chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary normal, Asthenia, Brain natriuretic peptide increased, Bronchitis, COVID-19
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiac failure, Cardiac failure acute, Cardiac failure congestive, Chest X-ray abnormal
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cholecystitis, Computerised tomogram thorax, Cough, Diastolic dysfunction
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Fatigue, Full blood count normal, Hypotension, Hypoxia
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Metabolic function test abnormal, Nausea, Oedema peripheral, Oxygen saturation decreased
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pacemaker generated rhythm, Pleural effusion, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Syncope, Tachypnoea, Ventricular hypokinesia
Clinical narrative: Hospitalized;  COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated)  Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia  Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19    HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath.  He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness.  On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed.  He states that since then he has had increasing shortness of breath.  Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air.  He presented to the emergency department after realizing he was hypoxic on room air.  In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP was remarkable for chronic kidney disease.   BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm.  Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis.  Additionally, it shows diastolic dysfunction stage I.  Suspect hypoxia related to COVID-19 pneumonia.  Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure.   Patient was admitted and diuresed with Lasix.  Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%.  He diuresed well with improvement of his renal function to his baseline.  He was treated with steroids and remdesivir.  He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough.  With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care.  He will follow salt and fluid restrictions, and his Lasix was increased to twice daily.  He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week.  He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case.  Positive Covid results by PCR test
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cough, Dehydration, Diarrhoea
Clinical narrative: 08/29/2021- Heart rate increased dramatically. resting heart rate is 50, heart rate was at 150. 08/30/2021- Diarrhea for 16 hours, followed by dehydration and headache, continued heart rate increase 08/31/2021-  fever of 103, followed by sweats and chills, continued heart rate increase 09/01/2021-runny nose, red eyes, continued heart rate increase 09/02/2021- dry cough and very congested, continued heart rate increase 09/03/2021- chest pain and continued heart rate increase
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hyperhidrosis, Nasal congestion, Ocular hyperaemia
Clinical narrative: 08/29/2021- Heart rate increased dramatically. resting heart rate is 50, heart rate was at 150. 08/30/2021- Diarrhea for 16 hours, followed by dehydration and headache, continued heart rate increase 08/31/2021-  fever of 103, followed by sweats and chills, continued heart rate increase 09/01/2021-runny nose, red eyes, continued heart rate increase 09/02/2021- dry cough and very congested, continued heart rate increase 09/03/2021- chest pain and continued heart rate increase
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: 08/29/2021- Heart rate increased dramatically. resting heart rate is 50, heart rate was at 150. 08/30/2021- Diarrhea for 16 hours, followed by dehydration and headache, continued heart rate increase 08/31/2021-  fever of 103, followed by sweats and chills, continued heart rate increase 09/01/2021-runny nose, red eyes, continued heart rate increase 09/02/2021- dry cough and very congested, continued heart rate increase 09/03/2021- chest pain and continued heart rate increase
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial pain, Hypoaesthesia, Laboratory test, Neck pain, Pain
Clinical narrative: burning /pain in hand the arm then feet . pain moved up shooting pain and stabbing in arms and feet. later numb feeling in hip.. later numb  up to abdomen too and then neck face and jaw pain.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pain in jaw
Clinical narrative: burning /pain in hand the arm then feet . pain moved up shooting pain and stabbing in arms and feet. later numb feeling in hip.. later numb  up to abdomen too and then neck face and jaw pain.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: burning /pain in hand the arm then feet . pain moved up shooting pain and stabbing in arms and feet. later numb feeling in hip.. later numb  up to abdomen too and then neck face and jaw pain.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Had hives on my legs, back, and arms for about 7 days.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: MUSCLE PAIN, HEADACHE, SHIVERING , FEVER
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This case meets vaccine breakthrough criteria review; known COVID exposure.  SxS include fatigue, cough
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose of Vaccine given 14 days after first dose.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, Blood thyroid stimulating hormone normal, Dizziness, Fatigue, Full blood count normal
Clinical narrative: Severe fatigue, HA, nausea and dizziness since 8/17, pt received vaccine 8/16
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Metabolic function test normal, Nausea
Clinical narrative: Severe fatigue, HA, nausea and dizziness since 8/17, pt received vaccine 8/16
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood lactic acid normal, COVID-19, Chest X-ray normal, Chills
Clinical narrative: Hospitalized;  COVID-19 positive 8.28.21;  admitted for COVID (fully vaccinated - 3 doses of Pfizer vaccine recevied)   Admission Date: 8/29/2021 Discharge Date: 08/30/2021 Admitting Diagnoses: COVID-19 PRESENTING PROBLEM:  COVID-19   HOSPITAL COURSE: Patient is a 87 y.o. man who presented to the emergency department with complaints of cough and shortness of breath.  He has past medical history of chronic obstructive pulmonary disease, OSA with CPAP use, hypertension, hyperlipidemia, SVT, and CKD. Patient  received a COVID-19 booster vaccine on Tuesday, 08/24/2021.  Shortly after that time, he he developed a cough with shortness of breath.  The cough had been worsening which prompted him to present to the emergency department for further evaluation.  He additionally complained of fever, chills, weakness, and sputum production.     In the emergency department, patient was febrile, tachycardic, hypertensive, and required supplemental oxygen to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP showed CKD.  Lactic acid was 1.3.  COVID-19 was positive.  Chest x-ray showed no acute cardiopulmonary disease.  Patient has been transferred and admitted to the hospital for further evaluation and management of COVID-19.   He was started on decadron and remdesivir. His procalcitonin was mildly elevated and was started on rocephin and azithromycin. He was initially requiring supplemental o2 and successfully weaned off. He was discharged home on decadron and azithromycin.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Full blood count normal, Hypertension
Clinical narrative: Hospitalized;  COVID-19 positive 8.28.21;  admitted for COVID (fully vaccinated - 3 doses of Pfizer vaccine recevied)   Admission Date: 8/29/2021 Discharge Date: 08/30/2021 Admitting Diagnoses: COVID-19 PRESENTING PROBLEM:  COVID-19   HOSPITAL COURSE: Patient is a 87 y.o. man who presented to the emergency department with complaints of cough and shortness of breath.  He has past medical history of chronic obstructive pulmonary disease, OSA with CPAP use, hypertension, hyperlipidemia, SVT, and CKD. Patient  received a COVID-19 booster vaccine on Tuesday, 08/24/2021.  Shortly after that time, he he developed a cough with shortness of breath.  The cough had been worsening which prompted him to present to the emergency department for further evaluation.  He additionally complained of fever, chills, weakness, and sputum production.     In the emergency department, patient was febrile, tachycardic, hypertensive, and required supplemental oxygen to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP showed CKD.  Lactic acid was 1.3.  COVID-19 was positive.  Chest x-ray showed no acute cardiopulmonary disease.  Patient has been transferred and admitted to the hospital for further evaluation and management of COVID-19.   He was started on decadron and remdesivir. His procalcitonin was mildly elevated and was started on rocephin and azithromycin. He was initially requiring supplemental o2 and successfully weaned off. He was discharged home on decadron and azithromycin.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metabolic function test abnormal, Procalcitonin increased, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized;  COVID-19 positive 8.28.21;  admitted for COVID (fully vaccinated - 3 doses of Pfizer vaccine recevied)   Admission Date: 8/29/2021 Discharge Date: 08/30/2021 Admitting Diagnoses: COVID-19 PRESENTING PROBLEM:  COVID-19   HOSPITAL COURSE: Patient is a 87 y.o. man who presented to the emergency department with complaints of cough and shortness of breath.  He has past medical history of chronic obstructive pulmonary disease, OSA with CPAP use, hypertension, hyperlipidemia, SVT, and CKD. Patient  received a COVID-19 booster vaccine on Tuesday, 08/24/2021.  Shortly after that time, he he developed a cough with shortness of breath.  The cough had been worsening which prompted him to present to the emergency department for further evaluation.  He additionally complained of fever, chills, weakness, and sputum production.     In the emergency department, patient was febrile, tachycardic, hypertensive, and required supplemental oxygen to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP showed CKD.  Lactic acid was 1.3.  COVID-19 was positive.  Chest x-ray showed no acute cardiopulmonary disease.  Patient has been transferred and admitted to the hospital for further evaluation and management of COVID-19.   He was started on decadron and remdesivir. His procalcitonin was mildly elevated and was started on rocephin and azithromycin. He was initially requiring supplemental o2 and successfully weaned off. He was discharged home on decadron and azithromycin.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: Hospitalized;  COVID-19 positive 8.28.21;  admitted for COVID (fully vaccinated - 3 doses of Pfizer vaccine recevied)   Admission Date: 8/29/2021 Discharge Date: 08/30/2021 Admitting Diagnoses: COVID-19 PRESENTING PROBLEM:  COVID-19   HOSPITAL COURSE: Patient is a 87 y.o. man who presented to the emergency department with complaints of cough and shortness of breath.  He has past medical history of chronic obstructive pulmonary disease, OSA with CPAP use, hypertension, hyperlipidemia, SVT, and CKD. Patient  received a COVID-19 booster vaccine on Tuesday, 08/24/2021.  Shortly after that time, he he developed a cough with shortness of breath.  The cough had been worsening which prompted him to present to the emergency department for further evaluation.  He additionally complained of fever, chills, weakness, and sputum production.     In the emergency department, patient was febrile, tachycardic, hypertensive, and required supplemental oxygen to maintain a saturation greater than 90%.  Complete blood count was unremarkable.  BMP showed CKD.  Lactic acid was 1.3.  COVID-19 was positive.  Chest x-ray showed no acute cardiopulmonary disease.  Patient has been transferred and admitted to the hospital for further evaluation and management of COVID-19.   He was started on decadron and remdesivir. His procalcitonin was mildly elevated and was started on rocephin and azithromycin. He was initially requiring supplemental o2 and successfully weaned off. He was discharged home on decadron and azithromycin.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Paraesthesia
Clinical narrative: She said she woke up 09/03/2021 0100 with severe nausea, dizziness.  she stood up to go to the bathroom and passed out.  She said her arms felt like pins and needles were in them
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Dyspnoea exertional
Clinical narrative: 76 year old female who presented to the emergency room with malaise, weakness for two weeks; she took her covid vaccine in February and tested positive a week ago; she has had a cough and fatigue; she had fevers but not for the last few days; she has had poor appetite and poor po intake; she has been short of air with exertion. Required inpatient admission to telemetry unit.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypophagia, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 76 year old female who presented to the emergency room with malaise, weakness for two weeks; she took her covid vaccine in February and tested positive a week ago; she has had a cough and fatigue; she had fevers but not for the last few days; she has had poor appetite and poor po intake; she has been short of air with exertion. Required inpatient admission to telemetry unit.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram ST segment elevation, Myocarditis, Pain
Clinical narrative: Myo/pericarditis which started on 08/31. Pt presented to Hospital on 08/31. Treated with colchicine and ibuprofen. Pain improved and troponin trended down. Pt was discharged on 09/02.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Myo/pericarditis which started on 08/31. Pt presented to Hospital on 08/31. Treated with colchicine and ibuprofen. Pain improved and troponin trended down. Pt was discharged on 09/02.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 9/2/21 after being fully vaccinated.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Headache, Influenza like illness, Pain
Clinical narrative: So for about several minutes after the vaccine, I had a weird feeling in my head. I can't describe it, it wasn't a headache, it was sort of like a buzz. The other thing was that on July 22, 2021, I felt hot and was feverish, my legs ached and my arms ached. I had a headache and felt like I had the flu. That persisted for about three and a half weeks. I contacted my DR on July 22 2021 because I thought I had Covid or the Flu. The DR suggested Tylenol and gave me Z-pak as well.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sensory disturbance
Clinical narrative: So for about several minutes after the vaccine, I had a weird feeling in my head. I can't describe it, it wasn't a headache, it was sort of like a buzz. The other thing was that on July 22, 2021, I felt hot and was feverish, my legs ached and my arms ached. I had a headache and felt like I had the flu. That persisted for about three and a half weeks. I contacted my DR on July 22 2021 because I thought I had Covid or the Flu. The DR suggested Tylenol and gave me Z-pak as well.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Respiratory tract congestion, Rhinorrhoea, Swelling face
Clinical narrative: FLU LIKE SYPMTOMS ALONG WITH RUNNY NOSE AND CONGESTION. PT REPORTS MINOR SWELLING ON LEFT SIDE OF FACE.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization with COVID after being fully vaccinated.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fear of injection, Migraine
Clinical narrative: Patient felt dizzy and sat on floor.  May have lost consciousness.  Pulse oximeter on finger showed 90%+ oxygen and pulse of 69-72.  Called ambulance and patient was transported to hospital.  Phone call to patient on 8/19/21 - "stressed from chiropractic appointment migraine and fear of needles/shot" reported by patient. He was feeling well.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness, Swelling
Clinical narrative: pt complains of swelling and stiffness in area between neck and shoulder
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Dysgeusia, Dysphagia, Dyspnoea
Clinical narrative: Within a few minutes experienced tightness in my chest, difficulty swallowing and catching my breath and then feeling like my throat and tongue were swollen and a metallic taste in my mouth that lingered for over an hour. Elevated blood pressure, but oxygen levels were ok. Was monitored for 30 minutes until blood pressure returned normal and i could swallow. Returned home and took 4 benadryl over the course of 4 hours, throat, mouth and tongue remained swollen through Thursday, 19 AUG - PCP ordered prednisone which was taken starting Wednesday. Upon removing bandaid from injection site - there were hives and irritation, arm was swollen and painful for over 4 days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site irritation, Injection site urticaria, Mouth swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Within a few minutes experienced tightness in my chest, difficulty swallowing and catching my breath and then feeling like my throat and tongue were swollen and a metallic taste in my mouth that lingered for over an hour. Elevated blood pressure, but oxygen levels were ok. Was monitored for 30 minutes until blood pressure returned normal and i could swallow. Returned home and took 4 benadryl over the course of 4 hours, throat, mouth and tongue remained swollen through Thursday, 19 AUG - PCP ordered prednisone which was taken starting Wednesday. Upon removing bandaid from injection site - there were hives and irritation, arm was swollen and painful for over 4 days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swollen tongue
Clinical narrative: Within a few minutes experienced tightness in my chest, difficulty swallowing and catching my breath and then feeling like my throat and tongue were swollen and a metallic taste in my mouth that lingered for over an hour. Elevated blood pressure, but oxygen levels were ok. Was monitored for 30 minutes until blood pressure returned normal and i could swallow. Returned home and took 4 benadryl over the course of 4 hours, throat, mouth and tongue remained swollen through Thursday, 19 AUG - PCP ordered prednisone which was taken starting Wednesday. Upon removing bandaid from injection site - there were hives and irritation, arm was swollen and painful for over 4 days.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonitis
Clinical narrative: pneumonitis
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Chills, Dyspnoea, Fatigue
Clinical narrative: After my vaccine, I had the normal reaction. 2 weeks. Extreme fatigue, fever and chills came went, extreme fatigue did not stop, it lasted about 6 months and still haven't stopped completely. A month ago, I saw the doctor. I asked if I was dying. Shortness of breathe.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After my vaccine, I had the normal reaction. 2 weeks. Extreme fatigue, fever and chills came went, extreme fatigue did not stop, it lasted about 6 months and still haven't stopped completely. A month ago, I saw the doctor. I asked if I was dying. Shortness of breathe.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 9/2/21 after being fully vaccinated.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity, X-ray limb normal
Clinical narrative: A few weeks after the vaccine I woke up to a super sore left arm. The pain was so terrible I couldn't lift it or anything. I suffered for about a month with this pain and on 7/19 I went to my Orthopedic Dr. who took an X-ray but saw nothing but gave me a shot of Cortisone in the arm. The pain slowly diminished after about 2 weeks later along with exercises and hasn't come back since.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chromaturia, Intermenstrual bleeding, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding that began with a slight red coloration in the urine, as the days progressed the red coloration was transformed into bleeding; as if it were menstruation, however, in a matter of my period I was already on the 16th day of my menstrual cycle, my last menstruation began on August 19 and ended on August 24. My next period was scheduled to run until September 16th.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Heart rate irregular
Clinical narrative: Irregular heart beat, chest pain, dizziness, shortness of breath.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in fridge
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Non linear tinnitus; left ear.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired in fridge
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive on 9/3/2021
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization with covid after being fully vaccinated for covid
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Catheterisation cardiac normal, Chest X-ray, Chest pain, Enzyme level test
Clinical narrative: ACCUTE CHEST PAIN/ HEART ATTACK -PAIN DOWN BOTH ARMS, NAUSEA, EMT ADMIN  NITROGLYSERIN & BABY ASPIRIN ADMITTED TO HOSPITAL - CHEST XRAY -BLOOD WORK ENZYME LEVEL 4.6  - HAD CATHERIZATION, NO BLOCKED ARTERIES, NO HEART DAMAGE
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction, Myocardial necrosis marker, Nausea, Pain in extremity
Clinical narrative: ACCUTE CHEST PAIN/ HEART ATTACK -PAIN DOWN BOTH ARMS, NAUSEA, EMT ADMIN  NITROGLYSERIN & BABY ASPIRIN ADMITTED TO HOSPITAL - CHEST XRAY -BLOOD WORK ENZYME LEVEL 4.6  - HAD CATHERIZATION, NO BLOCKED ARTERIES, NO HEART DAMAGE
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 9/2/21 after being fully vaccinated.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure during pregnancy, SARS-CoV-2 test positive, Sinus congestion, Visual impairment
Clinical narrative: MD note from 8/30/21 mentions patient reporting sinus congestion being treated with Robitussin. Pt also reporting  increased vision changes within the last several days she has noticed black spots in her field of vision. Patient had tested negative for COVID at least once per MD note from 8/30/21. COVID test ordered when patient presented on admission for delivery. Tested 9/2/21, resulted positive.  Pregnancy history: 38w5d Estimated date of delivery: 9/3/21 Unknown birth weight