chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cataract operation, Cerebral artery stenosis, Cerebral atrophy, Cerebral infarction, Cerebral ischaemia
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral small vessel ischaemic disease, Cerebral ventricle dilatation, Cerebrovascular accident, Cerebrovascular disorder, Chest X-ray abnormal
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Chronic left ventricular failure, Computerised tomogram abnormal, Computerised tomogram head abnormal, Computerised tomogram neck
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Coronary artery disease, Dry skin, Dyspnoea, Encephalopathy
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Haemostasis, Hemiparesis, Hydrocephalus, Hypertension, Interventional procedure
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, Lung infiltration, Magnetic resonance imaging head abnormal, Mental status changes, Motor dysfunction
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrolithiasis, Pneumonia, Procalcitonin normal, Pyrexia, Rales
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Speech disorder, Spinal osteoarthritis, Total lung capacity decreased
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Type 2 diabetes mellitus, Ultrasound bladder, Ultrasound kidney abnormal, Ventricular hypoplasia
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal, X-ray
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium increased, Blood creatine increased, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Dizziness, shortness of breath, chest discomfort, numbness and tingling in both arms
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Mean platelet volume increased, Paraesthesia
Clinical narrative: Dizziness, shortness of breath, chest discomfort, numbness and tingling in both arms
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECEIVED COVID VACCINE THAT WAS PAST BEYOND USE DATE. NO ADVERSE REACTION.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal vein occlusion
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 08/29/2021, started experiencing symptoms 09/19/2021 of CRVO (left eye), injections of Avastin steroid x2 treatments (Current 11/04/2021). Small amount of improvement currently, recommendations of Follow-Up every 5 weeks for treatment.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Headache, Lymphadenopathy
Clinical narrative: I had lymph nodes in my left arm were swollen from the 28th to 31st of October. I had a fever; I didn't check it on Thursday, but I did have it on the 29th and 30th. I had a headache from the 28th the 29th. From the 28th to 30 of Oct, I had aches and nausea on the 29th. I had chest pain and shortness of breath. I also had fatigue. I still have shortness of breath. It mainly occurs when I had to step out of the apartment. I had a COVID-19 test done on Friday and it came back negative. I took Tylenol to help with the pain and the complications.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I had lymph nodes in my left arm were swollen from the 28th to 31st of October. I had a fever; I didn't check it on Thursday, but I did have it on the 29th and 30th. I had a headache from the 28th the 29th. From the 28th to 30 of Oct, I had aches and nausea on the 29th. I had chest pain and shortness of breath. I also had fatigue. I still have shortness of breath. It mainly occurs when I had to step out of the apartment. I had a COVID-19 test done on Friday and it came back negative. I took Tylenol to help with the pain and the complications.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECEIVED COVID VACCINE THAT WAS PAST BEYOND USE DATE. NO ADVERSE REACTION.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Dry mouth, Myalgia, Paraesthesia
Clinical narrative: Muscle aches, joint aches, tingling in hands, dry mouth
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Brain injury, COVID-19, Chest X-ray abnormal, Computerised tomogram head abnormal, Death
Clinical narrative: headache started 36 hrs post vaccine and continued.  Symptoms seemed to get worse daily including general malaise, sinus congestion, body aches and fever started 09/05/2021.  Home tested 09/06/2021 positive for covid.  Up uintil then she had remained alert and oriented.  Husband noticed change in breathing at approx 1000 on 09/06/2021 and attempted to get her up to go to hospital when she went  into respiratory arrest.  911 called and CPR initiated.  Was eventually helicopter transported to hospital, placed on vent.   Vent dc'd 09/08/2021 and she died.   Spoke with a person who received the same lot # of vaccine, same date, given just prior to and she also tested positive for covid on 09/05/2021 and was in ER on that date. Neither of them had any common friends or had been in the same location.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test abnormal, Malaise, Mechanical ventilation, Multiple organ dysfunction syndrome
Clinical narrative: headache started 36 hrs post vaccine and continued.  Symptoms seemed to get worse daily including general malaise, sinus congestion, body aches and fever started 09/05/2021.  Home tested 09/06/2021 positive for covid.  Up uintil then she had remained alert and oriented.  Husband noticed change in breathing at approx 1000 on 09/06/2021 and attempted to get her up to go to hospital when she went  into respiratory arrest.  911 called and CPR initiated.  Was eventually helicopter transported to hospital, placed on vent.   Vent dc'd 09/08/2021 and she died.   Spoke with a person who received the same lot # of vaccine, same date, given just prior to and she also tested positive for covid on 09/05/2021 and was in ER on that date. Neither of them had any common friends or had been in the same location.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pneumonia, Pyrexia, Respiration abnormal, Respiratory arrest
Clinical narrative: headache started 36 hrs post vaccine and continued.  Symptoms seemed to get worse daily including general malaise, sinus congestion, body aches and fever started 09/05/2021.  Home tested 09/06/2021 positive for covid.  Up uintil then she had remained alert and oriented.  Husband noticed change in breathing at approx 1000 on 09/06/2021 and attempted to get her up to go to hospital when she went  into respiratory arrest.  911 called and CPR initiated.  Was eventually helicopter transported to hospital, placed on vent.   Vent dc'd 09/08/2021 and she died.   Spoke with a person who received the same lot # of vaccine, same date, given just prior to and she also tested positive for covid on 09/05/2021 and was in ER on that date. Neither of them had any common friends or had been in the same location.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: headache started 36 hrs post vaccine and continued.  Symptoms seemed to get worse daily including general malaise, sinus congestion, body aches and fever started 09/05/2021.  Home tested 09/06/2021 positive for covid.  Up uintil then she had remained alert and oriented.  Husband noticed change in breathing at approx 1000 on 09/06/2021 and attempted to get her up to go to hospital when she went  into respiratory arrest.  911 called and CPR initiated.  Was eventually helicopter transported to hospital, placed on vent.   Vent dc'd 09/08/2021 and she died.   Spoke with a person who received the same lot # of vaccine, same date, given just prior to and she also tested positive for covid on 09/05/2021 and was in ER on that date. Neither of them had any common friends or had been in the same location.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Computerised tomogram, Condition aggravated, Headache, Idiopathic intracranial hypertension
Clinical narrative: I have idiopathic intracranial hypertension that has been stable since July 2021. I woke up the morning of October 28, 2021 with a massive headache that had been building for a week and half, since around 10/18, and my vision was dark and blurry in my right eye. I also had a moment of aphasia for about 2-3 minutes where I could not speak. I don't know if this was related to the vaccine or just the normal course of this illness, as I have only been diagnosed with this since May 2021. I had testing done that showed the beginnings of papilledema in my right eye, but normal CSF pressure and nothing new in my CT scans.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Papilloedema, Venogram, Vision blurred, Visual impairment
Clinical narrative: I have idiopathic intracranial hypertension that has been stable since July 2021. I woke up the morning of October 28, 2021 with a massive headache that had been building for a week and half, since around 10/18, and my vision was dark and blurry in my right eye. I also had a moment of aphasia for about 2-3 minutes where I could not speak. I don't know if this was related to the vaccine or just the normal course of this illness, as I have only been diagnosed with this since May 2021. I had testing done that showed the beginnings of papilledema in my right eye, but normal CSF pressure and nothing new in my CT scans.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, Hypoxia, Pneumonia
Clinical narrative: One week later, decedent experienced shortness of breath, diarrhea, pneumonia, hypoxia, elevated troponin
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: One week later, decedent experienced shortness of breath, diarrhea, pneumonia, hypoxia, elevated troponin
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Rash macular
Clinical narrative: Pt called 11/4 to state she had 2 spots on arm that received pneumovax 2 days ago.  1 is good sized (3 in a row) and 1 smaller.  RPh advised watch and wait as we are just 2 days out.  Shared that pt can use cold compress as well as otc pain meds.  If area increases in size, streaks, etc.  please call back so we can further investigate.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECEIVED COVID VACCINE THAT WAS PAST BEYOND USE DATE. NO ADVERSE REACTION.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Arthralgia, Condition aggravated, Congestive cardiomyopathy, Decreased activity
Clinical narrative: Shortly after receiving the first dose of this vaccine I felt a mild tingling of my tongue but did not experience any difficulty breathing or other worrisome symptoms. I did have a significant soreness of the left upper arm for approximately two weeks post vaccine. My symptoms worsened subsequent to receiving the 2nd dose of this vaccine Lot# FA6780 on 6/23/2021. The following day I had the same left upper arm soreness, flu-like symptoms with mild fever and severe joint and muscle pain, headache and fatigue. After the 2nd shot I have had several months of unusual widespread joint and muscle pain with both shoulders and upper arms being quite severe, both hips with significant joint and muscle pain, increased water retention and swelling which exacerbated my underlying condition of dilated cardiomyopathy. The entire summer I had all this severe pain, increased swelling with decreased activity tolerance. I have also had symptoms of depression and impaired sleep. I feel most of my adverse symptoms have been present since the 2nd dose more so than the 1st dose. Of note also starting 10/01/2021 I had an illness which I strongly believe was Covid-19. I isolated for 10 days and treated myself at home, did not require medical visits or hospitalization but still have lingering symptoms subsequent to that acute illness. This indicates that the 2 doses of Covid 19 vaccination did not appear to protect me from a Covid 19 infection and I had a breakthrough infection while still experiencing adverse effects from the 2 doses of vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Fatigue, Fluid retention, Headache, Illness
Clinical narrative: Shortly after receiving the first dose of this vaccine I felt a mild tingling of my tongue but did not experience any difficulty breathing or other worrisome symptoms. I did have a significant soreness of the left upper arm for approximately two weeks post vaccine. My symptoms worsened subsequent to receiving the 2nd dose of this vaccine Lot# FA6780 on 6/23/2021. The following day I had the same left upper arm soreness, flu-like symptoms with mild fever and severe joint and muscle pain, headache and fatigue. After the 2nd shot I have had several months of unusual widespread joint and muscle pain with both shoulders and upper arms being quite severe, both hips with significant joint and muscle pain, increased water retention and swelling which exacerbated my underlying condition of dilated cardiomyopathy. The entire summer I had all this severe pain, increased swelling with decreased activity tolerance. I have also had symptoms of depression and impaired sleep. I feel most of my adverse symptoms have been present since the 2nd dose more so than the 1st dose. Of note also starting 10/01/2021 I had an illness which I strongly believe was Covid-19. I isolated for 10 days and treated myself at home, did not require medical visits or hospitalization but still have lingering symptoms subsequent to that acute illness. This indicates that the 2 doses of Covid 19 vaccination did not appear to protect me from a Covid 19 infection and I had a breakthrough infection while still experiencing adverse effects from the 2 doses of vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Insomnia, Myalgia, Pain
Clinical narrative: Shortly after receiving the first dose of this vaccine I felt a mild tingling of my tongue but did not experience any difficulty breathing or other worrisome symptoms. I did have a significant soreness of the left upper arm for approximately two weeks post vaccine. My symptoms worsened subsequent to receiving the 2nd dose of this vaccine Lot# FA6780 on 6/23/2021. The following day I had the same left upper arm soreness, flu-like symptoms with mild fever and severe joint and muscle pain, headache and fatigue. After the 2nd shot I have had several months of unusual widespread joint and muscle pain with both shoulders and upper arms being quite severe, both hips with significant joint and muscle pain, increased water retention and swelling which exacerbated my underlying condition of dilated cardiomyopathy. The entire summer I had all this severe pain, increased swelling with decreased activity tolerance. I have also had symptoms of depression and impaired sleep. I feel most of my adverse symptoms have been present since the 2nd dose more so than the 1st dose. Of note also starting 10/01/2021 I had an illness which I strongly believe was Covid-19. I isolated for 10 days and treated myself at home, did not require medical visits or hospitalization but still have lingering symptoms subsequent to that acute illness. This indicates that the 2 doses of Covid 19 vaccination did not appear to protect me from a Covid 19 infection and I had a breakthrough infection while still experiencing adverse effects from the 2 doses of vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pyrexia, Swelling
Clinical narrative: Shortly after receiving the first dose of this vaccine I felt a mild tingling of my tongue but did not experience any difficulty breathing or other worrisome symptoms. I did have a significant soreness of the left upper arm for approximately two weeks post vaccine. My symptoms worsened subsequent to receiving the 2nd dose of this vaccine Lot# FA6780 on 6/23/2021. The following day I had the same left upper arm soreness, flu-like symptoms with mild fever and severe joint and muscle pain, headache and fatigue. After the 2nd shot I have had several months of unusual widespread joint and muscle pain with both shoulders and upper arms being quite severe, both hips with significant joint and muscle pain, increased water retention and swelling which exacerbated my underlying condition of dilated cardiomyopathy. The entire summer I had all this severe pain, increased swelling with decreased activity tolerance. I have also had symptoms of depression and impaired sleep. I feel most of my adverse symptoms have been present since the 2nd dose more so than the 1st dose. Of note also starting 10/01/2021 I had an illness which I strongly believe was Covid-19. I isolated for 10 days and treated myself at home, did not require medical visits or hospitalization but still have lingering symptoms subsequent to that acute illness. This indicates that the 2 doses of Covid 19 vaccination did not appear to protect me from a Covid 19 infection and I had a breakthrough infection while still experiencing adverse effects from the 2 doses of vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Adenovirus test, Anticoagulant therapy, Aortic dilatation, Aortic valve calcification
Clinical narrative: ED to Hosp-Admission  Current 10/25/2021 - present (10 days) Hospital NSTEMI (non-ST elevated myocardial infarction  Patient presents with ? Syncope     1. NSTEMI in the setting of CAD.  Admit to general medical floor, monitor on telemetry.  Trend troponins to peak, check 2D echocardiogram.  Consult cardiology for evaluation.  Started on heparin infusion, will continue for now.  Continue aspirin, statin, beta-blocker. 2. Syncope x2.  Monitor on telemetry, check orthostatic vitals.  Gentle IV hydration support, monitor BMP.  Check TSH.  Obtain neurology evaluation. 3. COVID-19 infection.  Covid testing is positive on admission.  Patient is tolerating room air, not requiring supplemental oxygen.  Monitor clinically for now.  Supportive care with Tylenol, albuterol inhalers. 4. Hypothyroidism.  Continue Synthroid per home regimen, Check TSH. 5. Paroxysmal A. Fib.  Continue beta-blocker.  Normal sinus rhythm on admission.  Hold Eliquis, patient to be placed on heparin infusion. 6. Type 2 diabetes.  Continue long-acting insulin per home regimen.  Will place on insulin sliding scale and Accu-Cheks per protocol. 7. History of kidney transplant.  Continue tacrolimus, CellCept per home regimen. 8. History of CVA.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic valve incompetence, Aortic valve thickening, Atrial fibrillation, Atypical pneumonia, Blood thyroid stimulating hormone increased
Clinical narrative: ED to Hosp-Admission  Current 10/25/2021 - present (10 days) Hospital NSTEMI (non-ST elevated myocardial infarction  Patient presents with ? Syncope     1. NSTEMI in the setting of CAD.  Admit to general medical floor, monitor on telemetry.  Trend troponins to peak, check 2D echocardiogram.  Consult cardiology for evaluation.  Started on heparin infusion, will continue for now.  Continue aspirin, statin, beta-blocker. 2. Syncope x2.  Monitor on telemetry, check orthostatic vitals.  Gentle IV hydration support, monitor BMP.  Check TSH.  Obtain neurology evaluation. 3. COVID-19 infection.  Covid testing is positive on admission.  Patient is tolerating room air, not requiring supplemental oxygen.  Monitor clinically for now.  Supportive care with Tylenol, albuterol inhalers. 4. Hypothyroidism.  Continue Synthroid per home regimen, Check TSH. 5. Paroxysmal A. Fib.  Continue beta-blocker.  Normal sinus rhythm on admission.  Hold Eliquis, patient to be placed on heparin infusion. 6. Type 2 diabetes.  Continue long-acting insulin per home regimen.  Will place on insulin sliding scale and Accu-Cheks per protocol. 7. History of kidney transplant.  Continue tacrolimus, CellCept per home regimen. 8. History of CVA.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bone densitometry, Bordetella test negative, COVID-19, COVID-19 pneumonia, Cardiac telemetry
Clinical narrative: ED to Hosp-Admission  Current 10/25/2021 - present (10 days) Hospital NSTEMI (non-ST elevated myocardial infarction  Patient presents with ? Syncope     1. NSTEMI in the setting of CAD.  Admit to general medical floor, monitor on telemetry.  Trend troponins to peak, check 2D echocardiogram.  Consult cardiology for evaluation.  Started on heparin infusion, will continue for now.  Continue aspirin, statin, beta-blocker. 2. Syncope x2.  Monitor on telemetry, check orthostatic vitals.  Gentle IV hydration support, monitor BMP.  Check TSH.  Obtain neurology evaluation. 3. COVID-19 infection.  Covid testing is positive on admission.  Patient is tolerating room air, not requiring supplemental oxygen.  Monitor clinically for now.  Supportive care with Tylenol, albuterol inhalers. 4. Hypothyroidism.  Continue Synthroid per home regimen, Check TSH. 5. Paroxysmal A. Fib.  Continue beta-blocker.  Normal sinus rhythm on admission.  Hold Eliquis, patient to be placed on heparin infusion. 6. Type 2 diabetes.  Continue long-acting insulin per home regimen.  Will place on insulin sliding scale and Accu-Cheks per protocol. 7. History of kidney transplant.  Continue tacrolimus, CellCept per home regimen. 8. History of CVA.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chlamydia test negative, Condition aggravated, Coronary artery disease, Coronavirus test negative
Clinical narrative: ED to Hosp-Admission  Current 10/25/2021 - present (10 days) Hospital NSTEMI (non-ST elevated myocardial infarction  Patient presents with ? Syncope     1. NSTEMI in the setting of CAD.  Admit to general medical floor, monitor on telemetry.  Trend troponins to peak, check 2D echocardiogram.  Consult cardiology for evaluation.  Started on heparin infusion, will continue for now.  Continue aspirin, statin, beta-blocker. 2. Syncope x2.  Monitor on telemetry, check orthostatic vitals.  Gentle IV hydration support, monitor BMP.  Check TSH.  Obtain neurology evaluation. 3. COVID-19 infection.  Covid testing is positive on admission.  Patient is tolerating room air, not requiring supplemental oxygen.  Monitor clinically for now.  Supportive care with Tylenol, albuterol inhalers. 4. Hypothyroidism.  Continue Synthroid per home regimen, Check TSH. 5. Paroxysmal A. Fib.  Continue beta-blocker.  Normal sinus rhythm on admission.  Hold Eliquis, patient to be placed on heparin infusion. 6. Type 2 diabetes.  Continue long-acting insulin per home regimen.  Will place on insulin sliding scale and Accu-Cheks per protocol. 7. History of kidney transplant.  Continue tacrolimus, CellCept per home regimen. 8. History of CVA.