chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pericardial effusion
Clinical narrative: Hospitalized; COVID-19 positive (fully vaccinated); acute respiratory failure / hypoxia; HISTORY OF PRESENT ILLNESS: The patient is a 62-year-old female.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  Over the past few hours patient has become more lethargic and confused.  She had a recent diagnosis of COVID.  It is not clear what her symptoms were regarding that.  I can see from the chart that the patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. Admission Date: 8/23/2021; Discharge Date: 08/25/2021; Admitting Diagnoses: Acute respiratory failure due to COVID-19 (HCC); PRESENTING PROBLEM: Acute respiratory failure due to COVID-19 (HCC) [U07.1, J96.00] HOSPITAL COURSE: Patient is a 62-year-old woman.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  On the day she presented to ER she was more lethargic and confused.  She had a recent diagnosis of COVID.  She reports she has a cough and shortness of breath.  The patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. While in ER she had intermittent desaturations into the 70s that resolved with 2 liters of oxygen. Her lab work was unremarkable, hemoglobin stable, she was slightly alkalotic on blood gas with a decreased O2. CT abdomen inpatient is negative for calculi or obstructive uropathy. She has a small left rectus sheath hematoma and pericardial effusion. CT head negative. The hospitalist service in Big Rapids was contacted and agreed to admit the patient with acute respiratory failure with hypoxia due to Covid-19.  The patient was transferred and admitted in Big Rapids for further treatment and monitoring. Started on decadron and remdesivir. Started on tube feeds. Able to wean down oxygen. By 8/24 she was on RA and appeared comfortbale and stable from respiratory standpoint. She did have a drop in Hg, and given she is anti-coagulated and rectus sheath hematoma was seen on CT, her Hg was trended for another day. It remained stable and she was safe for discharge back to facility on 8/25. No new medications required at this time, in absence of respiratory symptoms no steroids prescribed.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized; COVID-19 positive (fully vaccinated); acute respiratory failure / hypoxia; HISTORY OF PRESENT ILLNESS: The patient is a 62-year-old female.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  Over the past few hours patient has become more lethargic and confused.  She had a recent diagnosis of COVID.  It is not clear what her symptoms were regarding that.  I can see from the chart that the patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. Admission Date: 8/23/2021; Discharge Date: 08/25/2021; Admitting Diagnoses: Acute respiratory failure due to COVID-19 (HCC); PRESENTING PROBLEM: Acute respiratory failure due to COVID-19 (HCC) [U07.1, J96.00] HOSPITAL COURSE: Patient is a 62-year-old woman.  Patient has a history of Wernickes encephalopathy.  Per EMS her baseline is alert but confused.  On the day she presented to ER she was more lethargic and confused.  She had a recent diagnosis of COVID.  She reports she has a cough and shortness of breath.  The patient had a recent admission for ureteral lithiasis with urinary tract infection and sepsis.  Patient denies any pain.  Denies headache, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, dysuria, hematuria.  She has no complaints.  She is pleasantly confused.  Patient is on Eliquis. While in ER she had intermittent desaturations into the 70s that resolved with 2 liters of oxygen. Her lab work was unremarkable, hemoglobin stable, she was slightly alkalotic on blood gas with a decreased O2. CT abdomen inpatient is negative for calculi or obstructive uropathy. She has a small left rectus sheath hematoma and pericardial effusion. CT head negative. The hospitalist service in Big Rapids was contacted and agreed to admit the patient with acute respiratory failure with hypoxia due to Covid-19.  The patient was transferred and admitted in Big Rapids for further treatment and monitoring. Started on decadron and remdesivir. Started on tube feeds. Able to wean down oxygen. By 8/24 she was on RA and appeared comfortbale and stable from respiratory standpoint. She did have a drop in Hg, and given she is anti-coagulated and rectus sheath hematoma was seen on CT, her Hg was trended for another day. It remained stable and she was safe for discharge back to facility on 8/25. No new medications required at this time, in absence of respiratory symptoms no steroids prescribed.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Ear discomfort, Syncope
Clinical narrative: At approximately 1630 hrs, a syncopal episode occurred at the location site on 09/01/2021. A 21 yo female vaccination patient had a syncopal episode post-vaccination with JJ. The patient did not experience any trauma and was provided care by 2 RNs and 2 LVNs with a pharmacist as well. Patient woke up after approximately 5 seconds. Patient had ear pressure upon waking but mentioned it was just her anxiety. Vitals were taken and were all within normal range. Heart rate was 56 with the patient mentioning they ?are an acrobat and athletic?. Patient left after 45 minutes of monitoring stating that she ?was feeling much better and will eat a snack soon?. The patient was medically screened appropriately by an RN with no contraindications to vaccination. When the incident occurred, the patient was seated in the observation area. All staff responded appropriately, as discussed in the morning briefing.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure fluctuation, Diarrhoea, Headache, Joint stiffness
Clinical narrative: Serious issues with blood pressure stability disease blackouts, serious headache initially, my headache subsided three days later, Extreme stiff neck and joints of hands, some light sensitivity,  and feet  relieved primarily by Benadryl. (Sixth day vomiting and diarrhea, but I am uncertain if that was related to the vaccine or not).  Still having issues with stamina but overall dizziness has subsided.  Some pain and hands and feet still occurring this is not uncommon with an inflammatory response. Most of these are controlled by diet  it under normal circumstances
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Magnetic resonance imaging normal, Musculoskeletal stiffness, Pain in extremity, Photophobia
Clinical narrative: Serious issues with blood pressure stability disease blackouts, serious headache initially, my headache subsided three days later, Extreme stiff neck and joints of hands, some light sensitivity,  and feet  relieved primarily by Benadryl. (Sixth day vomiting and diarrhea, but I am uncertain if that was related to the vaccine or not).  Still having issues with stamina but overall dizziness has subsided.  Some pain and hands and feet still occurring this is not uncommon with an inflammatory response. Most of these are controlled by diet  it under normal circumstances
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Serious issues with blood pressure stability disease blackouts, serious headache initially, my headache subsided three days later, Extreme stiff neck and joints of hands, some light sensitivity,  and feet  relieved primarily by Benadryl. (Sixth day vomiting and diarrhea, but I am uncertain if that was related to the vaccine or not).  Still having issues with stamina but overall dizziness has subsided.  Some pain and hands and feet still occurring this is not uncommon with an inflammatory response. Most of these are controlled by diet  it under normal circumstances
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Injection site nodule
Clinical narrative: Administered Pfizer Covid-19 vaccine. At time of vaccination patient bled and within one minute had a pea sized nodule under the skin at site of injection. Patient said her arm did not hurt and could not feel the nodule. I cleaned up the patient's arm to wipe away the small amount of blood and changed bandages from the inject safe bandage to a coverlet bandage. Monitored the patient for 15 minutes and patient had no other adverse reaction.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Breast enlargement, Lymphadenopathy, Weight increased
Clinical narrative: Bilateral breast enlargement, axillary lymph node enlargement, weight gain
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Back pain, Chills, Muscle spasms, Tremor
Clinical narrative: The patient reported having severe chills and extreme shaking for several hours.  He states he fell asleep and was woken by cramping in his lower back.  The pain in his lower back did not subside until he got out of bed the next morning.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspepsia, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Fever of 102.4 despite Tylenol/Advil every 2 hours for 24 hours, accompanied by sweats, chills, body aches. When fever went away, had nausea, headache, heartburn despite eating very little, then just tiredness.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Nausea, Pain, Pyrexia
Clinical narrative: Fever of 102.4 despite Tylenol/Advil every 2 hours for 24 hours, accompanied by sweats, chills, body aches. When fever went away, had nausea, headache, heartburn despite eating very little, then just tiredness.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood test normal, Chest X-ray normal, Chest discomfort
Clinical narrative: I first had a numbness of my limbs, which made me get up from bed. Right away I noticed my pulse was weak. I also felt very lightheaded and dizzy like I was about to pass-out. After about 20  minutes, I noticed my pulse started racing and it didn't stop for a few more hours. Within about 3 or 4 hours, my heartbeat started racing. I started having chest pain in the middle and the left-side of my chest that comes and goes to this day. The tachycardia episodes I still have to this day every now and then. After about a week and a half, I started having shortness of breath. Even if I take deep breaths, it doesn't feel like it's enough oxygen to my lungs at times. It has gotten better with herbal tea that my mother gives me to spit phlegm out so that I can breathe better. After that, I also developed fatigue and weakness, which is persistent throughout the day. It hasn't allowed me to perform at work so I can't work right now. I have discomfort on the left-side of my chest if I start doing something fast-paced or move around quick. On top of that, I also have pain somewhat persistent on my back and arms sometimes.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Differential white blood cell count, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: I first had a numbness of my limbs, which made me get up from bed. Right away I noticed my pulse was weak. I also felt very lightheaded and dizzy like I was about to pass-out. After about 20  minutes, I noticed my pulse started racing and it didn't stop for a few more hours. Within about 3 or 4 hours, my heartbeat started racing. I started having chest pain in the middle and the left-side of my chest that comes and goes to this day. The tachycardia episodes I still have to this day every now and then. After about a week and a half, I started having shortness of breath. Even if I take deep breaths, it doesn't feel like it's enough oxygen to my lungs at times. It has gotten better with herbal tea that my mother gives me to spit phlegm out so that I can breathe better. After that, I also developed fatigue and weakness, which is persistent throughout the day. It hasn't allowed me to perform at work so I can't work right now. I have discomfort on the left-side of my chest if I start doing something fast-paced or move around quick. On top of that, I also have pain somewhat persistent on my back and arms sometimes.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Heart rate increased, Hypoaesthesia, Impaired work ability
Clinical narrative: I first had a numbness of my limbs, which made me get up from bed. Right away I noticed my pulse was weak. I also felt very lightheaded and dizzy like I was about to pass-out. After about 20  minutes, I noticed my pulse started racing and it didn't stop for a few more hours. Within about 3 or 4 hours, my heartbeat started racing. I started having chest pain in the middle and the left-side of my chest that comes and goes to this day. The tachycardia episodes I still have to this day every now and then. After about a week and a half, I started having shortness of breath. Even if I take deep breaths, it doesn't feel like it's enough oxygen to my lungs at times. It has gotten better with herbal tea that my mother gives me to spit phlegm out so that I can breathe better. After that, I also developed fatigue and weakness, which is persistent throughout the day. It hasn't allowed me to perform at work so I can't work right now. I have discomfort on the left-side of my chest if I start doing something fast-paced or move around quick. On top of that, I also have pain somewhat persistent on my back and arms sometimes.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Metabolic function test normal, N-terminal prohormone brain natriuretic peptide, Pain in extremity, Palpitations
Clinical narrative: I first had a numbness of my limbs, which made me get up from bed. Right away I noticed my pulse was weak. I also felt very lightheaded and dizzy like I was about to pass-out. After about 20  minutes, I noticed my pulse started racing and it didn't stop for a few more hours. Within about 3 or 4 hours, my heartbeat started racing. I started having chest pain in the middle and the left-side of my chest that comes and goes to this day. The tachycardia episodes I still have to this day every now and then. After about a week and a half, I started having shortness of breath. Even if I take deep breaths, it doesn't feel like it's enough oxygen to my lungs at times. It has gotten better with herbal tea that my mother gives me to spit phlegm out so that I can breathe better. After that, I also developed fatigue and weakness, which is persistent throughout the day. It hasn't allowed me to perform at work so I can't work right now. I have discomfort on the left-side of my chest if I start doing something fast-paced or move around quick. On top of that, I also have pain somewhat persistent on my back and arms sometimes.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Pulse abnormal, SARS-CoV-2 test negative, Tachycardia, Troponin normal
Clinical narrative: I first had a numbness of my limbs, which made me get up from bed. Right away I noticed my pulse was weak. I also felt very lightheaded and dizzy like I was about to pass-out. After about 20  minutes, I noticed my pulse started racing and it didn't stop for a few more hours. Within about 3 or 4 hours, my heartbeat started racing. I started having chest pain in the middle and the left-side of my chest that comes and goes to this day. The tachycardia episodes I still have to this day every now and then. After about a week and a half, I started having shortness of breath. Even if I take deep breaths, it doesn't feel like it's enough oxygen to my lungs at times. It has gotten better with herbal tea that my mother gives me to spit phlegm out so that I can breathe better. After that, I also developed fatigue and weakness, which is persistent throughout the day. It hasn't allowed me to perform at work so I can't work right now. I have discomfort on the left-side of my chest if I start doing something fast-paced or move around quick. On top of that, I also have pain somewhat persistent on my back and arms sometimes.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Angiocardiogram, Atrioventricular block, Catheterisation cardiac, Coronary artery dissection, Echocardiogram
Clinical narrative: pt developed spontaneous dissection of the coronary artery on 5-27-2021 (SCAD), elevated troponins, cardiac cath done, 90 % blockage 1st obtuse marginal distal vessel
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: pt developed spontaneous dissection of the coronary artery on 5-27-2021 (SCAD), elevated troponins, cardiac cath done, 90 % blockage 1st obtuse marginal distal vessel
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Musculoskeletal chest pain, Sensation of foreign body, Sleep disorder
Clinical narrative: Severe chest pains that woke me out of sleep 3 times the first night followed by sitting on the couch all day. the second morning I woke around 4:00 am and felt like I had swallowed a beach ball. I drank carbonation but could not burp yet I almost could not even talk. by noon It felt like my rib cage was going to split apart. I had a hard time breathing and became dizzy.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Hyperaesthesia, Pain
Clinical narrative: Itching all over and headache within 15 minutes of vaccination. Fever, body aches, skin sensitivity, chills, kidney pain, generalized weakness, swelling of right arm, pain in right arm within 24 hours of vaccination.  Fever resolved within 48 hours of vaccination. All other symptoms lasted 5 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Pyrexia, Renal pain
Clinical narrative: Itching all over and headache within 15 minutes of vaccination. Fever, body aches, skin sensitivity, chills, kidney pain, generalized weakness, swelling of right arm, pain in right arm within 24 hours of vaccination.  Fever resolved within 48 hours of vaccination. All other symptoms lasted 5 days.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Bilevel positive airway pressure, COVID-19, Chest X-ray normal
Clinical narrative: Hospitalized;  COVID-19 positive (fully vaccinated);  patient expired during hospitalization.    Active Hospital Problems   Diagnosis Date Noted POA ? Acute respiratory failure with hypoxia  08/30/2021 Unknown ? Intertrochanteric fracture of right femur, closed, initial encounter  08/25/2021 Unknown ? COPD (chronic obstructive pulmonary disease) 06/08/2021 Yes  Date of Death: 8/30/21 Time of Death: 10:43 PM Preliminary Cause of Death: COVID-19 Discharge Disposition:  expired  HOSPITAL COURSE: The patient is an 87 year old male history of emphysema, MCA CVA, vascular dementia, hypertension admitted 8/25 to the orthopedic service for right comminuted hip fracture that occurred after a fall at his living facility. He tested positive for covid 19 on 8/20 after an exposure at his nursing facility. He received his J&J vaccine in June 2021.    At the time of admission, he was fairly asymptomatic from covid 19 infection.  Patient was initially stable with no significant chest x-ray findings.  Patient was scheduled for OR on August 26th.    Overnight on 8/25, patient had rapid escalation in his oxygen needs, going from room air to requiring 5-6 liters NC and later to HFNC. Unable to obtain CTA thorax due to kidney function, so CT thorax without contrast performed, only showed severe emphysema. VQ scan obtained which was not suspcious for PE. Patient was started on a heparin gtt due to concern for PE vs. Fat emboli.  As V/Q scan came back negative for PE, heparin drip was discontinued.  Orthopedic team transferred service to hospitalist team and were waiting for improvement in respiratory status before proceeding with surgery.   Patient was started on decadron.  As patient's oxygen requirements increased, patient was placed on BiPAP to help with workup breathing.  Code status confirmed with patient's son wants patient to remain as do not resuscitate.  He also reported that guardianship is being pursued patient was made incapacitated at nursing facility. Due to worsening oxygen requirements, Pulmonology was also consulted. Patient was continued on BiPAP with worsening respiratory status and eventually died.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Death, Emphysema
Clinical narrative: Hospitalized;  COVID-19 positive (fully vaccinated);  patient expired during hospitalization.    Active Hospital Problems   Diagnosis Date Noted POA ? Acute respiratory failure with hypoxia  08/30/2021 Unknown ? Intertrochanteric fracture of right femur, closed, initial encounter  08/25/2021 Unknown ? COPD (chronic obstructive pulmonary disease) 06/08/2021 Yes  Date of Death: 8/30/21 Time of Death: 10:43 PM Preliminary Cause of Death: COVID-19 Discharge Disposition:  expired  HOSPITAL COURSE: The patient is an 87 year old male history of emphysema, MCA CVA, vascular dementia, hypertension admitted 8/25 to the orthopedic service for right comminuted hip fracture that occurred after a fall at his living facility. He tested positive for covid 19 on 8/20 after an exposure at his nursing facility. He received his J&J vaccine in June 2021.    At the time of admission, he was fairly asymptomatic from covid 19 infection.  Patient was initially stable with no significant chest x-ray findings.  Patient was scheduled for OR on August 26th.    Overnight on 8/25, patient had rapid escalation in his oxygen needs, going from room air to requiring 5-6 liters NC and later to HFNC. Unable to obtain CTA thorax due to kidney function, so CT thorax without contrast performed, only showed severe emphysema. VQ scan obtained which was not suspcious for PE. Patient was started on a heparin gtt due to concern for PE vs. Fat emboli.  As V/Q scan came back negative for PE, heparin drip was discontinued.  Orthopedic team transferred service to hospitalist team and were waiting for improvement in respiratory status before proceeding with surgery.   Patient was started on decadron.  As patient's oxygen requirements increased, patient was placed on BiPAP to help with workup breathing.  Code status confirmed with patient's son wants patient to remain as do not resuscitate.  He also reported that guardianship is being pursued patient was made incapacitated at nursing facility. Due to worsening oxygen requirements, Pulmonology was also consulted. Patient was continued on BiPAP with worsening respiratory status and eventually died.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fat embolism, Femur fracture, Hip fracture, Oxygen saturation decreased
Clinical narrative: Hospitalized;  COVID-19 positive (fully vaccinated);  patient expired during hospitalization.    Active Hospital Problems   Diagnosis Date Noted POA ? Acute respiratory failure with hypoxia  08/30/2021 Unknown ? Intertrochanteric fracture of right femur, closed, initial encounter  08/25/2021 Unknown ? COPD (chronic obstructive pulmonary disease) 06/08/2021 Yes  Date of Death: 8/30/21 Time of Death: 10:43 PM Preliminary Cause of Death: COVID-19 Discharge Disposition:  expired  HOSPITAL COURSE: The patient is an 87 year old male history of emphysema, MCA CVA, vascular dementia, hypertension admitted 8/25 to the orthopedic service for right comminuted hip fracture that occurred after a fall at his living facility. He tested positive for covid 19 on 8/20 after an exposure at his nursing facility. He received his J&J vaccine in June 2021.    At the time of admission, he was fairly asymptomatic from covid 19 infection.  Patient was initially stable with no significant chest x-ray findings.  Patient was scheduled for OR on August 26th.    Overnight on 8/25, patient had rapid escalation in his oxygen needs, going from room air to requiring 5-6 liters NC and later to HFNC. Unable to obtain CTA thorax due to kidney function, so CT thorax without contrast performed, only showed severe emphysema. VQ scan obtained which was not suspcious for PE. Patient was started on a heparin gtt due to concern for PE vs. Fat emboli.  As V/Q scan came back negative for PE, heparin drip was discontinued.  Orthopedic team transferred service to hospitalist team and were waiting for improvement in respiratory status before proceeding with surgery.   Patient was started on decadron.  As patient's oxygen requirements increased, patient was placed on BiPAP to help with workup breathing.  Code status confirmed with patient's son wants patient to remain as do not resuscitate.  He also reported that guardianship is being pursued patient was made incapacitated at nursing facility. Due to worsening oxygen requirements, Pulmonology was also consulted. Patient was continued on BiPAP with worsening respiratory status and eventually died.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Renal impairment, Respiratory failure, SARS-CoV-2 test positive, Ventilation/perfusion scan normal
Clinical narrative: Hospitalized;  COVID-19 positive (fully vaccinated);  patient expired during hospitalization.    Active Hospital Problems   Diagnosis Date Noted POA ? Acute respiratory failure with hypoxia  08/30/2021 Unknown ? Intertrochanteric fracture of right femur, closed, initial encounter  08/25/2021 Unknown ? COPD (chronic obstructive pulmonary disease) 06/08/2021 Yes  Date of Death: 8/30/21 Time of Death: 10:43 PM Preliminary Cause of Death: COVID-19 Discharge Disposition:  expired  HOSPITAL COURSE: The patient is an 87 year old male history of emphysema, MCA CVA, vascular dementia, hypertension admitted 8/25 to the orthopedic service for right comminuted hip fracture that occurred after a fall at his living facility. He tested positive for covid 19 on 8/20 after an exposure at his nursing facility. He received his J&J vaccine in June 2021.    At the time of admission, he was fairly asymptomatic from covid 19 infection.  Patient was initially stable with no significant chest x-ray findings.  Patient was scheduled for OR on August 26th.    Overnight on 8/25, patient had rapid escalation in his oxygen needs, going from room air to requiring 5-6 liters NC and later to HFNC. Unable to obtain CTA thorax due to kidney function, so CT thorax without contrast performed, only showed severe emphysema. VQ scan obtained which was not suspcious for PE. Patient was started on a heparin gtt due to concern for PE vs. Fat emboli.  As V/Q scan came back negative for PE, heparin drip was discontinued.  Orthopedic team transferred service to hospitalist team and were waiting for improvement in respiratory status before proceeding with surgery.   Patient was started on decadron.  As patient's oxygen requirements increased, patient was placed on BiPAP to help with workup breathing.  Code status confirmed with patient's son wants patient to remain as do not resuscitate.  He also reported that guardianship is being pursued patient was made incapacitated at nursing facility. Due to worsening oxygen requirements, Pulmonology was also consulted. Patient was continued on BiPAP with worsening respiratory status and eventually died.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Patient came to us and said that she received the Moderna vaccination series and has had menstrual bleeding that hasn't stopped since the first vaccine. She completed the series, but is still having this bleeding. She said that she is going to have to have surgery to fix this.  She says that the doctor thinks it could be from the Moderna vaccine.  She stated that she may have a pre-existing condition that causes this to happen.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder catheterisation, Culture, Dysuria, Genital pain, Pain
Clinical narrative: Vulvar/genital pain developed about 2 days after the second dose of the vaccine, and bilateral apthous vulvar ulcers  (Lipschutz ulcers) were noted by the third day after the vaccine.  They worsened over the next few days, causing extreme pain, especially with voiding, requiring bladder catheterization.  They were resolved within 3 weeks.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Vulval ulceration, Vulvovaginal pain
Clinical narrative: Vulvar/genital pain developed about 2 days after the second dose of the vaccine, and bilateral apthous vulvar ulcers  (Lipschutz ulcers) were noted by the third day after the vaccine.  They worsened over the next few days, causing extreme pain, especially with voiding, requiring bladder catheterization.  They were resolved within 3 weeks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle swelling, Rash erythematous, Rash macular, Skin warm
Clinical narrative: Covid arm developed 2 days post vaccination. Two red splotches on left arm. Hot to touch. Grown larger by day 3. Muscle is swollen
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure fluctuation, Chest pain, Feeling cold, Feeling hot
Clinical narrative: My body was not the same as before the shot! I have a strange sensation throughout my body almost constantly. I have chest pain or center back pain. It is hard to tell. My blood pressure and heart rate have been all over the place. I have cold & hot sensations. My throat is sore & feels like it is closing in on me sometimes. I can't seem to sleep  longer than four hours at a time most nights, even with a sleeping pill.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Insomnia, Oropharyngeal pain, SARS-CoV-2 test negative, Sensory disturbance
Clinical narrative: My body was not the same as before the shot! I have a strange sensation throughout my body almost constantly. I have chest pain or center back pain. It is hard to tell. My blood pressure and heart rate have been all over the place. I have cold & hot sensations. My throat is sore & feels like it is closing in on me sometimes. I can't seem to sleep  longer than four hours at a time most nights, even with a sleeping pill.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: My body was not the same as before the shot! I have a strange sensation throughout my body almost constantly. I have chest pain or center back pain. It is hard to tell. My blood pressure and heart rate have been all over the place. I have cold & hot sensations. My throat is sore & feels like it is closing in on me sometimes. I can't seem to sleep  longer than four hours at a time most nights, even with a sleeping pill.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil percentage, Blood creatine phosphokinase normal, Blood immunoglobulin E, Blood thyroid stimulating hormone, C-reactive protein normal
Clinical narrative: Patient developed myalgia and fatigue 2 days after the receipt of his vaccine, which have been persistent since, impacting his daily activities Labs at PCP on 7/2 showed eosinophil count of 1700, referred to ID where repeat AEC is 1570 today
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Eosinophil count increased, Eosinophil percentage increased, Eosinophilia, Epstein-Barr virus antibody negative
Clinical narrative: Patient developed myalgia and fatigue 2 days after the receipt of his vaccine, which have been persistent since, impacting his daily activities Labs at PCP on 7/2 showed eosinophil count of 1700, referred to ID where repeat AEC is 1570 today
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count normal, Haemoglobin normal, Immature granulocyte count, Laboratory test
Clinical narrative: Patient developed myalgia and fatigue 2 days after the receipt of his vaccine, which have been persistent since, impacting his daily activities Labs at PCP on 7/2 showed eosinophil count of 1700, referred to ID where repeat AEC is 1570 today
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test normal, Loss of personal independence in daily activities, Lymphocyte percentage, Metabolic function test normal, Monocyte percentage
Clinical narrative: Patient developed myalgia and fatigue 2 days after the receipt of his vaccine, which have been persistent since, impacting his daily activities Labs at PCP on 7/2 showed eosinophil count of 1700, referred to ID where repeat AEC is 1570 today
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Neutrophil percentage decreased, Parasitic test, Platelet count normal, Red blood cell sedimentation rate normal
Clinical narrative: Patient developed myalgia and fatigue 2 days after the receipt of his vaccine, which have been persistent since, impacting his daily activities Labs at PCP on 7/2 showed eosinophil count of 1700, referred to ID where repeat AEC is 1570 today
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Troponin normal, White blood cell count normal
Clinical narrative: Patient developed myalgia and fatigue 2 days after the receipt of his vaccine, which have been persistent since, impacting his daily activities Labs at PCP on 7/2 showed eosinophil count of 1700, referred to ID where repeat AEC is 1570 today
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Myalgia, Peripheral swelling, Thrombosis
Clinical narrative: I developed a blood clot in my left arm on a summer trip, showed symptoms of swelling arm, dizziness and sore muscle.  Same arm I received vaccine in.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Ear pain, Neck pain, Pain, Pain in jaw
Clinical narrative: On the morning after the first vaccine dose (6am) , I experienced an ear pain for about an hour in my left ear. This pain ceased for the day and there was no other pain in the ear.   Beginning the evening about 30 hours after the shot, I experienced a severe, sharp and consistent pain on the right side of my neck.  Starting at my right thyroid gland  - which was not notably enlarged.  After about 15 minutes, the pain  extended up into my jaw line and right ear.  This pain has been consistent since Monday, 8.30 at 10pm.  It is worse and more noticeable in the evening.   On the left side, the ear pain has returned as well, but there is no pain in the jaw.   The pain is consistent, not throbbing. More pressure at times and sharper as it gets more intense in the evenings.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid pain
Clinical narrative: On the morning after the first vaccine dose (6am) , I experienced an ear pain for about an hour in my left ear. This pain ceased for the day and there was no other pain in the ear.   Beginning the evening about 30 hours after the shot, I experienced a severe, sharp and consistent pain on the right side of my neck.  Starting at my right thyroid gland  - which was not notably enlarged.  After about 15 minutes, the pain  extended up into my jaw line and right ear.  This pain has been consistent since Monday, 8.30 at 10pm.  It is worse and more noticeable in the evening.   On the left side, the ear pain has returned as well, but there is no pain in the jaw.   The pain is consistent, not throbbing. More pressure at times and sharper as it gets more intense in the evenings.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Loss of personal independence in daily activities, Mobility decreased, Pyrexia
Clinical narrative: The day after my second Moderna shot I had chills, fever and unable to get up and participate in my day.  I was unable to get out of bed for the day.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Blood test, Rash
Clinical narrative: Significant skin rash broke out starting with both arms, then neck, then back, stomach and legs starting two days after initial shot.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Hypotension, Knee arthroplasty, Lethargy
Clinical narrative: Found to be COVID-19 positive during hospital admission (patient fully vaccinated)   Admission Date: 8/23/2021          Discharge Date:  08/27/2021          Hospitalization - 8.23.21 - Active Hospital Problems   Diagnosis Date Noted POA ? Primary osteoarthritis of right knee 08/23/2021 No  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Primary osteoarthritis of right knee [M17.11]   HOSPITAL COURSE: Was admitted to the Hospital 08/23/2021.  She underwent a right total knee arthroplasty.  After short stay in PACU and she was transferred to the floor.  She is placed on appropriate antibiotics was DVT prophylaxis.  PT and OT rest evaluate see patient postop day 1. To begin weight-bearing as tolerated.  Patient postoperatively was very lethargic and had low blood pressure possibly secondary to her psychotropic drugs.  She did continue to improve and was finally discharged home on 08/27/2021.  She will continue weight-bearing as tolerated lower extremity.  She will follow up in the office in 2 weeks for re-x-ray and re-evaluation lower extremity.  She was called in or prescription for pain medication.  She will change her aspirin to 2 times a day of an 81 mg.  She will re-initiate her home medication as prior to surgery.  Visiting therapy and nurse have been set up to follow up outpatient.  It is of note that patient did have a positive COVID test with a subsequent negative follow-up test performed.  Prognosis for patient is guarded.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Osteoarthritis, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Found to be COVID-19 positive during hospital admission (patient fully vaccinated)   Admission Date: 8/23/2021          Discharge Date:  08/27/2021          Hospitalization - 8.23.21 - Active Hospital Problems   Diagnosis Date Noted POA ? Primary osteoarthritis of right knee 08/23/2021 No  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Primary osteoarthritis of right knee [M17.11]   HOSPITAL COURSE: Was admitted to the Hospital 08/23/2021.  She underwent a right total knee arthroplasty.  After short stay in PACU and she was transferred to the floor.  She is placed on appropriate antibiotics was DVT prophylaxis.  PT and OT rest evaluate see patient postop day 1. To begin weight-bearing as tolerated.  Patient postoperatively was very lethargic and had low blood pressure possibly secondary to her psychotropic drugs.  She did continue to improve and was finally discharged home on 08/27/2021.  She will continue weight-bearing as tolerated lower extremity.  She will follow up in the office in 2 weeks for re-x-ray and re-evaluation lower extremity.  She was called in or prescription for pain medication.  She will change her aspirin to 2 times a day of an 81 mg.  She will re-initiate her home medication as prior to surgery.  Visiting therapy and nurse have been set up to follow up outpatient.  It is of note that patient did have a positive COVID test with a subsequent negative follow-up test performed.  Prognosis for patient is guarded.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Missed periods followed by heavy bleeding so far more than 1 week
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash morbilliform
Clinical narrative: Skin rashes - looks like measles or mumps No treatment
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Coagulation test, Electrocardiogram
Clinical narrative: CHEST PAIN, CHEST TIGHTNESS, PAIN DOWN LEFT ARM?
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Enzyme level test, Pain in extremity
Clinical narrative: CHEST PAIN, CHEST TIGHTNESS, PAIN DOWN LEFT ARM?
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: chest pain, shortness of breath since second dose of vaccine
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Muscular weakness, Myalgia, Pain
Clinical narrative: Sore arm for 4 days, extreme fatigue, severe body aches for 2 days, all muscles weak and hurting for 2 days, headache for 2 days, not able to sleep for 2 days
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Sore arm for 4 days, extreme fatigue, severe body aches for 2 days, all muscles weak and hurting for 2 days, headache for 2 days, not able to sleep for 2 days
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Patient reports waking up with "pins and needles" sensation in left leg and foot four days after receiving the vaccine.  Sensation progressed to aching and numbness that has not resolved.  She also reports dizziness and balance issue.  On 8/24/21, patient's prescriber sent prescriptions for nortriptyline, tramadol and baclofen for symptoms.  As of 9/2/21 the patient reports these medications are not relieving symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Severe tinnitus -- first time -- while sitting still.  A loud tone, interrupted every few seconds by the sound of my heart beating.  Lasted about an hour.  Since then I've had a minor but noticeable case of tinnitus.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Musculoskeletal stiffness, Neck pain, Pain in extremity
Clinical narrative: Headache, neck pain, stiffness, fatigue and incredibly sore arm lasting days.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Audiogram abnormal, Discomfort, Ear, nose and throat examination, Insomnia
Clinical narrative: On April 24, 2021, when I woke at about noon, I immediately experience very loud, disturbing tinnitus, with no apparent reason for it, such as having gone to a loud musical event, etc. I was immediately extremely uncomfortable with a borderline panic attack. From that point on, I have had tinnitus, chronic insomnia, and early I had very bad anxiety. I have NEVER had such a response in my entire life.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Panic attack, Tinnitus
Clinical narrative: On April 24, 2021, when I woke at about noon, I immediately experience very loud, disturbing tinnitus, with no apparent reason for it, such as having gone to a loud musical event, etc. I was immediately extremely uncomfortable with a borderline panic attack. From that point on, I have had tinnitus, chronic insomnia, and early I had very bad anxiety. I have NEVER had such a response in my entire life.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test abnormal, Chest X-ray, Chest discomfort, Computerised tomogram
Clinical narrative: Headache, tightness of chest, trouble breathing, numbness in right arm and leg, dizziness, and elevated blood pressure. Went to the ER and was given an EKG, chest X-Ray and CT scan. Blood work was drawn and came back with a high D-Dimer. No clots were found so I was sent to my PCP.  More blood was drawn and D-diner was still elevated. Sent to hematologist for more test. Leg Doppler and echocardiogram was also administered. Waiting on MRI for my head. Starting on 8/31/2021, headache followed by numbness to the left side of my face surfaced. Chest is still tight and I often feel like I am having heart palpitations.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Fibrin D dimer increased
Clinical narrative: Headache, tightness of chest, trouble breathing, numbness in right arm and leg, dizziness, and elevated blood pressure. Went to the ER and was given an EKG, chest X-Ray and CT scan. Blood work was drawn and came back with a high D-Dimer. No clots were found so I was sent to my PCP.  More blood was drawn and D-diner was still elevated. Sent to hematologist for more test. Leg Doppler and echocardiogram was also administered. Waiting on MRI for my head. Starting on 8/31/2021, headache followed by numbness to the left side of my face surfaced. Chest is still tight and I often feel like I am having heart palpitations.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Palpitations, Ultrasound Doppler
Clinical narrative: Headache, tightness of chest, trouble breathing, numbness in right arm and leg, dizziness, and elevated blood pressure. Went to the ER and was given an EKG, chest X-Ray and CT scan. Blood work was drawn and came back with a high D-Dimer. No clots were found so I was sent to my PCP.  More blood was drawn and D-diner was still elevated. Sent to hematologist for more test. Leg Doppler and echocardiogram was also administered. Waiting on MRI for my head. Starting on 8/31/2021, headache followed by numbness to the left side of my face surfaced. Chest is still tight and I often feel like I am having heart palpitations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Salivary hypersecretion, Swollen tongue, Urticaria
Clinical narrative: Patient presented reported increased salivation and a swollen tongue. Pt was taken to consult room. Skin exam revealed 1 hive on left abdomen. Pt took 50 mg PO diphenhyradmine. EMS notified. While waiting with patient in room, tongue had additional swelling and 0.3 mg EpiPen was administered in the L Vastus Lateralis. EMS arrived within a minute after EpiPen administration. EMS evaluated and recommended transport. Pt refused and reported improvement of symptoms. EMS contacted ER physician and provided patient with instructions. Patient observed until 8:05 with no return of symptoms. Ride home was offered and refused. Pt left the store with a bottle of Benadryl with the agreement to contact EMS with any return of symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypersensitivity, Mutism, Swollen tongue
Clinical narrative: Patient presented reported increased salivation and a swollen tongue. Pt was taken to consult room. Skin exam revealed 1 hive on left abdomen. Pt took 50 mg PO diphenhyradmine. EMS notified. While waiting with patient in room, tongue had additional swelling and 0.3 mg EpiPen was administered in the L Vastus Lateralis. EMS arrived within a minute after EpiPen administration. EMS evaluated and recommended transport. Pt refused and reported improvement of symptoms. EMS contacted ER physician and provided patient with instructions. Patient observed until 8:05 with no return of symptoms. Ride home was offered and refused. Pt left the store with a bottle of Benadryl with the agreement to contact EMS with any return of symptoms.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At 2:27 pm patient c/o feeling dizzy. Vital - BP: 132/78. HR: 106. Nurse practitioner assessed and clear patient. Patient left in stable condition.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: About 5 days after recieving  my first dose of the Pfizer vaccine. I got out of the shower and noticed a small rash forming on my left inner leg. Since then it has spread about the back on my leg and lower buttocks and down my leg slightly.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Tremor
Clinical narrative: Shaking, fever, headache and nausea
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain
Clinical narrative: Sudden stabbing pain in back. Deep under shoulder blade
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I broke out in hives that lasted for three weeks they started on my chest and spread all over my torso up my neck and to my face. This happened within the first 3 hours after receiving the shot.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Blood test, Human chorionic gonadotropin, Pregnancy
Clinical narrative: Got vaccinated in June (#1 6/5/21 and #2 6/26/21) Conceived in mid-July, miscarried in August when I was 8 weeks pregnant.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: CG tested positive for COVID 8/24
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: ongoing headaches and dizziness