chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis, Transfusion
Clinical narrative: IT STARTED ON SAT 9/11 WITH WHAT SEEMED LIKE SINUS INFECTION, THAT NIGHT I WENT INTO LABOR AND WENT TO THE HOSPTIAL. DR. RAN A COVID TEST BECAUSE I HAD INCREASED HEART RATE. THEY NEEDED TO TAKE ME INTO C-SECTION RIGHT AWAY SO THEY DIDN?T WAIT FOR RESULTS. THE COVID TEST CAME BACK POSTITIVE AFTER THE BABY WAS DELIVERED. AT THAT POINT THE SYMPTOMS WERE VERY MILD. THE DR ORDERED MONOCLONAL ANITBODIES WHICH WAS GIVEN TO ME ON SUNDAY NIGHT AT THE HOSPTIAL. MONDAY MORNING I FELT REALLY GOOD, THEY DID BLOODWORK, AT NOON TIME EVERYTHING CHANGED. I STARTED TO FEEL HORRIBLE, FEELING MISERABLE, FREEZING COLD AND TERRIBLE. I KEPT CALLING THE NURSE. LAB RESULTS CAME AND SHOWED THAT I LOST MORE BLOOD THAN THEY THOUGHT DURING MY SURGERY, MY HEMOGLOBIN DROPPED TO 5.8 AND THEY NEEDED TO ORDER BLOOD TRANSFUSION FOR ME. I HAD 103 FEVER AND THEY CALLED THE URGENT RESPONSE TEAM. THE DOCTORS THOUGHT I WAS GOING INTO CEPTSIS AND TRANSFERRED ME FROM POST-PARTUM TO ICU AND WERE TRYING TO GET DOWN THE FEVER TO GIVE ME THE TRANSFUSION. THE MEDICATIONS THEY WERE GIVING ME WASN?T WORKING. WHEN THEY BROUGHT THE FEVER DOWN THEY GAVE ME 2 BAGS OF BLOOD. ONCE THAT HAPPENED I STARTED TO STABLIZE AGAIN AND KEPT ME IN OBSERVATION FOR 2 DAYS.  WHEN I HAD MY FOLLOWUP THE DR TOLD ME THAT MY BODY DID NOT KNOW WHAT TO DO AND WENT INTO CRASH MODE DUE TO COVID.  BIRTH WEIGHT 6LB 11OUNCES  DUE DATE: UNKNOWN COMPLICATIONS: BABY HAD VERY VERY MILD MURMUR (PULMONIC STINOSIS)
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram, Pain in extremity
Clinical narrative: After receiving the booster shot, I experienced prolong soreness in my left arm and slight soreness in my chest. After the soreness subsided I still feel frequent tension or pressure in my chest.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Hospitalized 01/13/2022; COVID-19 positive 01/13/2022; Fully vaccinated   BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: DO Admission Date: 1/13/2022 Discharge Date: 01/25/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 94-year-old male who presented to the emergency department with shortness of breath.  In the emergency department, patient was found to be hypoxemic on room air and required supplemental oxygen.  Chest x-ray showed patchy mild right pulmonary opacities consistent with atelectasis and/or pneumonia.  Patient was found to be positive for COVID-19.  He was admitted to the Internal Medicine service and started on Decadron and remdesivir.  Endocrinology was consulted for steroid induced hyperglycemia.  Patient was started on an insulin drip and transitioned to BBI. He had some morning hypoglycemia, so this was adjusted to just corrective insulin. His oxygenation improved and remained stable.  Physical & occupational therapy recommended subacute rehab, but the patient's daughter wanted to take him home.  He was set up with the COVID at home program, but ultimately given continued somnolence, his advanced age, and illness, the patient's daughter asked to be set up with Hospice. Patient was discharged home with Hospice.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperglycaemia, Hypoglycaemia, Hypoxia, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/13/2022; COVID-19 positive 01/13/2022; Fully vaccinated   BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: DO Admission Date: 1/13/2022 Discharge Date: 01/25/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 94-year-old male who presented to the emergency department with shortness of breath.  In the emergency department, patient was found to be hypoxemic on room air and required supplemental oxygen.  Chest x-ray showed patchy mild right pulmonary opacities consistent with atelectasis and/or pneumonia.  Patient was found to be positive for COVID-19.  He was admitted to the Internal Medicine service and started on Decadron and remdesivir.  Endocrinology was consulted for steroid induced hyperglycemia.  Patient was started on an insulin drip and transitioned to BBI. He had some morning hypoglycemia, so this was adjusted to just corrective insulin. His oxygenation improved and remained stable.  Physical & occupational therapy recommended subacute rehab, but the patient's daughter wanted to take him home.  He was set up with the COVID at home program, but ultimately given continued somnolence, his advanced age, and illness, the patient's daughter asked to be set up with Hospice. Patient was discharged home with Hospice.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Somnolence
Clinical narrative: Hospitalized 01/13/2022; COVID-19 positive 01/13/2022; Fully vaccinated   BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: DO Admission Date: 1/13/2022 Discharge Date: 01/25/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus COVID-19   HOSPITAL COURSE: Patient is a 94-year-old male who presented to the emergency department with shortness of breath.  In the emergency department, patient was found to be hypoxemic on room air and required supplemental oxygen.  Chest x-ray showed patchy mild right pulmonary opacities consistent with atelectasis and/or pneumonia.  Patient was found to be positive for COVID-19.  He was admitted to the Internal Medicine service and started on Decadron and remdesivir.  Endocrinology was consulted for steroid induced hyperglycemia.  Patient was started on an insulin drip and transitioned to BBI. He had some morning hypoglycemia, so this was adjusted to just corrective insulin. His oxygenation improved and remained stable.  Physical & occupational therapy recommended subacute rehab, but the patient's daughter wanted to take him home.  He was set up with the COVID at home program, but ultimately given continued somnolence, his advanced age, and illness, the patient's daughter asked to be set up with Hospice. Patient was discharged home with Hospice.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Immediate post-injection reaction, Injection site pain
Clinical narrative: Severe pain in right arm up to shoulder immediately. January 14, 2022 diagnosed with bilateral PE Clots
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Severe pain in right arm up to shoulder immediately. January 14, 2022 diagnosed with bilateral PE Clots
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Travel visit for 16 year old patient, as part of visit Covid Booster dose administered.  Moderna  given to patient under the age of 18, dose is still valid and no reaction noted.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Hypophagia
Clinical narrative: This is a 97 year old, frail, elderly male, patient of Dr. with past medical history significant for CAD, s/p CABG, HTN, HLP, Hypothyroidism, Barretts Esophagus, Depression, Bells Palsy with residual Left side facial droop/weakness, who presented to the ED with complaints of SOB, CP, Cough, poor po intake. Apparently this started several days ago per his family.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This is a 97 year old, frail, elderly male, patient of Dr. with past medical history significant for CAD, s/p CABG, HTN, HLP, Hypothyroidism, Barretts Esophagus, Depression, Bells Palsy with residual Left side facial droop/weakness, who presented to the ED with complaints of SOB, CP, Cough, poor po intake. Apparently this started several days ago per his family.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Hypoaesthesia, Pain
Clinical narrative: right shoulder joint, bones ache more than 2 weeks after shot, dull pain, persists, not strained my arm, just had the booster phizer shot. 3 straight weeks, feels like permanent arthritis in my right arm, alittle numbness, soreness and aches. It has been three weeks.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through household contact
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Muscle atrophy, Muscular weakness, Pain in extremity
Clinical narrative: Patient reports 2 days after injection arm pain intensified and has lost strength in left arm, noting muscle atrophy. Patient reports being treated with cortisol injections and physical therapy.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Musculoskeletal chest pain, Myalgia, Pain
Clinical narrative: Patient received Covid booster on 1/24/22, was seen in doctor's office on 1/26/22 for muscle aches and pain, fever, fatigue, now has developed upper Left arm pain and Left chest wall pain.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient received Covid booster on 1/24/22, was seen in doctor's office on 1/26/22 for muscle aches and pain, fever, fatigue, now has developed upper Left arm pain and Left chest wall pain.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: realize that vial of vaccine was expired after dose had been administered.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysstasia, Gait inability, Loss of consciousness, Stoma site discharge
Clinical narrative: Unable to walk evening of vaccine and also day after. Continual loss of fluid through my stoma.  Everytime I would try to stand I would start to black out
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Occupational exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through work contact.  Up to date with booster
Age: 30.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Abortion spontaneous, Arthralgia, Discomfort, Exposure during pregnancy, Feeling abnormal
Clinical narrative: There is not an option to enter in the booster shot. I received my Pfizer booster shot on 12/06/2021, Lot Number: FJ8757.   At the time I was 10 weeks pregnant, with a 07/09/22 due date. This was my first pregnancy. 24 hours post-injection, I felt terrible; muscle aches and joint pain. I did NOT take any additional medication to help with the discomfort.    On 12/10/21 I had a miscarriage.
Age: 30.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Myalgia, Ultrasound scan vagina abnormal
Clinical narrative: There is not an option to enter in the booster shot. I received my Pfizer booster shot on 12/06/2021, Lot Number: FJ8757.   At the time I was 10 weeks pregnant, with a 07/09/22 due date. This was my first pregnancy. 24 hours post-injection, I felt terrible; muscle aches and joint pain. I did NOT take any additional medication to help with the discomfort.    On 12/10/21 I had a miscarriage.
Age: 30.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Abortion spontaneous, Arthralgia, Feeling abnormal, Immunisation, Pain
Clinical narrative: There is not an option to enter in the booster shot. I received my Pfizer booster shot on 12/06/2021, Lot Number: FJ8757.   At the time I was 10 weeks pregnant, with a 07/09/22 due date. This was my first pregnancy. 24 hours post-injection, I felt terrible; muscle aches and joint pain. I did NOT take any additional medication to help with the discomfort.    On 12/10/21 I had a miscarriage.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Rash papular, Skin warm
Clinical narrative: I had a rash on stomach and back and it traveled up my neck into my hair. It was bumpy and red and hot to the touch.  I called my Dr. and was advised to take Benadryl.  The reaction didn?t cause any swelling in my throat and it did not impede my breathing. I took Benadryl for 2 days and then Zyrtec for a week. The rash was gone after 1 week.
Age: 57.0
Sex: F
Vaccine: FLUC4, FLUC3
Symptoms: Eye haemorrhage, Headache, Hypersensitivity, Hypertension, Ocular hyperaemia
Clinical narrative: She got her vaccine at her doctors office, no problems.  Later that evening at 11:00 PM she had tenderness, couldn't sleep on that arm due to the pain, thought she had a heart attack.  She had headaches on the right temporal lobe, and then on the temporal lobe with warmth in that area and tenderness.  She also had fever up to 101.4.  She left messages with her doctor and they called her on Monday and told her that she had an allergic reaction and to go to the ER.  She went to the UC, and they reported that they went in for the allergic reaction.  Her hands started swelling up and with high blood pressure.  Then her eyes felt like the blood vessels were bad, had real bad redness in them.  She kept telling them that something was not right.   She wondered what vaccine she got and they did blood work on 12/3/21, and then had other FU's.   She went back to work and her boss told her that her eyes looked bad, and was going back and forth to the doctor every 2 weeks.  She is still having the same problems since then.    She spikes a fever periodically for no reason, and the temporal region has the pain as well, and also the red eyes.  She wants to know what happened and nobody has given her any information.    She talked to the manager in the office and feels that something was wrong with the dosage of what she received, and the lot# says one thing and feels there was an error.    When she went to the ER they were upset and asked why they sent her to the ER if they were the one who administered the vaccine.   She told the doctor what the ER told her and that she should go back to the doctor.    She went to the eye doctor and told them it was from a vaccine injury, who did not confirm that.  She has an APT with an Ophthalmologist in March.
Age: 57.0
Sex: F
Vaccine: FLUC4, FLUC3
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Sleep disorder, Tenderness
Clinical narrative: She got her vaccine at her doctors office, no problems.  Later that evening at 11:00 PM she had tenderness, couldn't sleep on that arm due to the pain, thought she had a heart attack.  She had headaches on the right temporal lobe, and then on the temporal lobe with warmth in that area and tenderness.  She also had fever up to 101.4.  She left messages with her doctor and they called her on Monday and told her that she had an allergic reaction and to go to the ER.  She went to the UC, and they reported that they went in for the allergic reaction.  Her hands started swelling up and with high blood pressure.  Then her eyes felt like the blood vessels were bad, had real bad redness in them.  She kept telling them that something was not right.   She wondered what vaccine she got and they did blood work on 12/3/21, and then had other FU's.   She went back to work and her boss told her that her eyes looked bad, and was going back and forth to the doctor every 2 weeks.  She is still having the same problems since then.    She spikes a fever periodically for no reason, and the temporal region has the pain as well, and also the red eyes.  She wants to know what happened and nobody has given her any information.    She talked to the manager in the office and feels that something was wrong with the dosage of what she received, and the lot# says one thing and feels there was an error.    When she went to the ER they were upset and asked why they sent her to the ER if they were the one who administered the vaccine.   She told the doctor what the ER told her and that she should go back to the doctor.    She went to the eye doctor and told them it was from a vaccine injury, who did not confirm that.  She has an APT with an Ophthalmologist in March.
Age: 57.0
Sex: F
Vaccine: FLUC4, FLUC3
Symptoms: Blood test, Erythema, Headache, Injection site pain, Insomnia
Clinical narrative: She got her vaccine at her doctors office, no problems.  Later that evening at 11:00 PM she had tenderness, couldn't sleep on that arm due to the pain, thought she had a heart attack.  She had headaches on the right temporal lobe, and then on the temporal lobe with warmth in that area and tenderness.  She also had fever up to 101.4.  She left messages with her doctor and they called her on Monday and told her that she had an allergic reaction and to go to the ER.  She went to the UC, and they reported that they went in for the allergic reaction.  Her hands started swelling up and with high blood pressure.  Then her eyes felt like the blood vessels were bad, had real bad redness in them.  She kept telling them that something was not right.   She wondered what vaccine she got and they did blood work on 12/3/21, and then had other FU's.   She went back to work and her boss told her that her eyes looked bad, and was going back and forth to the doctor every 2 weeks.  She is still having the same problems since then.    She spikes a fever periodically for no reason, and the temporal region has the pain as well, and also the red eyes.  She wants to know what happened and nobody has given her any information.    She talked to the manager in the office and feels that something was wrong with the dosage of what she received, and the lot# says one thing and feels there was an error.    When she went to the ER they were upset and asked why they sent her to the ER if they were the one who administered the vaccine.   She told the doctor what the ER told her and that she should go back to the doctor.    She went to the eye doctor and told them it was from a vaccine injury, who did not confirm that.  She has an APT with an Ophthalmologist in March.
Age: 57.0
Sex: F
Vaccine: FLUC4, FLUC3
Symptoms: Ocular hyperaemia, Peripheral swelling, Pyrexia, Skin warm, Vaccination site pain
Clinical narrative: She got her vaccine at her doctors office, no problems.  Later that evening at 11:00 PM she had tenderness, couldn't sleep on that arm due to the pain, thought she had a heart attack.  She had headaches on the right temporal lobe, and then on the temporal lobe with warmth in that area and tenderness.  She also had fever up to 101.4.  She left messages with her doctor and they called her on Monday and told her that she had an allergic reaction and to go to the ER.  She went to the UC, and they reported that they went in for the allergic reaction.  Her hands started swelling up and with high blood pressure.  Then her eyes felt like the blood vessels were bad, had real bad redness in them.  She kept telling them that something was not right.   She wondered what vaccine she got and they did blood work on 12/3/21, and then had other FU's.   She went back to work and her boss told her that her eyes looked bad, and was going back and forth to the doctor every 2 weeks.  She is still having the same problems since then.    She spikes a fever periodically for no reason, and the temporal region has the pain as well, and also the red eyes.  She wants to know what happened and nobody has given her any information.    She talked to the manager in the office and feels that something was wrong with the dosage of what she received, and the lot# says one thing and feels there was an error.    When she went to the ER they were upset and asked why they sent her to the ER if they were the one who administered the vaccine.   She told the doctor what the ER told her and that she should go back to the doctor.    She went to the eye doctor and told them it was from a vaccine injury, who did not confirm that.  She has an APT with an Ophthalmologist in March.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Headache, Injected limb mobility decreased, Physical examination
Clinical narrative: Was having burning pain in left shoulder the morning after shot. Pain continued to worsen as the week progressed. By the next weekend, experienced limited mobility of movement in left shoulder and acute severe pain. Also began to have facial swelling on the right side of face and severe headache the following weekend after getting booster shot. Sought doctor treatment on 1/24/22 for symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Was having burning pain in left shoulder the morning after shot. Pain continued to worsen as the week progressed. By the next weekend, experienced limited mobility of movement in left shoulder and acute severe pain. Also began to have facial swelling on the right side of face and severe headache the following weekend after getting booster shot. Sought doctor treatment on 1/24/22 for symptoms.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 14 yo pt received a Moderna booster shot for a non-approved age group. No adverse effects reported
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Computerised tomogram, Dizziness, Headache, Magnetic resonance imaging head
Clinical narrative: Left vertebral artery dissection C2-C7. Had syncopal episode on 12/19/2021, called ambulance, but not taken to ER. Had persistent headache/dizziness/left neck pain for 3 weeks. Seen in clinic on 1/7/2022.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Neck pain, Syncope, Vertebral artery dissection
Clinical narrative: Left vertebral artery dissection C2-C7. Had syncopal episode on 12/19/2021, called ambulance, but not taken to ER. Had persistent headache/dizziness/left neck pain for 3 weeks. Seen in clinic on 1/7/2022.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Condition aggravated, Culture urine positive, Death
Clinical narrative: Patient was an 82yr old female with PMH of Chronic UTI's (possibly related to a pessary), Aortic stenosis, Arthritis, OSA on CPAP, Depression, hypertension, Hypothyroidism and Shingles who initially presented to the hospital on 12/22 with frequency, generalized malaise and a urine culture positive for E Coli - she was also noted to be in Afib with RVR. She ws commenced on Ceftriaxone and on a Diltiazem infusion. While on admission pt. had a urine culture positive for Pseudomonas and was also diagnosed with pneumonia. At admission SARS-CoV-2 testing was negative, but became positive on 1/3/21 . She completed a course of Remdesivir and Linezolid and remained on Piperacillin-Tazobactam. Patient was deceased on 1/20/22.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Escherichia infection, Malaise, Pneumonia, Pseudomonas infection, SARS-CoV-2 test negative
Clinical narrative: Patient was an 82yr old female with PMH of Chronic UTI's (possibly related to a pessary), Aortic stenosis, Arthritis, OSA on CPAP, Depression, hypertension, Hypothyroidism and Shingles who initially presented to the hospital on 12/22 with frequency, generalized malaise and a urine culture positive for E Coli - she was also noted to be in Afib with RVR. She ws commenced on Ceftriaxone and on a Diltiazem infusion. While on admission pt. had a urine culture positive for Pseudomonas and was also diagnosed with pneumonia. At admission SARS-CoV-2 testing was negative, but became positive on 1/3/21 . She completed a course of Remdesivir and Linezolid and remained on Piperacillin-Tazobactam. Patient was deceased on 1/20/22.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient was an 82yr old female with PMH of Chronic UTI's (possibly related to a pessary), Aortic stenosis, Arthritis, OSA on CPAP, Depression, hypertension, Hypothyroidism and Shingles who initially presented to the hospital on 12/22 with frequency, generalized malaise and a urine culture positive for E Coli - she was also noted to be in Afib with RVR. She ws commenced on Ceftriaxone and on a Diltiazem infusion. While on admission pt. had a urine culture positive for Pseudomonas and was also diagnosed with pneumonia. At admission SARS-CoV-2 testing was negative, but became positive on 1/3/21 . She completed a course of Remdesivir and Linezolid and remained on Piperacillin-Tazobactam. Patient was deceased on 1/20/22.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ammonia normal, Angiogram cerebral abnormal, Angiopathy, Arteriogram carotid abnormal, Asymptomatic COVID-19
Clinical narrative: Hospitalized 01/14/2022-still currently admitted; COVID-19 positive 01/02/2022 (per notes) COVID-19 positive (hospital records) 01/14/2022; fully vaccinated  ASSESSMENT / PLAN:   Acute toxic metabolic encephalopathy, improving - currently A&O x1, baseline A&Ox3-4 - CT head negative for acute process - ammonia WNL, check TSH - EEG, MRI brain - check UA - neuro checks   Transient hypotensive/hypoxic episode - monitor labs/VS - interrogate PPM, cardiac monitoring, check ECHO - check AM cortisol   Mild lactic acidosis - Lactic 2.2, continue IVF and recheck AM - 0/4 SIRS criteria met, likely related to hypovolemia, doubt infectious process   COVID-19 Infection - pt daughter, pt tested positive around 1/2-1/3 and has been relatively asymptomatic - CXR: probable vascular congestion vs viral process - no indication for steroids d/t no hypoxia, out of window and no indication for remdesivir - monitor VS - supportive care  01/18/2022 notes: COVID-19 Infection - Patient tested positive around 1/2-1/3 and has been relatively asymptomatic, mild cough - CXR shows probable vascular congestion vs viral process - Decadron not indicated as he is not hyopxic - Out of time frame for Remdesivir 01/25/2022 notes: Acute toxic metabolic encephalopathy, improving New right facial droop New right upper extremity weakness - CT head negative for acute process - EEG without evidence of seizure activity - Ammonia and TSH WNL - Stroke RRT called 1/16. NIHSS was 9, but 4 when corrected for baseline deficits. Decision was made to hold off on tPA.  - CT head and CT perfusion without any acute process that would correlate with patients symptoms. Incidental finding of small area in right cerebellum noted that may have hypoperfusion.  - CTA head/neck with areas of moderate stenosis, but no large vessel occlusion - Neurology consulted - MRI without acute abnormalities decrease ASA 325 to 81 daily - Lipid panel WNL. Continue statin for CVA prevention.  - A1c 7.2 - MRI brain w/o acute abnormalities  SLP recommending NPO. Oral medications discontinued. Initiate comfort measures.  Appreciate palliative care input.  Dispo:  Palliative care team met with patient regarding goals of care discussion.  Comfort measures initiated.  DPOA activated.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid decreased, Blood thyroid stimulating hormone normal, COVID-19, Cardiac monitoring, Chest X-ray abnormal
Clinical narrative: Hospitalized 01/14/2022-still currently admitted; COVID-19 positive 01/02/2022 (per notes) COVID-19 positive (hospital records) 01/14/2022; fully vaccinated  ASSESSMENT / PLAN:   Acute toxic metabolic encephalopathy, improving - currently A&O x1, baseline A&Ox3-4 - CT head negative for acute process - ammonia WNL, check TSH - EEG, MRI brain - check UA - neuro checks   Transient hypotensive/hypoxic episode - monitor labs/VS - interrogate PPM, cardiac monitoring, check ECHO - check AM cortisol   Mild lactic acidosis - Lactic 2.2, continue IVF and recheck AM - 0/4 SIRS criteria met, likely related to hypovolemia, doubt infectious process   COVID-19 Infection - pt daughter, pt tested positive around 1/2-1/3 and has been relatively asymptomatic - CXR: probable vascular congestion vs viral process - no indication for steroids d/t no hypoxia, out of window and no indication for remdesivir - monitor VS - supportive care  01/18/2022 notes: COVID-19 Infection - Patient tested positive around 1/2-1/3 and has been relatively asymptomatic, mild cough - CXR shows probable vascular congestion vs viral process - Decadron not indicated as he is not hyopxic - Out of time frame for Remdesivir 01/25/2022 notes: Acute toxic metabolic encephalopathy, improving New right facial droop New right upper extremity weakness - CT head negative for acute process - EEG without evidence of seizure activity - Ammonia and TSH WNL - Stroke RRT called 1/16. NIHSS was 9, but 4 when corrected for baseline deficits. Decision was made to hold off on tPA.  - CT head and CT perfusion without any acute process that would correlate with patients symptoms. Incidental finding of small area in right cerebellum noted that may have hypoperfusion.  - CTA head/neck with areas of moderate stenosis, but no large vessel occlusion - Neurology consulted - MRI without acute abnormalities decrease ASA 325 to 81 daily - Lipid panel WNL. Continue statin for CVA prevention.  - A1c 7.2 - MRI brain w/o acute abnormalities  SLP recommending NPO. Oral medications discontinued. Initiate comfort measures.  Appreciate palliative care input.  Dispo:  Palliative care team met with patient regarding goals of care discussion.  Comfort measures initiated.  DPOA activated.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Cough, Electroencephalogram normal, Facial paralysis, Glycosylated haemoglobin increased
Clinical narrative: Hospitalized 01/14/2022-still currently admitted; COVID-19 positive 01/02/2022 (per notes) COVID-19 positive (hospital records) 01/14/2022; fully vaccinated  ASSESSMENT / PLAN:   Acute toxic metabolic encephalopathy, improving - currently A&O x1, baseline A&Ox3-4 - CT head negative for acute process - ammonia WNL, check TSH - EEG, MRI brain - check UA - neuro checks   Transient hypotensive/hypoxic episode - monitor labs/VS - interrogate PPM, cardiac monitoring, check ECHO - check AM cortisol   Mild lactic acidosis - Lactic 2.2, continue IVF and recheck AM - 0/4 SIRS criteria met, likely related to hypovolemia, doubt infectious process   COVID-19 Infection - pt daughter, pt tested positive around 1/2-1/3 and has been relatively asymptomatic - CXR: probable vascular congestion vs viral process - no indication for steroids d/t no hypoxia, out of window and no indication for remdesivir - monitor VS - supportive care  01/18/2022 notes: COVID-19 Infection - Patient tested positive around 1/2-1/3 and has been relatively asymptomatic, mild cough - CXR shows probable vascular congestion vs viral process - Decadron not indicated as he is not hyopxic - Out of time frame for Remdesivir 01/25/2022 notes: Acute toxic metabolic encephalopathy, improving New right facial droop New right upper extremity weakness - CT head negative for acute process - EEG without evidence of seizure activity - Ammonia and TSH WNL - Stroke RRT called 1/16. NIHSS was 9, but 4 when corrected for baseline deficits. Decision was made to hold off on tPA.  - CT head and CT perfusion without any acute process that would correlate with patients symptoms. Incidental finding of small area in right cerebellum noted that may have hypoperfusion.  - CTA head/neck with areas of moderate stenosis, but no large vessel occlusion - Neurology consulted - MRI without acute abnormalities decrease ASA 325 to 81 daily - Lipid panel WNL. Continue statin for CVA prevention.  - A1c 7.2 - MRI brain w/o acute abnormalities  SLP recommending NPO. Oral medications discontinued. Initiate comfort measures.  Appreciate palliative care input.  Dispo:  Palliative care team met with patient regarding goals of care discussion.  Comfort measures initiated.  DPOA activated.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Hypovolaemia, Hypoxia, Lactic acidosis, Lipids normal
Clinical narrative: Hospitalized 01/14/2022-still currently admitted; COVID-19 positive 01/02/2022 (per notes) COVID-19 positive (hospital records) 01/14/2022; fully vaccinated  ASSESSMENT / PLAN:   Acute toxic metabolic encephalopathy, improving - currently A&O x1, baseline A&Ox3-4 - CT head negative for acute process - ammonia WNL, check TSH - EEG, MRI brain - check UA - neuro checks   Transient hypotensive/hypoxic episode - monitor labs/VS - interrogate PPM, cardiac monitoring, check ECHO - check AM cortisol   Mild lactic acidosis - Lactic 2.2, continue IVF and recheck AM - 0/4 SIRS criteria met, likely related to hypovolemia, doubt infectious process   COVID-19 Infection - pt daughter, pt tested positive around 1/2-1/3 and has been relatively asymptomatic - CXR: probable vascular congestion vs viral process - no indication for steroids d/t no hypoxia, out of window and no indication for remdesivir - monitor VS - supportive care  01/18/2022 notes: COVID-19 Infection - Patient tested positive around 1/2-1/3 and has been relatively asymptomatic, mild cough - CXR shows probable vascular congestion vs viral process - Decadron not indicated as he is not hyopxic - Out of time frame for Remdesivir 01/25/2022 notes: Acute toxic metabolic encephalopathy, improving New right facial droop New right upper extremity weakness - CT head negative for acute process - EEG without evidence of seizure activity - Ammonia and TSH WNL - Stroke RRT called 1/16. NIHSS was 9, but 4 when corrected for baseline deficits. Decision was made to hold off on tPA.  - CT head and CT perfusion without any acute process that would correlate with patients symptoms. Incidental finding of small area in right cerebellum noted that may have hypoperfusion.  - CTA head/neck with areas of moderate stenosis, but no large vessel occlusion - Neurology consulted - MRI without acute abnormalities decrease ASA 325 to 81 daily - Lipid panel WNL. Continue statin for CVA prevention.  - A1c 7.2 - MRI brain w/o acute abnormalities  SLP recommending NPO. Oral medications discontinued. Initiate comfort measures.  Appreciate palliative care input.  Dispo:  Palliative care team met with patient regarding goals of care discussion.  Comfort measures initiated.  DPOA activated.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head normal, Muscular weakness, Perfusion brain scan normal, SARS-CoV-2 test positive, Stenosis
Clinical narrative: Hospitalized 01/14/2022-still currently admitted; COVID-19 positive 01/02/2022 (per notes) COVID-19 positive (hospital records) 01/14/2022; fully vaccinated  ASSESSMENT / PLAN:   Acute toxic metabolic encephalopathy, improving - currently A&O x1, baseline A&Ox3-4 - CT head negative for acute process - ammonia WNL, check TSH - EEG, MRI brain - check UA - neuro checks   Transient hypotensive/hypoxic episode - monitor labs/VS - interrogate PPM, cardiac monitoring, check ECHO - check AM cortisol   Mild lactic acidosis - Lactic 2.2, continue IVF and recheck AM - 0/4 SIRS criteria met, likely related to hypovolemia, doubt infectious process   COVID-19 Infection - pt daughter, pt tested positive around 1/2-1/3 and has been relatively asymptomatic - CXR: probable vascular congestion vs viral process - no indication for steroids d/t no hypoxia, out of window and no indication for remdesivir - monitor VS - supportive care  01/18/2022 notes: COVID-19 Infection - Patient tested positive around 1/2-1/3 and has been relatively asymptomatic, mild cough - CXR shows probable vascular congestion vs viral process - Decadron not indicated as he is not hyopxic - Out of time frame for Remdesivir 01/25/2022 notes: Acute toxic metabolic encephalopathy, improving New right facial droop New right upper extremity weakness - CT head negative for acute process - EEG without evidence of seizure activity - Ammonia and TSH WNL - Stroke RRT called 1/16. NIHSS was 9, but 4 when corrected for baseline deficits. Decision was made to hold off on tPA.  - CT head and CT perfusion without any acute process that would correlate with patients symptoms. Incidental finding of small area in right cerebellum noted that may have hypoperfusion.  - CTA head/neck with areas of moderate stenosis, but no large vessel occlusion - Neurology consulted - MRI without acute abnormalities decrease ASA 325 to 81 daily - Lipid panel WNL. Continue statin for CVA prevention.  - A1c 7.2 - MRI brain w/o acute abnormalities  SLP recommending NPO. Oral medications discontinued. Initiate comfort measures.  Appreciate palliative care input.  Dispo:  Palliative care team met with patient regarding goals of care discussion.  Comfort measures initiated.  DPOA activated.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Toxic encephalopathy, Viral infection
Clinical narrative: Hospitalized 01/14/2022-still currently admitted; COVID-19 positive 01/02/2022 (per notes) COVID-19 positive (hospital records) 01/14/2022; fully vaccinated  ASSESSMENT / PLAN:   Acute toxic metabolic encephalopathy, improving - currently A&O x1, baseline A&Ox3-4 - CT head negative for acute process - ammonia WNL, check TSH - EEG, MRI brain - check UA - neuro checks   Transient hypotensive/hypoxic episode - monitor labs/VS - interrogate PPM, cardiac monitoring, check ECHO - check AM cortisol   Mild lactic acidosis - Lactic 2.2, continue IVF and recheck AM - 0/4 SIRS criteria met, likely related to hypovolemia, doubt infectious process   COVID-19 Infection - pt daughter, pt tested positive around 1/2-1/3 and has been relatively asymptomatic - CXR: probable vascular congestion vs viral process - no indication for steroids d/t no hypoxia, out of window and no indication for remdesivir - monitor VS - supportive care  01/18/2022 notes: COVID-19 Infection - Patient tested positive around 1/2-1/3 and has been relatively asymptomatic, mild cough - CXR shows probable vascular congestion vs viral process - Decadron not indicated as he is not hyopxic - Out of time frame for Remdesivir 01/25/2022 notes: Acute toxic metabolic encephalopathy, improving New right facial droop New right upper extremity weakness - CT head negative for acute process - EEG without evidence of seizure activity - Ammonia and TSH WNL - Stroke RRT called 1/16. NIHSS was 9, but 4 when corrected for baseline deficits. Decision was made to hold off on tPA.  - CT head and CT perfusion without any acute process that would correlate with patients symptoms. Incidental finding of small area in right cerebellum noted that may have hypoperfusion.  - CTA head/neck with areas of moderate stenosis, but no large vessel occlusion - Neurology consulted - MRI without acute abnormalities decrease ASA 325 to 81 daily - Lipid panel WNL. Continue statin for CVA prevention.  - A1c 7.2 - MRI brain w/o acute abnormalities  SLP recommending NPO. Oral medications discontinued. Initiate comfort measures.  Appreciate palliative care input.  Dispo:  Palliative care team met with patient regarding goals of care discussion.  Comfort measures initiated.  DPOA activated.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest pain, Confusional state, Electrocardiogram
Clinical narrative: Rapid heartrate, weakness, confusion, chest pain. Went to urgent care then sent to ER for EKG, bloodwork, X-ray, all came back normal.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, X-ray
Clinical narrative: Rapid heartrate, weakness, confusion, chest pain. Went to urgent care then sent to ER for EKG, bloodwork, X-ray, all came back normal.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Bacterial test, Laboratory test
Clinical narrative: I stared having severe abdominal pain surrounding my belly button area
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site swelling, Injection site warmth, Peripheral swelling, Pruritus
Clinical narrative: Patient developed left arm swelling/swelling of fingers of left hand about 14 hours post injection. Shortly after receiving injection, patient developed itching of both arms. She reported HA, swelling, warmth at injection site, fever.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient developed left arm swelling/swelling of fingers of left hand about 14 hours post injection. Shortly after receiving injection, patient developed itching of both arms. She reported HA, swelling, warmth at injection site, fever.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin weeping, Urticaria
Clinical narrative: Patient states three days after receiving vaccine his arm started itching and noticed rash. Rash intensified days four and five after shot and spread to cover entire body. Included welting with oozing. Patient tried Benadryl and oatmeal bath. Over time rash has been getting better and 80% better. Patient has no primary care provider that I could follow up with. I recommended that patient see ER or walk in clinic to be seen by a doctor before getting second dose due to risk of this being an allergic reaction.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Aspartate aminotransferase increased, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: 68-year-old woman with past medical history of high blood pressure and diabetes presents emergency department for evaluation of body aches, generalized malaise, fatigue, diarrhea in the setting of Covid confirmed illness for the past 7 days.  She has one sick contact at home, her son but he has not taken a Covid test.  She has had 2 vaccines and was due to get her third booster this month.  She gets a little short of breath on exertion.  She has no chest pain at this time.  No leg swelling. This patient is a pleasant 68-year-old female with past medical history of coronary artery disease status post a stent was placed about 3 years ago, history of atrial fibrillation on Coumadin, history of diabetes and hyperlipidemia, who resides with family.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Dyspnoea exertional, Fatigue, Hypoxia
Clinical narrative: 68-year-old woman with past medical history of high blood pressure and diabetes presents emergency department for evaluation of body aches, generalized malaise, fatigue, diarrhea in the setting of Covid confirmed illness for the past 7 days.  She has one sick contact at home, her son but he has not taken a Covid test.  She has had 2 vaccines and was due to get her third booster this month.  She gets a little short of breath on exertion.  She has no chest pain at this time.  No leg swelling. This patient is a pleasant 68-year-old female with past medical history of coronary artery disease status post a stent was placed about 3 years ago, history of atrial fibrillation on Coumadin, history of diabetes and hyperlipidemia, who resides with family.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: International normalised ratio increased, Lung infiltration, Malaise, Myalgia, Pain
Clinical narrative: 68-year-old woman with past medical history of high blood pressure and diabetes presents emergency department for evaluation of body aches, generalized malaise, fatigue, diarrhea in the setting of Covid confirmed illness for the past 7 days.  She has one sick contact at home, her son but he has not taken a Covid test.  She has had 2 vaccines and was due to get her third booster this month.  She gets a little short of breath on exertion.  She has no chest pain at this time.  No leg swelling. This patient is a pleasant 68-year-old female with past medical history of coronary artery disease status post a stent was placed about 3 years ago, history of atrial fibrillation on Coumadin, history of diabetes and hyperlipidemia, who resides with family.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Renal function test normal, SARS-CoV-2 test positive
Clinical narrative: 68-year-old woman with past medical history of high blood pressure and diabetes presents emergency department for evaluation of body aches, generalized malaise, fatigue, diarrhea in the setting of Covid confirmed illness for the past 7 days.  She has one sick contact at home, her son but he has not taken a Covid test.  She has had 2 vaccines and was due to get her third booster this month.  She gets a little short of breath on exertion.  She has no chest pain at this time.  No leg swelling. This patient is a pleasant 68-year-old female with past medical history of coronary artery disease status post a stent was placed about 3 years ago, history of atrial fibrillation on Coumadin, history of diabetes and hyperlipidemia, who resides with family.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fall, Headache, Nausea
Clinical narrative: diagnosed as positive  COVID -19  on 11/24/21. Sign and symptoms included, increased general weakness with a fall, headache and nausea.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: diagnosed as positive  COVID -19  on 11/24/21. Sign and symptoms included, increased general weakness with a fall, headache and nausea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiff neck that lasted for one week.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: pt's mother called to report pt started feel itchy and mother notices rash on back, arms and face. Pt had a telephone visit with MD.  Mother reported pt develop symptoms 2 hrs after getting vaccine dose 1.  No SOB, wheezing or diarrhea.  Mom used topical hydrocortisone cream and PO benadryl. Pt felt better after a20 mins. No issues during the telephone visit.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood test, Cardiac monitoring, Nephrolithiasis
Clinical narrative: Kidney stone   11/12/2021 Diagnosis of atrial fibrillation
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID virus after being fully vaccinated. Have been given steroid shot and Dexamethasone 6mg/per for 7 days. Still testing positive for the virus.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Two weeks after shot started hearing a light ringing in my ears, still have it to this day
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received a children's Pfizer Covid-19 dose instead of an adult dose.
Age: 79.0
Sex: M
Vaccine: UNK
Symptoms: Asymptomatic COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive
Clinical narrative: Patient presented with a stroke and was asymtomatic positive
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Basedow's disease, Blood test, Heart rate increased, Myalgia
Clinical narrative: After  second dose diagnosed with Graves Disease after never having a diagnosis for a hyper thyroid.  Rapid heartbeat,  shaking hands and nervousness.    After booster (3rd dose) experienced sever joint and muscles pain in fingers, hands, arms, ankles and back.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Thyroid function test, Tremor, Ultrasound scan, X-ray
Clinical narrative: After  second dose diagnosed with Graves Disease after never having a diagnosis for a hyper thyroid.  Rapid heartbeat,  shaking hands and nervousness.    After booster (3rd dose) experienced sever joint and muscles pain in fingers, hands, arms, ankles and back.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Confusional state, Diarrhoea, Dizziness, Feeling cold
Clinical narrative: Symptoms started about 10 pm the day after the injection and consisted of fevers reaching 104.3; severe headaches, chills, body aches, weakness and dizziness/confusion continued until the morning of Jan. 25.  This time frame includes one bout of vomiting; multiple bouts of diarrhea. Felt like the proverbial truck had hit me. Mild fever, headaches, body aches, and more diarrhea on Jan, 25 - but felt slightly human. Jan. 26, diarrhea and weakness, bit of headache but no fever. Feel more human, life will, thankfully, go on.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Malaise, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Symptoms started about 10 pm the day after the injection and consisted of fevers reaching 104.3; severe headaches, chills, body aches, weakness and dizziness/confusion continued until the morning of Jan. 25.  This time frame includes one bout of vomiting; multiple bouts of diarrhea. Felt like the proverbial truck had hit me. Mild fever, headaches, body aches, and more diarrhea on Jan, 25 - but felt slightly human. Jan. 26, diarrhea and weakness, bit of headache but no fever. Feel more human, life will, thankfully, go on.