x-ray-April 1st, showed stringyand patch infiltrates.  Patient was discharged home.    Emergency department patient was tachycardic mildly hypotensive and on 2 L per nasal cannula.  Chest x-ray appearance was consistent with COVID-19 pneumonia.  Patient was outside the window of and the severe but admitted to hospital and placed on IV Decadron.  During hospitalization oxygenation initially worsen to up to 6 L per nasal cannula.  Patient was given gentle diuresis with good results.  Patient's oxygenation started to improve and over a 2 day.  Patient went from 6 L per nasal cannula to room air.  Prior to discharge patient did have a home oxygen evaluation and maintain adequate oxygen saturations are 97%.  Patient is being discharged to home.  He will complete a 10 day course of steroids.  Patient should follow up with his primary care physician in 1 week.  Patient was evaluated by Occupational therapy and Physical therapy prior to discharge in May had no further recommendations.  Patient states he is doing well and is anxious for discharge to home.  Discharge instructions were explained all patient's questions were answered.  Course the patient has worsening shortness of breath worsening cough developed high fevers chills or feels his clinical condition is deteriorating in any way he should call his primary care physician or return to the emergency department immediately for further evaluation
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Exercise tolerance decreased, Fatigue, Gait disturbance, Inflammatory marker test
Clinical narrative: Joint pain, focused initially in knees and ankles and now primarily in ankles and feet.  Significant pain and difficulty walking first thing in morning through early April (>4 months).  I have not been able to exercise or walk  or exercise recreationally, and I am paying for expensive on campus parking next to my office, which I used to never do.    I used to walk 3-5 miles a day and also do yoga, etc.  Some days pain was so severe when I got home, I would make sure I did everything I needed on the first floor before going upstairs so that I would not have to do the stairs more than once.   I am now in PT, including icing and NSAIDs, which is helping considerably.   After the first series, I had similar symptoms, plus approx 3 weeks of severe fatigue, and the pain from that event was largely resolving by the time I went in for the booster.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal
Clinical narrative: Joint pain, focused initially in knees and ankles and now primarily in ankles and feet.  Significant pain and difficulty walking first thing in morning through early April (>4 months).  I have not been able to exercise or walk  or exercise recreationally, and I am paying for expensive on campus parking next to my office, which I used to never do.    I used to walk 3-5 miles a day and also do yoga, etc.  Some days pain was so severe when I got home, I would make sure I did everything I needed on the first floor before going upstairs so that I would not have to do the stairs more than once.   I am now in PT, including icing and NSAIDs, which is helping considerably.   After the first series, I had similar symptoms, plus approx 3 weeks of severe fatigue, and the pain from that event was largely resolving by the time I went in for the booster.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal
Clinical narrative: So I my roommate tested positive this past Saturday and I started having a sore throat on Sunday and I tested positive after my roommate tested positive and a friend staying with me tested positive and everyone has been quarantining together in our apartment. The first day was pretty bad flu with mild body aches no fever, coughing and extremely fatigued and weirdly enough I was not congested on the first day but I did have a soar throat and the second it felt like a really bad cold and the congestion was hitting really hard and it started as a dry cough but turned into a wet cough and I had extreme fatigue as well. So on Wednesday it felt like bad allergies, still congestion and sneezing a lot and had brain fog and was sneezing a lot which I don't understand but I still did not have fever through any of this.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: So I my roommate tested positive this past Saturday and I started having a sore throat on Sunday and I tested positive after my roommate tested positive and a friend staying with me tested positive and everyone has been quarantining together in our apartment. The first day was pretty bad flu with mild body aches no fever, coughing and extremely fatigued and weirdly enough I was not congested on the first day but I did have a soar throat and the second it felt like a really bad cold and the congestion was hitting really hard and it started as a dry cough but turned into a wet cough and I had extreme fatigue as well. So on Wednesday it felt like bad allergies, still congestion and sneezing a lot and had brain fog and was sneezing a lot which I don't understand but I still did not have fever through any of this.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: So I my roommate tested positive this past Saturday and I started having a sore throat on Sunday and I tested positive after my roommate tested positive and a friend staying with me tested positive and everyone has been quarantining together in our apartment. The first day was pretty bad flu with mild body aches no fever, coughing and extremely fatigued and weirdly enough I was not congested on the first day but I did have a soar throat and the second it felt like a really bad cold and the congestion was hitting really hard and it started as a dry cough but turned into a wet cough and I had extreme fatigue as well. So on Wednesday it felt like bad allergies, still congestion and sneezing a lot and had brain fog and was sneezing a lot which I don't understand but I still did not have fever through any of this.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Biopsy uterus, Blood test, Dysmenorrhoea, Fatigue
Clinical narrative: I had a heavy Menstruation. I had symptoms of cramping, heavy flow, feeling exhausted and weak. Over the course of 3 months, it only went away 4 days total in those three months. I went to a gynecologist that preformed a uterine biopsy which was unsuccessful.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: I had a heavy Menstruation. I had symptoms of cramping, heavy flow, feeling exhausted and weak. Over the course of 3 months, it only went away 4 days total in those three months. I went to a gynecologist that preformed a uterine biopsy which was unsuccessful.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Haematuria, Laboratory test abnormal, Thrombosis
Clinical narrative: In March of 2022, I had gross hematuria (blood in urine and blood clots) on a few days. No other symptoms. Confirmed there is no UTI. Waiting to be scheduled for a cystoscopy and CT scan to see if there is anything causing it. Zero history of organ cancers, kidney stones or disease in family. I do know if I still have microscopic hematuria from tests.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin normal, Blister, Nodule, Rash
Clinical narrative: Three to four days after shot I broke out into a rash and blisters around my waist, behind my knees, my shoulders back and groin area.  I also had little white nodules on my arms and legs that the dermatologist noticed.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blister, Glossodynia, Oral discomfort, Oral pain, Rash
Clinical narrative: Three to four days after shot I broke out into a rash and blisters around my waist, behind my knees, my shoulders back and groin area.  I also had little white nodules on my arms and legs that the dermatologist noticed.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Skin lesion, Tongue discomfort
Clinical narrative: Three to four days after shot I broke out into a rash and blisters around my waist, behind my knees, my shoulders back and groin area.  I also had little white nodules on my arms and legs that the dermatologist noticed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Back injury, Gait inability, Magnetic resonance imaging spinal, Mobility decreased
Clinical narrative: Five days after my second vaccine, my lower back went out as if I had sustained the same injury in my lumbar as I had in a car accident in 2003. I was unable to walk for 4 days, despite acupuncture and muscle relaxers/pain relievers. It was as if the old injury was re-activated. I had done some light yoga the day before my back went out, but as a practitioner for 25 years, I have never had that outcome before from a practice. When I woke up the next morning, I was in tremendous pain & had difficulty getting out of bed, walking, or sitting up. The acute pain got better after about a week, and my full mobility returned. But I had residual lingering pain with varied severity until a recent epidural steroid injection received on 3/14/22 relieved the on-going symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Five days after my second vaccine, my lower back went out as if I had sustained the same injury in my lumbar as I had in a car accident in 2003. I was unable to walk for 4 days, despite acupuncture and muscle relaxers/pain relievers. It was as if the old injury was re-activated. I had done some light yoga the day before my back went out, but as a practitioner for 25 years, I have never had that outcome before from a practice. When I woke up the next morning, I was in tremendous pain & had difficulty getting out of bed, walking, or sitting up. The acute pain got better after about a week, and my full mobility returned. But I had residual lingering pain with varied severity until a recent epidural steroid injection received on 3/14/22 relieved the on-going symptoms.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Initial pain and swelling at injection site, within 24 hours of vaccine: upper arm swelling, redness, tender. Started on prednisone 40mg QD x 14 days, cephalexin 500mg Q 6hrs x 7 days, oral antihistamine, elevate affected extremity. Will follow up with provider in 5 days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Furuncle, Pruritus, Scar, Scratch
Clinical narrative: AS PER PT, NIGHT AFTER RECEIVING THE VACCINE SHE STARTED GETTING ITCHY ON HER LEFT HAND. EVENTUALLY SHE ALSO STARTED GETTING SORES/BOILS AND THEY WOULD POP. UPON EXAMINATION, SKIN IS SCARRED FROM BOILS AND SCRATCHING. PT DOES NOT HAVE INSURANCE SO DID NOT GET SEEN. THEY ALSO DID NOT REPORT UNTIL NOW BECAUSE IT HAS GOTTEN WORSE AND POTENTIALLY SPREAD TO HER RIGHT HAND.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin ulcer
Clinical narrative: AS PER PT, NIGHT AFTER RECEIVING THE VACCINE SHE STARTED GETTING ITCHY ON HER LEFT HAND. EVENTUALLY SHE ALSO STARTED GETTING SORES/BOILS AND THEY WOULD POP. UPON EXAMINATION, SKIN IS SCARRED FROM BOILS AND SCRATCHING. PT DOES NOT HAVE INSURANCE SO DID NOT GET SEEN. THEY ALSO DID NOT REPORT UNTIL NOW BECAUSE IT HAS GOTTEN WORSE AND POTENTIALLY SPREAD TO HER RIGHT HAND.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient fainted several minutes after receiving vaccine
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Condition aggravated, Fatigue, Malaise, Systemic lupus erythematosus
Clinical narrative: As soon as I received my shot I went home, I started to feel fatigue. Most of my symptoms were awful from my lupus. I was not feeling well. I tested my blood sugar and it was 140, I took my metformin. The next couple days the sugar was all over the place. I told my doctor and they did not believe this was a symptom of the vaccine. My first and second vaccine my sugar was going down extremely low like in the 40's.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray abnormal, Decreased activity, Dyspnoea, Impaired work ability
Clinical narrative: Within 2 hours of receiving the vaccine I got shortness of breath. My right leg was swollen from the knee down to my foot. I contacted my doctor. The doctor ran some tests. The doctor said I had pneumonia and extensive blood clots up and down my right leg from the groin down to my ankle. My doctor prescribed a strong antibiotic to treat the pneumonia and Xarelto for the blood clots. The pneumonia cleared within 1 month. I was on Xarelto for about 1 year. The blood clots in my right leg have mostly cleared except for the the spot behind my knee so the doctor said I could come off of the Xarelto. Now I am only taking a low dose aspirin once per day. During the one month when this started I was able to work from home but couldn't participate in anything with strenuous activity. I was limited to mostly only do tings at my desk. After the pneumonia cleared I felt normal again. I started to feel like myself towards the end of May 2021. I started back working out again back to normal. After receiving the Covid vaccine as well my brother had developed blood clots in his lung and was hospitalized. Now he is recovered from it.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pneumonia, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Within 2 hours of receiving the vaccine I got shortness of breath. My right leg was swollen from the knee down to my foot. I contacted my doctor. The doctor ran some tests. The doctor said I had pneumonia and extensive blood clots up and down my right leg from the groin down to my ankle. My doctor prescribed a strong antibiotic to treat the pneumonia and Xarelto for the blood clots. The pneumonia cleared within 1 month. I was on Xarelto for about 1 year. The blood clots in my right leg have mostly cleared except for the the spot behind my knee so the doctor said I could come off of the Xarelto. Now I am only taking a low dose aspirin once per day. During the one month when this started I was able to work from home but couldn't participate in anything with strenuous activity. I was limited to mostly only do tings at my desk. After the pneumonia cleared I felt normal again. I started to feel like myself towards the end of May 2021. I started back working out again back to normal. After receiving the Covid vaccine as well my brother had developed blood clots in his lung and was hospitalized. Now he is recovered from it.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Myalgia, Nausea
Clinical narrative: Light headed, nauseated not feeling right. Arm pain moved from muscle to the joint now also. Tired.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Light headed, nauseated not feeling right. Arm pain moved from muscle to the joint now also. Tired.
Age: 82.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Injection site rash, Rash
Clinical narrative: PATIENT STATES THAT SHE HAS A RASH ON THE ARM THAT SHE RECEIVED THE IMMUNIZATION. THE RASH EXTENDS UPWARDS TO HER NECK. THE RASH IS NOT ITCHY OR PAINFUL. NO SWELLING REPORTED
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Respiratory tract congestion
Clinical narrative: chills, fatigue, congestion, cough, SOB
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram
Clinical narrative: Chest pain, chest tightness
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: sore throat
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest pain, Echocardiogram normal, Palpitations, Ultrasound thyroid normal
Clinical narrative: Developed chest pain two weeks after first shot. Developed severe and debilitating heart palpitations a week after the second shot. They were intermittent for 3 months. They spontaneously resolved in February 2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Dysstasia, Fatigue, Feeling abnormal
Clinical narrative: I went home and wasn't too bad, but I was tired. Next morning, I woke up with an awful headache and I was nauseous and dizzy. I could hardly stand and every single part of me hurt. It was muscular aches and pains, and it just wouldn't go away. It was like that for a whole 3 weeks. I almost decided not to get the next shot. I couldn't get past the nauseous and dizzy feeling I had. It was like vertigo. I just moved from my bed down to the couch and eating and drinking was not something I was interested in because I wasn't sure if I could hold it down. And it was like that for 3 weeks. So I went to get the 2nd shot as well and the nurse there recommended ibuprofen and Tylenol. She also wrote a prescription for nausea if I needed that too. But the first 3 weeks were miserable, and it just wouldn't go away. I've never had a reaction to a shot before.