chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Asthenia, Chills, Decreased appetite, Eye swelling
Clinical narrative: Approximately 3 hours later, I was feeling chills and cold. It was progressing and I was shivering due to the coldness. My right hand was sore and was difficult to lift or move. My eyes were swollen, my mouth was sore with blisters. It was painful to the touch all over my body. I felt generalized pain and weakness. I lost my appetite. I felt very irritated. This lasted for 2-3 days. The 3rd day, I started to regain myself gradually and on the 4th day, I recovered. I did not go to the ER due to expenses. I took Tylenol to help with the pain which helped some but was still feeling pain.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Mobility decreased, Oral mucosal blistering, Oral pain, Pain
Clinical narrative: Approximately 3 hours later, I was feeling chills and cold. It was progressing and I was shivering due to the coldness. My right hand was sore and was difficult to lift or move. My eyes were swollen, my mouth was sore with blisters. It was painful to the touch all over my body. I felt generalized pain and weakness. I lost my appetite. I felt very irritated. This lasted for 2-3 days. The 3rd day, I started to regain myself gradually and on the 4th day, I recovered. I did not go to the ER due to expenses. I took Tylenol to help with the pain which helped some but was still feeling pain.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Approximately 3 hours later, I was feeling chills and cold. It was progressing and I was shivering due to the coldness. My right hand was sore and was difficult to lift or move. My eyes were swollen, my mouth was sore with blisters. It was painful to the touch all over my body. I felt generalized pain and weakness. I lost my appetite. I felt very irritated. This lasted for 2-3 days. The 3rd day, I started to regain myself gradually and on the 4th day, I recovered. I did not go to the ER due to expenses. I took Tylenol to help with the pain which helped some but was still feeling pain.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: Post covid I was diagnosed with atrial flutter (no previous heart issues prior to covid infection). . No PVCs. Within a week of receiving booster dose of j & j,  I developed PVCs every fourth beat resulting in a need for short term beta blockers. Metropolis 25 mg rx split for 12.5 mg dose daily. Strips were recorded via Watch and submitted to cardiologist for diagnosis. PVCs continued with medication at reduced rate for approximately 3-4  weeks and then dissipated. No way to know if medication improved PVCs or if  they dissipated naturally after initial vaccine effects.  This did not happen with first dose of j & j in March 2021. As PVCs have  dissipated with medicine, I have begun to titrate off of beta blocker to evaluate situation.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bundle branch block right, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Patient is fully vaccinated. Admitted on 2/8/2022 with COVID concerns.  COVID + on 2/11/2022. 66-year-old male with a history of severe MR, deaf, blind presenting from group home with weakness and cough.  EKG: normal sinus rhythm, with RBBB, no signs of ischemia and no infarction. Chest x-ray negative for acute process.  BP low but improved with IV fluids. Rocephin also given. Discharged to group home.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Hypotension, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. Admitted on 2/8/2022 with COVID concerns.  COVID + on 2/11/2022. 66-year-old male with a history of severe MR, deaf, blind presenting from group home with weakness and cough.  EKG: normal sinus rhythm, with RBBB, no signs of ischemia and no infarction. Chest x-ray negative for acute process.  BP low but improved with IV fluids. Rocephin also given. Discharged to group home.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test negative
Clinical narrative: I had a runny nose; I live in Texas. I thought get best tested. I went to the health department and got a PCR test. I had no symptoms only a clear runny nose, which I get normally when I have allergies. My doctor recommends staying home for 10 days. I did a virtual visit with my doctor. I went ahead got extra K-95 mask. I was prescribed a course of Zithromax, mega vitamin therapy. He also up the Vitamin C and Magnesium and I took between a four-week course. He also is a believer in Ivermectin which I did take. I checked my pulse oximetry everything was fine. I did a home test 3 weeks after that and I tested negative.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia
Clinical narrative: Patient fully vaccinated (Moderna) but not boosted admitted to the hospital on 01/31/22 with COVID-19 and associated hypoxia. Patient was discharged on 02/17/22.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Haematochezia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Date of Admission:  1/18/2022   Chief Complaint:  Shortness of breath, blood in stool   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 55y.o. male with a past medical history significant for hypertension, ESRD on dialysis Monday Wednesday Friday, and diabetes.  He presents to hospital on 1/18/2022 for evaluation of shortness of breath.  He states that he has missed his 2 most recent dialysis treatments on Friday and Monday.  He states that he will only receive treatment on Wednesday for approximately 1 hour before having to stop secondary to blood pressure issues.  He notes that there is an issue with his transportation getting to his dialysis sessions.  He states that as of yesterday he began noticing he was having increased shortness of breath which has been worsening over the preceding days.  He also admits to baseline orthopnea which has been present for the preceding months.  He states that he does take a water pill at home however he has decreased urinary response to a due to his ESRD, notes only approximately 100 to 200 mL is produced.  He states that his family has a history of congestive heart failure states that he had a echo approximately 2 years ago which was normal to his knowledge.  Denying any chest pain.  He does not endorse cough.  He also notes some increased lower extremity swelling.  He is currently denying any chest pain. Denies any fevers, chills.  He endorses occasional nausea but denies any episodes of emesis.  He states that he noticed blood on the toilet paper after wiping for the last few days.  He states that he did not see blood on his stool.  He denies any recent weight loss or weight gain.  States that he had a colonoscopy approximately 2 to 5 years ago that was normal to his knowledge this is a follow-up and 10 years after the original colonoscopy.  Denies any pain with bowel movements.  Denies any family history of colon cancer.  He admits to normal oral intake along with a normal bowel pattern.  Denies any urinary symptoms.  He states that he is vaccinated for COVID and received his second vaccination shot approximately 1 month ago.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Orthopnoea, Peripheral swelling, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Date of Admission:  1/18/2022   Chief Complaint:  Shortness of breath, blood in stool   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 55y.o. male with a past medical history significant for hypertension, ESRD on dialysis Monday Wednesday Friday, and diabetes.  He presents to hospital on 1/18/2022 for evaluation of shortness of breath.  He states that he has missed his 2 most recent dialysis treatments on Friday and Monday.  He states that he will only receive treatment on Wednesday for approximately 1 hour before having to stop secondary to blood pressure issues.  He notes that there is an issue with his transportation getting to his dialysis sessions.  He states that as of yesterday he began noticing he was having increased shortness of breath which has been worsening over the preceding days.  He also admits to baseline orthopnea which has been present for the preceding months.  He states that he does take a water pill at home however he has decreased urinary response to a due to his ESRD, notes only approximately 100 to 200 mL is produced.  He states that his family has a history of congestive heart failure states that he had a echo approximately 2 years ago which was normal to his knowledge.  Denying any chest pain.  He does not endorse cough.  He also notes some increased lower extremity swelling.  He is currently denying any chest pain. Denies any fevers, chills.  He endorses occasional nausea but denies any episodes of emesis.  He states that he noticed blood on the toilet paper after wiping for the last few days.  He states that he did not see blood on his stool.  He denies any recent weight loss or weight gain.  States that he had a colonoscopy approximately 2 to 5 years ago that was normal to his knowledge this is a follow-up and 10 years after the original colonoscopy.  Denies any pain with bowel movements.  Denies any family history of colon cancer.  He admits to normal oral intake along with a normal bowel pattern.  Denies any urinary symptoms.  He states that he is vaccinated for COVID and received his second vaccination shot approximately 1 month ago.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Urine output decreased
Clinical narrative: Date of Admission:  1/18/2022   Chief Complaint:  Shortness of breath, blood in stool   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 55y.o. male with a past medical history significant for hypertension, ESRD on dialysis Monday Wednesday Friday, and diabetes.  He presents to hospital on 1/18/2022 for evaluation of shortness of breath.  He states that he has missed his 2 most recent dialysis treatments on Friday and Monday.  He states that he will only receive treatment on Wednesday for approximately 1 hour before having to stop secondary to blood pressure issues.  He notes that there is an issue with his transportation getting to his dialysis sessions.  He states that as of yesterday he began noticing he was having increased shortness of breath which has been worsening over the preceding days.  He also admits to baseline orthopnea which has been present for the preceding months.  He states that he does take a water pill at home however he has decreased urinary response to a due to his ESRD, notes only approximately 100 to 200 mL is produced.  He states that his family has a history of congestive heart failure states that he had a echo approximately 2 years ago which was normal to his knowledge.  Denying any chest pain.  He does not endorse cough.  He also notes some increased lower extremity swelling.  He is currently denying any chest pain. Denies any fevers, chills.  He endorses occasional nausea but denies any episodes of emesis.  He states that he noticed blood on the toilet paper after wiping for the last few days.  He states that he did not see blood on his stool.  He denies any recent weight loss or weight gain.  States that he had a colonoscopy approximately 2 to 5 years ago that was normal to his knowledge this is a follow-up and 10 years after the original colonoscopy.  Denies any pain with bowel movements.  Denies any family history of colon cancer.  He admits to normal oral intake along with a normal bowel pattern.  Denies any urinary symptoms.  He states that he is vaccinated for COVID and received his second vaccination shot approximately 1 month ago.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt admitted to Hospital with large bilateral PE. Tested positive for COVID at that time. Pt states that he is fully vaccinated for COVID. Unable to obtain manufacturer or dates at this time.
Sex: U
Vaccine: COVID19
Symptoms: Blindness, Chest pain, Computerised tomogram, Dizziness, Headache
Clinical narrative: Chest pain, tachycardia, severe head pain, dizziness, loss of vision, and continued headaches/migraines.
Sex: U
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Migraine, Tachycardia
Clinical narrative: Chest pain, tachycardia, severe head pain, dizziness, loss of vision, and continued headaches/migraines.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Fatigue, Injection site pain, Myalgia
Clinical narrative: Patient received primary series booster of covid 19 pfizer vaccine on 3/1/22 at 2:30 PM.  First dose was administered on 8/26/21.  It was discovered on 3/2/22 that the dose given on 3/1 had expired on 2/28/22 at 8:50 PM.    Our vaccine coordinator contacted pfizer to determine viability of vaccine to learn there is no current data to support this incident.  The pfizer recommendation was to follow CDC recommendation and have patient receive another vaccine immediately.  Patient was notified, she does not want to receive another dose, as she currently having side effects of site pain, muscle aches, fatigue.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Computerised tomogram abnormal, Pancreatitis
Clinical narrative: Stomach pain 3 days after I got the booster. Got diagnosed with pancreatitis
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Pain
Clinical narrative: Symptoms started 01/21/22, symptoms consist of cough, fatigue, body aches, fever, diarrhea, rapid test positive on 01/24/22, PCR tested positive for COVID on 01/25/22 and 01/28/22, rapid test negative on 01/31/22, stayed home/quarantine, and self medicated with OTC medicine, no hospital or physician care.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Symptoms started 01/21/22, symptoms consist of cough, fatigue, body aches, fever, diarrhea, rapid test positive on 01/24/22, PCR tested positive for COVID on 01/25/22 and 01/28/22, rapid test negative on 01/31/22, stayed home/quarantine, and self medicated with OTC medicine, no hospital or physician care.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: pt vaccinated too early for 2nd dose. no issues with pt at this time
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Chills, Death, Dyspnoea
Clinical narrative: pt to ED with dyspnea, productive cough, fever, chills; admitted to hosp; positive for COVID; treated with ABX, steroids, O2 supplementation, dexamethasone; HFNC with overlying NRB; experienced A Fib with RVR; pt's condition declined; transitioned to hospice care and died in the hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt to ED with dyspnea, productive cough, fever, chills; admitted to hosp; positive for COVID; treated with ABX, steroids, O2 supplementation, dexamethasone; HFNC with overlying NRB; experienced A Fib with RVR; pt's condition declined; transitioned to hospice care and died in the hospital
Age: 11.0
Sex: M
Vaccine: UNK
Symptoms: Malaise, Urticaria, Vomiting
Clinical narrative: 11 y/o male presented with urticaria on all limbs, abdomen and face.  Urticaria present for 3 days after vaccine.  No breathing issues.  Vomiting and malaise.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Mechanical urticaria, Rash, Urticaria
Clinical narrative: Urticaria dermatographia hives wheels rash.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Asymptomatic COVID-19, Blood albumin decreased, Blood lactate dehydrogenase increased, Blood lactic acid decreased
Clinical narrative: Patient presents with ? Corona Virus Concern     Tested positive 1/13. Fatigue at home.  "my oxygen was low at home (84%)" Pulse ox 97% in traige on room air     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 75y.o. male with a past medical history of DVT, CVA, HLD, urinary incontinence from prostate cancer s/p prostatectomy (2008) and non-Hodgkin's lymphoma presenting to the emergency department on 1-19-2022 for chief complaint of shortness of breath and weakness.  Patient states that he recently tested positive for COVID on 13th of  January. He previously had lunch with one of his friends who had a close contact with a covid positive individual. The patient was asymptomatic when he was tested. He has been experiencing symptoms about 2-3 days after testing COVID-positive. He noticed being short of breath and a non productive cough. He denies fever or chills during this time.  Prior to coming to the into the emergency department his pulse ox that he was checking at home had dropped to 84%.  He does note decreased appetite during this time, although he denies nausea or vomiting. He complains of soft stools with 1-2 bowel movements per day. He has received 2 doses of Pfizer vaccine and a booster. His last chemotherapy was in December of last year and he is not currently taking any immunosuppressant medication.    ED COURSE:  BP 85/51, HR 84, RR 20, SPO2 97%, temp 97.8.  CHEM profile remarkable for carbon dioxide 18, albumin 3.3.  CBC remarkable for WBC 2.5, hemoglobin 10.1, hematocrit 31, platelets 133.  Lactate dehydrogenase 442, troponin negative.  CRP 101.7, procalcitonin 0.35.  Ferritin 2505.  Lactic acid 0.5. Placed on 4L NC.    EKG: Pending    Radiology performed: CXR with bibasilar opacities.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Carbon dioxide decreased, Chest X-ray abnormal, Cough
Clinical narrative: Patient presents with ? Corona Virus Concern     Tested positive 1/13. Fatigue at home.  "my oxygen was low at home (84%)" Pulse ox 97% in traige on room air     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 75y.o. male with a past medical history of DVT, CVA, HLD, urinary incontinence from prostate cancer s/p prostatectomy (2008) and non-Hodgkin's lymphoma presenting to the emergency department on 1-19-2022 for chief complaint of shortness of breath and weakness.  Patient states that he recently tested positive for COVID on 13th of  January. He previously had lunch with one of his friends who had a close contact with a covid positive individual. The patient was asymptomatic when he was tested. He has been experiencing symptoms about 2-3 days after testing COVID-positive. He noticed being short of breath and a non productive cough. He denies fever or chills during this time.  Prior to coming to the into the emergency department his pulse ox that he was checking at home had dropped to 84%.  He does note decreased appetite during this time, although he denies nausea or vomiting. He complains of soft stools with 1-2 bowel movements per day. He has received 2 doses of Pfizer vaccine and a booster. His last chemotherapy was in December of last year and he is not currently taking any immunosuppressant medication.    ED COURSE:  BP 85/51, HR 84, RR 20, SPO2 97%, temp 97.8.  CHEM profile remarkable for carbon dioxide 18, albumin 3.3.  CBC remarkable for WBC 2.5, hemoglobin 10.1, hematocrit 31, platelets 133.  Lactate dehydrogenase 442, troponin negative.  CRP 101.7, procalcitonin 0.35.  Ferritin 2505.  Lactic acid 0.5. Placed on 4L NC.    EKG: Pending    Radiology performed: CXR with bibasilar opacities.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Exposure to SARS-CoV-2, Faeces soft, Fatigue
Clinical narrative: Patient presents with ? Corona Virus Concern     Tested positive 1/13. Fatigue at home.  "my oxygen was low at home (84%)" Pulse ox 97% in traige on room air     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 75y.o. male with a past medical history of DVT, CVA, HLD, urinary incontinence from prostate cancer s/p prostatectomy (2008) and non-Hodgkin's lymphoma presenting to the emergency department on 1-19-2022 for chief complaint of shortness of breath and weakness.  Patient states that he recently tested positive for COVID on 13th of  January. He previously had lunch with one of his friends who had a close contact with a covid positive individual. The patient was asymptomatic when he was tested. He has been experiencing symptoms about 2-3 days after testing COVID-positive. He noticed being short of breath and a non productive cough. He denies fever or chills during this time.  Prior to coming to the into the emergency department his pulse ox that he was checking at home had dropped to 84%.  He does note decreased appetite during this time, although he denies nausea or vomiting. He complains of soft stools with 1-2 bowel movements per day. He has received 2 doses of Pfizer vaccine and a booster. His last chemotherapy was in December of last year and he is not currently taking any immunosuppressant medication.    ED COURSE:  BP 85/51, HR 84, RR 20, SPO2 97%, temp 97.8.  CHEM profile remarkable for carbon dioxide 18, albumin 3.3.  CBC remarkable for WBC 2.5, hemoglobin 10.1, hematocrit 31, platelets 133.  Lactate dehydrogenase 442, troponin negative.  CRP 101.7, procalcitonin 0.35.  Ferritin 2505.  Lactic acid 0.5. Placed on 4L NC.    EKG: Pending    Radiology performed: CXR with bibasilar opacities.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count abnormal, Haematocrit decreased, Haemoglobin decreased, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient presents with ? Corona Virus Concern     Tested positive 1/13. Fatigue at home.  "my oxygen was low at home (84%)" Pulse ox 97% in traige on room air     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 75y.o. male with a past medical history of DVT, CVA, HLD, urinary incontinence from prostate cancer s/p prostatectomy (2008) and non-Hodgkin's lymphoma presenting to the emergency department on 1-19-2022 for chief complaint of shortness of breath and weakness.  Patient states that he recently tested positive for COVID on 13th of  January. He previously had lunch with one of his friends who had a close contact with a covid positive individual. The patient was asymptomatic when he was tested. He has been experiencing symptoms about 2-3 days after testing COVID-positive. He noticed being short of breath and a non productive cough. He denies fever or chills during this time.  Prior to coming to the into the emergency department his pulse ox that he was checking at home had dropped to 84%.  He does note decreased appetite during this time, although he denies nausea or vomiting. He complains of soft stools with 1-2 bowel movements per day. He has received 2 doses of Pfizer vaccine and a booster. His last chemotherapy was in December of last year and he is not currently taking any immunosuppressant medication.    ED COURSE:  BP 85/51, HR 84, RR 20, SPO2 97%, temp 97.8.  CHEM profile remarkable for carbon dioxide 18, albumin 3.3.  CBC remarkable for WBC 2.5, hemoglobin 10.1, hematocrit 31, platelets 133.  Lactate dehydrogenase 442, troponin negative.  CRP 101.7, procalcitonin 0.35.  Ferritin 2505.  Lactic acid 0.5. Placed on 4L NC.    EKG: Pending    Radiology performed: CXR with bibasilar opacities.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Lung opacity, Oxygen saturation decreased, Platelet count decreased, Procalcitonin increased
Clinical narrative: Patient presents with ? Corona Virus Concern     Tested positive 1/13. Fatigue at home.  "my oxygen was low at home (84%)" Pulse ox 97% in traige on room air     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 75y.o. male with a past medical history of DVT, CVA, HLD, urinary incontinence from prostate cancer s/p prostatectomy (2008) and non-Hodgkin's lymphoma presenting to the emergency department on 1-19-2022 for chief complaint of shortness of breath and weakness.  Patient states that he recently tested positive for COVID on 13th of  January. He previously had lunch with one of his friends who had a close contact with a covid positive individual. The patient was asymptomatic when he was tested. He has been experiencing symptoms about 2-3 days after testing COVID-positive. He noticed being short of breath and a non productive cough. He denies fever or chills during this time.  Prior to coming to the into the emergency department his pulse ox that he was checking at home had dropped to 84%.  He does note decreased appetite during this time, although he denies nausea or vomiting. He complains of soft stools with 1-2 bowel movements per day. He has received 2 doses of Pfizer vaccine and a booster. His last chemotherapy was in December of last year and he is not currently taking any immunosuppressant medication.    ED COURSE:  BP 85/51, HR 84, RR 20, SPO2 97%, temp 97.8.  CHEM profile remarkable for carbon dioxide 18, albumin 3.3.  CBC remarkable for WBC 2.5, hemoglobin 10.1, hematocrit 31, platelets 133.  Lactate dehydrogenase 442, troponin negative.  CRP 101.7, procalcitonin 0.35.  Ferritin 2505.  Lactic acid 0.5. Placed on 4L NC.    EKG: Pending    Radiology performed: CXR with bibasilar opacities.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Serum ferritin increased, Troponin normal, White blood cell count decreased
Clinical narrative: Patient presents with ? Corona Virus Concern     Tested positive 1/13. Fatigue at home.  "my oxygen was low at home (84%)" Pulse ox 97% in traige on room air     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 75y.o. male with a past medical history of DVT, CVA, HLD, urinary incontinence from prostate cancer s/p prostatectomy (2008) and non-Hodgkin's lymphoma presenting to the emergency department on 1-19-2022 for chief complaint of shortness of breath and weakness.  Patient states that he recently tested positive for COVID on 13th of  January. He previously had lunch with one of his friends who had a close contact with a covid positive individual. The patient was asymptomatic when he was tested. He has been experiencing symptoms about 2-3 days after testing COVID-positive. He noticed being short of breath and a non productive cough. He denies fever or chills during this time.  Prior to coming to the into the emergency department his pulse ox that he was checking at home had dropped to 84%.  He does note decreased appetite during this time, although he denies nausea or vomiting. He complains of soft stools with 1-2 bowel movements per day. He has received 2 doses of Pfizer vaccine and a booster. His last chemotherapy was in December of last year and he is not currently taking any immunosuppressant medication.    ED COURSE:  BP 85/51, HR 84, RR 20, SPO2 97%, temp 97.8.  CHEM profile remarkable for carbon dioxide 18, albumin 3.3.  CBC remarkable for WBC 2.5, hemoglobin 10.1, hematocrit 31, platelets 133.  Lactate dehydrogenase 442, troponin negative.  CRP 101.7, procalcitonin 0.35.  Ferritin 2505.  Lactic acid 0.5. Placed on 4L NC.    EKG: Pending    Radiology performed: CXR with bibasilar opacities.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received the first and second Pfizer vaccine for COVID. The lot that was pulled was for 12 years and older 0.3 ml. I interviewed the MA as she was working in the pediatric department and states she usually verifies with license vocation nurse  before  administering, but there is no documentation on vaccine that it was done. I checked with LVN and states if she is not available sometimes they verify  with provider. Medical assistant thinks it might have been a documentation error as she keeps lots written on a sticky. Medical assistant counseled on checking the lot on actual vial of medication given and documenting. Vaccines are only drawn by LVN  when a dose was needed, but we would leave some predawn.  Lot number that was documented was drawn and available during time frame of vaccine administered.  They were stored in medication room accessible to medical assistants. We have now started to lock and I continue to review chart prior to handing them a dose. LVN is drawing as needed.  Medical assistant has been counseled on seven rights of medication administration.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Fatigue, Headache
Clinical narrative: I had body ache, fatigue, weakness, fever, headache, serve tired, chills, and congestive. I was sick for about 3 weeks. On Dec 22nd, I tested positive for COVID-19.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had body ache, fatigue, weakness, fever, headache, serve tired, chills, and congestive. I was sick for about 3 weeks. On Dec 22nd, I tested positive for COVID-19.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: Admitted to hospital on 01/09/2022 with shortness of breath and cough.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: Patient fully vaccinated (Moderna) but not boosted admitted to the hospital on 02/09/22 with COVID-19 and associated symptoms. Patient was discharged on 02/11/22.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest X-ray normal, Chest pain
Clinical narrative: Patient is fully vaccinated and boosted. Pt c/o sob, chest pain, fatigue, bodyaches, loss of taste, smell and cough. Pt states covid positive since 2/4/2022. Also positive for low-grade fevers, nausea.  She was prescribed a Z-Pak as well as a course of Decadron.  Patient states today she is like she has been unable to fully catch her breath which is what prompted her to come to the emergency department. CXR: No acute process. Troponin normal. Patient vital signs were stable throughout emergency department stay, specifically no desaturations.Recommend patient take muscle relaxer, anti-inflammatories for symptoms, return to emergency department if symptoms change or worsen. Discharged
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Nausea, Pain
Clinical narrative: Patient is fully vaccinated and boosted. Pt c/o sob, chest pain, fatigue, bodyaches, loss of taste, smell and cough. Pt states covid positive since 2/4/2022. Also positive for low-grade fevers, nausea.  She was prescribed a Z-Pak as well as a course of Decadron.  Patient states today she is like she has been unable to fully catch her breath which is what prompted her to come to the emergency department. CXR: No acute process. Troponin normal. Patient vital signs were stable throughout emergency department stay, specifically no desaturations.Recommend patient take muscle relaxer, anti-inflammatories for symptoms, return to emergency department if symptoms change or worsen. Discharged
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Troponin normal
Clinical narrative: Patient is fully vaccinated and boosted. Pt c/o sob, chest pain, fatigue, bodyaches, loss of taste, smell and cough. Pt states covid positive since 2/4/2022. Also positive for low-grade fevers, nausea.  She was prescribed a Z-Pak as well as a course of Decadron.  Patient states today she is like she has been unable to fully catch her breath which is what prompted her to come to the emergency department. CXR: No acute process. Troponin normal. Patient vital signs were stable throughout emergency department stay, specifically no desaturations.Recommend patient take muscle relaxer, anti-inflammatories for symptoms, return to emergency department if symptoms change or worsen. Discharged
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injected limb mobility decreased, Loss of personal independence in daily activities
Clinical narrative: Patient states she noticed pain in her right shoulder same evening of injection. Patient states that she had limited range of motion. Patient states that pain was so bad she stated that it was hard to "even dress her self for the next day."
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Chest X-ray normal, Fall, Leukocytosis
Clinical narrative: Bilateral L1 pars fractures             - MRI L-spine with L1 vertebral fracture which extends across the disc space into the posterior inferior aspect of T12 and T12 posterior elements with associated widening at the L1 fracture site; there is also an anterior epidural space collection at L2 suspicious for epidural hematoma Status post mechanical fall Leukocytosis             - WBC 15.7 > 12.3             - afebrile without signs of clinically significant infection             - likely reactive to trauma COVID-19 detected              - positive 1/20/22, asymptomatic             - no hypoxia             - no acute process on chest x-ray Epilepsy             - on 200 mg phenytoin BID Primary hypertension             - by history, not on antihypertensive medications at home, BP may be elevated now secondary to pain, but needs to be optimized pre-operatively
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar vertebral fracture, Magnetic resonance imaging spinal abnormal, SARS-CoV-2 test positive, Spinal epidural haematoma, White blood cell count increased
Clinical narrative: Bilateral L1 pars fractures             - MRI L-spine with L1 vertebral fracture which extends across the disc space into the posterior inferior aspect of T12 and T12 posterior elements with associated widening at the L1 fracture site; there is also an anterior epidural space collection at L2 suspicious for epidural hematoma Status post mechanical fall Leukocytosis             - WBC 15.7 > 12.3             - afebrile without signs of clinically significant infection             - likely reactive to trauma COVID-19 detected              - positive 1/20/22, asymptomatic             - no hypoxia             - no acute process on chest x-ray Epilepsy             - on 200 mg phenytoin BID Primary hypertension             - by history, not on antihypertensive medications at home, BP may be elevated now secondary to pain, but needs to be optimized pre-operatively
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Pain in jaw, SARS-CoV-2 test, SARS-CoV-2 test negative, Salivary gland disorder
Clinical narrative: 1st dose for 30mins after the vaccine, my saliva gland on my right side went into overdrive and under my right ear mouth was like an ache for 10 mins, Sinus Infection in Feb2022, my husband tested positive I was negative. Been having sinus infection and had virtual health and the doctor had me a COVID test and I don't have the results. I had my 3rd booster in 11Sep2021.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: 1st dose for 30mins after the vaccine, my saliva gland on my right side went into overdrive and under my right ear mouth was like an ache for 10 mins, Sinus Infection in Feb2022, my husband tested positive I was negative. Been having sinus infection and had virtual health and the doctor had me a COVID test and I don't have the results. I had my 3rd booster in 11Sep2021.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Incorrect vaccine given to patient. Patient received Pediatric Pfizer Covid vaccine. No adverse symptoms reported.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Chest tube insertion, Chronic respiratory failure, Death
Clinical narrative: pt admitted to hosp with COVID pneumonia requiring tracheostomy; acute or chronic HRF; hydropneumothorax and empyema; chest tube; septic shock; treated with ABX; DNR; made comfort care and pt died in the hosp
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Empyema, Pneumothorax, Septic shock, Tracheostomy
Clinical narrative: pt admitted to hosp with COVID pneumonia requiring tracheostomy; acute or chronic HRF; hydropneumothorax and empyema; chest tube; septic shock; treated with ABX; DNR; made comfort care and pt died in the hosp
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient setting with covid infection
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Painful respiration, Pyrexia
Clinical narrative: Symptoms reported were headache, chills, fever with a temperature of 102 degrees, and lungs hurt when taking a deep breathe. Lasted for 24 hrs and then gone the next day. Was not assessed and evaluated by a medical provider and returned to work.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Neuralgia
Clinical narrative: I developed Trigeminal Nerve pain in my right lower jaw.  Dr. prescribed Carbamazepine 100mg and Gabapentin 100mg for pain.  The nerve problem lasted about a month and then went away.  I had a Covid-19 booster on 09/28/2021 and did not experience any side effects.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Impaired work ability
Clinical narrative: Corona Virus Concern      SPO2 89% with ambultaion. -sent by PCP     HPI 58-year-old male with history of hypertension presenting to the ER with chief complaint of COVID concern. Patient notes he tested positive on January 7. He notes increased shortness of breath and fatigue since then. He has been having cough. Denies any fevers or chills. Received 2 vaccines most recently in April. Denies any underlying asthma COPD or heart history. Denies any lower extremity edema. Denies any tobacco use or alcohol use. Has been unable to work due to the COVID symptoms. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for ear pain, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria, hematuria and urgency.  Musculoskeletal: Negative for arthralgias, neck pain and neck stiffness.  Skin: Negative for rash.  Neurological: Negative for dizziness, weakness and headaches.       NO LOC
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive
Clinical narrative: Corona Virus Concern      SPO2 89% with ambultaion. -sent by PCP     HPI 58-year-old male with history of hypertension presenting to the ER with chief complaint of COVID concern. Patient notes he tested positive on January 7. He notes increased shortness of breath and fatigue since then. He has been having cough. Denies any fevers or chills. Received 2 vaccines most recently in April. Denies any underlying asthma COPD or heart history. Denies any lower extremity edema. Denies any tobacco use or alcohol use. Has been unable to work due to the COVID symptoms. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for ear pain, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria, hematuria and urgency.  Musculoskeletal: Negative for arthralgias, neck pain and neck stiffness.  Skin: Negative for rash.  Neurological: Negative for dizziness, weakness and headaches.       NO LOC
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Fatigue, Laboratory test, Pain
Clinical narrative: I had a sore arm during the first couple hours after the shot. Body aches and chills by midnight and I did not have a fever, my body temperature is really low so it just went up to 99, I basically was just really tired, aches for a few days and a little more congested than usual. I think it irritated RA because I had bone aches for a few days. It got better 2 and a half days later. I was fine within 4 days. I just sent my PCP a message through the portal and she told me it was a pretty normal reaction. I had an appointment already scheduled with the doctor, my Neurologist they wanted to keep a record of how patients were responding to the vaccine. I did see the Neuromuscular specialist Dr. was June 25th for a routine visit. I had a Neuromuscular test on May 20th. These tests were for preexisting conditions because I had a concussion in the past.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Respiratory tract congestion
Clinical narrative: I had a sore arm during the first couple hours after the shot. Body aches and chills by midnight and I did not have a fever, my body temperature is really low so it just went up to 99, I basically was just really tired, aches for a few days and a little more congested than usual. I think it irritated RA because I had bone aches for a few days. It got better 2 and a half days later. I was fine within 4 days. I just sent my PCP a message through the portal and she told me it was a pretty normal reaction. I had an appointment already scheduled with the doctor, my Neurologist they wanted to keep a record of how patients were responding to the vaccine. I did see the Neuromuscular specialist Dr. was June 25th for a routine visit. I had a Neuromuscular test on May 20th. These tests were for preexisting conditions because I had a concussion in the past.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Culture stool, Diarrhoea haemorrhagic, Glaucoma, Herpes zoster
Clinical narrative: Chronic Bloody diarrhea, which I never had in my whole life. I had that for about a month or longer but subsided with medication. Then a severe auto immune disorder called Polymyalgia Rheumatica. And Glaucoma and shingles. This has continued through-out the time until now. After the second dose the other symptoms became more severe and I had that vaccine on April 6,2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica
Clinical narrative: Chronic Bloody diarrhea, which I never had in my whole life. I had that for about a month or longer but subsided with medication. Then a severe auto immune disorder called Polymyalgia Rheumatica. And Glaucoma and shingles. This has continued through-out the time until now. After the second dose the other symptoms became more severe and I had that vaccine on April 6,2021.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Dizziness, severe headache, nausea
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood creatinine increased, Blood lactic acid, Computerised tomogram abdomen abnormal, Inflammation
Clinical narrative: Date of Admission: 1/19/2022   Chief Complaint:  Abdominal pain   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 88y.o. female with past medical history as indicated below who initially presented to the emergency department secondary to abdominal pain. Patient states that she developed sudden onset diffuse abdominal pain earlier this morning. Denies any fever, chills, nausea, vomiting. Patient states most recent bowel movement was 2 days ago and was normal in caliber with no evidence of blood/mucus. Denies any hematuria, dysuria or difficulties with voiding.Patient denies ever having a colonoscopy or EGD performed. Denies any history of colon cancer or inflammatory bowel disease. Patient denies taking any daily prescription medications, however does take baby aspirin BID, as well as tylenol and a multivitamin. Does report history of a previous open cholecystectomy. Denies any smoking or alcohol history. CT of the abdomen and pelvis was obtained in the emergency department which was significant for scattered pneumoperitoneum with diffuse inflammatory changes and small gas Ladish fluid collections within the abdomen and pelvis centered around the jejunal loop in the mid abdomen. There was noted to be trace free fluid within the pelvis, left pericolic gutter as well as around the spleen. Patient is currently hemodynamically stable and afebrile. Pertinent labs include WBC 18.0, lactic acid 3.9, creatinine 1.56.  Past Medical History:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Intra-abdominal fluid collection, Nucleic acid test, Pneumoperitoneum
Clinical narrative: Date of Admission: 1/19/2022   Chief Complaint:  Abdominal pain   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 88y.o. female with past medical history as indicated below who initially presented to the emergency department secondary to abdominal pain. Patient states that she developed sudden onset diffuse abdominal pain earlier this morning. Denies any fever, chills, nausea, vomiting. Patient states most recent bowel movement was 2 days ago and was normal in caliber with no evidence of blood/mucus. Denies any hematuria, dysuria or difficulties with voiding.Patient denies ever having a colonoscopy or EGD performed. Denies any history of colon cancer or inflammatory bowel disease. Patient denies taking any daily prescription medications, however does take baby aspirin BID, as well as tylenol and a multivitamin. Does report history of a previous open cholecystectomy. Denies any smoking or alcohol history. CT of the abdomen and pelvis was obtained in the emergency department which was significant for scattered pneumoperitoneum with diffuse inflammatory changes and small gas Ladish fluid collections within the abdomen and pelvis centered around the jejunal loop in the mid abdomen. There was noted to be trace free fluid within the pelvis, left pericolic gutter as well as around the spleen. Patient is currently hemodynamically stable and afebrile. Pertinent labs include WBC 18.0, lactic acid 3.9, creatinine 1.56.  Past Medical History:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: Date of Admission: 1/19/2022   Chief Complaint:  Abdominal pain   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 88y.o. female with past medical history as indicated below who initially presented to the emergency department secondary to abdominal pain. Patient states that she developed sudden onset diffuse abdominal pain earlier this morning. Denies any fever, chills, nausea, vomiting. Patient states most recent bowel movement was 2 days ago and was normal in caliber with no evidence of blood/mucus. Denies any hematuria, dysuria or difficulties with voiding.Patient denies ever having a colonoscopy or EGD performed. Denies any history of colon cancer or inflammatory bowel disease. Patient denies taking any daily prescription medications, however does take baby aspirin BID, as well as tylenol and a multivitamin. Does report history of a previous open cholecystectomy. Denies any smoking or alcohol history. CT of the abdomen and pelvis was obtained in the emergency department which was significant for scattered pneumoperitoneum with diffuse inflammatory changes and small gas Ladish fluid collections within the abdomen and pelvis centered around the jejunal loop in the mid abdomen. There was noted to be trace free fluid within the pelvis, left pericolic gutter as well as around the spleen. Patient is currently hemodynamically stable and afebrile. Pertinent labs include WBC 18.0, lactic acid 3.9, creatinine 1.56.  Past Medical History:
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient was admitted to hospital on 02/03/2022.  No symptoms or pre-existing conditions listed.  Patient died 02/09/2022