chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Pyrexia
Clinical narrative: 4 day headache, fever following day, chills and sweats 36 hours, diarrhea, began menstrual cycle 2 weeks early, and overall weakness.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient tested positive 9/7
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Extreme outbreak with cold sores.  (Assuming it triggered my herpes simplex virus) A total of about 5 blisters on my face
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Body temperature increased, Chest X-ray normal, Chest pain, Chills
Clinical narrative: Patient felt chills at 9pm, 10 hours after vaccine administration.   Temperature  reached 103 half an hour later at which point naproxen was taken.  By 10pm, temperature had reached 106 degrees and patient went to ED.  Initial temperature taken orally at 102.8, however patient was mouth breathing.  Patient given acetaminophen 650mg at 11:00pm.  1L NS bolus administered.  Temperature at 11:30pm was taken orally again at 103.1, though patient was still mouth breathing. Retaken temporally at 40.5C.  Nurse applied ice packs  to groin, arm pits and back of neck. Patient able to return home after several hours when temp dropped back to 103.    Patient experienced chest pain, chest xray and troponins negative.  Only abnormal lab finding was a low potassium at 3.1.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Full blood count normal, Metabolic function test, Mouth breathing, Sinus tachycardia
Clinical narrative: Patient felt chills at 9pm, 10 hours after vaccine administration.   Temperature  reached 103 half an hour later at which point naproxen was taken.  By 10pm, temperature had reached 106 degrees and patient went to ED.  Initial temperature taken orally at 102.8, however patient was mouth breathing.  Patient given acetaminophen 650mg at 11:00pm.  1L NS bolus administered.  Temperature at 11:30pm was taken orally again at 103.1, though patient was still mouth breathing. Retaken temporally at 40.5C.  Nurse applied ice packs  to groin, arm pits and back of neck. Patient able to return home after several hours when temp dropped back to 103.    Patient experienced chest pain, chest xray and troponins negative.  Only abnormal lab finding was a low potassium at 3.1.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Pfizer on 3/15 and 4/5. Positive on 9/5 admitted 9/5 to current
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The patient did NOT experience any adverse reactions.  The vaccine was given after the beyond-use-date.  The medicine was contained in the original vial in the refrigerator (~41'F).  The vaccine was drawn and administered immediately after.  The manufacturer recommends the diluted vaccine is good for up to 6 hours after dilution.   After detailed conversation with the Pfizer manufacturer and CDC,  it was determined that the vaccine within the vial has maintained physical stability within the parameters mentioned and the patient would not need to repeat the dose.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dyspnoea, Endotracheal intubation, Hypoxia
Clinical narrative: elderly gentleman with a history of diabetes hypertension hyperlipidemia and BPH presented with worsening shortness of breath over the last several days.  He has been COVID-19 vaccinated and both him and his wife have been suffering similar symptoms.  He presented to emergency room and was noted to be hypoxic with chest x-ray revealing bilateral infiltrates suggestive of COVID-19.  COVID-19 was found to be positive per discussion with ED provider.  He was intubated and placed on a ventilator shortly after admission to this hospital.  Patient did show nurse his COVID vaccination verification card.  He was vaccinated in January and February 2021.  Patient was treated with dexamethasone and remdesivir.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: elderly gentleman with a history of diabetes hypertension hyperlipidemia and BPH presented with worsening shortness of breath over the last several days.  He has been COVID-19 vaccinated and both him and his wife have been suffering similar symptoms.  He presented to emergency room and was noted to be hypoxic with chest x-ray revealing bilateral infiltrates suggestive of COVID-19.  COVID-19 was found to be positive per discussion with ED provider.  He was intubated and placed on a ventilator shortly after admission to this hospital.  Patient did show nurse his COVID vaccination verification card.  He was vaccinated in January and February 2021.  Patient was treated with dexamethasone and remdesivir.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Mother of patient presented to the mass vaccination clinic with child without any form of identification. Child was vaccinated with pfizer in clinic due to no process to verify age of patient prior to vaccination. While patient was in waiting area post vaccination the data team identified the child was not of age to receive the vaccine according to previous state shot records.  The mother was confronted before leaving but insisted the child was 12 even though she was given 13 different types of vaccine at the clinic prior to her covid vaccine without any discussion of date of birth error. Mother was instructed to correct the medical record asap if this is true. Record checked 10 days later without evidence of correction.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.5 ml dose given (dose should have been 0.3 ml). No adverse reaction noted.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Aggression, Burning sensation, Fatigue, Feeling abnormal, Personality change
Clinical narrative: Had vaccine at 10am  on  a Monday. By 7pm, burning sensation on shoulder and chest. Put ice on it. Does not remember anything from 7pm  on Monday to 11am on Thursday. Describes brain as "going numb." Husband describes her personality as "changing." Much more fatigued. More aggressive than  usual (husband's description). More assertive than usual.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID TEST 9/6/21
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Dyspnoea, Fatigue
Clinical narrative: Fever >100.4,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Shortness of breath or difficulty breathing,  Fatigue or tiredness,  Headache
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Fever >100.4,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Shortness of breath or difficulty breathing,  Fatigue or tiredness,  Headache
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fever >100.4,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Shortness of breath or difficulty breathing,  Fatigue or tiredness,  Headache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Pain, Paraesthesia
Clinical narrative: Approximately 2 hours after injection I started experiencing a sharp tingling in my chest / heart area. The tingling went down both arms to my fingertips. It came and went all night long.  I saw my medical provider who advised me against receiving the 2nd covid-19 vaccine due to the adverse reactions I was experiencing.  These side affects persisted over the next 6 weeks wearing off over time.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, COVID-19, Decreased appetite, Dizziness, Dyspnoea
Clinical narrative: 9/7/21: Patient arrived at the ER due to sinus congestion, shortness of breath, decreased appetite and one episode of dizziness. Patient tested positive for COVID on 9/7. Patient was brought to the ICU on 4L NC satting at 100%, CTA chest showed bilateral large volume PEs with RV strain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram ST-T segment abnormal, Intensive care, Pulmonary embolism, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: 9/7/21: Patient arrived at the ER due to sinus congestion, shortness of breath, decreased appetite and one episode of dizziness. Patient tested positive for COVID on 9/7. Patient was brought to the ICU on 4L NC satting at 100%, CTA chest showed bilateral large volume PEs with RV strain.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Artificial rupture of membranes, Back pain, Delivery, Epidural injection, Exposure during pregnancy
Clinical narrative: This is likely completely unrelated to the vaccine, but since I received the vaccine while pregnant, I do think it is important for the CDC to have this information to evaluate.  I am a G1 P1, was G1 P0 at time of vaccination.  Received my Pfizer vaccine #1 at 28 weeks and 1 day, then shot # 2 at 30 weeks and 6 days.  I had a healthy pregnancy, due date was 5/12/21.  On 5/15/21 (3 days overdue), I experienced lower back pain.  After speaking with the on call OB/GYN, we determined it did not sound like back labor; I was still feeling fetal movement, etc... so she did not recommend that I needed to come in to be evaluated.  On the morning of 5/16/21, I felt decreased fetal movement, could not elicit movement from stimuli.  I went in to L&D triage, everything looked good, however they decided to induce me.  I was induced with Pitocin, then had my water broken.  I did have an epidural.  My labor went fine with no concerns about the baby's safety.  I delivered our son at 5:59 am on 5/17/21.  Within an hour of his birth, he began to have shallow respirations with color change, which evolved into 20-30 seconds of apnea with significant desaturation to the 20s.  He was intubated by 9:15 that morning.  He remained in the NICU for 9 days.  During his stay, he had a comprehensive work up.  It turns out that he had a perinatal stroke with hemorrhagic transformation.  The area of hemorrhage was his left temporal lobe.  He had subclinical seizures that correlated with his apneic episodes. The seizure activity is controlled with Keppra. Since his hospitalization, we have followed with neuro, heme, cardiology and Early Intervention.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Foetal hypokinesia, Labour induction
Clinical narrative: This is likely completely unrelated to the vaccine, but since I received the vaccine while pregnant, I do think it is important for the CDC to have this information to evaluate.  I am a G1 P1, was G1 P0 at time of vaccination.  Received my Pfizer vaccine #1 at 28 weeks and 1 day, then shot # 2 at 30 weeks and 6 days.  I had a healthy pregnancy, due date was 5/12/21.  On 5/15/21 (3 days overdue), I experienced lower back pain.  After speaking with the on call OB/GYN, we determined it did not sound like back labor; I was still feeling fetal movement, etc... so she did not recommend that I needed to come in to be evaluated.  On the morning of 5/16/21, I felt decreased fetal movement, could not elicit movement from stimuli.  I went in to L&D triage, everything looked good, however they decided to induce me.  I was induced with Pitocin, then had my water broken.  I did have an epidural.  My labor went fine with no concerns about the baby's safety.  I delivered our son at 5:59 am on 5/17/21.  Within an hour of his birth, he began to have shallow respirations with color change, which evolved into 20-30 seconds of apnea with significant desaturation to the 20s.  He was intubated by 9:15 that morning.  He remained in the NICU for 9 days.  During his stay, he had a comprehensive work up.  It turns out that he had a perinatal stroke with hemorrhagic transformation.  The area of hemorrhage was his left temporal lobe.  He had subclinical seizures that correlated with his apneic episodes. The seizure activity is controlled with Keppra. Since his hospitalization, we have followed with neuro, heme, cardiology and Early Intervention.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/18 and 4/12. Positive on 9/6 admitted 9/6 to current
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient was fully vaccinated for COVID but was hospitalized for COVID symptoms on 9/7/2021 at Hospital
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Chills, Hot flush, Tinnitus
Clinical narrative: hot flashes and chills, uncontrollably vomiting, ringing in ears, chest pain and pain on the middle of the back between shoulder blades, blurred vision. All symptoms lasted 12-24 hours
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred, Vomiting
Clinical narrative: hot flashes and chills, uncontrollably vomiting, ringing in ears, chest pain and pain on the middle of the back between shoulder blades, blurred vision. All symptoms lasted 12-24 hours
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Catheterisation cardiac, Electrocardiogram, Heart rate increased
Clinical narrative: Around the middle of May 2021,  I started to notice rapid heart beat.  I do not have a history of cardiac issues and this is the 1st time I  have ever had an episode of A-fib.  I decided to go to the ER. They did an EKG and blood pressure.  I was admitted and stayed for 4 days.   I had a cardiac catherization.  I was then transferred to another hospital  to be evaluated  for another surgery.  They wanted to do a coronary bypass surgery.  Instead, I was discharged with medication and surgery was not recommended at the time. I did follow up  with cardiology and my condition is severe so I will either have to get a stent or do a by pass surgery.  I am waiting for this and in the process of deciding what to do.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: The patient was vaccinated by the RN.  At approximately 14:10, the patient was dismissed without any complaints.  As the mother was driving away she called out "help".  The RN approached the vehicle and found the patient awake and alert.  His color was pale.  Skin was warm and dry.  The patient's BP was 92/60.  The patient's mother stated that she witnessed the patient briefly "passed out".  EMS was called.  The patent was given water and was able to answer questions.   The patient was assessed by EMS.  The patient declined transport to the hospital.  When the patient left this clinic, he was alert and talking.  Follow up with Mom phone call.  She stated that she contacted the patient's PCP.  Further questioning with the patient revealed that the patient did not have any fluids since the day before.  No further medical attention was recommended from the patient's PCP.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Erythema, Gait inability
Clinical narrative: Chief Complaint  R leg wound 1 week. Pain, edema +4, erythema. Denies fevers.  History of Present Illness  62 year old female patient who presented to the ER with progressive right lower extremity wound, swelling, pain.  Patient first noticed that there was a problem with her leg last Sunday evening.  She has not seen/called her doctor, been to urgent care/wound care center.  She has not put anything on the wound, nor started any antibiotics.  The affected area is quite painful, rated at 10/10, described as sharp, stabbing, burning.  Pain is worse with weight baring and at present she is unable to walk on the RLE at all due to pain.  She has noticed progressive edema, erythema, warmth and weeping of a serosangui fluid.  She denies fever, chills, chest pain, SOB, diarrhea, constipation, dysuria.  She reports urinating frequently, cold symptoms like runny nose, sore throat, dry cough.  She denies sick contacts or known COVID-19 exposure.  She has completed Pfizer COVID vaccine series.  She has tested positive for COVID-19 today.  She is aware that she was also positive pre-vaccination in 11-2020.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Limb injury, Nasopharyngitis, Oedema, Oropharyngeal pain, Pain
Clinical narrative: Chief Complaint  R leg wound 1 week. Pain, edema +4, erythema. Denies fevers.  History of Present Illness  62 year old female patient who presented to the ER with progressive right lower extremity wound, swelling, pain.  Patient first noticed that there was a problem with her leg last Sunday evening.  She has not seen/called her doctor, been to urgent care/wound care center.  She has not put anything on the wound, nor started any antibiotics.  The affected area is quite painful, rated at 10/10, described as sharp, stabbing, burning.  Pain is worse with weight baring and at present she is unable to walk on the RLE at all due to pain.  She has noticed progressive edema, erythema, warmth and weeping of a serosangui fluid.  She denies fever, chills, chest pain, SOB, diarrhea, constipation, dysuria.  She reports urinating frequently, cold symptoms like runny nose, sore throat, dry cough.  She denies sick contacts or known COVID-19 exposure.  She has completed Pfizer COVID vaccine series.  She has tested positive for COVID-19 today.  She is aware that she was also positive pre-vaccination in 11-2020.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, Rhinorrhoea, SARS-CoV-2 test positive, Skin warm, Swelling
Clinical narrative: Chief Complaint  R leg wound 1 week. Pain, edema +4, erythema. Denies fevers.  History of Present Illness  62 year old female patient who presented to the ER with progressive right lower extremity wound, swelling, pain.  Patient first noticed that there was a problem with her leg last Sunday evening.  She has not seen/called her doctor, been to urgent care/wound care center.  She has not put anything on the wound, nor started any antibiotics.  The affected area is quite painful, rated at 10/10, described as sharp, stabbing, burning.  Pain is worse with weight baring and at present she is unable to walk on the RLE at all due to pain.  She has noticed progressive edema, erythema, warmth and weeping of a serosangui fluid.  She denies fever, chills, chest pain, SOB, diarrhea, constipation, dysuria.  She reports urinating frequently, cold symptoms like runny nose, sore throat, dry cough.  She denies sick contacts or known COVID-19 exposure.  She has completed Pfizer COVID vaccine series.  She has tested positive for COVID-19 today.  She is aware that she was also positive pre-vaccination in 11-2020.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Wound secretion
Clinical narrative: Chief Complaint  R leg wound 1 week. Pain, edema +4, erythema. Denies fevers.  History of Present Illness  62 year old female patient who presented to the ER with progressive right lower extremity wound, swelling, pain.  Patient first noticed that there was a problem with her leg last Sunday evening.  She has not seen/called her doctor, been to urgent care/wound care center.  She has not put anything on the wound, nor started any antibiotics.  The affected area is quite painful, rated at 10/10, described as sharp, stabbing, burning.  Pain is worse with weight baring and at present she is unable to walk on the RLE at all due to pain.  She has noticed progressive edema, erythema, warmth and weeping of a serosangui fluid.  She denies fever, chills, chest pain, SOB, diarrhea, constipation, dysuria.  She reports urinating frequently, cold symptoms like runny nose, sore throat, dry cough.  She denies sick contacts or known COVID-19 exposure.  She has completed Pfizer COVID vaccine series.  She has tested positive for COVID-19 today.  She is aware that she was also positive pre-vaccination in 11-2020.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient fully vaccinated for COVID on 3/8/21 and 3/29/21, but hospitalized with COVID symptoms on 9/7/21
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient tested positive 8/28/21
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bundle branch block left, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Chief Complaint  COVID+ yesterday. SOB, cough, and fever last noc requiring O2 so nursing home staff wanted pt evel'd further  History of Present Illness  The patient is a very pleasant 56yo F. LUE fistula, insulin-dependent diabetes mellitus type II, chronic pain on chronic opiates, GERD, and gout who was brought to the ED today for evaluation of dyspnea and cough. History is difficult as she is somewhat somnolent and dyspneic. She reports that she was feeling in her usual state of health until yesterday, when she noticed that her legs were weak, so she asked to be tested for COVID-19 and the test was positive. She then developed a cough and fever yesterday evening. Overnight, she became hypoxic and ultimately required oxygen supplementation, so staff brought her to the ED for evaluation. She has been vaccinated against COVID-19 and reports that she only goes to dialysis, so is not sure where she was exposed. She denies chest pain, nausea, vomiting, diarrhea, constipation, abdominal pain.   In the ED today, CXR shows bilateral pneumonia and she is requiring 4L O2. Troponin is mildly elevated at 0.11 which is stable compared to previous troponin results here; she denies chest pain and EKG shows LBBB similar to previous with no new ST-T changes. She received dexamethasone 6mg PO once. She has been a very difficult IV stick but eventually IV access was obtained.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Hypoxia, Muscular weakness, Pneumonia, Pyrexia
Clinical narrative: Chief Complaint  COVID+ yesterday. SOB, cough, and fever last noc requiring O2 so nursing home staff wanted pt evel'd further  History of Present Illness  The patient is a very pleasant 56yo F. LUE fistula, insulin-dependent diabetes mellitus type II, chronic pain on chronic opiates, GERD, and gout who was brought to the ED today for evaluation of dyspnea and cough. History is difficult as she is somewhat somnolent and dyspneic. She reports that she was feeling in her usual state of health until yesterday, when she noticed that her legs were weak, so she asked to be tested for COVID-19 and the test was positive. She then developed a cough and fever yesterday evening. Overnight, she became hypoxic and ultimately required oxygen supplementation, so staff brought her to the ED for evaluation. She has been vaccinated against COVID-19 and reports that she only goes to dialysis, so is not sure where she was exposed. She denies chest pain, nausea, vomiting, diarrhea, constipation, abdominal pain.   In the ED today, CXR shows bilateral pneumonia and she is requiring 4L O2. Troponin is mildly elevated at 0.11 which is stable compared to previous troponin results here; she denies chest pain and EKG shows LBBB similar to previous with no new ST-T changes. She received dexamethasone 6mg PO once. She has been a very difficult IV stick but eventually IV access was obtained.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence, Troponin increased
Clinical narrative: Chief Complaint  COVID+ yesterday. SOB, cough, and fever last noc requiring O2 so nursing home staff wanted pt evel'd further  History of Present Illness  The patient is a very pleasant 56yo F. LUE fistula, insulin-dependent diabetes mellitus type II, chronic pain on chronic opiates, GERD, and gout who was brought to the ED today for evaluation of dyspnea and cough. History is difficult as she is somewhat somnolent and dyspneic. She reports that she was feeling in her usual state of health until yesterday, when she noticed that her legs were weak, so she asked to be tested for COVID-19 and the test was positive. She then developed a cough and fever yesterday evening. Overnight, she became hypoxic and ultimately required oxygen supplementation, so staff brought her to the ED for evaluation. She has been vaccinated against COVID-19 and reports that she only goes to dialysis, so is not sure where she was exposed. She denies chest pain, nausea, vomiting, diarrhea, constipation, abdominal pain.   In the ED today, CXR shows bilateral pneumonia and she is requiring 4L O2. Troponin is mildly elevated at 0.11 which is stable compared to previous troponin results here; she denies chest pain and EKG shows LBBB similar to previous with no new ST-T changes. She received dexamethasone 6mg PO once. She has been a very difficult IV stick but eventually IV access was obtained.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case.  Covid positive results on 9/8/2021 by PCR test
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: developed shingles
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: In July 2021, 2 months after I was vaccinated my period suddenly started changing. I?ve always been irregular, but never like this. My cramps have been more intense. The most concerning thing is I?ve been on my period for roughly seven days, off of it for roughly seven days, and then back on since the beginning of July. I have never had these problems before.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test
Clinical narrative: Developed symptoms on 08/31/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Adenovirus test, Blood lactate dehydrogenase normal, Bordetella test negative, COVID-19 pneumonia
Clinical narrative: Pt calling reports her son tested positive for covid on Saturday.  Pt reports she herself tested negative on Saturday.  Pt reports she is running fever daily as high as 100.5.  Reports cough is worse and she is having burning in her chest related to coughing only.  Pt reports productive cough with clear sputum and sometimes dry, barky cough.  Reports wheezing.  Reports is using inhaler with minimal relief.      09/01/2021 Advised ED ASAP, but definitely within the next 4 hours, unless she is having difficulty breathing or chest pain not related to coughing, then would recommend ED immediately.  Pt agreeable, will go to ED.   Reason for Disposition ? Wheezing is present  ED to Hosp-Admission Current  9/1/2021 - present (7 days) Pneumonia due to COVID-19 virus, Patient presents with ? Shortness of Breath  The patient in the ED has a productive cough with clear sputum Some slight wheezing.  labs include a normal CBC, normal BMP, normal ferritin, Normal LDH and negative troponin.  INR is 1.9.  Chest x-ray shows chronic elevation  of the right hemidiaphragm with lung parenchyma showing interstitial prominence scattered  Throughout with a respiratory infection.  ED the patient denies chest pain, pressure, palpitations, , Vomiting, diarrhea.  Has transiently needed 1 to 2 L of oxygen maintain saturations greater than 97% Per she has been 95% on room air.  Is now seen at the request of ED staff.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Chlamydia test negative, Coronavirus test negative, Cough
Clinical narrative: Pt calling reports her son tested positive for covid on Saturday.  Pt reports she herself tested negative on Saturday.  Pt reports she is running fever daily as high as 100.5.  Reports cough is worse and she is having burning in her chest related to coughing only.  Pt reports productive cough with clear sputum and sometimes dry, barky cough.  Reports wheezing.  Reports is using inhaler with minimal relief.      09/01/2021 Advised ED ASAP, but definitely within the next 4 hours, unless she is having difficulty breathing or chest pain not related to coughing, then would recommend ED immediately.  Pt agreeable, will go to ED.   Reason for Disposition ? Wheezing is present  ED to Hosp-Admission Current  9/1/2021 - present (7 days) Pneumonia due to COVID-19 virus, Patient presents with ? Shortness of Breath  The patient in the ED has a productive cough with clear sputum Some slight wheezing.  labs include a normal CBC, normal BMP, normal ferritin, Normal LDH and negative troponin.  INR is 1.9.  Chest x-ray shows chronic elevation  of the right hemidiaphragm with lung parenchyma showing interstitial prominence scattered  Throughout with a respiratory infection.  ED the patient denies chest pain, pressure, palpitations, , Vomiting, diarrhea.  Has transiently needed 1 to 2 L of oxygen maintain saturations greater than 97% Per she has been 95% on room air.  Is now seen at the request of ED staff.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Enterovirus test negative, Full blood count normal, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: Pt calling reports her son tested positive for covid on Saturday.  Pt reports she herself tested negative on Saturday.  Pt reports she is running fever daily as high as 100.5.  Reports cough is worse and she is having burning in her chest related to coughing only.  Pt reports productive cough with clear sputum and sometimes dry, barky cough.  Reports wheezing.  Reports is using inhaler with minimal relief.      09/01/2021 Advised ED ASAP, but definitely within the next 4 hours, unless she is having difficulty breathing or chest pain not related to coughing, then would recommend ED immediately.  Pt agreeable, will go to ED.   Reason for Disposition ? Wheezing is present  ED to Hosp-Admission Current  9/1/2021 - present (7 days) Pneumonia due to COVID-19 virus, Patient presents with ? Shortness of Breath  The patient in the ED has a productive cough with clear sputum Some slight wheezing.  labs include a normal CBC, normal BMP, normal ferritin, Normal LDH and negative troponin.  INR is 1.9.  Chest x-ray shows chronic elevation  of the right hemidiaphragm with lung parenchyma showing interstitial prominence scattered  Throughout with a respiratory infection.  ED the patient denies chest pain, pressure, palpitations, , Vomiting, diarrhea.  Has transiently needed 1 to 2 L of oxygen maintain saturations greater than 97% Per she has been 95% on room air.  Is now seen at the request of ED staff.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, International normalised ratio increased, Interstitial lung disease
Clinical narrative: Pt calling reports her son tested positive for covid on Saturday.  Pt reports she herself tested negative on Saturday.  Pt reports she is running fever daily as high as 100.5.  Reports cough is worse and she is having burning in her chest related to coughing only.  Pt reports productive cough with clear sputum and sometimes dry, barky cough.  Reports wheezing.  Reports is using inhaler with minimal relief.      09/01/2021 Advised ED ASAP, but definitely within the next 4 hours, unless she is having difficulty breathing or chest pain not related to coughing, then would recommend ED immediately.  Pt agreeable, will go to ED.   Reason for Disposition ? Wheezing is present  ED to Hosp-Admission Current  9/1/2021 - present (7 days) Pneumonia due to COVID-19 virus, Patient presents with ? Shortness of Breath  The patient in the ED has a productive cough with clear sputum Some slight wheezing.  labs include a normal CBC, normal BMP, normal ferritin, Normal LDH and negative troponin.  INR is 1.9.  Chest x-ray shows chronic elevation  of the right hemidiaphragm with lung parenchyma showing interstitial prominence scattered  Throughout with a respiratory infection.  ED the patient denies chest pain, pressure, palpitations, , Vomiting, diarrhea.  Has transiently needed 1 to 2 L of oxygen maintain saturations greater than 97% Per she has been 95% on room air.  Is now seen at the request of ED staff.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, Metabolic function test normal, Mycoplasma test negative, Productive cough, Pyrexia
Clinical narrative: Pt calling reports her son tested positive for covid on Saturday.  Pt reports she herself tested negative on Saturday.  Pt reports she is running fever daily as high as 100.5.  Reports cough is worse and she is having burning in her chest related to coughing only.  Pt reports productive cough with clear sputum and sometimes dry, barky cough.  Reports wheezing.  Reports is using inhaler with minimal relief.      09/01/2021 Advised ED ASAP, but definitely within the next 4 hours, unless she is having difficulty breathing or chest pain not related to coughing, then would recommend ED immediately.  Pt agreeable, will go to ED.   Reason for Disposition ? Wheezing is present  ED to Hosp-Admission Current  9/1/2021 - present (7 days) Pneumonia due to COVID-19 virus, Patient presents with ? Shortness of Breath  The patient in the ED has a productive cough with clear sputum Some slight wheezing.  labs include a normal CBC, normal BMP, normal ferritin, Normal LDH and negative troponin.  INR is 1.9.  Chest x-ray shows chronic elevation  of the right hemidiaphragm with lung parenchyma showing interstitial prominence scattered  Throughout with a respiratory infection.  ED the patient denies chest pain, pressure, palpitations, , Vomiting, diarrhea.  Has transiently needed 1 to 2 L of oxygen maintain saturations greater than 97% Per she has been 95% on room air.  Is now seen at the request of ED staff.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory tract infection, Respiratory viral panel, SARS-CoV-2 test positive, Serum ferritin normal
Clinical narrative: Pt calling reports her son tested positive for covid on Saturday.  Pt reports she herself tested negative on Saturday.  Pt reports she is running fever daily as high as 100.5.  Reports cough is worse and she is having burning in her chest related to coughing only.  Pt reports productive cough with clear sputum and sometimes dry, barky cough.  Reports wheezing.  Reports is using inhaler with minimal relief.      09/01/2021 Advised ED ASAP, but definitely within the next 4 hours, unless she is having difficulty breathing or chest pain not related to coughing, then would recommend ED immediately.  Pt agreeable, will go to ED.   Reason for Disposition ? Wheezing is present  ED to Hosp-Admission Current  9/1/2021 - present (7 days) Pneumonia due to COVID-19 virus, Patient presents with ? Shortness of Breath  The patient in the ED has a productive cough with clear sputum Some slight wheezing.  labs include a normal CBC, normal BMP, normal ferritin, Normal LDH and negative troponin.  INR is 1.9.  Chest x-ray shows chronic elevation  of the right hemidiaphragm with lung parenchyma showing interstitial prominence scattered  Throughout with a respiratory infection.  ED the patient denies chest pain, pressure, palpitations, , Vomiting, diarrhea.  Has transiently needed 1 to 2 L of oxygen maintain saturations greater than 97% Per she has been 95% on room air.  Is now seen at the request of ED staff.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Small airways disease, Troponin normal, Viral test negative, Wheezing
Clinical narrative: Pt calling reports her son tested positive for covid on Saturday.  Pt reports she herself tested negative on Saturday.  Pt reports she is running fever daily as high as 100.5.  Reports cough is worse and she is having burning in her chest related to coughing only.  Pt reports productive cough with clear sputum and sometimes dry, barky cough.  Reports wheezing.  Reports is using inhaler with minimal relief.      09/01/2021 Advised ED ASAP, but definitely within the next 4 hours, unless she is having difficulty breathing or chest pain not related to coughing, then would recommend ED immediately.  Pt agreeable, will go to ED.   Reason for Disposition ? Wheezing is present  ED to Hosp-Admission Current  9/1/2021 - present (7 days) Pneumonia due to COVID-19 virus, Patient presents with ? Shortness of Breath  The patient in the ED has a productive cough with clear sputum Some slight wheezing.  labs include a normal CBC, normal BMP, normal ferritin, Normal LDH and negative troponin.  INR is 1.9.  Chest x-ray shows chronic elevation  of the right hemidiaphragm with lung parenchyma showing interstitial prominence scattered  Throughout with a respiratory infection.  ED the patient denies chest pain, pressure, palpitations, , Vomiting, diarrhea.  Has transiently needed 1 to 2 L of oxygen maintain saturations greater than 97% Per she has been 95% on room air.  Is now seen at the request of ED staff.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest pain, Chills
Clinical narrative: Subjective fever (felt feverish), Chills,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Hospitalization
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Myalgia, Nasal congestion, Nausea
Clinical narrative: Subjective fever (felt feverish), Chills,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Hospitalization
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Subjective fever (felt feverish), Chills,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Hospitalization
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Subjective fever (felt feverish), Chills,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Hospitalization
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Feeling hot
Clinical narrative: hot pink hands in middle of night, moved to feet and other body parts, acute recurrent skin problems, similar issue with 1st dose,
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was vaccinated with first dose in another place and then came here for the second dose, patient received the first dose of MODERNA in another place and the PFIZER vaccine was administered by mistake.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: body aches for 7days now
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness postural, Electrocardiogram, Fatigue, Muscular weakness
Clinical narrative: Vaccine administered 8/28/21  Persistent dizziness since 9/3/21,  when getting up from lying or sitting Subjective complaint of fatigue and leg weakness, not noted on on exam
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Heart rate increased, Pyrexia
Clinical narrative: fast heartbeat,diarrhea,fever,chills,weakness
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, C-reactive protein normal, Cardiac imaging procedure abnormal, Ejection fraction decreased, Electrocardiogram ambulatory
Clinical narrative: App 2-3 weeks post vaccine, I noted increased in ectopy. I have a history of occasional pvc?s and with my PCP we increased my beta blocker. Over ensuing weeks ectopy became more frequent. I saw a cardiologist almost two weeks ago , have been on an event monitor , and got a cardiac MRI that shows myocarditis.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Extrasystoles, Myocardial oedema, Myocarditis, N-terminal prohormone brain natriuretic peptide increased, Red blood cell sedimentation rate normal
Clinical narrative: App 2-3 weeks post vaccine, I noted increased in ectopy. I have a history of occasional pvc?s and with my PCP we increased my beta blocker. Over ensuing weeks ectopy became more frequent. I saw a cardiologist almost two weeks ago , have been on an event monitor , and got a cardiac MRI that shows myocarditis.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: App 2-3 weeks post vaccine, I noted increased in ectopy. I have a history of occasional pvc?s and with my PCP we increased my beta blocker. Over ensuing weeks ectopy became more frequent. I saw a cardiologist almost two weeks ago , have been on an event monitor , and got a cardiac MRI that shows myocarditis.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Product storage error
Clinical narrative: Patient received dose #2 of Pfizer vaccine on 6/10/2021 and was notified by email that vial was left in freezer past recommended time frame. Medication expired beyond its freezer allowable date. Email recommended patient get re-vaccinated with dose again. Physicians re-administered dose on 9/7/2021 as recommended. No adverse reactions identified on site.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pain intermittently for 48hrs
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Fall, Femur fracture, Lung opacity
Clinical narrative: Breakthrough case. Posible CAP on CXR. Other admission reason L femur fx secondary to fall
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary vascular disorder, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Posible CAP on CXR. Other admission reason L femur fx secondary to fall
Age: 42.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case.  Covid positive on 9/7/2021 by PCR test
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Angiogram, Asthenia, Atelectasis
Clinical narrative: 08/30/2021 Conversation: 911 called Patient called in and said she was having sob, vomiting, chills, diarrhea and was very weak. Writer noted patient trying to catch her breath over the phone in between words.  Writer called 911 and made patient aware they were on their way. Writer spoke to Operator 23.  ED to Hosp-Admission Current  8/30/2021 - present (9 days) Hospital  Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Chief Complaint Patient presents with ? Shortness of Breath     1. Acute hypoxic respiratory failure secondary to COVID-19 infection.  Admit to general medical floor.  Start treatment with IV remdesivir, Decadron.  Check inflammatory markers.  Currently requiring 4 L supplemental oxygen, wean as tolerated to keep SaO2 greater than 90.  Check procalcitonin, has received IV Levaquin in the ER.  Hold further empiric antibiotics for now. 2. Hypertension.  Blood pressures appear well controlled, continue home regimen with atenolol, Procardia.  As needed IV hydralazine for acute control. 3. Fibromyalgia/chronic pain syndrome.  Continue Neurontin, as needed tramadol per home regimen. 4. Non-Hodgkin's lymphoma.  Follows with WellSpan heme-onc.  Monitor clinically for now. 5. Undifferentiated connective tissue disorder.  Follows with rheumatology, Dr..  On Plaquenil, prednisone and azathioprine trial. 6. Anxiety.  Continue BuSpar, duloxetine.   Pt is an 66 y.o. female. With past medical history significant for connective tissue disorder on Plaquenil, prednisone and azathioprine, non-Hodgkin's lymphoma, hypertension, fibromyalgia, chronic pain syndrome presented to the emergency room for evaluation of progressively worsening dyspnea.  Patient thinks she may have had a COVID exposure on 821, but did not obtain testing yet. She endorses subjective fevers, nausea vomiting and intermittent diarrhea.  She called her PCP, who advised her to present to the ER. On presentation, patient was found to be hypoxic on room air with O2 saturation into the 80s.  She is currently requiring 4 L supplemental oxygen.  Initial work-up is pertinent for respiratory viral panel which shows evidence of SARS-CoV-2 infection.  CBC within expected limits, BMP without any significant findings.  First troponin negative, BNP within normal limits.  D-dimer is mildly elevated, subsequent CT angiogram of the chest does not show any PE, does show bilateral infiltrates consistent with COVID-19 pneumonia.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bordetella test negative, Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 08/30/2021 Conversation: 911 called Patient called in and said she was having sob, vomiting, chills, diarrhea and was very weak. Writer noted patient trying to catch her breath over the phone in between words.  Writer called 911 and made patient aware they were on their way. Writer spoke to Operator 23.  ED to Hosp-Admission Current  8/30/2021 - present (9 days) Hospital  Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Chief Complaint Patient presents with ? Shortness of Breath     1. Acute hypoxic respiratory failure secondary to COVID-19 infection.  Admit to general medical floor.  Start treatment with IV remdesivir, Decadron.  Check inflammatory markers.  Currently requiring 4 L supplemental oxygen, wean as tolerated to keep SaO2 greater than 90.  Check procalcitonin, has received IV Levaquin in the ER.  Hold further empiric antibiotics for now. 2. Hypertension.  Blood pressures appear well controlled, continue home regimen with atenolol, Procardia.  As needed IV hydralazine for acute control. 3. Fibromyalgia/chronic pain syndrome.  Continue Neurontin, as needed tramadol per home regimen. 4. Non-Hodgkin's lymphoma.  Follows with WellSpan heme-onc.  Monitor clinically for now. 5. Undifferentiated connective tissue disorder.  Follows with rheumatology, Dr..  On Plaquenil, prednisone and azathioprine trial. 6. Anxiety.  Continue BuSpar, duloxetine.   Pt is an 66 y.o. female. With past medical history significant for connective tissue disorder on Plaquenil, prednisone and azathioprine, non-Hodgkin's lymphoma, hypertension, fibromyalgia, chronic pain syndrome presented to the emergency room for evaluation of progressively worsening dyspnea.  Patient thinks she may have had a COVID exposure on 821, but did not obtain testing yet. She endorses subjective fevers, nausea vomiting and intermittent diarrhea.  She called her PCP, who advised her to present to the ER. On presentation, patient was found to be hypoxic on room air with O2 saturation into the 80s.  She is currently requiring 4 L supplemental oxygen.  Initial work-up is pertinent for respiratory viral panel which shows evidence of SARS-CoV-2 infection.  CBC within expected limits, BMP without any significant findings.  First troponin negative, BNP within normal limits.  D-dimer is mildly elevated, subsequent CT angiogram of the chest does not show any PE, does show bilateral infiltrates consistent with COVID-19 pneumonia.