chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Ultrasound Doppler
Clinical narrative: After the vaccine - L arm felt numb/"dead" for about 7 days intermittently. Then once that stopped, L calf felt "tense"/painful for about 1 week. No noticeable swelling or redness. After that (approx 10-14 days after injection) woke up with shortness of breath, noticed while climbing stairs but became progressively worse.  Waited about a week - then noticed sob more severe when trying to "hammer". Went to doctor - hospitalized from 9/29 -10/1 with multiple pulmonary embolisms. Chest x-ray  and chest CT scan and blood work completed at clinic prior to admission. While admitted, calf ultrasound, more blood work, and ECHO completed. Started on heparin infusion, discharged on Eliquis for 90 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Pupillary reflex impaired, Skin discolouration, Unresponsive to stimuli, Vomiting
Clinical narrative: On 10/6/2021 at approximately 2:00 PM- Pt became sick to his stomach- vomited; unresponsive; pupils sluggish; legs discolored-more on let side that right; blood pressure barely audible. .5 mg of epinephrine administered by RN; resident started to arouse. Blood pressure low 60/40; attempting to speak; some discoloration remained present on the left side but much better; IM zofran and IV fluids started. Today, 10/7/21- eating some, able to respond to questions.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: She got her vaccine, that night she went to bed early as she was tired.  At 1:30 AM she felt real weird and had a headache, and went back to sleep.  Then she got up and was severely nauseated, didn't eat anything.  She then got really tired.  Then she went to bed at 4:00 that afternoon due to the nausea, and by 9:00 PM she had a fever of 99.7.  She went back to bed and the headache got more intense and the nausea kept going.  At 1:30 she woke up and she was sweating to the point of dripping wet, and had to change her clothes.  She took some Tylenol 650 mg to get rid of the headache, and went to sleep and woke up this morning and feeling fine.    Never had any reactions from the other two vaccines or any other vaccines that she has had.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: She got her vaccine, that night she went to bed early as she was tired.  At 1:30 AM she felt real weird and had a headache, and went back to sleep.  Then she got up and was severely nauseated, didn't eat anything.  She then got really tired.  Then she went to bed at 4:00 that afternoon due to the nausea, and by 9:00 PM she had a fever of 99.7.  She went back to bed and the headache got more intense and the nausea kept going.  At 1:30 she woke up and she was sweating to the point of dripping wet, and had to change her clothes.  She took some Tylenol 650 mg to get rid of the headache, and went to sleep and woke up this morning and feeling fine.    Never had any reactions from the other two vaccines or any other vaccines that she has had.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Deafness unilateral, Tinnitus
Clinical narrative: Subjective complete loss of hearing in the R ear x 1 day, then complete return of hearing. Then bilateral, constant, high pitched tinnitus that continues until today.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nurse drawing up Moderna doses drew up and administered wrong dosage. Patient was notified 10/06/21 and offered to received the additional mL to receive the full dose.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Sleep disorder, Vaccination site pain
Clinical narrative: Patient refers that after the administration of their second dose of the vaccine, she feels persistent and burning pain in the area of the vaccine administration. On a scale of 10. Patient refers not to having visited her DR. but having taken ADVIL, and administered topical "VIKS" and patches of the brand "DRAGON". Patient reports that her symptoms have not improved and have difficulty moving her arm due to pain and not being able to "sleep on that side".
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Dyspnoea, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: shortness of breathe, low energy
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombectomy, Thrombosis
Clinical narrative: shortness of breathe, low energy
Age: 50.0
Sex: M
Vaccine: FLUC4
Symptoms: Asthenia, Chills, Fatigue, Lip swelling, Stomatitis
Clinical narrative: Pt. states that after receiving the 1st dose of Influenza Dose 10/05/2021, started experiencing symptoms 10/06/2021 of chills, lip swelling, fatigue, weakness, and mouth sores. No noted Primary visit.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster vaccination given prior to 6 month recommended time.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalized 8/27/2021 for unknown duration. Death 9/19/2021. From Vital Records = COVID-19. Per vital records, Not yet coded ; Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT, certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: MECHANIC, SALES
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient Covid + on 10/06/2021 and hospitalized Per Ed Note: 89-year-old male past medical history significant for HTN, A. fib, BPH is presenting to the emergency department from ECF via EMS for Covid positive x2. Patient was found to be Covid positive at the ECF and they are not able to care for him at the care facility if he is Covid positive. Patient has no symptoms including shortness of breath, chest pain, productive cough, rhinorrhea or other URI symptoms. Patient denies any  abdominal pain, vomiting, focal paresthesias or weakness, headache, dizziness, fevers or chills, change in bowel or bladder habits, leg pain or edema or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors.   PMH: HTN, A. fib, BPH
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash maculo-papular, Solar urticaria
Clinical narrative: solar urticaria (maculopapular rash, mild itching) for first time in life, after first significant sun exposure the following spring. 2 consecutive days. resolved both days within 24- 48 hours. none since. back and scalp only (most intensely exposed areas)
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Headache, Heart rate irregular, Pain, Palpitations
Clinical narrative: Patient with racing/irregular heart rate, severe body aches, headache, and fatigue for 24-48 hours after immunization.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Hodgkin's disease, Mass
Clinical narrative: 8wks after receiving the vaccine she discovered a lump under her left arm. Soreness in the chest. Went to the dr and was dx with Hodgkin Lymphoma
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Ear pain, Muscular weakness, Neck pain
Clinical narrative: 2nd day slight pain at vaccination spot moved around to back of shoulder, gradually moving to top of shoulder, gradually moving up side of neck, stopping  under right ear. slight ear ache intermittent.  eventually an ache in upper right muscles in back developed, eventually moving to upper left muscles in back. slight weakening in these muscles as well as the musculature in the upper right arm.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: 2nd day slight pain at vaccination spot moved around to back of shoulder, gradually moving to top of shoulder, gradually moving up side of neck, stopping  under right ear. slight ear ache intermittent.  eventually an ache in upper right muscles in back developed, eventually moving to upper left muscles in back. slight weakening in these muscles as well as the musculature in the upper right arm.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Hepatic enzyme increased, Injury, Magnetic resonance imaging, Pruritus
Clinical narrative: I had the vaccine on aug 12th,  exactly one wk after i had blood drawn for routine labs.  my liver enzymes were majorly elevated.  Three weeks from the vaccine i broke out into a chest rash and sever itching head to toe.  Ultrasound,MRI and biopsy was done.  Medication was prescribed.  The rash and itching lasted 1 week.  7 weeks later the liver enzyme began dropping to almost normal.  There was an even bigger spike wk 3-4 post vaccine.  Treatment has seemed to be effective.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Ultrasound scan
Clinical narrative: I had the vaccine on aug 12th,  exactly one wk after i had blood drawn for routine labs.  my liver enzymes were majorly elevated.  Three weeks from the vaccine i broke out into a chest rash and sever itching head to toe.  Ultrasound,MRI and biopsy was done.  Medication was prescribed.  The rash and itching lasted 1 week.  7 weeks later the liver enzyme began dropping to almost normal.  There was an even bigger spike wk 3-4 post vaccine.  Treatment has seemed to be effective.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: pfizer 0.3 ml im given at covid booster clinic, pt also recived hd flu. found out after injection that he had moderna for the first two doses.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Device connection issue, Immunisation, Syringe issue
Clinical narrative: Vaccine leaked out at the syringe and hub connection. 2nd vaccine administered Needle-25Gx1m Lot 4155460 vaccine syringe- Lot UT7317JA
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Injection site pain, Injection site pruritus, Injection site swelling, Joint swelling
Clinical narrative: Itching, burning and swelling in the arm at injection site, began to spread down to wrist.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching, burning and swelling in the arm at injection site, began to spread down to wrist.
Age: 38.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: Arm pain( muscle pain) and body ache.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Exercise electrocardiogram
Clinical narrative: muscle fatigue, shortness of breath, heart rate spikes, chest pain, dizziness, headache, nausea
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Muscle fatigue, Nausea, Tilt table test
Clinical narrative: muscle fatigue, shortness of breath, heart rate spikes, chest pain, dizziness, headache, nausea
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Constipation, Cough, Dehydration
Clinical narrative: Patient Covid + on 10/06/2021 and vaccinated. Patient hospitalized Per Ed Note: 98-year-old male with past medical history of hypertension, hyperlipidemia, hypothyroidism, and anemia presented to the emergency department with complaint of weakness.  He describes the weakness as a lack of energy and generalized fatigue.  He states he saw his cardiologist 2 weeks ago because he had an abnormal EKG, stating he was told he had a "missed beat."  He states he had a follow-up appointment on Thursday, 9/30/2021 with his cardiologist.  He was told that his EKG is normal and that there is nothing to worry about.  During that appointment he noticed that he was having some constipation.  He was told to take magnesium citrate, and he did take that.  He states over the next 2 days he had multiple episodes of loose stool, and feels as if he may be dehydrated.  He now complains of some myalgias as well as some lightheadedness.  He states he does have a cough, this is nonproductive.  He also states some shortness of breath.  He denies any associated headache, vision changes, neck pain, back pain, chest pain, palpitations, syncope, abdominal pain, nausea, vomiting, dysuria, hematuria, extremity numbness or tingling, or focal weakness.  Patient's daughter was at the bedside and also stated that she believes he could be dehydrated because he has had similar issues when using laxatives; when he is been hydrated in the past he is presented similarly and has required IV hydration eventually goes home.
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Electrocardiogram abnormal, Electrocardiogram normal
Clinical narrative: Patient Covid + on 10/06/2021 and vaccinated. Patient hospitalized Per Ed Note: 98-year-old male with past medical history of hypertension, hyperlipidemia, hypothyroidism, and anemia presented to the emergency department with complaint of weakness.  He describes the weakness as a lack of energy and generalized fatigue.  He states he saw his cardiologist 2 weeks ago because he had an abnormal EKG, stating he was told he had a "missed beat."  He states he had a follow-up appointment on Thursday, 9/30/2021 with his cardiologist.  He was told that his EKG is normal and that there is nothing to worry about.  During that appointment he noticed that he was having some constipation.  He was told to take magnesium citrate, and he did take that.  He states over the next 2 days he had multiple episodes of loose stool, and feels as if he may be dehydrated.  He now complains of some myalgias as well as some lightheadedness.  He states he does have a cough, this is nonproductive.  He also states some shortness of breath.  He denies any associated headache, vision changes, neck pain, back pain, chest pain, palpitations, syncope, abdominal pain, nausea, vomiting, dysuria, hematuria, extremity numbness or tingling, or focal weakness.  Patient's daughter was at the bedside and also stated that she believes he could be dehydrated because he has had similar issues when using laxatives; when he is been hydrated in the past he is presented similarly and has required IV hydration eventually goes home.
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: Extrasystoles, Fatigue, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Patient Covid + on 10/06/2021 and vaccinated. Patient hospitalized Per Ed Note: 98-year-old male with past medical history of hypertension, hyperlipidemia, hypothyroidism, and anemia presented to the emergency department with complaint of weakness.  He describes the weakness as a lack of energy and generalized fatigue.  He states he saw his cardiologist 2 weeks ago because he had an abnormal EKG, stating he was told he had a "missed beat."  He states he had a follow-up appointment on Thursday, 9/30/2021 with his cardiologist.  He was told that his EKG is normal and that there is nothing to worry about.  During that appointment he noticed that he was having some constipation.  He was told to take magnesium citrate, and he did take that.  He states over the next 2 days he had multiple episodes of loose stool, and feels as if he may be dehydrated.  He now complains of some myalgias as well as some lightheadedness.  He states he does have a cough, this is nonproductive.  He also states some shortness of breath.  He denies any associated headache, vision changes, neck pain, back pain, chest pain, palpitations, syncope, abdominal pain, nausea, vomiting, dysuria, hematuria, extremity numbness or tingling, or focal weakness.  Patient's daughter was at the bedside and also stated that she believes he could be dehydrated because he has had similar issues when using laxatives; when he is been hydrated in the past he is presented similarly and has required IV hydration eventually goes home.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Myalgia, Pain in extremity, Tenderness
Clinical narrative: I was getting a massage 3 days after my second vaccine on 2/18/21 and when the massage therapist massaged my left arm it was so sore and tender she had to really lighten up. I had muscle soreness and diminished range of motion in my left arm until a week or two ago! The soreness at the injection location when rubbing it has nearly completely vanished. I still do not have complete range of motion, however the soreness in the upper arm has gone finally! It took me a long time to realize this was most likely a side effect from the shots, because my other arm hurt and has loss of range of motion. However, I did not do anything to my left arm other than get two vaccine shots in it.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nurse drawing up Moderna doses drew up and administered 0.3mL doses instead of 0.5mL. Patient was notified 10/06/21 and offered to received the additional 0.2mL to receive the full dose.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: A few hours after I received my first vaccination, after going to bed, I woke up with deep heart pain. It lasted for about 5 minutes. The next day I was sitting down on the couch and the deep heart pain started again. I took Advil for it and that seemed to help. Each day, for the next 7 days following the night I received the vaccination, I would get the same heart pain randomly and periodically. It wouldn't matter if I was sitting down, laying down or standing up and moving around, it just came on suddenly.  I realized that Advil would ease the pain, so I would take two Advil when the pain started. I had no other symptoms, as in shortness of breath or rapid heart beat, just the deep heart pain. Finally, around the seventh day after getting the vaccine I noticed that the intermittent heart pain was gone.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Expired product administered, Vaccination error
Clinical narrative: No adverse event reported.  This was a vaccination error.  The medical assistant assigned to this patient gave the vaccine which expired on 9/21/2021 to the patient.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nurse drawing up Moderna doses drew up and administered 0.3mL doses instead of 0.5mL. Patient was notified 10/06/21 and offered to received the additional 0.2mL to receive the full dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Hysteroscopy, Menometrorrhagia, Muscle spasms, Thrombosis
Clinical narrative: Missed my period in April. Started bleeding on May 15th and didn't stop for 5 months. Some days were lighter than others, but still bleeding every day. Had an OBGYN apt in June and they said it would regulate/reset soon. It didn't. Went back in July for an ultrasound (7/8) they gave me progesterone and said to stop when the bleeding got heavy.  I ended up getting my period (7/19) and then it stopped after 6 days. I started bleeding again on August 3rd and had a massive blood clot on the 5th. Started birth control on Sunday, August 8th. Bleeding eventually slowed and stopped. Was supposed to get my period the second week in September but on the 1st I had another blook clot and terrible cramping. Went to the OBGYN that day and they got me ready for surgery for the next day. That night I was in intense pain. Showed up for surgery- D&C, and hysteroscopy. Was dilated and in active labor.  They removed 27 mm of tissue from the uterus. The bleeding has since stopped and I am still on birth control, which I do not want to be on. Praying that I have regular periods for the next two cycles.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Missed my period in April. Started bleeding on May 15th and didn't stop for 5 months. Some days were lighter than others, but still bleeding every day. Had an OBGYN apt in June and they said it would regulate/reset soon. It didn't. Went back in July for an ultrasound (7/8) they gave me progesterone and said to stop when the bleeding got heavy.  I ended up getting my period (7/19) and then it stopped after 6 days. I started bleeding again on August 3rd and had a massive blood clot on the 5th. Started birth control on Sunday, August 8th. Bleeding eventually slowed and stopped. Was supposed to get my period the second week in September but on the 1st I had another blook clot and terrible cramping. Went to the OBGYN that day and they got me ready for surgery for the next day. That night I was in intense pain. Showed up for surgery- D&C, and hysteroscopy. Was dilated and in active labor.  They removed 27 mm of tissue from the uterus. The bleeding has since stopped and I am still on birth control, which I do not want to be on. Praying that I have regular periods for the next two cycles.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Injection site inflammation, Lymphadenitis, Vaccine positive rechallenge
Clinical narrative: Nodules inflammation upper left limb with radiation to the hand.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Condition aggravated, Cystitis, Fatigue, Headache
Clinical narrative: common reactions such as head ache, sore arm, tired, etc. Additional adverse event/reason for reporting is flare up of cystitis that has otherwise been under control.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: common reactions such as head ache, sore arm, tired, etc. Additional adverse event/reason for reporting is flare up of cystitis that has otherwise been under control.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nurse drawing up Moderna doses drew up and administered 0.3mL doses instead of 0.5mL. Patient was notified 10/06/21 and offered to received the additional 0.2mL to receive the full dose.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood pressure increased, COVID-19, Chills, Productive cough
Clinical narrative: Patient vaccinated and Covid + on 10/06/2021. Patient hospitalized Per ED Note: The patient is a 59-year-old male past medical history significant for insulin-dependent diabetes, HTN, HLD, COPD who is presenting to the emergency department with chief complaint of elevated blood pressure.  Patient is non-English speaking and interpreter was offered through the Martti system however patient's brother is at bedside and patient would prefer his brother to translate.  Went to his primary care physician because he was having subjective fevers and chills patient states that he was sent in by his primary care physician after being seen in clinic for elevated blood pressure.  Patient states that he and a productive cough for approximately 24 hours prior to arrival in the emergency department.  Patient states that he got a dose of his metoprolol at the clinic which she had not taken earlier in the day.  Patient states that he is overall feeling feverish and "weak."  Patient did receive his Covid vaccinations approximately 3 months prior to arrival in the emergency department.  Patient denies any sick contacts.  Patient denies any other acute complaints at this time. Patient denies any chest pain, abdominal pain, vomiting,  focal paresthesias, headache, blurred vision, decrease in urine output, dizziness, change in bowel or bladder habits, leg pain or edema or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated and Covid + on 10/06/2021. Patient hospitalized Per ED Note: The patient is a 59-year-old male past medical history significant for insulin-dependent diabetes, HTN, HLD, COPD who is presenting to the emergency department with chief complaint of elevated blood pressure.  Patient is non-English speaking and interpreter was offered through the Martti system however patient's brother is at bedside and patient would prefer his brother to translate.  Went to his primary care physician because he was having subjective fevers and chills patient states that he was sent in by his primary care physician after being seen in clinic for elevated blood pressure.  Patient states that he and a productive cough for approximately 24 hours prior to arrival in the emergency department.  Patient states that he got a dose of his metoprolol at the clinic which she had not taken earlier in the day.  Patient states that he is overall feeling feverish and "weak."  Patient did receive his Covid vaccinations approximately 3 months prior to arrival in the emergency department.  Patient denies any sick contacts.  Patient denies any other acute complaints at this time. Patient denies any chest pain, abdominal pain, vomiting,  focal paresthesias, headache, blurred vision, decrease in urine output, dizziness, change in bowel or bladder habits, leg pain or edema or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Gastrointestinal disorder, Laboratory test
Clinical narrative: Patient vaccinated and Covid + on 10/06/2021. Patient hospitalized Per ED Note: The patient is a 59-year-old male past medical history significant for insulin-dependent diabetes, HTN, HLD, COPD who is presenting to the emergency department with chief complaint of elevated blood pressure.  Patient is non-English speaking and interpreter was offered through the Martti system however patient's brother is at bedside and patient would prefer his brother to translate.  Went to his primary care physician because he was having subjective fevers and chills patient states that he was sent in by his primary care physician after being seen in clinic for elevated blood pressure.  Patient states that he and a productive cough for approximately 24 hours prior to arrival in the emergency department.  Patient states that he got a dose of his metoprolol at the clinic which she had not taken earlier in the day.  Patient states that he is overall feeling feverish and "weak."  Patient did receive his Covid vaccinations approximately 3 months prior to arrival in the emergency department.  Patient denies any sick contacts.  Patient denies any other acute complaints at this time. Patient denies any chest pain, abdominal pain, vomiting,  focal paresthesias, headache, blurred vision, decrease in urine output, dizziness, change in bowel or bladder habits, leg pain or edema or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood pressure increased, COVID-19, Chills, Productive cough
Clinical narrative: SOB , GI
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: SOB , GI
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Gastrointestinal disorder, Laboratory test
Clinical narrative: SOB , GI
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac assistance device user, Condition aggravated, Cough, Dysgeusia
Clinical narrative: Pt is a 63 y.o. male with PMH of seizure disorder, recently + for covid-19, GERD who presented to the hospital for query seizure like episode and hypoxia   The patient appeared to be lethargic on interview but was able to provide sufficient history. He noted that he was tested positive for covid-19 10 days ago and his symptoms were mostly fatigue. He has not felt shortness of breath but does endorse some pleurisy pain on inspiration. No subjective fever but he said "someone said I had a fever today". He was recently out of quarantine and sent back to shelter today where he stated that he felt he is having a seizure as he had some eccentric taste in his mouth. No tonic-clonic activity noticed and he has been off his AEDs for about 10 days. He was brought to the ED for evaluation. He was found to be hypoxic around 88% on initial evaluation but was noted saturating in the mid to high 90s on my evaluation on RA.   Respiratory: Positive for cough. Negative for shortness of breath.    On Discharge:  63 y.o. male with history of focal epilepsy, non-small cell lung adenocarcinoma, GERD, COPD and coronary artery disease who presented to the emergency department on 8/28 with concern for pre-seizure aura. His auras are normally a strange taste in his mouth. Patient had recently been without his antiepileptic medications during a 10 day quarantine at a hotel provided by the health department. Patient is currently staying at the a local home shelter.     On arrival patient was reportedly hypoxic, however patient was quickly weaned off of his supplemental oxygen by time of admission. During his short stay he had no seizure-like episodes. His neurological examination is non-focal. He was restarted on his home anti-epileptic medications as well as flonase and a short course of afrin for sinus congestion (chronic, likely worsened by recent COVID infection). Patient has several chronic medical issues, as below, that require close follow-up. Patient does not have a primary care provider. He will follow-up with me in clinic on Wednesday. Patient was provided a bus pass to get to this appointment.   Pt discharged to where he resides at the (home shelter)
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoxia, Lethargy, Painful respiration, Pleurisy
Clinical narrative: Pt is a 63 y.o. male with PMH of seizure disorder, recently + for covid-19, GERD who presented to the hospital for query seizure like episode and hypoxia   The patient appeared to be lethargic on interview but was able to provide sufficient history. He noted that he was tested positive for covid-19 10 days ago and his symptoms were mostly fatigue. He has not felt shortness of breath but does endorse some pleurisy pain on inspiration. No subjective fever but he said "someone said I had a fever today". He was recently out of quarantine and sent back to shelter today where he stated that he felt he is having a seizure as he had some eccentric taste in his mouth. No tonic-clonic activity noticed and he has been off his AEDs for about 10 days. He was brought to the ED for evaluation. He was found to be hypoxic around 88% on initial evaluation but was noted saturating in the mid to high 90s on my evaluation on RA.   Respiratory: Positive for cough. Negative for shortness of breath.    On Discharge:  63 y.o. male with history of focal epilepsy, non-small cell lung adenocarcinoma, GERD, COPD and coronary artery disease who presented to the emergency department on 8/28 with concern for pre-seizure aura. His auras are normally a strange taste in his mouth. Patient had recently been without his antiepileptic medications during a 10 day quarantine at a hotel provided by the health department. Patient is currently staying at the a local home shelter.     On arrival patient was reportedly hypoxic, however patient was quickly weaned off of his supplemental oxygen by time of admission. During his short stay he had no seizure-like episodes. His neurological examination is non-focal. He was restarted on his home anti-epileptic medications as well as flonase and a short course of afrin for sinus congestion (chronic, likely worsened by recent COVID infection). Patient has several chronic medical issues, as below, that require close follow-up. Patient does not have a primary care provider. He will follow-up with me in clinic on Wednesday. Patient was provided a bus pass to get to this appointment.   Pt discharged to where he resides at the (home shelter)
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleuritic pain, Pyrexia, SARS-CoV-2 test positive, Seizure, Seizure like phenomena
Clinical narrative: Pt is a 63 y.o. male with PMH of seizure disorder, recently + for covid-19, GERD who presented to the hospital for query seizure like episode and hypoxia   The patient appeared to be lethargic on interview but was able to provide sufficient history. He noted that he was tested positive for covid-19 10 days ago and his symptoms were mostly fatigue. He has not felt shortness of breath but does endorse some pleurisy pain on inspiration. No subjective fever but he said "someone said I had a fever today". He was recently out of quarantine and sent back to shelter today where he stated that he felt he is having a seizure as he had some eccentric taste in his mouth. No tonic-clonic activity noticed and he has been off his AEDs for about 10 days. He was brought to the ED for evaluation. He was found to be hypoxic around 88% on initial evaluation but was noted saturating in the mid to high 90s on my evaluation on RA.   Respiratory: Positive for cough. Negative for shortness of breath.    On Discharge:  63 y.o. male with history of focal epilepsy, non-small cell lung adenocarcinoma, GERD, COPD and coronary artery disease who presented to the emergency department on 8/28 with concern for pre-seizure aura. His auras are normally a strange taste in his mouth. Patient had recently been without his antiepileptic medications during a 10 day quarantine at a hotel provided by the health department. Patient is currently staying at the a local home shelter.     On arrival patient was reportedly hypoxic, however patient was quickly weaned off of his supplemental oxygen by time of admission. During his short stay he had no seizure-like episodes. His neurological examination is non-focal. He was restarted on his home anti-epileptic medications as well as flonase and a short course of afrin for sinus congestion (chronic, likely worsened by recent COVID infection). Patient has several chronic medical issues, as below, that require close follow-up. Patient does not have a primary care provider. He will follow-up with me in clinic on Wednesday. Patient was provided a bus pass to get to this appointment.   Pt discharged to where he resides at the (home shelter)
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sinus congestion
Clinical narrative: Pt is a 63 y.o. male with PMH of seizure disorder, recently + for covid-19, GERD who presented to the hospital for query seizure like episode and hypoxia   The patient appeared to be lethargic on interview but was able to provide sufficient history. He noted that he was tested positive for covid-19 10 days ago and his symptoms were mostly fatigue. He has not felt shortness of breath but does endorse some pleurisy pain on inspiration. No subjective fever but he said "someone said I had a fever today". He was recently out of quarantine and sent back to shelter today where he stated that he felt he is having a seizure as he had some eccentric taste in his mouth. No tonic-clonic activity noticed and he has been off his AEDs for about 10 days. He was brought to the ED for evaluation. He was found to be hypoxic around 88% on initial evaluation but was noted saturating in the mid to high 90s on my evaluation on RA.   Respiratory: Positive for cough. Negative for shortness of breath.    On Discharge:  63 y.o. male with history of focal epilepsy, non-small cell lung adenocarcinoma, GERD, COPD and coronary artery disease who presented to the emergency department on 8/28 with concern for pre-seizure aura. His auras are normally a strange taste in his mouth. Patient had recently been without his antiepileptic medications during a 10 day quarantine at a hotel provided by the health department. Patient is currently staying at the a local home shelter.     On arrival patient was reportedly hypoxic, however patient was quickly weaned off of his supplemental oxygen by time of admission. During his short stay he had no seizure-like episodes. His neurological examination is non-focal. He was restarted on his home anti-epileptic medications as well as flonase and a short course of afrin for sinus congestion (chronic, likely worsened by recent COVID infection). Patient has several chronic medical issues, as below, that require close follow-up. Patient does not have a primary care provider. He will follow-up with me in clinic on Wednesday. Patient was provided a bus pass to get to this appointment.   Pt discharged to where he resides at the (home shelter)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: Nurse drawing up Moderna doses drew up and administered 0.3mL doses instead of 0.5mL. Patient was notified 10/06/21 and offered to received the additional 0.2mL to receive the full dose.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, COVID-19 pneumonia, Cardioversion, Ejection fraction decreased, Electrocardiogram ST segment elevation
Clinical narrative: Transfer from clinic where patient was attempting to receive monoclonal antibody infusion when found to be hypoxic with  SPO2 in low 80s. Upon arrival to our hospital vomited and underwent seizure like activity and lost pulse. CPR initiated with v tach.  Defibrillated, intubated, started on amiodarone drip. Developed shock and started on levophed and propofol drips.  STAT EKG showed ST elevation, code STEMI was called. Ejection fraction 15%. Started on remdesevir for covid pneumonia but stopped due to liver failure. Given dexamethasone. Developed right sided pneumothorax and developed renal failure requiring CRRT. Increasing respiratory failure with max vent settings and flolan. Family decided to transition to comfort care.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Haemofiltration, Hepatic failure, Hypoxia, Mechanical ventilation
Clinical narrative: Transfer from clinic where patient was attempting to receive monoclonal antibody infusion when found to be hypoxic with  SPO2 in low 80s. Upon arrival to our hospital vomited and underwent seizure like activity and lost pulse. CPR initiated with v tach.  Defibrillated, intubated, started on amiodarone drip. Developed shock and started on levophed and propofol drips.  STAT EKG showed ST elevation, code STEMI was called. Ejection fraction 15%. Started on remdesevir for covid pneumonia but stopped due to liver failure. Given dexamethasone. Developed right sided pneumothorax and developed renal failure requiring CRRT. Increasing respiratory failure with max vent settings and flolan. Family decided to transition to comfort care.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pneumothorax, Pulse absent, Respiratory failure, Resuscitation
Clinical narrative: Transfer from clinic where patient was attempting to receive monoclonal antibody infusion when found to be hypoxic with  SPO2 in low 80s. Upon arrival to our hospital vomited and underwent seizure like activity and lost pulse. CPR initiated with v tach.  Defibrillated, intubated, started on amiodarone drip. Developed shock and started on levophed and propofol drips.  STAT EKG showed ST elevation, code STEMI was called. Ejection fraction 15%. Started on remdesevir for covid pneumonia but stopped due to liver failure. Given dexamethasone. Developed right sided pneumothorax and developed renal failure requiring CRRT. Increasing respiratory failure with max vent settings and flolan. Family decided to transition to comfort care.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure like phenomena, Shock, Ventricular tachycardia, Vomiting
Clinical narrative: Transfer from clinic where patient was attempting to receive monoclonal antibody infusion when found to be hypoxic with  SPO2 in low 80s. Upon arrival to our hospital vomited and underwent seizure like activity and lost pulse. CPR initiated with v tach.  Defibrillated, intubated, started on amiodarone drip. Developed shock and started on levophed and propofol drips.  STAT EKG showed ST elevation, code STEMI was called. Ejection fraction 15%. Started on remdesevir for covid pneumonia but stopped due to liver failure. Given dexamethasone. Developed right sided pneumothorax and developed renal failure requiring CRRT. Increasing respiratory failure with max vent settings and flolan. Family decided to transition to comfort care.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardioversion, Death, Hypoxia, Mechanical ventilation
Clinical narrative: Transfer from clinic where patient was attempting to receive monoclonal antibody infusion when found to be hypoxic with  SPO2 in low 80s. Upon arrival to our hospital vomited and underwent seizure like activity and lost pulse. CPR initiated with v tach.  Defibrillated, intubated, started on amiodarone drip. Developed shock and started on levophed and propofol drips.  STAT EKG showed ST elevation, code STEMI was called. Ejection fraction 15%. Started on remdesevir for covid pneumonia but stopped due to liver failure. Given dexamethasone. Developed right sided pneumothorax and developed renal failure requiring CRRT. Increasing respiratory failure with max vent settings and flolan. Family decided to transition to comfort care.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumothorax, Pulse absent, Renal failure, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: Transfer from clinic where patient was attempting to receive monoclonal antibody infusion when found to be hypoxic with  SPO2 in low 80s. Upon arrival to our hospital vomited and underwent seizure like activity and lost pulse. CPR initiated with v tach.  Defibrillated, intubated, started on amiodarone drip. Developed shock and started on levophed and propofol drips.  STAT EKG showed ST elevation, code STEMI was called. Ejection fraction 15%. Started on remdesevir for covid pneumonia but stopped due to liver failure. Given dexamethasone. Developed right sided pneumothorax and developed renal failure requiring CRRT. Increasing respiratory failure with max vent settings and flolan. Family decided to transition to comfort care.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: Transfer from clinic where patient was attempting to receive monoclonal antibody infusion when found to be hypoxic with  SPO2 in low 80s. Upon arrival to our hospital vomited and underwent seizure like activity and lost pulse. CPR initiated with v tach.  Defibrillated, intubated, started on amiodarone drip. Developed shock and started on levophed and propofol drips.  STAT EKG showed ST elevation, code STEMI was called. Ejection fraction 15%. Started on remdesevir for covid pneumonia but stopped due to liver failure. Given dexamethasone. Developed right sided pneumothorax and developed renal failure requiring CRRT. Increasing respiratory failure with max vent settings and flolan. Family decided to transition to comfort care.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dyspnoea, Erythema, Paraesthesia oral, Skin warm
Clinical narrative: I developed facial swelling and hives all over my body. My body felt like it was on fire. My  skin was red and hot.  I begin to have SOB and my tongue  was tingling
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: I developed facial swelling and hives all over my body. My body felt like it was on fire. My  skin was red and hot.  I begin to have SOB and my tongue  was tingling
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nurse drawing up Moderna doses drew up and administered 0.3mL doses instead of 0.5mL. Patient was notified 10/06/21 and offered to received the additional 0.2mL to receive the full dose.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID PCR Positive on 9-25-21 after receiving both vaccinations
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Nausea, Vomiting
Clinical narrative: SOB, Weakness, Nausea with vomiting.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and painful cervical lymph nodes on left side.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Pain and swelling in right armpit (Axillary lymph nodes).  Treatment: tyenol as directed for pain.  Outcome: resolving on day 3 after day of injection.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Dizziness, Injection site pain
Clinical narrative: Received Pfizer booster 10/5 in the morning, later in the afternoon started to experience nausea, dizziness, lightheadedness, weakness, chills, runny nose, cough, left arm sore at injection site.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Rhinorrhoea
Clinical narrative: Received Pfizer booster 10/5 in the morning, later in the afternoon started to experience nausea, dizziness, lightheadedness, weakness, chills, runny nose, cough, left arm sore at injection site.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood iron, Differential white blood cell count, Fibrin D dimer, Full blood count, Hypoaesthesia
Clinical narrative: Around 9/18 I started having a restless leg feeling in my right leg.  My leg would alternate between feeling heavy/numb to tingling.  About 6 or so days later the restless feeling turned to leg pain.  On 9/25 the pain was primarily in my right calf.  The pain is an aching throbbing pain.  The skin on my calf hurt to just touch it.  On 10/01/21 I went to Urgent Care for the calf pain.  They did lab work to rule out a clot.  Those lab results came back normal except there was an indication that I may be anemic.  About 6 hours after I left Urgent Care on 10/1 my right foot started tingling.  The pain in my foot alternated between an achy, throbbing pain to tingling and numbness in the heel and toe area.  I also noticed a small rash developing on my heel area.  On 1004/2021 I received my second does of the Pfizer vaccine.  On 10/06/21 I returned to Urgent Care because the pain in my right foot was getting worse.  When I walk it feels like I am being poked with pins and needles.  I have been unable to follow up with my PCP due to her being out of her office due to illness.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Iron binding capacity total, Laboratory test, Limb discomfort, Metabolic function test, Pain
Clinical narrative: Around 9/18 I started having a restless leg feeling in my right leg.  My leg would alternate between feeling heavy/numb to tingling.  About 6 or so days later the restless feeling turned to leg pain.  On 9/25 the pain was primarily in my right calf.  The pain is an aching throbbing pain.  The skin on my calf hurt to just touch it.  On 10/01/21 I went to Urgent Care for the calf pain.  They did lab work to rule out a clot.  Those lab results came back normal except there was an indication that I may be anemic.  About 6 hours after I left Urgent Care on 10/1 my right foot started tingling.  The pain in my foot alternated between an achy, throbbing pain to tingling and numbness in the heel and toe area.  I also noticed a small rash developing on my heel area.  On 1004/2021 I received my second does of the Pfizer vaccine.  On 10/06/21 I returned to Urgent Care because the pain in my right foot was getting worse.  When I walk it feels like I am being poked with pins and needles.  I have been unable to follow up with my PCP due to her being out of her office due to illness.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Rash, Restless legs syndrome, Sensitive skin
Clinical narrative: Around 9/18 I started having a restless leg feeling in my right leg.  My leg would alternate between feeling heavy/numb to tingling.  About 6 or so days later the restless feeling turned to leg pain.  On 9/25 the pain was primarily in my right calf.  The pain is an aching throbbing pain.  The skin on my calf hurt to just touch it.  On 10/01/21 I went to Urgent Care for the calf pain.  They did lab work to rule out a clot.  Those lab results came back normal except there was an indication that I may be anemic.  About 6 hours after I left Urgent Care on 10/1 my right foot started tingling.  The pain in my foot alternated between an achy, throbbing pain to tingling and numbness in the heel and toe area.  I also noticed a small rash developing on my heel area.  On 1004/2021 I received my second does of the Pfizer vaccine.  On 10/06/21 I returned to Urgent Care because the pain in my right foot was getting worse.  When I walk it feels like I am being poked with pins and needles.  I have been unable to follow up with my PCP due to her being out of her office due to illness.