chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urinary incontinence, Vomiting
Clinical narrative: Woke up during the night and did not feel well, and had a headache. Got up to get Ibuprofen and I fainted and woke up on the kitchen floor with a pounding headache on the back of my head, and learned I had urinated on myself.  Was freezing cold with the chills, and tried to get up and then vomited.  I felt slightly better, cleaned up and took a warm bath, and went back to bed with an ice pack on the back of my head and a hot pack on my lower back (my lower back was sore due to a previous injury, but got worse after fainting in the kitchen).  Fatigue has also been a side effect.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaemia, Blood test, Heavy menstrual bleeding
Clinical narrative: Heavy menstrual bleeding (menorrhagia) soaking a one-day pad in one hour for four hours during expected period.  Treated with 400mg ibuprofen to reduce bleeding but the bleeding was still heavy for two days.  The second period, 10/13 was also heavier than normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pain, Pyrexia
Clinical narrative: I experienced tiredness, overall body aches, sneezing, cough, low grade fever. Severity was moderate and I began Paxlovid on day 3 and it kicked in 2 days later so I would say the symptoms lasted for 5 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: I experienced tiredness, overall body aches, sneezing, cough, low grade fever. Severity was moderate and I began Paxlovid on day 3 and it kicked in 2 days later so I would say the symptoms lasted for 5 days.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent instead of bivalent.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient should have received Moderna Bivalent but received Monovalent instead.
Age: 7.0
Sex: M
Vaccine: COVID19-2, FLUN4, HEP, HEPA, IPV, MMR, TDAP, VARCEL
Symptoms: Incorrect product formulation administered
Clinical narrative: Administered age appropriate Bivalent instead of Monovalent for correct age, to child who didn't receive Monovalent series.   Contacted family 10/27/22  Mother reports normal side effects and returned to school today.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Computerised tomogram, Deafness, Dizziness
Clinical narrative: Dizzy, numb legs and seizure two days after shot. Reoccurring pressure in the head, numb hands and neuropathy,  temporary hearing loss dizziness nausea seizures continue to date. Neurologist did CT, MRI, MRA, blood work and epilepsy monitoring. No diagnosis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Hypoaesthesia, Laboratory test, Magnetic resonance imaging, Nausea
Clinical narrative: Dizzy, numb legs and seizure two days after shot. Reoccurring pressure in the head, numb hands and neuropathy,  temporary hearing loss dizziness nausea seizures continue to date. Neurologist did CT, MRI, MRA, blood work and epilepsy monitoring. No diagnosis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Seizure
Clinical narrative: Dizzy, numb legs and seizure two days after shot. Reoccurring pressure in the head, numb hands and neuropathy,  temporary hearing loss dizziness nausea seizures continue to date. Neurologist did CT, MRI, MRA, blood work and epilepsy monitoring. No diagnosis
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Provided wrong vaccine to pt- should have received Pfizer Bivalent but was given primary series. No negative effects. Was instructed to return in 2 months to receive bivalent booster.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient came in for the Moderna Bivalant booster and the wrong Moderna Booster was administered
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monovalent instead of Bivalent
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Ill-defined disorder, Pain, Pain in extremity, Palpitations, Skin irritation
Clinical narrative: arm hurting, radiating pain, irritated band around arm 6 inches, heart palpitating, hand issues
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial flutter, COVID-19, Chest X-ray normal, Chest discomfort
Clinical narrative: COVID+ 10/22/22 - Vaccination status - Moderna x2 + 1 pfizer booster BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: PA Admission Date: 10/22/2022 Discharge Date: Oct 24, 2022 Discharge Disposition:  home or self care    Active Issues Requiring Follow-up:  Acute respiratory insufficiency with hypoxia COVID-19 - Home oxygen, 2L with activity, can try to be off oxygen at rest - Dexamethasone, sent with 7 days to complete 10 day course as she is going home with oxygen - Enrolled in transition to home monitoring program   Incidental imaging findings: Nodular opacities 7-8mm - Incidental finding on CT abd/pelvis - Most likely 2/2 infectious process - Consider repeat imaging to ensure resolution   Patchy heterogenicity in region of uncinate process of pancreas - MRCP recommended to exclude underlying mass  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired bacterial pneumonia [J15.9] Paroxysmal atrial flutter (HCC) [I48.92] Other pulmonary embolism without acute cor pulmonale, unspecified chronicity (HCC) [I26.99] Community acquired pneumonia of left lower lobe of lung [J18.9] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD (HCC) [N18.30]   HOSPITAL COURSE: Patient is a 74 y.o. female with PMH significant for COPD, h/o PE, CAD with h/o MI s/p stenting, atrial fibrillation, h/o v fib, h/o NSVT, CHF and hypothyroidism who presented to the ED on 10/22 with chest pain and SOB. Symptoms started 3 days beforehand, but continued to progress and she developed sharp right sided chest pain.    In the ED, patient was hypoxic at 88% requiring 2L oxygen. CXR without any acute changes. CT abd/pelvis showed no acute abdominal findings but did demonstrate patchy left basilar airspace opacities suspicious for pneumonia with incidental findings as noted above. Patient was started on Rocpehin/zithromax and admitted to medicine for CAP. Shortly after COVID testing returned positive. Pneumonia was attributed to viral etiology and abx were stopped. She was started on dexamethasone and remdesivir. She continued requiring 2L nasal cannula, but later weaned to room air. She was concerned about twitching in her chest and CXR to evaluate ppm/ICD lead placement, which was reviewed and stable, and twitching resolved on its own. Given her stability and mild improvement in oxygenation, we discussed COVID at home program. She was agreeable to this. Rehab consulted and recommended 2L with activity, though at times, she may also need oxygen while at rest. Given home oxygen, and COVID at home transition program, she was discharged in stable condition on 10/24/2022. CONSULTS / RECOMMENDATION: Rehab - home oxygen Transition to home program
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chronic kidney disease, Computerised tomogram abdomen abnormal, Dyspnoea, Hypoxia
Clinical narrative: COVID+ 10/22/22 - Vaccination status - Moderna x2 + 1 pfizer booster BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: PA Admission Date: 10/22/2022 Discharge Date: Oct 24, 2022 Discharge Disposition:  home or self care    Active Issues Requiring Follow-up:  Acute respiratory insufficiency with hypoxia COVID-19 - Home oxygen, 2L with activity, can try to be off oxygen at rest - Dexamethasone, sent with 7 days to complete 10 day course as she is going home with oxygen - Enrolled in transition to home monitoring program   Incidental imaging findings: Nodular opacities 7-8mm - Incidental finding on CT abd/pelvis - Most likely 2/2 infectious process - Consider repeat imaging to ensure resolution   Patchy heterogenicity in region of uncinate process of pancreas - MRCP recommended to exclude underlying mass  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired bacterial pneumonia [J15.9] Paroxysmal atrial flutter (HCC) [I48.92] Other pulmonary embolism without acute cor pulmonale, unspecified chronicity (HCC) [I26.99] Community acquired pneumonia of left lower lobe of lung [J18.9] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD (HCC) [N18.30]   HOSPITAL COURSE: Patient is a 74 y.o. female with PMH significant for COPD, h/o PE, CAD with h/o MI s/p stenting, atrial fibrillation, h/o v fib, h/o NSVT, CHF and hypothyroidism who presented to the ED on 10/22 with chest pain and SOB. Symptoms started 3 days beforehand, but continued to progress and she developed sharp right sided chest pain.    In the ED, patient was hypoxic at 88% requiring 2L oxygen. CXR without any acute changes. CT abd/pelvis showed no acute abdominal findings but did demonstrate patchy left basilar airspace opacities suspicious for pneumonia with incidental findings as noted above. Patient was started on Rocpehin/zithromax and admitted to medicine for CAP. Shortly after COVID testing returned positive. Pneumonia was attributed to viral etiology and abx were stopped. She was started on dexamethasone and remdesivir. She continued requiring 2L nasal cannula, but later weaned to room air. She was concerned about twitching in her chest and CXR to evaluate ppm/ICD lead placement, which was reviewed and stable, and twitching resolved on its own. Given her stability and mild improvement in oxygenation, we discussed COVID at home program. She was agreeable to this. Rehab consulted and recommended 2L with activity, though at times, she may also need oxygen while at rest. Given home oxygen, and COVID at home transition program, she was discharged in stable condition on 10/24/2022. CONSULTS / RECOMMENDATION: Rehab - home oxygen Transition to home program
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Magnetic resonance cholangiopancreatography, Muscle twitching, Nodule, Pancreatic disorder
Clinical narrative: COVID+ 10/22/22 - Vaccination status - Moderna x2 + 1 pfizer booster BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: PA Admission Date: 10/22/2022 Discharge Date: Oct 24, 2022 Discharge Disposition:  home or self care    Active Issues Requiring Follow-up:  Acute respiratory insufficiency with hypoxia COVID-19 - Home oxygen, 2L with activity, can try to be off oxygen at rest - Dexamethasone, sent with 7 days to complete 10 day course as she is going home with oxygen - Enrolled in transition to home monitoring program   Incidental imaging findings: Nodular opacities 7-8mm - Incidental finding on CT abd/pelvis - Most likely 2/2 infectious process - Consider repeat imaging to ensure resolution   Patchy heterogenicity in region of uncinate process of pancreas - MRCP recommended to exclude underlying mass  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired bacterial pneumonia [J15.9] Paroxysmal atrial flutter (HCC) [I48.92] Other pulmonary embolism without acute cor pulmonale, unspecified chronicity (HCC) [I26.99] Community acquired pneumonia of left lower lobe of lung [J18.9] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD (HCC) [N18.30]   HOSPITAL COURSE: Patient is a 74 y.o. female with PMH significant for COPD, h/o PE, CAD with h/o MI s/p stenting, atrial fibrillation, h/o v fib, h/o NSVT, CHF and hypothyroidism who presented to the ED on 10/22 with chest pain and SOB. Symptoms started 3 days beforehand, but continued to progress and she developed sharp right sided chest pain.    In the ED, patient was hypoxic at 88% requiring 2L oxygen. CXR without any acute changes. CT abd/pelvis showed no acute abdominal findings but did demonstrate patchy left basilar airspace opacities suspicious for pneumonia with incidental findings as noted above. Patient was started on Rocpehin/zithromax and admitted to medicine for CAP. Shortly after COVID testing returned positive. Pneumonia was attributed to viral etiology and abx were stopped. She was started on dexamethasone and remdesivir. She continued requiring 2L nasal cannula, but later weaned to room air. She was concerned about twitching in her chest and CXR to evaluate ppm/ICD lead placement, which was reviewed and stable, and twitching resolved on its own. Given her stability and mild improvement in oxygenation, we discussed COVID at home program. She was agreeable to this. Rehab consulted and recommended 2L with activity, though at times, she may also need oxygen while at rest. Given home oxygen, and COVID at home transition program, she was discharged in stable condition on 10/24/2022. CONSULTS / RECOMMENDATION: Rehab - home oxygen Transition to home program
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: COVID+ 10/22/22 - Vaccination status - Moderna x2 + 1 pfizer booster BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: PA Admission Date: 10/22/2022 Discharge Date: Oct 24, 2022 Discharge Disposition:  home or self care    Active Issues Requiring Follow-up:  Acute respiratory insufficiency with hypoxia COVID-19 - Home oxygen, 2L with activity, can try to be off oxygen at rest - Dexamethasone, sent with 7 days to complete 10 day course as she is going home with oxygen - Enrolled in transition to home monitoring program   Incidental imaging findings: Nodular opacities 7-8mm - Incidental finding on CT abd/pelvis - Most likely 2/2 infectious process - Consider repeat imaging to ensure resolution   Patchy heterogenicity in region of uncinate process of pancreas - MRCP recommended to exclude underlying mass  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Community acquired bacterial pneumonia [J15.9] Paroxysmal atrial flutter (HCC) [I48.92] Other pulmonary embolism without acute cor pulmonale, unspecified chronicity (HCC) [I26.99] Community acquired pneumonia of left lower lobe of lung [J18.9] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD (HCC) [N18.30]   HOSPITAL COURSE: Patient is a 74 y.o. female with PMH significant for COPD, h/o PE, CAD with h/o MI s/p stenting, atrial fibrillation, h/o v fib, h/o NSVT, CHF and hypothyroidism who presented to the ED on 10/22 with chest pain and SOB. Symptoms started 3 days beforehand, but continued to progress and she developed sharp right sided chest pain.    In the ED, patient was hypoxic at 88% requiring 2L oxygen. CXR without any acute changes. CT abd/pelvis showed no acute abdominal findings but did demonstrate patchy left basilar airspace opacities suspicious for pneumonia with incidental findings as noted above. Patient was started on Rocpehin/zithromax and admitted to medicine for CAP. Shortly after COVID testing returned positive. Pneumonia was attributed to viral etiology and abx were stopped. She was started on dexamethasone and remdesivir. She continued requiring 2L nasal cannula, but later weaned to room air. She was concerned about twitching in her chest and CXR to evaluate ppm/ICD lead placement, which was reviewed and stable, and twitching resolved on its own. Given her stability and mild improvement in oxygenation, we discussed COVID at home program. She was agreeable to this. Rehab consulted and recommended 2L with activity, though at times, she may also need oxygen while at rest. Given home oxygen, and COVID at home transition program, she was discharged in stable condition on 10/24/2022. CONSULTS / RECOMMENDATION: Rehab - home oxygen Transition to home program
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse affect. It was given past it's expiration date and I was told to fill out this form
Age: 65.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient came back to the pharmacy with redness/swelling/fever in her right arm. There was a red line going around her arm near injection site.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 09/21/2022. On 10/23/2022 I woke up during the night with a sore throat that was so bad like razor blades.  I took an at home COVID-19 test which was Positive. I had a virtual visit with my doctor on 10/24/2022. They prescribed Paxlovid.
Age: 91.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Heart rate increased, Hypertension, Hyperventilation, Hypopnoea
Clinical narrative: Onset of symptoms was about 5 hours after administration of the vaccine:  Hard shaking chills, temperature spike to 101.6; extremely high blood pressure, extremely high pulse rate, hyperventilation.  Patient was in a distressed state  with shallow rapid breathing and a very high heart rate. He  was encouraged to try to take deep slow breaths. After about 2 hours, he was given 2 rapid-release Tylenol 500 mg. capsules, and after his temperature began dropping and heart rate slowed somewhat, I helped him into bed to rest.  (His normal heart rate averages 45.)  The following day, there was no fever, pulse rate is back within a normal range, but the patient is very lethargic.
Age: 91.0
Sex: M
Vaccine: FLU4
Symptoms: Lethargy, Pyrexia
Clinical narrative: Onset of symptoms was about 5 hours after administration of the vaccine:  Hard shaking chills, temperature spike to 101.6; extremely high blood pressure, extremely high pulse rate, hyperventilation.  Patient was in a distressed state  with shallow rapid breathing and a very high heart rate. He  was encouraged to try to take deep slow breaths. After about 2 hours, he was given 2 rapid-release Tylenol 500 mg. capsules, and after his temperature began dropping and heart rate slowed somewhat, I helped him into bed to rest.  (His normal heart rate averages 45.)  The following day, there was no fever, pulse rate is back within a normal range, but the patient is very lethargic.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Feeling abnormal, Headache, Influenza like illness
Clinical narrative: On 06/13/2022, I went to bed with a horrible splitting headache. When I woke up the next day, I felt incredibly bad. It felt like a bad flu. I called a local urgent care clinic who prescribed Paxlovid and some cough medicine because I had a horrible cough at the time. I tested myself for COVID-19 with an at home test and it was positive. After receiving the prescriptions, things slowly got better, but for the first few days, my symptoms were really bad.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On 06/13/2022, I went to bed with a horrible splitting headache. When I woke up the next day, I felt incredibly bad. It felt like a bad flu. I called a local urgent care clinic who prescribed Paxlovid and some cough medicine because I had a horrible cough at the time. I tested myself for COVID-19 with an at home test and it was positive. After receiving the prescriptions, things slowly got better, but for the first few days, my symptoms were really bad.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Conjunctival haemorrhage
Clinical narrative: My right eye had a large subconjunctival hemorrhage which was verified my eye doctor today. I have never had anything like this and I am in good health. None of the usual risk factors are present. I am a nurse and I believe this is a result of the vaccination.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Condition aggravated, Dystonia, Magnetic resonance imaging normal, Migraine
Clinical narrative: I have dystonia in my right leg that's since spread to my left leg. I have ongoing migraines and visual disturbances. These have been the primary issues I've been experiencing.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: I have dystonia in my right leg that's since spread to my left leg. I have ongoing migraines and visual disturbances. These have been the primary issues I've been experiencing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Feeling cold
Clinical narrative: I had extreme fatigue, headache, nausea, sore throat and a fever after I received my first booster. On 08/13/2022 I tested positive for COVID-19 at an urgent care center. I had a fever, cough, body aches, chills, tired, not appetite, headache which lasted a week. As of today, I continue to have a headache that I can't get rid of.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: I had extreme fatigue, headache, nausea, sore throat and a fever after I received my first booster. On 08/13/2022 I tested positive for COVID-19 at an urgent care center. I had a fever, cough, body aches, chills, tired, not appetite, headache which lasted a week. As of today, I continue to have a headache that I can't get rid of.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had extreme fatigue, headache, nausea, sore throat and a fever after I received my first booster. On 08/13/2022 I tested positive for COVID-19 at an urgent care center. I had a fever, cough, body aches, chills, tired, not appetite, headache which lasted a week. As of today, I continue to have a headache that I can't get rid of.
Age: 6.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Lip swelling, Pyrexia, Urticaria
Clinical narrative: fever, hives, significant lip swelling
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Death, SARS-CoV-2 test
Clinical narrative: tested for covid 2-17-22; deceased 3-6-22
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Vaccination error
Clinical narrative: Patient received a dose while in the Hospital on 10/08/2022, Patient sister is her caregiver and stated that she was not made aware of the flu shot that her sister had received.  Staff found out when they were attempting to put it into the system. Patient and her sister notified.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Condition aggravated, Impaired work ability, Migraine, Myalgia
Clinical narrative: With each shot or booster I have muscle aches all over, body weakness, and migraines that can last for days or weeks.  My mother became so weak after her first shot, she fell and broke her back.  That required emergency surgery.   She is now too afraid to take any more shots and is losing protection at age 85.  I am missing time at work and there is very little sympathy.   The boosters seem to trigger whole series of migraines that are debilitating.  Please take the severity of these side effects seriously and consider an inoculation protocol with lower doses more frequently or whatever else may be possible for people like us.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient presented to the ED via MMR accompanied by her grandson for evaluation of increased shortness of breath.  According to her grandson patient was diagnosed with COVID-19 last week and started with some congestion, cough, headache, body aches fatigue, decreased appetite and shortness of breath which has worsened in the last few days and decided to come to ER for further evaluation.  Per her grandson patient was admitted overnight 7 days ago at hospital where she was started on steroid and oxygen and discharged home but patient continued having symptoms and he brought her for further evaluation.   No recent fall or injury.  Patient denies any chest pain or leg edema.  Denies any history of coronary artery disease or congestive heart failure.  Upon arrival to ER patient was hypoxic in the 80s and was placed on oxygen  Her vitals shows blood pressure 172/70 heart rate 64 temperature 99.8° respiratory rate 18 pulse ox improved to 94% on room air  Chest x-ray showed COVID-19 pneumonia  Her lab showed white count at 7.4 hemoglobin. She was diagnosed with sepsis due to covid pneumonia with associated acute hypoxic respiratory failure at time of admission.  Patient was admitted on 3 L of oxygen via nasal cannula.  Breathing declined and oxygen demand maxed at 6 L via nasal cannula. she was tapered to 1L via NC after high-dose steroids and Remdesivir.  She declined Baracitinib.  She continues on Decadron which has been tapered to 2mg po daily and can be tapered off this week.   Patient's oxygen saturations with demand plateaued at 6 L for approximately 4-5 days.  Subsequent CTA for evaluation of PE showed incidental finding of thyroid mass which needs further follow-up outpatient.  The patient has been advised.  There was no findings of PE.  Echocardiogram also completed without any significant abnormalities nor acute findings.  LVEF is preserved. Again incidental finding during chart review of hepatocellular disease  On 11/2020 imaging without known history of liver affected cancer.   Patient is medically cleared for discharge to skilled nursing facility for continued multi disciplinary care in improved condition.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Echocardiogram normal, Ejection fraction
Clinical narrative: Patient presented to the ED via MMR accompanied by her grandson for evaluation of increased shortness of breath.  According to her grandson patient was diagnosed with COVID-19 last week and started with some congestion, cough, headache, body aches fatigue, decreased appetite and shortness of breath which has worsened in the last few days and decided to come to ER for further evaluation.  Per her grandson patient was admitted overnight 7 days ago at hospital where she was started on steroid and oxygen and discharged home but patient continued having symptoms and he brought her for further evaluation.   No recent fall or injury.  Patient denies any chest pain or leg edema.  Denies any history of coronary artery disease or congestive heart failure.  Upon arrival to ER patient was hypoxic in the 80s and was placed on oxygen  Her vitals shows blood pressure 172/70 heart rate 64 temperature 99.8° respiratory rate 18 pulse ox improved to 94% on room air  Chest x-ray showed COVID-19 pneumonia  Her lab showed white count at 7.4 hemoglobin. She was diagnosed with sepsis due to covid pneumonia with associated acute hypoxic respiratory failure at time of admission.  Patient was admitted on 3 L of oxygen via nasal cannula.  Breathing declined and oxygen demand maxed at 6 L via nasal cannula. she was tapered to 1L via NC after high-dose steroids and Remdesivir.  She declined Baracitinib.  She continues on Decadron which has been tapered to 2mg po daily and can be tapered off this week.   Patient's oxygen saturations with demand plateaued at 6 L for approximately 4-5 days.  Subsequent CTA for evaluation of PE showed incidental finding of thyroid mass which needs further follow-up outpatient.  The patient has been advised.  There was no findings of PE.  Echocardiogram also completed without any significant abnormalities nor acute findings.  LVEF is preserved. Again incidental finding during chart review of hepatocellular disease  On 11/2020 imaging without known history of liver affected cancer.   Patient is medically cleared for discharge to skilled nursing facility for continued multi disciplinary care in improved condition.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin, Headache, Hypoxia, Malaise
Clinical narrative: Patient presented to the ED via MMR accompanied by her grandson for evaluation of increased shortness of breath.  According to her grandson patient was diagnosed with COVID-19 last week and started with some congestion, cough, headache, body aches fatigue, decreased appetite and shortness of breath which has worsened in the last few days and decided to come to ER for further evaluation.  Per her grandson patient was admitted overnight 7 days ago at hospital where she was started on steroid and oxygen and discharged home but patient continued having symptoms and he brought her for further evaluation.   No recent fall or injury.  Patient denies any chest pain or leg edema.  Denies any history of coronary artery disease or congestive heart failure.  Upon arrival to ER patient was hypoxic in the 80s and was placed on oxygen  Her vitals shows blood pressure 172/70 heart rate 64 temperature 99.8° respiratory rate 18 pulse ox improved to 94% on room air  Chest x-ray showed COVID-19 pneumonia  Her lab showed white count at 7.4 hemoglobin. She was diagnosed with sepsis due to covid pneumonia with associated acute hypoxic respiratory failure at time of admission.  Patient was admitted on 3 L of oxygen via nasal cannula.  Breathing declined and oxygen demand maxed at 6 L via nasal cannula. she was tapered to 1L via NC after high-dose steroids and Remdesivir.  She declined Baracitinib.  She continues on Decadron which has been tapered to 2mg po daily and can be tapered off this week.   Patient's oxygen saturations with demand plateaued at 6 L for approximately 4-5 days.  Subsequent CTA for evaluation of PE showed incidental finding of thyroid mass which needs further follow-up outpatient.  The patient has been advised.  There was no findings of PE.  Echocardiogram also completed without any significant abnormalities nor acute findings.  LVEF is preserved. Again incidental finding during chart review of hepatocellular disease  On 11/2020 imaging without known history of liver affected cancer.   Patient is medically cleared for discharge to skilled nursing facility for continued multi disciplinary care in improved condition.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Respiration abnormal, Respiratory tract congestion, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient presented to the ED via MMR accompanied by her grandson for evaluation of increased shortness of breath.  According to her grandson patient was diagnosed with COVID-19 last week and started with some congestion, cough, headache, body aches fatigue, decreased appetite and shortness of breath which has worsened in the last few days and decided to come to ER for further evaluation.  Per her grandson patient was admitted overnight 7 days ago at hospital where she was started on steroid and oxygen and discharged home but patient continued having symptoms and he brought her for further evaluation.   No recent fall or injury.  Patient denies any chest pain or leg edema.  Denies any history of coronary artery disease or congestive heart failure.  Upon arrival to ER patient was hypoxic in the 80s and was placed on oxygen  Her vitals shows blood pressure 172/70 heart rate 64 temperature 99.8° respiratory rate 18 pulse ox improved to 94% on room air  Chest x-ray showed COVID-19 pneumonia  Her lab showed white count at 7.4 hemoglobin. She was diagnosed with sepsis due to covid pneumonia with associated acute hypoxic respiratory failure at time of admission.  Patient was admitted on 3 L of oxygen via nasal cannula.  Breathing declined and oxygen demand maxed at 6 L via nasal cannula. she was tapered to 1L via NC after high-dose steroids and Remdesivir.  She declined Baracitinib.  She continues on Decadron which has been tapered to 2mg po daily and can be tapered off this week.   Patient's oxygen saturations with demand plateaued at 6 L for approximately 4-5 days.  Subsequent CTA for evaluation of PE showed incidental finding of thyroid mass which needs further follow-up outpatient.  The patient has been advised.  There was no findings of PE.  Echocardiogram also completed without any significant abnormalities nor acute findings.  LVEF is preserved. Again incidental finding during chart review of hepatocellular disease  On 11/2020 imaging without known history of liver affected cancer.   Patient is medically cleared for discharge to skilled nursing facility for continued multi disciplinary care in improved condition.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid mass, White blood cell count normal
Clinical narrative: Patient presented to the ED via MMR accompanied by her grandson for evaluation of increased shortness of breath.  According to her grandson patient was diagnosed with COVID-19 last week and started with some congestion, cough, headache, body aches fatigue, decreased appetite and shortness of breath which has worsened in the last few days and decided to come to ER for further evaluation.  Per her grandson patient was admitted overnight 7 days ago at hospital where she was started on steroid and oxygen and discharged home but patient continued having symptoms and he brought her for further evaluation.   No recent fall or injury.  Patient denies any chest pain or leg edema.  Denies any history of coronary artery disease or congestive heart failure.  Upon arrival to ER patient was hypoxic in the 80s and was placed on oxygen  Her vitals shows blood pressure 172/70 heart rate 64 temperature 99.8° respiratory rate 18 pulse ox improved to 94% on room air  Chest x-ray showed COVID-19 pneumonia  Her lab showed white count at 7.4 hemoglobin. She was diagnosed with sepsis due to covid pneumonia with associated acute hypoxic respiratory failure at time of admission.  Patient was admitted on 3 L of oxygen via nasal cannula.  Breathing declined and oxygen demand maxed at 6 L via nasal cannula. she was tapered to 1L via NC after high-dose steroids and Remdesivir.  She declined Baracitinib.  She continues on Decadron which has been tapered to 2mg po daily and can be tapered off this week.   Patient's oxygen saturations with demand plateaued at 6 L for approximately 4-5 days.  Subsequent CTA for evaluation of PE showed incidental finding of thyroid mass which needs further follow-up outpatient.  The patient has been advised.  There was no findings of PE.  Echocardiogram also completed without any significant abnormalities nor acute findings.  LVEF is preserved. Again incidental finding during chart review of hepatocellular disease  On 11/2020 imaging without known history of liver affected cancer.   Patient is medically cleared for discharge to skilled nursing facility for continued multi disciplinary care in improved condition.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Oropharyngeal pain
Clinical narrative: On October 5th, I had a sore throat and a runny nose. I tested negative for COVID-19. On Thursday morning, I developed a cough as well. I tested negative for COVID-19 again. Thursday night, same symptoms and tested negative for COVID-19 again. Friday morning, I had the same symptoms, but I tested positive for COVID-19. I called my doctor and was told I was not a good candidate for the antiviral due to the interactions with the medication I already take. She advised me to take over the counter cough medication and a decongestion. She asked me to call her back on Monday if my symptoms didn't improve. I took DAYQUIL and AFRIN nasal spray. Saturday, I no longer had a sore throat, but I lost my sense of taste and smell. My cough got worse. Sunday, I had all the same symptoms, and the cough was still getting worse. I called my doctor Monday morning. She prescribed codeine cough syrup. I was told to take MUCINEX instead of DAYQUIL. I was also told to continue taking AFRIN and to add CLARITIN. The symptoms persisted Tuesday and Wednesday. Wednesday afternoon, my cough started to get better. My cough continued to get better until Saturday. I stopped taking all the medications on Monday, the 17th. My cough came back in the middle of the week. On Friday, the 21st, I refilled the prescription for cough syrup and started taking AFRIN and CLARITIN again. I am taking all three currently. My cough persists.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On October 5th, I had a sore throat and a runny nose. I tested negative for COVID-19. On Thursday morning, I developed a cough as well. I tested negative for COVID-19 again. Thursday night, same symptoms and tested negative for COVID-19 again. Friday morning, I had the same symptoms, but I tested positive for COVID-19. I called my doctor and was told I was not a good candidate for the antiviral due to the interactions with the medication I already take. She advised me to take over the counter cough medication and a decongestion. She asked me to call her back on Monday if my symptoms didn't improve. I took DAYQUIL and AFRIN nasal spray. Saturday, I no longer had a sore throat, but I lost my sense of taste and smell. My cough got worse. Sunday, I had all the same symptoms, and the cough was still getting worse. I called my doctor Monday morning. She prescribed codeine cough syrup. I was told to take MUCINEX instead of DAYQUIL. I was also told to continue taking AFRIN and to add CLARITIN. The symptoms persisted Tuesday and Wednesday. Wednesday afternoon, my cough started to get better. My cough continued to get better until Saturday. I stopped taking all the medications on Monday, the 17th. My cough came back in the middle of the week. On Friday, the 21st, I refilled the prescription for cough syrup and started taking AFRIN and CLARITIN again. I am taking all three currently. My cough persists.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder scan, Blood culture negative, COVID-19, COVID-19 pneumonia, Dysphagia
Clinical narrative: Discharge Provider: DO Primary Care Provider: FNP Admission Date: 10/19/2022 Discharge Date: Oct 22, 2022  PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Sepsis due to pneumonia [J18.9, A41.9] Community acquired pneumonia, unspecified laterality [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: Exceedingly pleasant 97 y/o community dwelling patient of Dr. was admitted on 10/19/2022 for bilateral community acquired pneumonia with associated severe sepsis.  The patient tested positive for COVID 19.  He had an elevated procalcitonin as well.  He was treated for both COVID 19 pneumonia and bacterial pneumonia.  He was unable to provide a sputum culture.  He improved with these treatments.  His sepsis resolved, and he had negative blood cultures.  He was deemed medically stable for discharge on 10/22/22.     He completed Remdesivir during this admission, as well as 4 days of Decadron.  He will not take Decadron after discharge, because he remained on RA during his admission and passed his home oxygen evaluation.     He was sent home on Ceftin 500 mg PO BID for 6 days and Doxycycline 100 mg PO BID x 6 days for a total time of 10 days of antibiotics for his pneumonia.  His WBC normalized.     The patient had history of a TURP and has mild LUT symptoms at home.  His UA was negative for infection.  His bladder scan was zero after he voided.  This is a stable comorbid issue requiring no medication.     The patient also had s/s of dysphagia related to GERD and was discharged home on Protonix 40 mg PO BID x 14 days followed by 40 mg daily for 30 days.  The patient should follow up with is PCP if this is unhelpful for possible EGD or UGI or further evaluation.     He is asked to follow up with is PCP for post-hospital follow up.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Pneumonia, Pneumonia bacterial, Procalcitonin increased, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: DO Primary Care Provider: FNP Admission Date: 10/19/2022 Discharge Date: Oct 22, 2022  PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Sepsis due to pneumonia [J18.9, A41.9] Community acquired pneumonia, unspecified laterality [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: Exceedingly pleasant 97 y/o community dwelling patient of Dr. was admitted on 10/19/2022 for bilateral community acquired pneumonia with associated severe sepsis.  The patient tested positive for COVID 19.  He had an elevated procalcitonin as well.  He was treated for both COVID 19 pneumonia and bacterial pneumonia.  He was unable to provide a sputum culture.  He improved with these treatments.  His sepsis resolved, and he had negative blood cultures.  He was deemed medically stable for discharge on 10/22/22.     He completed Remdesivir during this admission, as well as 4 days of Decadron.  He will not take Decadron after discharge, because he remained on RA during his admission and passed his home oxygen evaluation.     He was sent home on Ceftin 500 mg PO BID for 6 days and Doxycycline 100 mg PO BID x 6 days for a total time of 10 days of antibiotics for his pneumonia.  His WBC normalized.     The patient had history of a TURP and has mild LUT symptoms at home.  His UA was negative for infection.  His bladder scan was zero after he voided.  This is a stable comorbid issue requiring no medication.     The patient also had s/s of dysphagia related to GERD and was discharged home on Protonix 40 mg PO BID x 14 days followed by 40 mg daily for 30 days.  The patient should follow up with is PCP if this is unhelpful for possible EGD or UGI or further evaluation.     He is asked to follow up with is PCP for post-hospital follow up.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Urine analysis normal, White blood cell disorder
Clinical narrative: Discharge Provider: DO Primary Care Provider: FNP Admission Date: 10/19/2022 Discharge Date: Oct 22, 2022  PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Sepsis due to pneumonia [J18.9, A41.9] Community acquired pneumonia, unspecified laterality [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: Exceedingly pleasant 97 y/o community dwelling patient of Dr. was admitted on 10/19/2022 for bilateral community acquired pneumonia with associated severe sepsis.  The patient tested positive for COVID 19.  He had an elevated procalcitonin as well.  He was treated for both COVID 19 pneumonia and bacterial pneumonia.  He was unable to provide a sputum culture.  He improved with these treatments.  His sepsis resolved, and he had negative blood cultures.  He was deemed medically stable for discharge on 10/22/22.     He completed Remdesivir during this admission, as well as 4 days of Decadron.  He will not take Decadron after discharge, because he remained on RA during his admission and passed his home oxygen evaluation.     He was sent home on Ceftin 500 mg PO BID for 6 days and Doxycycline 100 mg PO BID x 6 days for a total time of 10 days of antibiotics for his pneumonia.  His WBC normalized.     The patient had history of a TURP and has mild LUT symptoms at home.  His UA was negative for infection.  His bladder scan was zero after he voided.  This is a stable comorbid issue requiring no medication.     The patient also had s/s of dysphagia related to GERD and was discharged home on Protonix 40 mg PO BID x 14 days followed by 40 mg daily for 30 days.  The patient should follow up with is PCP if this is unhelpful for possible EGD or UGI or further evaluation.     He is asked to follow up with is PCP for post-hospital follow up.
Age: 77.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Burning sensation, Chills, Cough, Fatigue, Nausea
Clinical narrative: Started as really cold feet and feeling tired. Laid down and watched TV. Head felt like it was on fire, and also felt nauseous. Felt extreme chills and laid under blankets with heating pad, and still felt chills. Fever went up to 101F. Experienced non-stop coughing
Age: 77.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Peripheral coldness, Pyrexia
Clinical narrative: Started as really cold feet and feeling tired. Laid down and watched TV. Head felt like it was on fire, and also felt nauseous. Felt extreme chills and laid under blankets with heating pad, and still felt chills. Fever went up to 101F. Experienced non-stop coughing
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient did not have any adverse reaction. The error was that she was administered a Pfizer Bivalent Orange Cap 0.2 mL dose for 5 - 11 years of age instead of the Pfizer Bivalent Gray Cap 0.3 mL  for 12 years and over.  Patient was monitored for 20 minutes post administration, no adverse reaction noted nor reported by patient or accompanying grandmother.   MD was notified as soon as dosage error discovered. Patient was given the appropriate dose of Pfizer Bivalent Gray Cap for 12 yrs + after vaccine error was discovered, per CDC Interim recommendations.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache, Inflammation, Lymphadenopathy, Migraine
Clinical narrative: Sore throat and swollen lymph nodes along jaw 25 minutes after injection.  Headache with some migraine-type symptoms 9 minutes after injection.  Please note:  these headaches shortly after the shot have been problems for me with each dose of mRNA vaccine.  Moderna was my first two; Pfizer the next two.  The swollen lymph nodes and sore throat happened approx. 10 hours after my first shot (Moderna), 1 /12 hours after the second (Moderna), and 30 minutes after the third (Pfizer). Within 1 1/2 hours after my bivalent Pfizer booster, the lymph nodes from my neck up were all swollen badly including the ones in the back of my neck to the occipital area.  Bad sore throat.  Headache was gone in about 2 hours vs. on and off for 24 hours.  Do not know if that is bc I took migraine meds this time right away or not.  Felt like I was coming down with something and was in bed.  Took a  lot of advil to keep the inflammation and pain from it as far down as I could.  But it didn't do much.  Stiff and thick back of neck which hurt upon showering later. The back of neck nodes went down enough over night.  The neck and jaw did not. Neither did the sore throat.  About 30 hours after the shot, these got better.  I then broke out in a rash I am prone to when my body is overwhelmed.  I can't remember the name of it.  This lasted about 2 days during which  my glands and sore throat felt better.  Still taking advil and benadryl now too.  After resolution of rash, about 12hours later, my sore throat and glands along neck and jaw started all over again.  Hurt enough I could not sleep with  jaw on pillow.  Taking a lot  of advil.  On Sat., one week after shot, I went to ER where I was told it was a natural process and to gut it out.  On the 17th, 9 days after the vaccination, my doctor prescribed prednisone as it was still not resolved.  The prednisone helped very quickly.  I was on a 5 day course at 10mg, then 5 mg  then 2.5 mg.  I felt much better on the 20th.  When I had the shot on the 8th. The ER put it down as "vaccine reaction" and I am getting nervous as I am having weird things happen with each mRNA shot and the lymph node/sore throat thing is happening faster and faster.