chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Coronavirus test negative, Cough, Dyspnoea, Enterovirus test negative, Fibrin D dimer increased
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic steatosis, Hepatomegaly, Hiatus hernia, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Interstitial lung disease
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Mycoplasma test negative, Osteopenia, Paratracheal lymphadenopathy, Patient isolation
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast abnormal
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal osteoarthritis, Viral test negative
Clinical narrative: ED to Hosp-Admission Discharged 9/6/2021 - 9/9/2021 (3 days) Pneumonia due to COVID-19 virus   DETAILS OF HOSPITAL STAY   Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]     Hospital Course   Pleasant 69-year-old female admitted to the hospital with generalized weakness, shortness of breath, cough, respiratory insufficiency related to COVID-19 pneumonia.  She is nearing 14 days out from initial diagnosis, she reports ongoing symptoms throughout that time.  She was started on Decadron, remdesivir but was not requiring supplemental oxygen.  She did however have oxygen saturations in the low 90s on room air.  With Decadron and remdesivir she slowly improved over the course of 2 days.  By the final day of admission she was averaging sats in the high 90s on room air.  I felt she was appropriate for discharge home.  Inflammatory markers are rather benign.  She will continue a course of prednisone taper at discharge.  She is to follow-up with PCP within 7 to 10 days.  I advised her to continue isolation until the 14th day from initial diagnosis.  The remainder of her stay was unremarkable.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Decreased appetite, Fatigue, Feeling of body temperature change
Clinical narrative: extreme tiredness within 20 minutes of shot/ severe stomach pains/ severe back pains and neck pains  feeling hot and cold/ no appetite/ still do not feel well.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Neck pain
Clinical narrative: extreme tiredness within 20 minutes of shot/ severe stomach pains/ severe back pains and neck pains  feeling hot and cold/ no appetite/ still do not feel well.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient presented as a walk-in to Covid Vaccine Clinic for direction regarding receiving second Moderna vaccine.  Per patient, received first Moderna vaccine 9/2/2021 at pharmacy in her left arm. Reports during first week after injection that ?site where needle went in was a little sore.?  Reports last week upper right arm ?was really swollen and much sorer? than in the previous week. Reports edema in area decreasing, Yesterday she noticed large (5 x5 or larger) area of redness in right upper arm that feels ?hot with a burning sensation.? She denies having the following at any time since Covid vaccine administration: fever, SOB (has COPD ? no changes), rash / hives any other problems. Patient encouraged to call her PCP today for evaluation of arm and to discuss with MD if should receive second Moderna vaccine. Patient states she will call physician as soon as she returns to her car. Consult with RN regarding above and she concurs with plan. If MD approves second dose, encouraged client to obtain that in writing to take with her to clinic where will receive second vaccine dose. At this time, client states she doesn?t believe she will take the second dose.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient Death
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Decreased appetite, Fatigue
Clinical narrative: Immediately after I took the shot I got all of the symptoms of COVID. Extreme Fatigue, Loss of appetite, Loss of Taste, Loss of Smell, Cough, Stuffy Nose, Headache, Body Aches
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Malaise, Nasal congestion, Pain
Clinical narrative: Immediately after I took the shot I got all of the symptoms of COVID. Extreme Fatigue, Loss of appetite, Loss of Taste, Loss of Smell, Cough, Stuffy Nose, Headache, Body Aches
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: vaccinated employee that tested covid positive
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: postive test 09/07/2021
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypoaesthesia, Paraesthesia
Clinical narrative: Tightening in my chest.  Swollen airway, tongue swollen.  Nasal passages swollen.  Extreme difficulty in breathing.  Coughing up sputum and wheezing.  Pain in left chest cavity.  Tingling and numbness in both arms and hands.  I feel like there has been a vice grip on my chest for the past week.  I am having a lot of difficulty in breathing.  This has been daily but at night it has happened to the extreme twice.  It was bad enough for a hospital visit but the hospitals are full.  I called a cardiologist this morning.  I am seeing an immunologist tomorrow. My O2 SAT was 88 and heart rate of 48 steady during these extreme episodes at night.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Swollen tongue, Wheezing
Clinical narrative: Tightening in my chest.  Swollen airway, tongue swollen.  Nasal passages swollen.  Extreme difficulty in breathing.  Coughing up sputum and wheezing.  Pain in left chest cavity.  Tingling and numbness in both arms and hands.  I feel like there has been a vice grip on my chest for the past week.  I am having a lot of difficulty in breathing.  This has been daily but at night it has happened to the extreme twice.  It was bad enough for a hospital visit but the hospitals are full.  I called a cardiologist this morning.  I am seeing an immunologist tomorrow. My O2 SAT was 88 and heart rate of 48 steady during these extreme episodes at night.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID 19 09/12/2021
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Immediate post-injection reaction, Urticaria, Vaccination site erythema
Clinical narrative: Red hot welt at vaccine site-immediately  About 30 min after receiving the first vaccine I started to get hives all over my chest, back, and both arms. I took Benadryl every 4-6 hours for 3 days until the hives subsided.  Extreme headaches for 3 days.  Dizziness x 6 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site reaction, Vaccination site warmth
Clinical narrative: Red hot welt at vaccine site-immediately  About 30 min after receiving the first vaccine I started to get hives all over my chest, back, and both arms. I took Benadryl every 4-6 hours for 3 days until the hives subsided.  Extreme headaches for 3 days.  Dizziness x 6 days.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia
Clinical narrative: Few days after injection, felt nerve pain down left (L) arm. This continued for 2 weeks before resolution.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: 04/04/2021 I started getting cramps and achy feeling in stomach and began bleeding really heavy. This lasted for 3 weeks till I contacted my doctor. I have not had a cycle in ten years. My doctor prescribed a medication to stop the bleeding-but the bleeding is still ongoing. Now I have a cycle every three weeks or so.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Echocardiogram normal, Electrocardiogram normal, Fatigue, Feeling abnormal
Clinical narrative: 8Jun2021 she didn't feel right , tired then 15Jun was extremely tired and 16 Jun on virtual school , she fell asleep and heart was racing and she had a low grade fever of 101.  she was very lethargic and not herself because she was an athletics. On 16Jun2021  Pediatrician and sent to ER  was evaluated - ibuprofen, went to ICU over night. discharged following day.  No other treatment.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Lethargy, Palpitations, Pyrexia
Clinical narrative: 8Jun2021 she didn't feel right , tired then 15Jun was extremely tired and 16 Jun on virtual school , she fell asleep and heart was racing and she had a low grade fever of 101.  she was very lethargic and not herself because she was an athletics. On 16Jun2021  Pediatrician and sent to ER  was evaluated - ibuprofen, went to ICU over night. discharged following day.  No other treatment.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Catheterisation cardiac, Chest discomfort, Echocardiogram
Clinical narrative: Tightness in chest upon exertion
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Chest X-ray, Dyspnoea, Electrocardiogram, Full blood count
Clinical narrative: SOB at rest, sats in 80's. Given nebulizer treatment and steroid IV, antibiotics
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test
Clinical narrative: SOB at rest, sats in 80's. Given nebulizer treatment and steroid IV, antibiotics
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient Died
Age: 0.33
Sex: M
Vaccine: RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient was given dose #1 of rotateq however due to age at start of series not eligible for vaccine. No known adverse reaction to vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, C-reactive protein increased, Chest X-ray normal, Electrocardiogram normal, Fatigue
Clinical narrative: Reports two hours after vaccination began having arm pain which progressed to full body aches, muscle spasms, muscle pain/tenderness, fatigue the following day. Was seen in the ED on 8/29/21; received 2 L NS in ED, KCL 40 mEq PO x1, and plan was to continue NS with KCL supp however patient went home early due to impending storm. She continued to feel poorly. Followed up with PCP (me) with continued complaints; labs repeated, not improved, patient now complaining of rigidity; was sent back to ER for further management.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Glomerular filtration rate decreased, Muscle rigidity, Muscle spasms, Myalgia
Clinical narrative: Reports two hours after vaccination began having arm pain which progressed to full body aches, muscle spasms, muscle pain/tenderness, fatigue the following day. Was seen in the ED on 8/29/21; received 2 L NS in ED, KCL 40 mEq PO x1, and plan was to continue NS with KCL supp however patient went home early due to impending storm. She continued to feel poorly. Followed up with PCP (me) with continued complaints; labs repeated, not improved, patient now complaining of rigidity; was sent back to ER for further management.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Reports two hours after vaccination began having arm pain which progressed to full body aches, muscle spasms, muscle pain/tenderness, fatigue the following day. Was seen in the ED on 8/29/21; received 2 L NS in ED, KCL 40 mEq PO x1, and plan was to continue NS with KCL supp however patient went home early due to impending storm. She continued to feel poorly. Followed up with PCP (me) with continued complaints; labs repeated, not improved, patient now complaining of rigidity; was sent back to ER for further management.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Nasopharyngitis, Pain
Clinical narrative: EE called for results that returned ?DETECTED? (tested on 9/14, resulted 9/15). EE stated cold-like symptoms, cough, HA, body aches began on 9/11. Symptoms persist, but improving. Informed EE that she has to isolate for at least 10 days from when symptoms started on 9/11-9/21.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: EE called for results that returned ?DETECTED? (tested on 9/14, resulted 9/15). EE stated cold-like symptoms, cough, HA, body aches began on 9/11. Symptoms persist, but improving. Informed EE that she has to isolate for at least 10 days from when symptoms started on 9/11-9/21.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Injection site pain, Palpitations
Clinical narrative: first 36 hours had 10 episodes of heart trying to go into tachycardia, 1 episode of heart fluttering for about 5 seconds, 3 episodes of a sharp pain shooting across my left chest  first 72 hours had slightly sore arm at injection site
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: He was admitted to the hospital due to one week of cough, SOB and diarrhea on 9/13/21. He stated he was recently exposed to his sister who is now hospitalized with COVID. On hospital day 3, his O2 sat is 98% on room air, and he is not febrile.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: He was admitted to the hospital due to one week of cough, SOB and diarrhea on 9/13/21. He stated he was recently exposed to his sister who is now hospitalized with COVID. On hospital day 3, his O2 sat is 98% on room air, and he is not febrile.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough infection confirmed by PCR test on 09/13/2021
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Cough, Dyspnoea
Clinical narrative: 81-year-old gentleman sent in from Health and Rehab facility for shortness of breath.  Patient has a known covid-19 positive from a week ago.  Patient having increasing shortness of breath throughout the night patient with cough chills congestion.  No nausea vomiting.  Patient initially was sat in the 80s on room air.  Patient is now on a non-rebreather.  Course of symptoms constant degree at onset severe degree of present moderate.  No known alleviating factors symptoms worse with any activity.  Patient evaluated emergency department chest x-ray shows bilateral pneumonia patient covid-19 positive.  Patient found significantly elevated inflammatory markers significant elevated troponin.  Patient is a DNR patient will be admitted with IV antibiotics IV steroids and remdesivir
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammatory marker increased, Pneumonia, Respiratory tract congestion, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: 81-year-old gentleman sent in from Health and Rehab facility for shortness of breath.  Patient has a known covid-19 positive from a week ago.  Patient having increasing shortness of breath throughout the night patient with cough chills congestion.  No nausea vomiting.  Patient initially was sat in the 80s on room air.  Patient is now on a non-rebreather.  Course of symptoms constant degree at onset severe degree of present moderate.  No known alleviating factors symptoms worse with any activity.  Patient evaluated emergency department chest x-ray shows bilateral pneumonia patient covid-19 positive.  Patient found significantly elevated inflammatory markers significant elevated troponin.  Patient is a DNR patient will be admitted with IV antibiotics IV steroids and remdesivir
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac flutter, Cardiac stress test, Heart rate irregular, Nausea
Clinical narrative: Right after the first shot, I began experiencing very irregular heart beat rythyms both at night while trying to sleep and during the day and this lasted about a week.  I went ahead and got the 2d shot 2 weeks later and the same thing began that night also.   The irrgular heartbeat and fluttering  feeling lasted about another week.  I went to my regular doctor clinic and saw Dr.  He referred me to Cardiology Clinic where I saw Dr.  The appointment was weeks later.  I went through several tests that Dr ordered.  They found no issues as the issues had subsided by that time.  I still feel that kind of queasy since the shot and am wondering if I screwed up getting it.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Right after the first shot, I began experiencing very irregular heart beat rythyms both at night while trying to sleep and during the day and this lasted about a week.  I went ahead and got the 2d shot 2 weeks later and the same thing began that night also.   The irrgular heartbeat and fluttering  feeling lasted about another week.  I went to my regular doctor clinic and saw Dr.  He referred me to Cardiology Clinic where I saw Dr.  The appointment was weeks later.  I went through several tests that Dr ordered.  They found no issues as the issues had subsided by that time.  I still feel that kind of queasy since the shot and am wondering if I screwed up getting it.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Blood pressure decreased, Chest discomfort, Chest pain, Computerised tomogram
Clinical narrative: Tightness/pain in chest on several occassions.  Pain running down both arms.  Blood pressure drop.  Heart attack.  Elevated Heart rate.  Arterial fibrilation.  Patients brother has reported the same medical issue shortly after receiving the vaccination.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Heart rate increased, Myocardial infarction, Pain in extremity
Clinical narrative: Tightness/pain in chest on several occassions.  Pain running down both arms.  Blood pressure drop.  Heart attack.  Elevated Heart rate.  Arterial fibrilation.  Patients brother has reported the same medical issue shortly after receiving the vaccination.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Mobility decreased
Clinical narrative: Approximately 6:00 p.m. the day to the vaccination I had a clenching chest pain around my heart or left breast.  The following morning when I woke up approximately 24 hours after my vaccination I had back pain located in my upper left back. It felt like it was behind my heart. It came and went throughout the entire day. The pain was so painful that it's knocked me to the ground and I felt like I could not move my upper body.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diplopia, Dysphagia, Dyspnoea, Electromyogram
Clinical narrative: After receiving the 2nd dose of the Moderna Vaccine, the following morning at 01:00 I started experiencing severe tiredness, headache, muscle pain, muscle weakness, chills, fever and nausea. These symptoms lasted for about a week before most of them subsided. After that first week, I continued to experience tiredness and weakness (flu like). On March 18, I felt as though my eyes were crossing and then on March 19, my right eye began to droop. On March 20, my right side of my face began to droop sporadically. I went to the Emergency Room on March 22 due to these symptoms and muscular weakness and was admitted. Since then, I've been diagnosed with Myasthenia Gravis and have had 4 hospital admissions (3/4 in the ICU) due to Myasthenia Crisis. I experience severe muscle weakness, breathing issues, swallowing issues and double vision. I require IVIG therapy once a week to remain stable and out of the hospital along with prednisone and other medications daily.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder, Eyelid disorder, Facial paralysis, Fatigue, Headache
Clinical narrative: After receiving the 2nd dose of the Moderna Vaccine, the following morning at 01:00 I started experiencing severe tiredness, headache, muscle pain, muscle weakness, chills, fever and nausea. These symptoms lasted for about a week before most of them subsided. After that first week, I continued to experience tiredness and weakness (flu like). On March 18, I felt as though my eyes were crossing and then on March 19, my right eye began to droop. On March 20, my right side of my face began to droop sporadically. I went to the Emergency Room on March 22 due to these symptoms and muscular weakness and was admitted. Since then, I've been diagnosed with Myasthenia Gravis and have had 4 hospital admissions (3/4 in the ICU) due to Myasthenia Crisis. I experience severe muscle weakness, breathing issues, swallowing issues and double vision. I require IVIG therapy once a week to remain stable and out of the hospital along with prednisone and other medications daily.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Influenza like illness, Intensive care, Muscular weakness, Myalgia
Clinical narrative: After receiving the 2nd dose of the Moderna Vaccine, the following morning at 01:00 I started experiencing severe tiredness, headache, muscle pain, muscle weakness, chills, fever and nausea. These symptoms lasted for about a week before most of them subsided. After that first week, I continued to experience tiredness and weakness (flu like). On March 18, I felt as though my eyes were crossing and then on March 19, my right eye began to droop. On March 20, my right side of my face began to droop sporadically. I went to the Emergency Room on March 22 due to these symptoms and muscular weakness and was admitted. Since then, I've been diagnosed with Myasthenia Gravis and have had 4 hospital admissions (3/4 in the ICU) due to Myasthenia Crisis. I experience severe muscle weakness, breathing issues, swallowing issues and double vision. I require IVIG therapy once a week to remain stable and out of the hospital along with prednisone and other medications daily.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Myasthenia gravis, Myasthenia gravis crisis, Nausea, Pyrexia
Clinical narrative: After receiving the 2nd dose of the Moderna Vaccine, the following morning at 01:00 I started experiencing severe tiredness, headache, muscle pain, muscle weakness, chills, fever and nausea. These symptoms lasted for about a week before most of them subsided. After that first week, I continued to experience tiredness and weakness (flu like). On March 18, I felt as though my eyes were crossing and then on March 19, my right eye began to droop. On March 20, my right side of my face began to droop sporadically. I went to the Emergency Room on March 22 due to these symptoms and muscular weakness and was admitted. Since then, I've been diagnosed with Myasthenia Gravis and have had 4 hospital admissions (3/4 in the ICU) due to Myasthenia Crisis. I experience severe muscle weakness, breathing issues, swallowing issues and double vision. I require IVIG therapy once a week to remain stable and out of the hospital along with prednisone and other medications daily.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cold sweat, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case: I tested positive for Covid-19 on 08/15/2021.  My symptoms include: Runny nose Tiredness Cold sweats
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash appeared on left (L) arm a couple of days after injection.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Anxiety, Arthralgia, Asthenia, Asymptomatic COVID-19
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Bordetella test negative, Bradycardia, COVID-19 pneumonia, Chest X-ray abnormal, Chlamydia test negative
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Coronavirus test negative, Cough, Depression, Dyspnoea
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Enterovirus test negative, Fatigue, Fibromyalgia, Fluid intake reduced
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Hypophagia, Hypoxia, Inflammatory marker increased
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Lung infiltration, Myalgia
Clinical narrative: Note   Pt called with Temp of 103 and chest congestion with cough.  Difficulty getting anything fluids or food in .  C/o some SOB.  Advised ER evaluation and pt in agreement.  Refuses ambulance but will have family take her in. ED to Hosp-Admission Discharged 9/9/2021 - 9/12/2021 (3 days) Hospital   - COVID-19  Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 [U07.1]     Hospital Course 72-year-old female with a past medical history of hypertension presented to the emergency department with shortness of breath, arthralgias/myalgias, fevers secondary to Covid pneumonia.  Patient is vaccinated, received 2 doses of the vaccine with her last dose being in April 2021.  She lives by herself, over the past 2 days she began developing worsening fatigue and shortness of breath.  This is also worsened by her fibromyalgia, anxiety and depression.  Checked temperatures at home when she had a fever up to 103 °F, she was self treating with Tylenol.  She called her PCP who recommended she go to the emergency department for further work-up.  In the emergency department, COVID-19 test was positive on 9/9/2021, x-ray showed infiltrates as well as possible linear infiltrate which is consistent with scarring from previous pneumonia.  She admitted to the hospital for hypoxia and COVID-19 pneumonia.   1.  Hypoxic respiratory failure, COVID-19 infection Patient was admitted to the hospital and started on oxygen, given her hypoxic respiratory failure she was started on Decadron and Remdesivir.  Her oxygen was slowly weaned, she was stable on room air but will require oxygen at discharge with ambulation.  Her shortness of breath and generalized weakness and fatigue significantly improved during her hospitalization.  On her day of discharge, again she was stable on room air but did have significant shortness of breath with ambulation, will be sent home with 2 L nasal cannula with ambulation.  Also have bronchodilator therapy as well as send a short course of Decadron as an outpatient.  She will follow up with PCP in 1 week who could help manage her oxygen as an outpatient.   2.  Hypertension, hyperlipidemia Pressures are stable during hospitalization, can continue lisinopril 20 mg daily, will decrease amlodipine 5 mg daily given some lower blood pressures while hospitalized.  Continue Crestor 10 mg daily.   3.  Bradycardia Patient bradycardia during hospitalization, she is asymptomatic.  Possibly secondary to remdesivir which she was on for her COVID-19 infection.  She has significant part of her symptoms, was asymptomatic, stable for discharge.   On day of discharge, her symptoms significantly improved from time of admission.  Oxygen is weaning down, inflammatory markers trending down, and generalized weakness and fatigue has improved.  She is evaluated by PT/OT who cleared her for discharge home.  Will be sent home with oxygen with ambulation, oral Decadron, Tessalon Perles, albuterol inhaler.