chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Malaise, Myalgia, Vaccination site pain
Clinical narrative: Feel lousy; A loss of appetite; Fatigue; Muscle pain; Pain where shot was given; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (Feel lousy), DECREASED APPETITE (A loss of appetite), FATIGUE (Fatigue), MYALGIA (Muscle pain) and VACCINATION SITE PAIN (Pain where shot was given) in an elderly female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On 11-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Jan-2022, the patient experienced MALAISE (Feel lousy), DECREASED APPETITE (A loss of appetite), FATIGUE (Fatigue), MYALGIA (Muscle pain) and VACCINATION SITE PAIN (Pain where shot was given). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) on 12-Jan-2022 for Adverse event, at a dose of 2 Tylenol. At the time of the report, MALAISE (Feel lousy), DECREASED APPETITE (A loss of appetite), FATIGUE (Fatigue), MYALGIA (Muscle pain) and VACCINATION SITE PAIN (Pain where shot was given) outcome was unknown.            No concomitant medications were provided.  On 11-Jan-2022 the patient got the booster dose of the Moderna COVID -19 vaccine at around 6p. They gave her half a shot. The patient took 2 Tylenol about an hour ago at the time of reporting.  The age of the patient was reported as 80s.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Renal haemorrhage, Renal pain, Thrombosis, Transfusion
Clinical narrative: within 30 hours or so of getting the booster shot came down with massive pain in kidney area proceeded to er for help
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: loss of smell up to the present.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever.  Achy body.  Sore throat.  Very sore arm at injection site
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated
Clinical narrative: Acute inflamation of artritis
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Endotracheal intubation, General physical health deterioration, Pneumonia
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 07/09/2021.  65y/o male with PMH of ETOH abuse, HTN, MI, CVA, GERD, COPD, Anemia and admits to huffing 20 aerosol cans/day.  Pt arrived to ED after being Baker Acted by police for Suicidal Ideation.  While in ED, pt's oxygen needs increased, O2 sat on 6L NC 90%.  CXR-PNA.  Covid test +.  Pt deteriorated on 1/10/2022 requiring emergent intubation.  Treated with IV ABX/IV steroids and Remdesivir.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Substance abuser, Suicidal ideation, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 07/09/2021.  65y/o male with PMH of ETOH abuse, HTN, MI, CVA, GERD, COPD, Anemia and admits to huffing 20 aerosol cans/day.  Pt arrived to ED after being Baker Acted by police for Suicidal Ideation.  While in ED, pt's oxygen needs increased, O2 sat on 6L NC 90%.  CXR-PNA.  Covid test +.  Pt deteriorated on 1/10/2022 requiring emergent intubation.  Treated with IV ABX/IV steroids and Remdesivir.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis
Clinical narrative: Inflamation of arthritis
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy skin, Cautery to nose, Epistaxis, Hypertension, Inflammation
Clinical narrative: Within 24 hours after injection, patient started having red hot spots that became very itchy, inflamed and painful.  They spread all over the body, including: torso, head, neck arms and legs. After visiting several doctors several times and a biopsy later; Pt was given the diagnosis of bullous pemphigoid. His biopsy site also became infected. He was prescribed penicillin, an anti itch cream and prednisone. As of today, 1/14/22, Pt is STILL dealing with these side effects, none of which he EVER had- prior to vaccination. He also had chronic nose bleeds that would last 20 minutes or more,  He was finally able to get his nose cauterized which has stopped the nose bleeds. On top of all of this, he also started suffering from high blood pressure- an issue he has never had before.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pemphigoid, Post procedural infection, Rash, Rash erythematous, Rash macular
Clinical narrative: Within 24 hours after injection, patient started having red hot spots that became very itchy, inflamed and painful.  They spread all over the body, including: torso, head, neck arms and legs. After visiting several doctors several times and a biopsy later; Pt was given the diagnosis of bullous pemphigoid. His biopsy site also became infected. He was prescribed penicillin, an anti itch cream and prednisone. As of today, 1/14/22, Pt is STILL dealing with these side effects, none of which he EVER had- prior to vaccination. He also had chronic nose bleeds that would last 20 minutes or more,  He was finally able to get his nose cauterized which has stopped the nose bleeds. On top of all of this, he also started suffering from high blood pressure- an issue he has never had before.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash pruritic, Skin warm
Clinical narrative: Within 24 hours after injection, patient started having red hot spots that became very itchy, inflamed and painful.  They spread all over the body, including: torso, head, neck arms and legs. After visiting several doctors several times and a biopsy later; Pt was given the diagnosis of bullous pemphigoid. His biopsy site also became infected. He was prescribed penicillin, an anti itch cream and prednisone. As of today, 1/14/22, Pt is STILL dealing with these side effects, none of which he EVER had- prior to vaccination. He also had chronic nose bleeds that would last 20 minutes or more,  He was finally able to get his nose cauterized which has stopped the nose bleeds. On top of all of this, he also started suffering from high blood pressure- an issue he has never had before.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blister, Pustule
Clinical narrative: Within 24 hours after injection, patient started having red hot spots that became very itchy, inflamed and painful.  They spread all over the body, including: torso, head, neck arms and legs. After visiting several doctors several times and a biopsy later; Pt was given the diagnosis of bullous pemphigoid. His biopsy site also became infected. He was prescribed penicillin, an anti itch cream and prednisone. As of today, 1/14/22, Pt is STILL dealing with these side effects, none of which he EVER had- prior to vaccination. He also had chronic nose bleeds that would last 20 minutes or more,  He was finally able to get his nose cauterized which has stopped the nose bleeds. On top of all of this, he also started suffering from high blood pressure- an issue he has never had before.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy, Blister, Eczema, Pemphigoid, Rash
Clinical narrative: Within 24 hours after injection, patient started having red hot spots that became very itchy, inflamed and painful.  They spread all over the body, including: torso, head, neck arms and legs. After visiting several doctors several times and a biopsy later; Pt was given the diagnosis of bullous pemphigoid. His biopsy site also became infected. He was prescribed penicillin, an anti itch cream and prednisone. As of today, 1/14/22, Pt is STILL dealing with these side effects, none of which he EVER had- prior to vaccination. He also had chronic nose bleeds that would last 20 minutes or more,  He was finally able to get his nose cauterized which has stopped the nose bleeds. On top of all of this, he also started suffering from high blood pressure- an issue he has never had before.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Depression, Fatigue, Headache, Heart rate increased
Clinical narrative: Within 6 hours I had a fever, muscle/headaches, increased heart rate and chest tightness. Persisting symptoms are increased heart beat rate, chest tightness, increased resting heart rate, high blood pressure, irregular heart beat, fatigue, trouble sleeping and depression.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Hypertension, Insomnia, Myalgia, Pyrexia
Clinical narrative: Within 6 hours I had a fever, muscle/headaches, increased heart rate and chest tightness. Persisting symptoms are increased heart beat rate, chest tightness, increased resting heart rate, high blood pressure, irregular heart beat, fatigue, trouble sleeping and depression.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Usually I get my period every 3 months. My period is late.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Condition aggravated, Confusional state, Hypercalcaemia
Clinical narrative: Per History and physical on 1/10/22: "patient is a 72 y.o. female with a history of Sick Sinus syndrome s/p pacemaker placement, diastolic CHF, hypertension, Diabetes Mellitus, hyperlipidemia, hypercalcemia (follows nephrology), and anxiety who presents to ED with complaint of generalized weakness, malaise, and worsening confusion. Was recently admitted on 12/20/21-1/05/22 for altered mental status and hypercalcemia. Scheduled to see Nephrology next month. Covid-19 positive on admission today."  Patient later had possible TIA.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Per History and physical on 1/10/22: "patient is a 72 y.o. female with a history of Sick Sinus syndrome s/p pacemaker placement, diastolic CHF, hypertension, Diabetes Mellitus, hyperlipidemia, hypercalcemia (follows nephrology), and anxiety who presents to ED with complaint of generalized weakness, malaise, and worsening confusion. Was recently admitted on 12/20/21-1/05/22 for altered mental status and hypercalcemia. Scheduled to see Nephrology next month. Covid-19 positive on admission today."  Patient later had possible TIA.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chest X-ray abnormal, Dyspnoea, Lung opacity
Clinical narrative: Covid19 breakthrough.  Pt vaccinated on 04/02/2021.  62y/o PMH of HTN presented to ED on 1/10/22 with c/o multiple Covid symptoms and +test 8 days ago.  Pt c/o 1 week history of productive cough, scalp sensitivity, tmax-105 and worsening cough/SOB.  CXR- mod multifocal flocculent airspace opacities right lung.  Room air sat 96%.  Pt discharged home with doxycycline abx.  Pt returned 1/11/22 with concern for worsening symptoms.  CXR-multifocal PNA, febrile, productive cough.  Admitted and started on IV ABX/steroids.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pneumonia, Productive cough, SARS-CoV-2 test positive, Sensitive skin
Clinical narrative: Covid19 breakthrough.  Pt vaccinated on 04/02/2021.  62y/o PMH of HTN presented to ED on 1/10/22 with c/o multiple Covid symptoms and +test 8 days ago.  Pt c/o 1 week history of productive cough, scalp sensitivity, tmax-105 and worsening cough/SOB.  CXR- mod multifocal flocculent airspace opacities right lung.  Room air sat 96%.  Pt discharged home with doxycycline abx.  Pt returned 1/11/22 with concern for worsening symptoms.  CXR-multifocal PNA, febrile, productive cough.  Admitted and started on IV ABX/steroids.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  Pt vaccinated on 04/02/2021.  62y/o PMH of HTN presented to ED on 1/10/22 with c/o multiple Covid symptoms and +test 8 days ago.  Pt c/o 1 week history of productive cough, scalp sensitivity, tmax-105 and worsening cough/SOB.  CXR- mod multifocal flocculent airspace opacities right lung.  Room air sat 96%.  Pt discharged home with doxycycline abx.  Pt returned 1/11/22 with concern for worsening symptoms.  CXR-multifocal PNA, febrile, productive cough.  Admitted and started on IV ABX/steroids.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Dyspnoea, Hypoxia, Pneumonia
Clinical narrative: Patient is fully vaccinated. Hospitalized from 11/23-11/26, 2021.  admission dx:  acute respiratory failure, hypoxia, CAP, sepsis, Pneumonia due to COVID.  Patient is a known case of diabetes COPD and hypertension presented to the hospital with acute shortness of breath related to pneumonia. SpO2 91% on RA.  Treated with IV Levaquin, steriods, oxygen.  Discharged to home with home oxygen.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Patient is fully vaccinated. Hospitalized from 11/23-11/26, 2021.  admission dx:  acute respiratory failure, hypoxia, CAP, sepsis, Pneumonia due to COVID.  Patient is a known case of diabetes COPD and hypertension presented to the hospital with acute shortness of breath related to pneumonia. SpO2 91% on RA.  Treated with IV Levaquin, steriods, oxygen.  Discharged to home with home oxygen.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: Strange feeling in arms might be like arthritis
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, COVID-19, Condition aggravated, Confusional state, Fatigue
Clinical narrative: Initial hospitalization was on 1/5 at different hospital. Came in with pneumonia and altered mental status diagnosed with COVID at that visit.  1/12 visit patient had seizure, lethargic confusion, generalized fatigue not acting like himself.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test, Influenza B virus test, Lethargy, Mental status changes, Pneumonia
Clinical narrative: Initial hospitalization was on 1/5 at different hospital. Came in with pneumonia and altered mental status diagnosed with COVID at that visit.  1/12 visit patient had seizure, lethargic confusion, generalized fatigue not acting like himself.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Seizure
Clinical narrative: Initial hospitalization was on 1/5 at different hospital. Came in with pneumonia and altered mental status diagnosed with COVID at that visit.  1/12 visit patient had seizure, lethargic confusion, generalized fatigue not acting like himself.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Brain natriuretic peptide increased, COVID-19, Cerebral infarction, Chest X-ray abnormal
Clinical narrative: Per history and physical on 1/11/2022: An 84-year-old male with PMH significant for DM 2, HTN, HLD, CAD s/p CABG, atrial fibrillation (on Xarelto), CHF, CVA, carotid disease, hypothyroid and GERD, presented to the ED with complaint of altered mental status and weakness. Per EMS report, family stated he began to have urinary incontinence yesterday and was leaning to the left. He had no obvious facial droop and grips were equal and round. Patient has known dementia at baseline. He is unable to contribute to HPI. Family is unable to contacted. Both phone numbers listed go directly to voicemail. Upon arrival to the ED, he is noted to have elevated troponin and BNP. CXR is concerning for LLL infiltrate and found to be COVID-19 positive. Per medical record, he is vaccinated x3. CT head notes old infarct.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Mental status changes, SARS-CoV-2 test positive, Troponin increased, Urinary incontinence
Clinical narrative: Per history and physical on 1/11/2022: An 84-year-old male with PMH significant for DM 2, HTN, HLD, CAD s/p CABG, atrial fibrillation (on Xarelto), CHF, CVA, carotid disease, hypothyroid and GERD, presented to the ED with complaint of altered mental status and weakness. Per EMS report, family stated he began to have urinary incontinence yesterday and was leaning to the left. He had no obvious facial droop and grips were equal and round. Patient has known dementia at baseline. He is unable to contribute to HPI. Family is unable to contacted. Both phone numbers listed go directly to voicemail. Upon arrival to the ED, he is noted to have elevated troponin and BNP. CXR is concerning for LLL infiltrate and found to be COVID-19 positive. Per medical record, he is vaccinated x3. CT head notes old infarct.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Dysgeusia, Joint swelling
Clinical narrative: Metallic taste in mouth within minutes of receiving the vaccine (Pfitzer booster  after  J&J vaccine in April );  Swelling behind the left knee, with some pain and discomfort, 18 hours after receiving the booster vaccine
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Erectile dysfunction
Clinical narrative: Erectile dysfunction
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient administered Moderna COVID-19 vaccine at 12 days instead of 28 days.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urine analysis
Clinical narrative: almost immediately after vaccination she developed swelling in the upper outer quadrant of her right breast
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Asymptomatic COVID-19, COVID-19, Exposure to SARS-CoV-2, Fall
Clinical narrative: Per HPI on 1/4: Patient is a 84 y.o. female with history of CVA, pAF on eliquis, GERD, HTN who presents from home today due to weakness, ongoing falls at home and concern for possible CVA. Patient is very hard of hearing and not very participatory in history during my visit with her- daughter at bedside assists. Daughter notes that patient had two episodes of falling earlier in the day and was complaining of mainly weakness in the LE L>R. She does have some residual weakness from prior CVA 3 years ago. Patient lives with her daughter (sister of daughter present) and notes that patient was reluctant to come, but ultimately they called EMS due to persistent falling and concern patient may be having another stroke.    Notably in the ED, patient noted to be hypoxic in the low 90s and covid 19 testing returned +. Daughter and patient note that she is asymptomatic and has not complained of symptoms at home. Daughter (again the sister of daughter present who patient lives with) was covid + 5 days ago and is still in quaruntine. Patient will be admitted to hospitalist service, stroke neurology  Is aware and will see."
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: Per HPI on 1/4: Patient is a 84 y.o. female with history of CVA, pAF on eliquis, GERD, HTN who presents from home today due to weakness, ongoing falls at home and concern for possible CVA. Patient is very hard of hearing and not very participatory in history during my visit with her- daughter at bedside assists. Daughter notes that patient had two episodes of falling earlier in the day and was complaining of mainly weakness in the LE L>R. She does have some residual weakness from prior CVA 3 years ago. Patient lives with her daughter (sister of daughter present) and notes that patient was reluctant to come, but ultimately they called EMS due to persistent falling and concern patient may be having another stroke.    Notably in the ED, patient noted to be hypoxic in the low 90s and covid 19 testing returned +. Daughter and patient note that she is asymptomatic and has not complained of symptoms at home. Daughter (again the sister of daughter present who patient lives with) was covid + 5 days ago and is still in quaruntine. Patient will be admitted to hospitalist service, stroke neurology  Is aware and will see."
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Cough and stuffy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Facial discomfort, Fatigue, Nasal congestion
Clinical narrative: NASAL CONGESTION, FACIAL PRESSURE, LOSS OF SMELL, FATIGUE
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: NASAL CONGESTION, FACIAL PRESSURE, LOSS OF SMELL, FATIGUE
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Nasal congestion
Clinical narrative: NASAL CONGESTION, DRY COUGH, FATIGUE, FEVER, CHILLS
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: NASAL CONGESTION, DRY COUGH, FATIGUE, FEVER, CHILLS
Age: 52.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Hypoaesthesia
Clinical narrative: 30 min after vaccine administration pt returned to pharmacy counter and said her facial cheeks felt numb. no other side effects.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: SORE THROAT, HEADACHE, COUGH, FEVER, SINUS PAIN
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus pain
Clinical narrative: SORE THROAT, HEADACHE, COUGH, FEVER, SINUS PAIN
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Per History and physical on 1/11/22: "Patient is a 85 y.o. male w/ hx lewy body dementia, cad (prior cabg), ischemic cardiomyopathy/chronic SHF, prior NSVtach and Parox afib (tikoxyn and eliquis) w/ bi-v pacemaker (downgraded from defibrillator last year due to worsening dementia) who lives at friendship at assisted living. Apparently diagnosed w/ covid 19 on 1/8/22 and has since had increased confusion, not taking his medications so brought to ED for evaluation where had normal oxygen saturations, mildly elevated troponins (but flat, not rising) and was admitted to hospitalist service for further workup and evaluation in light of his confusion. Initial d-dimer normal, tsh normal, procalcitonin normal, normal wbc count. Troponin 0.3, repeat 0.2), probnp normal. U/a negative. Ct head negative. cxr no acute process (stable mild chronic interstitial changes)   Encephalopathy, metabolic (due to acute covid 19 viral infectoin) Lewy body dementia"
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dementia with Lewy bodies, Fibrin D dimer normal, Metabolic encephalopathy, Procalcitonin normal
Clinical narrative: Per History and physical on 1/11/22: "Patient is a 85 y.o. male w/ hx lewy body dementia, cad (prior cabg), ischemic cardiomyopathy/chronic SHF, prior NSVtach and Parox afib (tikoxyn and eliquis) w/ bi-v pacemaker (downgraded from defibrillator last year due to worsening dementia) who lives at friendship at assisted living. Apparently diagnosed w/ covid 19 on 1/8/22 and has since had increased confusion, not taking his medications so brought to ED for evaluation where had normal oxygen saturations, mildly elevated troponins (but flat, not rising) and was admitted to hospitalist service for further workup and evaluation in light of his confusion. Initial d-dimer normal, tsh normal, procalcitonin normal, normal wbc count. Troponin 0.3, repeat 0.2), probnp normal. U/a negative. Ct head negative. cxr no acute process (stable mild chronic interstitial changes)   Encephalopathy, metabolic (due to acute covid 19 viral infectoin) Lewy body dementia"
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Prohormone brain natriuretic peptide, Troponin increased, Urine analysis normal, White blood cell count normal
Clinical narrative: Per History and physical on 1/11/22: "Patient is a 85 y.o. male w/ hx lewy body dementia, cad (prior cabg), ischemic cardiomyopathy/chronic SHF, prior NSVtach and Parox afib (tikoxyn and eliquis) w/ bi-v pacemaker (downgraded from defibrillator last year due to worsening dementia) who lives at friendship at assisted living. Apparently diagnosed w/ covid 19 on 1/8/22 and has since had increased confusion, not taking his medications so brought to ED for evaluation where had normal oxygen saturations, mildly elevated troponins (but flat, not rising) and was admitted to hospitalist service for further workup and evaluation in light of his confusion. Initial d-dimer normal, tsh normal, procalcitonin normal, normal wbc count. Troponin 0.3, repeat 0.2), probnp normal. U/a negative. Ct head negative. cxr no acute process (stable mild chronic interstitial changes)   Encephalopathy, metabolic (due to acute covid 19 viral infectoin) Lewy body dementia"
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Discomfort, Fatigue, Headache, Myalgia
Clinical narrative: heart palpitation, this was not relieved over a week, it feels like drink too much caffeine and very uncomfortable. Small pain in the chest intermittently.  tired, head/muscle pain, little fever
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: heart palpitation, this was not relieved over a week, it feels like drink too much caffeine and very uncomfortable. Small pain in the chest intermittently.  tired, head/muscle pain, little fever
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asymptomatic COVID-19, Atrial fibrillation, Blindness transient, Blood creatine increased
Clinical narrative: Patient is fully vaccinated. COVID + on 11/24/2021.  Hospitalized from 11/24-11/30, 2021.  71y.o. female with PMHx of HTN, OSA, Back pain with recent L4-L5 decompressive laminectomy presented to beaumont trenton 2/2 to hypotension, with post op infection.  Patient reports she had her back surgery November 8th.  Following the surgery she was told it was not healing well, and states she took keflex for 7 days.  She states it continued to not heal appropriately and has since been taking augmentin.  She has been at rehab where she was found to be hypotensive.  Patient reports earlier today she had a 4-5 hour period where she felt she lost her vision, and felt like she was going to pass out. In the ED initial BP 81/54.  Patient was found to have Cr 3.41, baseline 0.61, Lactic acid 2.1.  During her time in the ED she was given 3.5L fluids, and her BP improved. CT lumbar spine showing post op changes, in addition to gas and fluid extending along incision site.  Patient also had a covid test done which was positive.She denied any sick contacts. Denied chest pain, difficulty breathing. Patient was saturating appropriately on room air. Denied loss of taste or smell. Patient asymptomatic with covid.  Afib:  Patient takes xarelto for anticoagulation at home. DVT Prophylaxis: heparin sub Q. Discharged to home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Computerised tomogram spine, Dizziness, Flatulence, Hypotension
Clinical narrative: Patient is fully vaccinated. COVID + on 11/24/2021.  Hospitalized from 11/24-11/30, 2021.  71y.o. female with PMHx of HTN, OSA, Back pain with recent L4-L5 decompressive laminectomy presented to beaumont trenton 2/2 to hypotension, with post op infection.  Patient reports she had her back surgery November 8th.  Following the surgery she was told it was not healing well, and states she took keflex for 7 days.  She states it continued to not heal appropriately and has since been taking augmentin.  She has been at rehab where she was found to be hypotensive.  Patient reports earlier today she had a 4-5 hour period where she felt she lost her vision, and felt like she was going to pass out. In the ED initial BP 81/54.  Patient was found to have Cr 3.41, baseline 0.61, Lactic acid 2.1.  During her time in the ED she was given 3.5L fluids, and her BP improved. CT lumbar spine showing post op changes, in addition to gas and fluid extending along incision site.  Patient also had a covid test done which was positive.She denied any sick contacts. Denied chest pain, difficulty breathing. Patient was saturating appropriately on room air. Denied loss of taste or smell. Patient asymptomatic with covid.  Afib:  Patient takes xarelto for anticoagulation at home. DVT Prophylaxis: heparin sub Q. Discharged to home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired healing, Incision site complication, Post procedural infection, SARS-CoV-2 test positive, Spinal laminectomy
Clinical narrative: Patient is fully vaccinated. COVID + on 11/24/2021.  Hospitalized from 11/24-11/30, 2021.  71y.o. female with PMHx of HTN, OSA, Back pain with recent L4-L5 decompressive laminectomy presented to beaumont trenton 2/2 to hypotension, with post op infection.  Patient reports she had her back surgery November 8th.  Following the surgery she was told it was not healing well, and states she took keflex for 7 days.  She states it continued to not heal appropriately and has since been taking augmentin.  She has been at rehab where she was found to be hypotensive.  Patient reports earlier today she had a 4-5 hour period where she felt she lost her vision, and felt like she was going to pass out. In the ED initial BP 81/54.  Patient was found to have Cr 3.41, baseline 0.61, Lactic acid 2.1.  During her time in the ED she was given 3.5L fluids, and her BP improved. CT lumbar spine showing post op changes, in addition to gas and fluid extending along incision site.  Patient also had a covid test done which was positive.She denied any sick contacts. Denied chest pain, difficulty breathing. Patient was saturating appropriately on room air. Denied loss of taste or smell. Patient asymptomatic with covid.  Afib:  Patient takes xarelto for anticoagulation at home. DVT Prophylaxis: heparin sub Q. Discharged to home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal operation
Clinical narrative: Patient is fully vaccinated. COVID + on 11/24/2021.  Hospitalized from 11/24-11/30, 2021.  71y.o. female with PMHx of HTN, OSA, Back pain with recent L4-L5 decompressive laminectomy presented to beaumont trenton 2/2 to hypotension, with post op infection.  Patient reports she had her back surgery November 8th.  Following the surgery she was told it was not healing well, and states she took keflex for 7 days.  She states it continued to not heal appropriately and has since been taking augmentin.  She has been at rehab where she was found to be hypotensive.  Patient reports earlier today she had a 4-5 hour period where she felt she lost her vision, and felt like she was going to pass out. In the ED initial BP 81/54.  Patient was found to have Cr 3.41, baseline 0.61, Lactic acid 2.1.  During her time in the ED she was given 3.5L fluids, and her BP improved. CT lumbar spine showing post op changes, in addition to gas and fluid extending along incision site.  Patient also had a covid test done which was positive.She denied any sick contacts. Denied chest pain, difficulty breathing. Patient was saturating appropriately on room air. Denied loss of taste or smell. Patient asymptomatic with covid.  Afib:  Patient takes xarelto for anticoagulation at home. DVT Prophylaxis: heparin sub Q. Discharged to home.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Headache, Laboratory test, Muscle mass, Pain
Clinical narrative: Aches and pains Extreme increase in toned muscle mass Headaches Increased patriotic desire Cool Shield
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity, Tachycardia
Clinical narrative: Pain left arm, chest above the heart. Tachicardia.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Death
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 01/22/2021.  91y/o PMH DM, HTN, COPD, OSA/CPAP, AFIB, CAD, Lung CA, Intracerebral hematoma presents to ED 1/11/2022 with Covid19 x5 days.  Pt with +Covid test and was given Regeneron without improvement of symptoms so referred to ED for management of Covid PNA.  Pt c/o increasing SOB and cough.  CXR with upper lobe consolidation and lower lobe atelectasis.  Requiring 2L NC.  O2sat 95%.  Started on IV ABX/Steroids.  Pt expired on 01/14/2022.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Lung consolidation, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 01/22/2021.  91y/o PMH DM, HTN, COPD, OSA/CPAP, AFIB, CAD, Lung CA, Intracerebral hematoma presents to ED 1/11/2022 with Covid19 x5 days.  Pt with +Covid test and was given Regeneron without improvement of symptoms so referred to ED for management of Covid PNA.  Pt c/o increasing SOB and cough.  CXR with upper lobe consolidation and lower lobe atelectasis.  Requiring 2L NC.  O2sat 95%.  Started on IV ABX/Steroids.  Pt expired on 01/14/2022.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/20/21 and 4/10/21. Positive on 1/13/22
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes in right armpit
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/25/21 and 4/22/21. Positive on 1/13/22
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Rash macular, Urticaria
Clinical narrative: Developed  intense hives and itchiness all over body. Would also get red spots and scratches. Started Zytrec and Pecid AC on day 2 and seems to control the hives and itchiness. Still take zytec 10 mg 2x day and Pepcid 20 mg 2x day. However, still get breakthrough dermatographia and red blotches. Unable to go off of the antihistamines.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 5/13/21 and 6/3/21. Positive on 1/10/22
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure acute, Cardiac failure congestive, Hypoxia
Clinical narrative: COVID-19 virus infection; Elevated brain natriuretic peptide (BNP) level; Elevated troponin; Acute on chronic combined systolic and diastolic congestive heart failure; Hypoxia
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Left ventricular failure, Troponin increased
Clinical narrative: COVID-19 virus infection; Elevated brain natriuretic peptide (BNP) level; Elevated troponin; Acute on chronic combined systolic and diastolic congestive heart failure; Hypoxia
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Gout, Pain in extremity, Swelling
Clinical narrative: left great toe pain and swelling, which started a few hours after receiving vaccine. He saw another provider who diagnosed him with acute gout. He has no prior history of gout
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain in extremity, Pyrexia, Rash erythematous
Clinical narrative: I experienced a fever of 103, aches and pains in both arms, headaches, nausea, red rash on my arm and hives on my chest area.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I experienced a fever of 103, aches and pains in both arms, headaches, nausea, red rash on my arm and hives on my chest area.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chest discomfort, Discomfort, Insomnia
Clinical narrative: Chest very uncomfortable and can't sleep at night. Blood pressure 55-120, normally over 60. Head felt heavy and uncomfortable. According to the patient, she suspected the pressure was too low for the lower-side.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea
Clinical narrative: chills, nausea, headache
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Tenderness
Clinical narrative: B/L armpit swelling, L side of neck tender and sore for over a month.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Computerised tomogram, Dyspnoea
Clinical narrative: Patient is fully vaccinated. COVID + on 11/16/2021.  ED visit on 11/24/2021.  Presented with SOB.  44-year-old female presents ED for some mild chest discomfort and abnormal outpatient labs. According to patient primary care physician ordered multiple d-dimer levels on her which were trending upwards. Instructed to come to the ED for CTA. She denies additioanl symptoms at this time and states she has been feeling better since diagnosis. CT negative for evidence of PE. Vital signs within acceptable limits, not requiring supplemental oxygen. Treatment:  nitrogycerine SL.  asprin. iopamidol injection. SPO2 98%. Discharged to home. To return to ED with any new or worsening symptoms. Patient will follow up with PCP. Patient in stable condition with stable vitals for discharge and outpatient follow up.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: GIVEN SECOND DOSE EARLY AT 21 DAYS INSTEAD OF 28 DAY DURATION. NO SYMPTOMS, REPORTED
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Ascites, COVID-19 pneumonia, Hypokalaemia, Hypomagnesaemia
Clinical narrative: Hypokalemia; Hypomagnesemia; Other ascites; Pneumonia due to COVID-19 virus
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Moderna  024M20A on 2/26/21 & Moderna 030A21A  on 3/26/21 and boosted with Moderna 051F21A on 12/06/21.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough case
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Blood test normal, Body temperature increased, Chest discomfort
Clinical narrative: 3 days later I ended up at the hospital, the neighbor had to drive me. I think it was a hospital. I walked up 3 flights of steps and when I got up I felt heavy on my chest, as if someone was standing on it, I couldn't catch my breath. When I got dressed it got worse. I called the doctor and he said to go to ER and I went to my neighbor who drove me to the ER. At the ER, they gave me oxygen for 6 hours. 2 days prior to the vaccination, I had a negative covid test from an MD, the DR had shoved the swap really deep to your throat. And after that I had nasal drip for 2, everything I ate, drink, swallowed made me cough for 20minutes- that slowly went away. I had it done because I work out of a wellness center and one of the doctors had tested positive the day before.  While I was there I felt extreme heaviness on my chest, it felt like muscle spasms in my lung, the heaviness would build up really fast and to the point I was grasping for life. And then it slowly just stopped and I went home. I felt weak and couldn't function for a couple of days. The night of the shot, I had a temp of 104 degrees. Dr. said all tests came out clear and wasn't sure what happened that there were multiple patients in the ER with the same symptoms but with nothing in their chest like with me. She advised that I do not get the second vaccine. memory loss----- I had subtly and increased memory loss. I would leave the kitchen to get what I needed go to the basement and then forget why I was in the basement. This was happening randomly. Then it started increasing so rapidly to the point I started questioning why this was. I went to the acupuncturist and he suggested I go to a homeopathic doctor. And they gave me some new supplements which I've now been taking for the past week and still have memory loss episodes. It increased so fast in a 30 month window.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Cough, Dyspnoea, Dyspnoea exertional, Exposure to SARS-CoV-2
Clinical narrative: 3 days later I ended up at the hospital, the neighbor had to drive me. I think it was a hospital. I walked up 3 flights of steps and when I got up I felt heavy on my chest, as if someone was standing on it, I couldn't catch my breath. When I got dressed it got worse. I called the doctor and he said to go to ER and I went to my neighbor who drove me to the ER. At the ER, they gave me oxygen for 6 hours. 2 days prior to the vaccination, I had a negative covid test from an MD, the DR had shoved the swap really deep to your throat. And after that I had nasal drip for 2, everything I ate, drink, swallowed made me cough for 20minutes- that slowly went away. I had it done because I work out of a wellness center and one of the doctors had tested positive the day before.  While I was there I felt extreme heaviness on my chest, it felt like muscle spasms in my lung, the heaviness would build up really fast and to the point I was grasping for life. And then it slowly just stopped and I went home. I felt weak and couldn't function for a couple of days. The night of the shot, I had a temp of 104 degrees. Dr. said all tests came out clear and wasn't sure what happened that there were multiple patients in the ER with the same symptoms but with nothing in their chest like with me. She advised that I do not get the second vaccine. memory loss----- I had subtly and increased memory loss. I would leave the kitchen to get what I needed go to the basement and then forget why I was in the basement. This was happening randomly. Then it started increasing so rapidly to the point I started questioning why this was. I went to the acupuncturist and he suggested I go to a homeopathic doctor. And they gave me some new supplements which I've now been taking for the past week and still have memory loss episodes. It increased so fast in a 30 month window.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Magnetic resonance imaging normal, Mobility decreased, Muscle spasms, SARS-CoV-2 test negative
Clinical narrative: 3 days later I ended up at the hospital, the neighbor had to drive me. I think it was a hospital. I walked up 3 flights of steps and when I got up I felt heavy on my chest, as if someone was standing on it, I couldn't catch my breath. When I got dressed it got worse. I called the doctor and he said to go to ER and I went to my neighbor who drove me to the ER. At the ER, they gave me oxygen for 6 hours. 2 days prior to the vaccination, I had a negative covid test from an MD, the DR had shoved the swap really deep to your throat. And after that I had nasal drip for 2, everything I ate, drink, swallowed made me cough for 20minutes- that slowly went away. I had it done because I work out of a wellness center and one of the doctors had tested positive the day before.  While I was there I felt extreme heaviness on my chest, it felt like muscle spasms in my lung, the heaviness would build up really fast and to the point I was grasping for life. And then it slowly just stopped and I went home. I felt weak and couldn't function for a couple of days. The night of the shot, I had a temp of 104 degrees. Dr. said all tests came out clear and wasn't sure what happened that there were multiple patients in the ER with the same symptoms but with nothing in their chest like with me. She advised that I do not get the second vaccine. memory loss----- I had subtly and increased memory loss. I would leave the kitchen to get what I needed go to the basement and then forget why I was in the basement. This was happening randomly. Then it started increasing so rapidly to the point I started questioning why this was. I went to the acupuncturist and he suggested I go to a homeopathic doctor. And they gave me some new supplements which I've now been taking for the past week and still have memory loss episodes. It increased so fast in a 30 month window.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: 3 days later I ended up at the hospital, the neighbor had to drive me. I think it was a hospital. I walked up 3 flights of steps and when I got up I felt heavy on my chest, as if someone was standing on it, I couldn't catch my breath. When I got dressed it got worse. I called the doctor and he said to go to ER and I went to my neighbor who drove me to the ER. At the ER, they gave me oxygen for 6 hours. 2 days prior to the vaccination, I had a negative covid test from an MD, the DR had shoved the swap really deep to your throat. And after that I had nasal drip for 2, everything I ate, drink, swallowed made me cough for 20minutes- that slowly went away. I had it done because I work out of a wellness center and one of the doctors had tested positive the day before.  While I was there I felt extreme heaviness on my chest, it felt like muscle spasms in my lung, the heaviness would build up really fast and to the point I was grasping for life. And then it slowly just stopped and I went home. I felt weak and couldn't function for a couple of days. The night of the shot, I had a temp of 104 degrees. Dr. said all tests came out clear and wasn't sure what happened that there were multiple patients in the ER with the same symptoms but with nothing in their chest like with me. She advised that I do not get the second vaccine. memory loss----- I had subtly and increased memory loss. I would leave the kitchen to get what I needed go to the basement and then forget why I was in the basement. This was happening randomly. Then it started increasing so rapidly to the point I started questioning why this was. I went to the acupuncturist and he suggested I go to a homeopathic doctor. And they gave me some new supplements which I've now been taking for the past week and still have memory loss episodes. It increased so fast in a 30 month window.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Computerised tomogram, Coronary artery occlusion, Echocardiogram, Electrocardiogram
Clinical narrative: Heart Attack - 3 weeks and 6 days post booster.   Have never had heart issues prior.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: Heart Attack - 3 weeks and 6 days post booster.   Have never had heart issues prior.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Skin warm, Urticaria
Clinical narrative: Hives down left arm, severely itchy and hot to touch, feel like arm is burning off.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in both ears that started approximately 5-7 Days after the second shot and is ongoing
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Death, General physical health deterioration
Clinical narrative: Back in March at the completion of the resident's second shot the resident had a stroke a few weeks later.  In December when the resident received his booster shot the resident appeared to have a sharp decline about a week later.  No stroke like symptoms were exhibited.   The resident continued his decline and eventually went hospice and passed.