chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest pain, Chlamydia test negative, Cholelithiasis, Computerised tomogram
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Coronavirus test negative, Dyspnoea, Enterovirus test negative, Human metapneumovirus test
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Lung consolidation
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lymphadenopathy, Mental status changes, Mobility decreased, Mycoplasma test negative
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Productive cough, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Sepsis, Spinal osteoarthritis, Spleen disorder, Sputum discoloured
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Troponin, Viral test negative, White blood cells urine positive
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hallucination, Headache, Hyperhidrosis
Clinical narrative: On August 6, 2021 I developed a severe headache.  The following 3 days I experienced a fever up to 100.4,  chills to the bones that were painful, hallucinations, profusely sweating and cold symptoms.  On Monday August 9, 2021 I tested negative for Covid.  On Thursday August 19th I developed profuse pain and swelling in my parotid gland on the right side.  I still took the 2nd vaccine on August 21, 2021 in the opposite arm from the 1st one.  The pain has subsided but the swelling is still there.  I see my PCP today at 4:00 regarding the swelling.  I have felt generalized fatigue since I took the 1st vaccine and honestly do not feel like my normal self since receiving it either.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nasopharyngitis, Pain, Pyrexia
Clinical narrative: On August 6, 2021 I developed a severe headache.  The following 3 days I experienced a fever up to 100.4,  chills to the bones that were painful, hallucinations, profusely sweating and cold symptoms.  On Monday August 9, 2021 I tested negative for Covid.  On Thursday August 19th I developed profuse pain and swelling in my parotid gland on the right side.  I still took the 2nd vaccine on August 21, 2021 in the opposite arm from the 1st one.  The pain has subsided but the swelling is still there.  I see my PCP today at 4:00 regarding the swelling.  I have felt generalized fatigue since I took the 1st vaccine and honestly do not feel like my normal self since receiving it either.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Palpitations, Pyrexia, Sleep disorder
Clinical narrative: Heart palpitations, chest pressure, slightly shortness of breath. Occured after two days after the first dose of Pfizer vaccine - 26.04.2021.  (dd/mm/yyyy) Heart attack like pain during nighttime for the first week. Symptoms gradually disappeared after a month. Got the second dose of the Pfizer vaccine - 04.09.2021. Same symptoms were noticed in the same day, during night time. Pain gets worse while laying down, unable to sleep properly. Slight fever, no fatigue, no swelling, no coughing. This is my fifth day after the vaccine and the heart palpitations along with other symptoms are here, only slightly reduced. Otherwise a healthy 20 year old young male.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Heart palpitations, chest pressure, slightly shortness of breath. Occured after two days after the first dose of Pfizer vaccine - 26.04.2021.  (dd/mm/yyyy) Heart attack like pain during nighttime for the first week. Symptoms gradually disappeared after a month. Got the second dose of the Pfizer vaccine - 04.09.2021. Same symptoms were noticed in the same day, during night time. Pain gets worse while laying down, unable to sleep properly. Slight fever, no fatigue, no swelling, no coughing. This is my fifth day after the vaccine and the heart palpitations along with other symptoms are here, only slightly reduced. Otherwise a healthy 20 year old young male.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Pt seen at Allegan on 8/19 and tested positive for COVID-19 on the Liat.  Pt then admitted on 8/28 for hypoxia at Hospital.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Gastrointestinal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: hospitalized for GI bleed, SARS-CoV-2 positive
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Oral pruritus, Pyrexia, Throat irritation
Clinical narrative: Swollen Lips, itchy throat and mouth, fever
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena
Clinical narrative: The patient was vaccinated with his 1st dose of the Pfizer vaccine.  Approximately 10 minutes after injection, it was witnessed that the patient was experiencing seizure like behavior that lasted for approximately 10 seconds.   After this incident, the patient was instructed to recline his seat.  The patient refused as he was more comfortable sitting up.  911 was called.  The patient's blood pressure was taken x 2 - 92/60.  The patient was given a water and ice pack that the patient applied to his neck.  The patient quickly recovered, within a few minutes of incident.  He was alert and oriented.  He was talking and joking with staff regarding the incident.  The patient was assessed by EMS.  The patient refused to be transported to the hospital..
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Blood test normal, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient developed COVID and was positive on 9/6/21, patient hospitalized for low 02 levels
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Patient developed COVID and was positive on 9/6/21, patient hospitalized for low 02 levels
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oxygen saturation decreased, Pneumatic compression therapy, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient developed COVID and was positive on 9/6/21, patient hospitalized for low 02 levels
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient developed COVID and was positive on 9/6/21, patient hospitalized for low 02 levels
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient arrived at clinic for 2nd Moderna Covid19 vaccine. The nurse took a syringe from the Pfizer container that was sitting on the desk and administered Pfizer vaccine. The patient was observed for 25 minutes after the injection and had no adverse reaction. The patient was educated on signs and symptoms of severe allergic reactions to the vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injected limb mobility decreased
Clinical narrative: Four hours after vaccine he started getting severe pains in left shoulder joint.  Unable to move arm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Vaccination complication
Clinical narrative: She complained of coughing and shortness of breath.  She thought it was due to mask she was wearing but it continued.  She went home.   She continued to cough so she brought a pulse ox.  Her oxygen sat was 93%.  She started having chest tightness.  She called our office on Sun night 8/22 and then called on Monday 8/23.  Due to symptoms it was suggested she seek medical attention.  She went to hospital and they told her they coughing was due to a reaction.  They referred to cardiologist.  She was told by cardiologist it was related to vaccine reaction.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, SARS-CoV-2 test positive
Clinical narrative: hospitalized with diarrhea due to COVID-19, SARS-CoV-2 positive
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Dizziness, Fatigue, Impaired work ability
Clinical narrative: the next day vaccine soreness and joint pains in knees and shoulders like the flu and progressed, some days I cant go to work, when I am aching I get dizziness with with. Fatigued and tired,= and wears me out. I was already having it from the 1st dose and now it increased and got worst. Doctor several times and urgent care several times no ER, have vertigo.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker increased, Influenza like illness, Laboratory test normal, Red blood cell sedimentation rate increased, Vaccination site pain
Clinical narrative: the next day vaccine soreness and joint pains in knees and shoulders like the flu and progressed, some days I cant go to work, when I am aching I get dizziness with with. Fatigued and tired,= and wears me out. I was already having it from the 1st dose and now it increased and got worst. Doctor several times and urgent care several times no ER, have vertigo.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: the next day vaccine soreness and joint pains in knees and shoulders like the flu and progressed, some days I cant go to work, when I am aching I get dizziness with with. Fatigued and tired,= and wears me out. I was already having it from the 1st dose and now it increased and got worst. Doctor several times and urgent care several times no ER, have vertigo.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone normal, Laboratory test normal, Menstruation irregular, Mood swings, Thyroxine free normal
Clinical narrative: Since having the vaccine, I have been experiencing very irregular menstruations. I have never in my life experienced this, I was always pretty regular. I went to my OB DR to run test to be sure I am not peri menopausal. Test were negative. She also did an internal sonogram to check for anything and that was negative. After, I  read an agency report that there are other women experiencing the same issue after the vaccine, so I thought to report it. Also not sure if its related, but having major mood swings. Which I never had prior.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: Since having the vaccine, I have been experiencing very irregular menstruations. I have never in my life experienced this, I was always pretty regular. I went to my OB DR to run test to be sure I am not peri menopausal. Test were negative. She also did an internal sonogram to check for anything and that was negative. After, I  read an agency report that there are other women experiencing the same issue after the vaccine, so I thought to report it. Also not sure if its related, but having major mood swings. Which I never had prior.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Confusional state, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: Nausea, diarrhea, early menstrual bleeding, sharp rib pain, labored breathing, joint pain, hives all over the body, fever, fatigue, itchy skin, severe sweating, confusion, altered mental status Took advil for joint pain and fever. Joint pain still present. Took benadryl and allergy meds for hives and itching. Hives and itching still present. Took zofran for nausea. Nausea still present.  All symptoms were present for at least 2 weeks after both injections.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Mental status changes, Musculoskeletal chest pain, Nausea, Polymenorrhoea
Clinical narrative: Nausea, diarrhea, early menstrual bleeding, sharp rib pain, labored breathing, joint pain, hives all over the body, fever, fatigue, itchy skin, severe sweating, confusion, altered mental status Took advil for joint pain and fever. Joint pain still present. Took benadryl and allergy meds for hives and itching. Hives and itching still present. Took zofran for nausea. Nausea still present.  All symptoms were present for at least 2 weeks after both injections.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Urticaria, Vaccine positive rechallenge
Clinical narrative: Nausea, diarrhea, early menstrual bleeding, sharp rib pain, labored breathing, joint pain, hives all over the body, fever, fatigue, itchy skin, severe sweating, confusion, altered mental status Took advil for joint pain and fever. Joint pain still present. Took benadryl and allergy meds for hives and itching. Hives and itching still present. Took zofran for nausea. Nausea still present.  All symptoms were present for at least 2 weeks after both injections.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt. awoke this am with whelps on arms and chest . Non itchy whelps
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive test for Covid on 09/06/2021
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: severe arm pain still persisting  a moth later
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: 1. Migraine; Gabapentin, tylenol, and Fioricet : 2 hours after for 5 days. 2. Syncope/near Syncope; Cardiologist & neurologist: From 6/11/2021 to current
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Presyncope, Syncope
Clinical narrative: 1. Migraine; Gabapentin, tylenol, and Fioricet : 2 hours after for 5 days. 2. Syncope/near Syncope; Cardiologist & neurologist: From 6/11/2021 to current
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Pneumonia
Clinical narrative: Fever >100.4,  Runny nose/Congestion,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing, Daughter-in-law stated that the patient went to prompt care on 8/29/21 and was taken by ambulance to University Hospital with double pneumonia and COVID.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Fever >100.4,  Runny nose/Congestion,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing, Daughter-in-law stated that the patient went to prompt care on 8/29/21 and was taken by ambulance to University Hospital with double pneumonia and COVID.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Asthenia, Atelectasis, Bordetella test negative, COVID-19
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days) Hospital Principal Problem:   Pneumonia due to COVID-19 virus  Chief Complaint Patient presents with ? Fever     COVID-19 pneumonia Remdesivir Continue patient's home steroid Patient was not interested in convalescent plasma however he was interested in the Regeneron monoclonal antibody however we do not give this here in the hospital He did monitor his inflammatory markers   Renal insufficiency Continue Solu-Cortef If his blood pressure drops will need stress dose steroids   Small cell lung cancer Currently on Keytruda Gets all his care done at medical center   Case was discussed with ER physician       o Nutrition: diet o VTE prophylaxis o Full Code    History of Present Illness     Patient is a 66 y.o. male.    Medical history of small cell lung cancer who had chemoradiation and is metastasized to the bone currently on Keytruda also adrenal insufficiency who presents Hospital with about a 6-day history of productive cough shortness of breath which is progressively gotten worse he was actually tested with a home test kit by his daughter 6 days back and was Covid positive he was trying to make it at home but shortness of breath worsened so came into the hospital he has had some general aches and pains no fevers chills denies any nausea vomiting abdominal pain dysuria polyuria diarrhea.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chlamydia test negative, Computerised tomogram thorax abnormal, Coronavirus test negative
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days) Hospital Principal Problem:   Pneumonia due to COVID-19 virus  Chief Complaint Patient presents with ? Fever     COVID-19 pneumonia Remdesivir Continue patient's home steroid Patient was not interested in convalescent plasma however he was interested in the Regeneron monoclonal antibody however we do not give this here in the hospital He did monitor his inflammatory markers   Renal insufficiency Continue Solu-Cortef If his blood pressure drops will need stress dose steroids   Small cell lung cancer Currently on Keytruda Gets all his care done at medical center   Case was discussed with ER physician       o Nutrition: diet o VTE prophylaxis o Full Code    History of Present Illness     Patient is a 66 y.o. male.    Medical history of small cell lung cancer who had chemoradiation and is metastasized to the bone currently on Keytruda also adrenal insufficiency who presents Hospital with about a 6-day history of productive cough shortness of breath which is progressively gotten worse he was actually tested with a home test kit by his daughter 6 days back and was Covid positive he was trying to make it at home but shortness of breath worsened so came into the hospital he has had some general aches and pains no fevers chills denies any nausea vomiting abdominal pain dysuria polyuria diarrhea.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Enterovirus test negative, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days) Hospital Principal Problem:   Pneumonia due to COVID-19 virus  Chief Complaint Patient presents with ? Fever     COVID-19 pneumonia Remdesivir Continue patient's home steroid Patient was not interested in convalescent plasma however he was interested in the Regeneron monoclonal antibody however we do not give this here in the hospital He did monitor his inflammatory markers   Renal insufficiency Continue Solu-Cortef If his blood pressure drops will need stress dose steroids   Small cell lung cancer Currently on Keytruda Gets all his care done at medical center   Case was discussed with ER physician       o Nutrition: diet o VTE prophylaxis o Full Code    History of Present Illness     Patient is a 66 y.o. male.    Medical history of small cell lung cancer who had chemoradiation and is metastasized to the bone currently on Keytruda also adrenal insufficiency who presents Hospital with about a 6-day history of productive cough shortness of breath which is progressively gotten worse he was actually tested with a home test kit by his daughter 6 days back and was Covid positive he was trying to make it at home but shortness of breath worsened so came into the hospital he has had some general aches and pains no fevers chills denies any nausea vomiting abdominal pain dysuria polyuria diarrhea.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Lung infiltration, Lung opacity, Mycoplasma test negative
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days) Hospital Principal Problem:   Pneumonia due to COVID-19 virus  Chief Complaint Patient presents with ? Fever     COVID-19 pneumonia Remdesivir Continue patient's home steroid Patient was not interested in convalescent plasma however he was interested in the Regeneron monoclonal antibody however we do not give this here in the hospital He did monitor his inflammatory markers   Renal insufficiency Continue Solu-Cortef If his blood pressure drops will need stress dose steroids   Small cell lung cancer Currently on Keytruda Gets all his care done at medical center   Case was discussed with ER physician       o Nutrition: diet o VTE prophylaxis o Full Code    History of Present Illness     Patient is a 66 y.o. male.    Medical history of small cell lung cancer who had chemoradiation and is metastasized to the bone currently on Keytruda also adrenal insufficiency who presents Hospital with about a 6-day history of productive cough shortness of breath which is progressively gotten worse he was actually tested with a home test kit by his daughter 6 days back and was Covid positive he was trying to make it at home but shortness of breath worsened so came into the hospital he has had some general aches and pains no fevers chills denies any nausea vomiting abdominal pain dysuria polyuria diarrhea.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Productive cough, Pulmonary mass, Renal failure, Respiratory syncytial virus test negative
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days) Hospital Principal Problem:   Pneumonia due to COVID-19 virus  Chief Complaint Patient presents with ? Fever     COVID-19 pneumonia Remdesivir Continue patient's home steroid Patient was not interested in convalescent plasma however he was interested in the Regeneron monoclonal antibody however we do not give this here in the hospital He did monitor his inflammatory markers   Renal insufficiency Continue Solu-Cortef If his blood pressure drops will need stress dose steroids   Small cell lung cancer Currently on Keytruda Gets all his care done at medical center   Case was discussed with ER physician       o Nutrition: diet o VTE prophylaxis o Full Code    History of Present Illness     Patient is a 66 y.o. male.    Medical history of small cell lung cancer who had chemoradiation and is metastasized to the bone currently on Keytruda also adrenal insufficiency who presents Hospital with about a 6-day history of productive cough shortness of breath which is progressively gotten worse he was actually tested with a home test kit by his daughter 6 days back and was Covid positive he was trying to make it at home but shortness of breath worsened so came into the hospital he has had some general aches and pains no fevers chills denies any nausea vomiting abdominal pain dysuria polyuria diarrhea.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days) Hospital Principal Problem:   Pneumonia due to COVID-19 virus  Chief Complaint Patient presents with ? Fever     COVID-19 pneumonia Remdesivir Continue patient's home steroid Patient was not interested in convalescent plasma however he was interested in the Regeneron monoclonal antibody however we do not give this here in the hospital He did monitor his inflammatory markers   Renal insufficiency Continue Solu-Cortef If his blood pressure drops will need stress dose steroids   Small cell lung cancer Currently on Keytruda Gets all his care done at medical center   Case was discussed with ER physician       o Nutrition: diet o VTE prophylaxis o Full Code    History of Present Illness     Patient is a 66 y.o. male.    Medical history of small cell lung cancer who had chemoradiation and is metastasized to the bone currently on Keytruda also adrenal insufficiency who presents Hospital with about a 6-day history of productive cough shortness of breath which is progressively gotten worse he was actually tested with a home test kit by his daughter 6 days back and was Covid positive he was trying to make it at home but shortness of breath worsened so came into the hospital he has had some general aches and pains no fevers chills denies any nausea vomiting abdominal pain dysuria polyuria diarrhea.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive on 9/6/21
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Erythema, Hypertension
Clinical narrative: short of breath, redness, high blood pressure
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Epilepsy, Fatigue, Seizure, Vomiting
Clinical narrative: First seizure was observed on 6/7. We found patient in his bed. He was having a seizure with convulsions and he vomited. There may have been a possible seizure the week before (we could not remember the date) -Patient was found acting strangely in the night. He had thrown up and was not  making sense. We did not witness any seizure at this time. The second seizure we witnessed was on 8/28. Patient quickly became tired and laid down on the floor. within a minute or two he went into a full seizure in the presence of his family. On 6/7 and 8/28 patient was taken by ambulance to the emergency room. Patient has now been diagnosed with epilepsy.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Nausea, Neck pain
Clinical narrative: migraine, neck pain, nausea, tiredness x 4 days. Symptoms returned at day 10 and lasted until day 15 after initial vaccine
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Feeling hot, Hyperhidrosis, Nausea, Pain
Clinical narrative: Patient seemed slightly nervous prior to vaccination. Shortly after we checked on the patient while he was in the post-vaccination observation area, the patient abruptly experienced syncope 5-10 minutes after receiving J&J vaccine while he was seated in the waiting area. The patient slid and/or flopped sideways out of the chair before we could stop his fall, and his head struck the floor, resulting in a 1" laceration on his right forehead.  Bleeding controlled with direct pressure and gauze. Patient quickly regained consciousness while in position he fell to, later brought to supine, with knees and feet elevated, and was A&O and PERRLA with BP 90/60 with radial pulse and HR in mid 50s, pale and diaphoretic, minimal nausea, no breathing issues, and mild pain and discomfort. Patient felt warm, wrapped ice pack applied and seemed to help.  NKA. Patient stated he had history of type 2 diabetes, regularly took metformin and may not have taken it earlier that day (later said he had taken it after all), and that he had in the past been hospitalized for 4 days for DKA. Patient stated that he had a history of syncope after injections, blood draws, and medical procedures or settings and that in the past he and his healthcare providers had chosen to have him lay down while getting vaccines or possibly certain other treatments. Patient stated he has recently been experiencing extremely stressful events in his life and that he had recently felt more difficulty concentrating or thinking.  Patient condition began to improve, with improvement in skin signs and vivaciousness in his conversation with us. FD arrived, patient symptoms and vitals continued to improve, the patient was moved by FD to a seated position, and FD applied steri-strips. Patient stated he did not want to go to a medical facility, in part because of medical anxiety, stating he felt he would likely have syncope again just from going to an ER or urgent care. Patient seemed well enough that with all factors considered emergency transport to the hospital did not seem to medical personnel present like it would be the best option for him. Arranged for patient to be driven home and monitored by family. Patient felt very sad and stressed for a moment.  We cleaned up his wound area while leaving the steri-strips in place, and recommended urgent care and PCP follow-up, and talked with him about caring for the laceration. We advised him he may have a concussion injury from his head impacting the ground. We advised him to follow up with a medical provider, and to have 911 called if any concerning signs or symptoms developed. We talked with his family and friends about how they should help him rest while monitoring for any complications and ensuring his safety. The patient remarked he felt much better than he had expected as we walked him to waiting vehicle, patient departed from scene in care of family to be driven home and monitored by family.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Skin laceration, Syncope
Clinical narrative: Patient seemed slightly nervous prior to vaccination. Shortly after we checked on the patient while he was in the post-vaccination observation area, the patient abruptly experienced syncope 5-10 minutes after receiving J&J vaccine while he was seated in the waiting area. The patient slid and/or flopped sideways out of the chair before we could stop his fall, and his head struck the floor, resulting in a 1" laceration on his right forehead.  Bleeding controlled with direct pressure and gauze. Patient quickly regained consciousness while in position he fell to, later brought to supine, with knees and feet elevated, and was A&O and PERRLA with BP 90/60 with radial pulse and HR in mid 50s, pale and diaphoretic, minimal nausea, no breathing issues, and mild pain and discomfort. Patient felt warm, wrapped ice pack applied and seemed to help.  NKA. Patient stated he had history of type 2 diabetes, regularly took metformin and may not have taken it earlier that day (later said he had taken it after all), and that he had in the past been hospitalized for 4 days for DKA. Patient stated that he had a history of syncope after injections, blood draws, and medical procedures or settings and that in the past he and his healthcare providers had chosen to have him lay down while getting vaccines or possibly certain other treatments. Patient stated he has recently been experiencing extremely stressful events in his life and that he had recently felt more difficulty concentrating or thinking.  Patient condition began to improve, with improvement in skin signs and vivaciousness in his conversation with us. FD arrived, patient symptoms and vitals continued to improve, the patient was moved by FD to a seated position, and FD applied steri-strips. Patient stated he did not want to go to a medical facility, in part because of medical anxiety, stating he felt he would likely have syncope again just from going to an ER or urgent care. Patient seemed well enough that with all factors considered emergency transport to the hospital did not seem to medical personnel present like it would be the best option for him. Arranged for patient to be driven home and monitored by family. Patient felt very sad and stressed for a moment.  We cleaned up his wound area while leaving the steri-strips in place, and recommended urgent care and PCP follow-up, and talked with him about caring for the laceration. We advised him he may have a concussion injury from his head impacting the ground. We advised him to follow up with a medical provider, and to have 911 called if any concerning signs or symptoms developed. We talked with his family and friends about how they should help him rest while monitoring for any complications and ensuring his safety. The patient remarked he felt much better than he had expected as we walked him to waiting vehicle, patient departed from scene in care of family to be driven home and monitored by family.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Fatigue, Pyrexia, SARS-CoV-2 test
Clinical narrative: Fatigue, weakness, cough and fever
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood potassium decreased, Blood test, Borrelia test negative, C-reactive protein increased
Clinical narrative: Tuesday (day of vaccine) restless night of sleep Wednesday- chills, fatigue, restless sleep Thursday - passed out in school, fatigue, chills, nausea, restless sleep, dizzy/lightheaded, unbalanced, loss of appetite Friday - extreme fatigue, nausea, chills, dizzy/lightheaded, unbalanced, loss of appetite, restless sleep, felt like eyes were bouncing Saturday - fatigue, lightheaded/dizzy, restless sleep Sunday - fatigue, lightheaded/dizzy, diarrhea, rash on upper chest and upper back Monday - lightheaded/dizzy, diarrhea, rash on entire torso, vestibular deficits: Rhomberg EC = severe sway, headache at night Tuesday - + R hypofunction of vestibular system, dizzy/lightheaded, foggy, Diarrhea, headache in the morning, difficulty focusing to read school work Wednesday - fatigue when reading, continued balance deficits Thursday - able to return to school in person; dizzy/lightheaded, mild fatigue, continued balance/vestibular deficits Friday - feels 90% better but still unable to perform higher level athletic activities without dizziness. has to perform at slower pace.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Tuesday (day of vaccine) restless night of sleep Wednesday- chills, fatigue, restless sleep Thursday - passed out in school, fatigue, chills, nausea, restless sleep, dizzy/lightheaded, unbalanced, loss of appetite Friday - extreme fatigue, nausea, chills, dizzy/lightheaded, unbalanced, loss of appetite, restless sleep, felt like eyes were bouncing Saturday - fatigue, lightheaded/dizzy, restless sleep Sunday - fatigue, lightheaded/dizzy, diarrhea, rash on upper chest and upper back Monday - lightheaded/dizzy, diarrhea, rash on entire torso, vestibular deficits: Rhomberg EC = severe sway, headache at night Tuesday - + R hypofunction of vestibular system, dizzy/lightheaded, foggy, Diarrhea, headache in the morning, difficulty focusing to read school work Wednesday - fatigue when reading, continued balance deficits Thursday - able to return to school in person; dizzy/lightheaded, mild fatigue, continued balance/vestibular deficits Friday - feels 90% better but still unable to perform higher level athletic activities without dizziness. has to perform at slower pace.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Loss of consciousness, Mononucleosis heterophile test negative, Nausea
Clinical narrative: Tuesday (day of vaccine) restless night of sleep Wednesday- chills, fatigue, restless sleep Thursday - passed out in school, fatigue, chills, nausea, restless sleep, dizzy/lightheaded, unbalanced, loss of appetite Friday - extreme fatigue, nausea, chills, dizzy/lightheaded, unbalanced, loss of appetite, restless sleep, felt like eyes were bouncing Saturday - fatigue, lightheaded/dizzy, restless sleep Sunday - fatigue, lightheaded/dizzy, diarrhea, rash on upper chest and upper back Monday - lightheaded/dizzy, diarrhea, rash on entire torso, vestibular deficits: Rhomberg EC = severe sway, headache at night Tuesday - + R hypofunction of vestibular system, dizzy/lightheaded, foggy, Diarrhea, headache in the morning, difficulty focusing to read school work Wednesday - fatigue when reading, continued balance deficits Thursday - able to return to school in person; dizzy/lightheaded, mild fatigue, continued balance/vestibular deficits Friday - feels 90% better but still unable to perform higher level athletic activities without dizziness. has to perform at slower pace.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Sleep disorder, Vestibular disorder, Vision blurred
Clinical narrative: Tuesday (day of vaccine) restless night of sleep Wednesday- chills, fatigue, restless sleep Thursday - passed out in school, fatigue, chills, nausea, restless sleep, dizzy/lightheaded, unbalanced, loss of appetite Friday - extreme fatigue, nausea, chills, dizzy/lightheaded, unbalanced, loss of appetite, restless sleep, felt like eyes were bouncing Saturday - fatigue, lightheaded/dizzy, restless sleep Sunday - fatigue, lightheaded/dizzy, diarrhea, rash on upper chest and upper back Monday - lightheaded/dizzy, diarrhea, rash on entire torso, vestibular deficits: Rhomberg EC = severe sway, headache at night Tuesday - + R hypofunction of vestibular system, dizzy/lightheaded, foggy, Diarrhea, headache in the morning, difficulty focusing to read school work Wednesday - fatigue when reading, continued balance deficits Thursday - able to return to school in person; dizzy/lightheaded, mild fatigue, continued balance/vestibular deficits Friday - feels 90% better but still unable to perform higher level athletic activities without dizziness. has to perform at slower pace.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Malaise, Pain
Clinical narrative: Patient has been feeling shortness of breath with a productive cough, fatigue, malaise, and generalized body aches for about 3 weeks (beginning mid August?). She presented to the hospital on 9/7/21 and tested positive for COVID.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient has been feeling shortness of breath with a productive cough, fatigue, malaise, and generalized body aches for about 3 weeks (beginning mid August?). She presented to the hospital on 9/7/21 and tested positive for COVID.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Broke out with shingles on my right side of the torso. Underarms, chest and back. Lasted for a week after starting valtrex 1gm three times daily for 7 days
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: LUMP AN INCH IN SIZE AND REDENED ARE ABOUT 4 INCHES AND PAIN AT THE SITE
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hyperhidrosis
Clinical narrative: 4 day headache, fever following day, chills and sweats 36 hours, diarrhea, began menstrual cycle 2 weeks early, and overall weakness.