chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Blood test abnormal, Blood urea increased, COVID-19
Clinical narrative: I noticed a lump on my neck so I went to a clinic, and it was recommended that I go to the ER to have what was believed to be a cyst that needed to be drained. The ER doctor gave me a swab for strep and noted all lymph nodes in my neck were swollen including the lump in my neck at around 1700 hours I felt like the screws in my hip were being pulled out and pain everywhere in my body. I was coughing up mucous and my nose was very clogged. The pain was different in different parts of my body, abdomen was very sharp and pins in my head like someone was driving an axe through my head, hip pain was like someone had opened it up and was stabbing and clawing at it. My throat was like someone was pouring itching powder down my throat and my pain level was a ten out of one through ten. I called the nurse through the insurance provider and asked about the ER again and it was recommended I go to an urgent care, the next day I took a muscle relaxer and it allowed me to sleep more. I was going to the clinic building but to walk six hundred meters it took one and one half hours. The pain was so bad it caused me to cry and went back to the ER I was crying a groaning, tests were ran.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Crying, Cyst, Headache, Laboratory test, Lymphadenopathy
Clinical narrative: I noticed a lump on my neck so I went to a clinic, and it was recommended that I go to the ER to have what was believed to be a cyst that needed to be drained. The ER doctor gave me a swab for strep and noted all lymph nodes in my neck were swollen including the lump in my neck at around 1700 hours I felt like the screws in my hip were being pulled out and pain everywhere in my body. I was coughing up mucous and my nose was very clogged. The pain was different in different parts of my body, abdomen was very sharp and pins in my head like someone was driving an axe through my head, hip pain was like someone had opened it up and was stabbing and clawing at it. My throat was like someone was pouring itching powder down my throat and my pain level was a ten out of one through ten. I called the nurse through the insurance provider and asked about the ER again and it was recommended I go to an urgent care, the next day I took a muscle relaxer and it allowed me to sleep more. I was going to the clinic building but to walk six hundred meters it took one and one half hours. The pain was so bad it caused me to cry and went back to the ER I was crying a groaning, tests were ran.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count abnormal, Malaise, Moaning, Monocyte count abnormal, Musculoskeletal discomfort
Clinical narrative: I noticed a lump on my neck so I went to a clinic, and it was recommended that I go to the ER to have what was believed to be a cyst that needed to be drained. The ER doctor gave me a swab for strep and noted all lymph nodes in my neck were swollen including the lump in my neck at around 1700 hours I felt like the screws in my hip were being pulled out and pain everywhere in my body. I was coughing up mucous and my nose was very clogged. The pain was different in different parts of my body, abdomen was very sharp and pins in my head like someone was driving an axe through my head, hip pain was like someone had opened it up and was stabbing and clawing at it. My throat was like someone was pouring itching powder down my throat and my pain level was a ten out of one through ten. I called the nurse through the insurance provider and asked about the ER again and it was recommended I go to an urgent care, the next day I took a muscle relaxer and it allowed me to sleep more. I was going to the clinic building but to walk six hundred meters it took one and one half hours. The pain was so bad it caused me to cry and went back to the ER I was crying a groaning, tests were ran.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Neck mass, Neutrophil count abnormal, Pain, Productive cough
Clinical narrative: I noticed a lump on my neck so I went to a clinic, and it was recommended that I go to the ER to have what was believed to be a cyst that needed to be drained. The ER doctor gave me a swab for strep and noted all lymph nodes in my neck were swollen including the lump in my neck at around 1700 hours I felt like the screws in my hip were being pulled out and pain everywhere in my body. I was coughing up mucous and my nose was very clogged. The pain was different in different parts of my body, abdomen was very sharp and pins in my head like someone was driving an axe through my head, hip pain was like someone had opened it up and was stabbing and clawing at it. My throat was like someone was pouring itching powder down my throat and my pain level was a ten out of one through ten. I called the nurse through the insurance provider and asked about the ER again and it was recommended I go to an urgent care, the next day I took a muscle relaxer and it allowed me to sleep more. I was going to the clinic building but to walk six hundred meters it took one and one half hours. The pain was so bad it caused me to cry and went back to the ER I was crying a groaning, tests were ran.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I noticed a lump on my neck so I went to a clinic, and it was recommended that I go to the ER to have what was believed to be a cyst that needed to be drained. The ER doctor gave me a swab for strep and noted all lymph nodes in my neck were swollen including the lump in my neck at around 1700 hours I felt like the screws in my hip were being pulled out and pain everywhere in my body. I was coughing up mucous and my nose was very clogged. The pain was different in different parts of my body, abdomen was very sharp and pins in my head like someone was driving an axe through my head, hip pain was like someone had opened it up and was stabbing and clawing at it. My throat was like someone was pouring itching powder down my throat and my pain level was a ten out of one through ten. I called the nurse through the insurance provider and asked about the ER again and it was recommended I go to an urgent care, the next day I took a muscle relaxer and it allowed me to sleep more. I was going to the clinic building but to walk six hundred meters it took one and one half hours. The pain was so bad it caused me to cry and went back to the ER I was crying a groaning, tests were ran.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt was given an expired dose of vaccine; this lot # expired 10/31/2022. Pt called and updated; aware she should be re-dosed. No adverse effects reported.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram, Atrial fibrillation, Chest X-ray, Echocardiogram, Electrocardiogram ambulatory
Clinical narrative: New onset afib 2 weeks after vaccine
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Laboratory test
Clinical narrative: New onset afib 2 weeks after vaccine
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Cough, Ear congestion, Laryngitis, Respiratory tract congestion
Clinical narrative: On 10/28/2022 I received my Covid-19 vaccine. In the afternoon of 12/20/2022 I started out with laryngitis and progressed to cough and stuffy ears with chest congestion. After I reached out to my doctor, I used over the counter medication to treat symptoms. Symptoms lasted approx. Two weeks however after I started having ongoing UTI, Atrial fibrillation; and congested ears.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urinary tract infection
Clinical narrative: On 10/28/2022 I received my Covid-19 vaccine. In the afternoon of 12/20/2022 I started out with laryngitis and progressed to cough and stuffy ears with chest congestion. After I reached out to my doctor, I used over the counter medication to treat symptoms. Symptoms lasted approx. Two weeks however after I started having ongoing UTI, Atrial fibrillation; and congested ears.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Medication error, Product storage error
Clinical narrative: Medication error. Vaccine not viable due to improper temperature storage.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough
Clinical narrative: I had a cough, a little tightness with breathing; so it felt like bronchitis.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral disorder, Chills, Diarrhoea, Dizziness, Electronystagmogram
Clinical narrative: Two weeks after 1 shot started experiencing nausea and diarrhea for 5 days.  The morning of my 2nd dose started having dizziness.  The next day after the 2nd shot started having dizziness, headache, blurred vision and chills. The dizziness continued until I visited the clinic on 6/4/2021.  Was prescribed Meclizine for the dizziness.  Dizziness and nausea continued until visited an ENT on July 6, 2021.  Because of the severe headaches and dizziness he referred me to get a VNG.  The results showed something on the back, left side of my brain.  Received a MRI on 8/25/2021. The results was negative, believed it was inflammation.  Left arm (both shots were administered) started having sharp, throbbing pain.  Referred to receive vestibular therapy for the dizziness and physical therapy for my arm.  That started 8/24/2021 - 9/27/2021 (3 days/week).
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Inflammation, Magnetic resonance imaging normal, Nausea, Vision blurred
Clinical narrative: Two weeks after 1 shot started experiencing nausea and diarrhea for 5 days.  The morning of my 2nd dose started having dizziness.  The next day after the 2nd shot started having dizziness, headache, blurred vision and chills. The dizziness continued until I visited the clinic on 6/4/2021.  Was prescribed Meclizine for the dizziness.  Dizziness and nausea continued until visited an ENT on July 6, 2021.  Because of the severe headaches and dizziness he referred me to get a VNG.  The results showed something on the back, left side of my brain.  Received a MRI on 8/25/2021. The results was negative, believed it was inflammation.  Left arm (both shots were administered) started having sharp, throbbing pain.  Referred to receive vestibular therapy for the dizziness and physical therapy for my arm.  That started 8/24/2021 - 9/27/2021 (3 days/week).
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray limb
Clinical narrative: Two weeks after 1 shot started experiencing nausea and diarrhea for 5 days.  The morning of my 2nd dose started having dizziness.  The next day after the 2nd shot started having dizziness, headache, blurred vision and chills. The dizziness continued until I visited the clinic on 6/4/2021.  Was prescribed Meclizine for the dizziness.  Dizziness and nausea continued until visited an ENT on July 6, 2021.  Because of the severe headaches and dizziness he referred me to get a VNG.  The results showed something on the back, left side of my brain.  Received a MRI on 8/25/2021. The results was negative, believed it was inflammation.  Left arm (both shots were administered) started having sharp, throbbing pain.  Referred to receive vestibular therapy for the dizziness and physical therapy for my arm.  That started 8/24/2021 - 9/27/2021 (3 days/week).
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Pyrexia
Clinical narrative: 2/23/23- Guardian called to inform that she had received a call from the school nurse.  Child was running a fever of 102. Guardian called me to see if a high fever could be the result of childs vaccines last evening.  I told her it could. She stated the school nurse didn t' feel it could be the vaccines and attributed to illness. As the true cause of elevated fever is unknow, I will report it in case it is indeed an adverse reaction to one of the vaccines given. 2/24/23- to Guardian. Child's fever is down to 99.  They feel he may have pinkeye as it is going around his classroom.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Unknown
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: Medication error, Product storage error
Clinical narrative: Medication error. Vaccine not viable due to improper temperature storage.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site reaction, Injection site swelling, Musculoskeletal stiffness, Pain
Clinical narrative: PATIENTS ARM BECAME EXTREMELY HARD, STIFF, AND SWOLLEN AT THE INJECTION SITE HOURS AFTER THE INJECTION. THE SWELLING WAS 8 INCHES ACROSS HER ARM AND 4 INCHES UP AND DOWN.  PATIENT ICED THE REACTION SITE LOCALLY AND TOOK BENADYL AND IBUPROFEN FOR THE REACTION AND PAIN.   PATIENT WAS ADVISED TO MONITOR REACTION AND CONTACT PCP FOR FURTHER EVALUATION AND WORKUP. THE REACTION HAS SINCE IMPROVED 2 DAYS LATER SINCE VACCINATION (2/24/23).
Age: 75.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: My COVID-19 symptoms started on 12/16/2022. I have fever, congestions, fatigue, runny nose, cough, labored breathing, and headache. I went to my doctor's office on 12/22/2022. They did COVID-19 test which was positive. I told my doctor about the symptoms I had but since it was more than 5 days of the time frame she didn't prescribe me any medication. I used my inhaler for labored breathing I experienced. I tested negative a week after testing positive with a home COVID-19 test. I had mild COVID-19 symptoms.
Age: 75.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Malaise, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My COVID-19 symptoms started on 12/16/2022. I have fever, congestions, fatigue, runny nose, cough, labored breathing, and headache. I went to my doctor's office on 12/22/2022. They did COVID-19 test which was positive. I told my doctor about the symptoms I had but since it was more than 5 days of the time frame she didn't prescribe me any medication. I used my inhaler for labored breathing I experienced. I tested negative a week after testing positive with a home COVID-19 test. I had mild COVID-19 symptoms.
Age: 8.0
Sex: F
Vaccine: DTAPIPV, FLU4, HEPA, MMR, VARCEL
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix administered outside of manufacturer recommended age range
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atypical pneumonia, Blood test abnormal, Chest X-ray abnormal, Chest discomfort, Dizziness
Clinical narrative: I actually had been feeling great and at ten AM on Sunday morning, it was like a ton of bricks hit me, fatigue and a tightness in my chest it lasted about five minutes. I wanted to go home so fifteen minutes later total, my son drove me home and I had a sickness and fatigue all over, and halfway home I asked to go to the ER. So thirty minutes later total I am at the ER. The nurse asked me if I was alright but I said I am going to faint and they wheeled me into the triage my BP was 196/92. EKG was ran. Over the next three hours my BP was slowly coming down. An odd tightness in my chest lasted three days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Illness, Platelet count decreased
Clinical narrative: I actually had been feeling great and at ten AM on Sunday morning, it was like a ton of bricks hit me, fatigue and a tightness in my chest it lasted about five minutes. I wanted to go home so fifteen minutes later total, my son drove me home and I had a sickness and fatigue all over, and halfway home I asked to go to the ER. So thirty minutes later total I am at the ER. The nurse asked me if I was alright but I said I am going to faint and they wheeled me into the triage my BP was 196/92. EKG was ran. Over the next three hours my BP was slowly coming down. An odd tightness in my chest lasted three days.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Confusional state, Magnetic resonance imaging abnormal, Mental disorder, Urinary tract infection
Clinical narrative: Patient was hospitalized with mental confusion and psychological abnormalities and UTI.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cholecystectomy, Cholelithiasis, Laparoscopic surgery, Tinnitus
Clinical narrative: Tinnitus
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: spoke with patient. no adverse effect reported. error being reported because patient revieved second bivalent booster. no indication for second bivalent booster on date of administration.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymphadenopathy, Neck mass, Ultrasound scan abnormal
Clinical narrative: In early January 2023 I was brushing my hair and noticed I had a lump on my neck. My annual physical was coming up so I waited to have her look at it then. She ordered an ultra for February 15, 2023. The ultrasound came back showing an enlarged lymph node. We consulted on this report, and I have had another full physical of all lymph node areas, along with the questions that come with having an enlarged lymph node. I will be having a CT scan scheduled soon, we are awaiting for when they have an opening.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Back pain, Dysstasia, Gait disturbance, Grip strength decreased
Clinical narrative: Patient describes pain in the hip area and lower lumbar back that is interfering with walking and standing. He also complains of hand pain and difficulty gripping. This pain started about 8 weeks after bivalent Moderna vaccine was administered.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, X-ray of pelvis and hip normal
Clinical narrative: Patient describes pain in the hip area and lower lumbar back that is interfering with walking and standing. He also complains of hand pain and difficulty gripping. This pain started about 8 weeks after bivalent Moderna vaccine was administered.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus
Clinical narrative: Severe itching
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Influenza virus test positive
Clinical narrative: He had the flu, there is no treatment he just laid low, and I hydrated him and kept him home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Mobility decreased, Pain, Spondylitis
Clinical narrative: My doctor had told me I only had arthritis in my neck.  The morning after the test we had the usual aches and pains we were told to expect.  I however had more bone pain than may husband.  It has progressively became more.  I have bone pain all the time.  Not just the joints, but the bones themselves as well.  Never in My life have I had a Vit D problem.  However the summer after the shot, I learned that my Vit D was severely low. I could barely function.  I now take it daily.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D decreased, Vitamin supplementation
Clinical narrative: My doctor had told me I only had arthritis in my neck.  The morning after the test we had the usual aches and pains we were told to expect.  I however had more bone pain than may husband.  It has progressively became more.  I have bone pain all the time.  Not just the joints, but the bones themselves as well.  Never in My life have I had a Vit D problem.  However the summer after the shot, I learned that my Vit D was severely low. I could barely function.  I now take it daily.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute kidney injury, COVID-19, Condition aggravated, Leukocytosis, Pneumonia bacterial
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/17/2023 Discharge Date: 2/19/2023   Clinical Narrative: Patient was started on ceftriaxone, doxycycline, Mucinex and breathing treatments p.r.n. for presumed bacterial pneumonia, he has remained afebrile, mild leukocytosis which is presumed to be reactive, procalcitonin was 0.04 which was normal.  He has clinically improved, oxygen has been weaned off and is doing well on room air both at rest and ambulating staying above 90%.  He may be discharged on oral Augmentin and doxycycline to complete 5 more days Patient was positive for COVID-19 and he was past the window period for remdesivir, he is advised to continue social distancing Acute kidney injury on admission resolved with IV fluids, was felt to be prerenal
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Procalcitonin normal, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/17/2023 Discharge Date: 2/19/2023   Clinical Narrative: Patient was started on ceftriaxone, doxycycline, Mucinex and breathing treatments p.r.n. for presumed bacterial pneumonia, he has remained afebrile, mild leukocytosis which is presumed to be reactive, procalcitonin was 0.04 which was normal.  He has clinically improved, oxygen has been weaned off and is doing well on room air both at rest and ambulating staying above 90%.  He may be discharged on oral Augmentin and doxycycline to complete 5 more days Patient was positive for COVID-19 and he was past the window period for remdesivir, he is advised to continue social distancing Acute kidney injury on admission resolved with IV fluids, was felt to be prerenal
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: no adverse event reported. patient received second bivalent booster dose. no indication on date of administration
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 5 days after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rash, Rash macular, Rash pruritic
Clinical narrative: PATIENT REPORTED RASH ON BOTH ARMS AND LEGS AND SMALL ITCHY DOTS ON BACK.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Asymptomatic COVID-19, Blood culture negative, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA Admission Date: 2/17/2023 Discharge Date: 2/19/2023   Clinical Narrative: Acute encephalopathy likely metabolic on admission resolved, patient is awake alert oriented x3, able to engage in a conversation and answer questions.  CT scan of the head done on admission was unremarkable She was started on IV ceftriaxone for urinary tract infection, she is afebrile no leukocytosis, blood cultures are negative to date, urine culture also pending to be completed.  Patient is asymptomatic presently in and she has completed 3 days of IV ceftriaxone, will give a dose of fosfomycin and discharged without antibiotics.  Family physician to follow up on finalization of cultures and the need for continued antibiotics COVID-19 positive of which she is asymptomatic no shortness of breath no chest pain no significant cough, she is advised to continue to follow social distancing Constipation as evident on abdominal x-ray patient received MiraLax and later Doculax suppository I was able to have bowel movement.  She can continue with p.r.n. MiraLax at home
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Culture urine, Encephalopathy, Metabolic encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA Admission Date: 2/17/2023 Discharge Date: 2/19/2023   Clinical Narrative: Acute encephalopathy likely metabolic on admission resolved, patient is awake alert oriented x3, able to engage in a conversation and answer questions.  CT scan of the head done on admission was unremarkable She was started on IV ceftriaxone for urinary tract infection, she is afebrile no leukocytosis, blood cultures are negative to date, urine culture also pending to be completed.  Patient is asymptomatic presently in and she has completed 3 days of IV ceftriaxone, will give a dose of fosfomycin and discharged without antibiotics.  Family physician to follow up on finalization of cultures and the need for continued antibiotics COVID-19 positive of which she is asymptomatic no shortness of breath no chest pain no significant cough, she is advised to continue to follow social distancing Constipation as evident on abdominal x-ray patient received MiraLax and later Doculax suppository I was able to have bowel movement.  She can continue with p.r.n. MiraLax at home
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA Admission Date: 2/17/2023 Discharge Date: 2/19/2023   Clinical Narrative: Acute encephalopathy likely metabolic on admission resolved, patient is awake alert oriented x3, able to engage in a conversation and answer questions.  CT scan of the head done on admission was unremarkable She was started on IV ceftriaxone for urinary tract infection, she is afebrile no leukocytosis, blood cultures are negative to date, urine culture also pending to be completed.  Patient is asymptomatic presently in and she has completed 3 days of IV ceftriaxone, will give a dose of fosfomycin and discharged without antibiotics.  Family physician to follow up on finalization of cultures and the need for continued antibiotics COVID-19 positive of which she is asymptomatic no shortness of breath no chest pain no significant cough, she is advised to continue to follow social distancing Constipation as evident on abdominal x-ray patient received MiraLax and later Doculax suppository I was able to have bowel movement.  She can continue with p.r.n. MiraLax at home
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Loss of personal independence in daily activities, Pain in extremity, Sinusitis
Clinical narrative: My son was complaining of a sore arm and as of last Monday he was diagnosed with a sinus infection, and he missed school for a few days. I gave him the medication the doctor prescribed which was amoxicillin.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cold type haemolytic anaemia, Cough, Diarrhoea, Fatigue
Clinical narrative: On 05/06/2022 I received my Covid-19 vaccine. On 08/10/2022 I started having diarrhea, sore throat, cough, extreme fatigue, sinus issues; face started getting yellow; and breakouts on face.  I tested positive on 08/11/2022 for Covid-19. Symptoms lasted about two weeks. Since Covid-19 I was diagnosed with Cold Agglutinin Disease , Monoclonal B -Cell and Lymphocytosis.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Lymphocytosis, Monoclonal B-cell lymphocytosis, Oropharyngeal pain, Rash
Clinical narrative: On 05/06/2022 I received my Covid-19 vaccine. On 08/10/2022 I started having diarrhea, sore throat, cough, extreme fatigue, sinus issues; face started getting yellow; and breakouts on face.  I tested positive on 08/11/2022 for Covid-19. Symptoms lasted about two weeks. Since Covid-19 I was diagnosed with Cold Agglutinin Disease , Monoclonal B -Cell and Lymphocytosis.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder, Yellow skin
Clinical narrative: On 05/06/2022 I received my Covid-19 vaccine. On 08/10/2022 I started having diarrhea, sore throat, cough, extreme fatigue, sinus issues; face started getting yellow; and breakouts on face.  I tested positive on 08/11/2022 for Covid-19. Symptoms lasted about two weeks. Since Covid-19 I was diagnosed with Cold Agglutinin Disease , Monoclonal B -Cell and Lymphocytosis.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray abnormal, Computerised tomogram normal, Computerised tomogram thorax abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/10/2023 Discharge Date: 2/15/2023  PRESENTING PROBLEM: Hypoxia [R09.02] Acute on chronic respiratory failure with hypoxia [J96.21]   HOSPITAL COURSE: Patient is a 59 y.o. male with past medical history significant for intracerebral hemorrhage who is currently bed-bound and nonverbal, has a trach and PEG.  He has  hypertension, chronic anemia, CKD stage 3b, depression and has been under hospice care at facility.   Patient apparently has been having increased sputum secretions and unsuccessful attempts to replace his trach by the nursing home facility after it fell off.  He was needing 15 L of oxygen via non-rebreather hence transferred to Hospital.  A chest x-ray done initially in the emergency room showed concerns for pneumonia and with leukocytosis he is treated with IV antibiotics for potential pneumonia.  A CT scan of his lungs showed no pulmonary embolism and chronic scarring.  He completed 5 days antibiotic therapy and he did very well after the tracheostomy is replaced in the ER.  Very minimal secretions and suction needed.  RT has followed him every day and was happy for him to go back he was on 28% FiO2 at the time of discharge.   Patient threw up a couple of times during this hospitalization his tube feeds were held in the CT scan was obtained CT did not show any obstruction he is restarted on tube feeds at a slower rate and within 24 hours he reached goal.  He was doing very well on tube feeds.   Throughout the hospital stay the guardian was updated.  At this stage the guardian is not planning on restarting hospice care at the facility.  I explained to her that patient has high risk of rehospitalization and declined given his the severely chronic comorbidities and encouraged her to consider hospice in future.   COVID test done prior to discharge toward out to be positive.  This is considered incidental as he was recently tested positive for COVID.   He has been on sublingual morphine which seems to have been helping him with contractures we will continue that eventually if he is not on hospice scheduled sublingual morphine could be discontinued and we could discontinue it as as needed.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Enteral nutrition, Fraction of inspired oxygen, Hypoxia, Leukocytosis, Pulmonary fibrosis
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/10/2023 Discharge Date: 2/15/2023  PRESENTING PROBLEM: Hypoxia [R09.02] Acute on chronic respiratory failure with hypoxia [J96.21]   HOSPITAL COURSE: Patient is a 59 y.o. male with past medical history significant for intracerebral hemorrhage who is currently bed-bound and nonverbal, has a trach and PEG.  He has  hypertension, chronic anemia, CKD stage 3b, depression and has been under hospice care at facility.   Patient apparently has been having increased sputum secretions and unsuccessful attempts to replace his trach by the nursing home facility after it fell off.  He was needing 15 L of oxygen via non-rebreather hence transferred to Hospital.  A chest x-ray done initially in the emergency room showed concerns for pneumonia and with leukocytosis he is treated with IV antibiotics for potential pneumonia.  A CT scan of his lungs showed no pulmonary embolism and chronic scarring.  He completed 5 days antibiotic therapy and he did very well after the tracheostomy is replaced in the ER.  Very minimal secretions and suction needed.  RT has followed him every day and was happy for him to go back he was on 28% FiO2 at the time of discharge.   Patient threw up a couple of times during this hospitalization his tube feeds were held in the CT scan was obtained CT did not show any obstruction he is restarted on tube feeds at a slower rate and within 24 hours he reached goal.  He was doing very well on tube feeds.   Throughout the hospital stay the guardian was updated.  At this stage the guardian is not planning on restarting hospice care at the facility.  I explained to her that patient has high risk of rehospitalization and declined given his the severely chronic comorbidities and encouraged her to consider hospice in future.   COVID test done prior to discharge toward out to be positive.  This is considered incidental as he was recently tested positive for COVID.   He has been on sublingual morphine which seems to have been helping him with contractures we will continue that eventually if he is not on hospice scheduled sublingual morphine could be discontinued and we could discontinue it as as needed.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum increased, Tracheostomy, Tracheostomy malfunction
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/10/2023 Discharge Date: 2/15/2023  PRESENTING PROBLEM: Hypoxia [R09.02] Acute on chronic respiratory failure with hypoxia [J96.21]   HOSPITAL COURSE: Patient is a 59 y.o. male with past medical history significant for intracerebral hemorrhage who is currently bed-bound and nonverbal, has a trach and PEG.  He has  hypertension, chronic anemia, CKD stage 3b, depression and has been under hospice care at facility.   Patient apparently has been having increased sputum secretions and unsuccessful attempts to replace his trach by the nursing home facility after it fell off.  He was needing 15 L of oxygen via non-rebreather hence transferred to Hospital.  A chest x-ray done initially in the emergency room showed concerns for pneumonia and with leukocytosis he is treated with IV antibiotics for potential pneumonia.  A CT scan of his lungs showed no pulmonary embolism and chronic scarring.  He completed 5 days antibiotic therapy and he did very well after the tracheostomy is replaced in the ER.  Very minimal secretions and suction needed.  RT has followed him every day and was happy for him to go back he was on 28% FiO2 at the time of discharge.   Patient threw up a couple of times during this hospitalization his tube feeds were held in the CT scan was obtained CT did not show any obstruction he is restarted on tube feeds at a slower rate and within 24 hours he reached goal.  He was doing very well on tube feeds.   Throughout the hospital stay the guardian was updated.  At this stage the guardian is not planning on restarting hospice care at the facility.  I explained to her that patient has high risk of rehospitalization and declined given his the severely chronic comorbidities and encouraged her to consider hospice in future.   COVID test done prior to discharge toward out to be positive.  This is considered incidental as he was recently tested positive for COVID.   He has been on sublingual morphine which seems to have been helping him with contractures we will continue that eventually if he is not on hospice scheduled sublingual morphine could be discontinued and we could discontinue it as as needed.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Lung neoplasm malignant, Positron emission tomogram abnormal
Clinical narrative: I went in for a CT scan because I am a smoker and I wanted to make sure everything was ok, and they diagnosed me with lung Cancer. They were 100 percent sure it was Cancer after the CT scan, so they did a PET Scan, and they were able to identify it as Cancer. I am now Cancer Free.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product use issue
Clinical narrative: Vaccine was inadvertently administered 5 days after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Computerised tomogram normal, Paraesthesia, Transient ischaemic attack, Trigeminal neuralgia
Clinical narrative: 2/5/2023  I woke up with tingling across my left cheek, sort of a pins and needles feeling. Over the next couple of weeks, the duration of the tingling lasted longer, and it spread down towards my jaw.      Last week it lasted for a couple of hours. It also began to start on my right cheek. On 2/17/23 I went to the ER. They were ruling out a stroke. They did a CT, bloodwork and consulted with Neurology.  I was discharged and Neurology said to treat it like I had a TIA. I had a follow up appointment on 2/21/23 with the nurse practitioner. She wanted to hold off on having an MRI. She diagnosed me with Trigeminal Neuralgia.  I was started on prednisone.  That same day the tingling began going down my jaw and down my neck. It had worsened.  When I saw a picture of the nerves involved with Trigeminal Neuralgia, I realized it was exactly where I was experiencing these symptoms. I am on Day 3 of the Prednisone, and it appears to be relieving some of the symptoms. The APN told me a virus could have triggered it. I did have a virus after my vaccine I got from my grandson.
Age: 43.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Blood test normal, General physical condition abnormal, Impaired driving ability, Musculoskeletal stiffness, Photopsia
Clinical narrative: Two weeks after my Bivalent, I was in a store and I started seeing rapid flashing lights to the left of my vision. So I couldn't see to the left. When I was in the parking lot, it took up my entire field of vision. Went back into the store and sat down, they gave me water and started looking stiff and convulsed rapidly for about a minute or two. Paramedics took me to the ER. By the time I got there, it had worn off and told me to stop taking the meds and that's where I stand now. I cannot drive for 90 days and I am seeing a neurologist due to the episode.
Age: 43.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Seizure, Visual field defect, Visual impairment
Clinical narrative: Two weeks after my Bivalent, I was in a store and I started seeing rapid flashing lights to the left of my vision. So I couldn't see to the left. When I was in the parking lot, it took up my entire field of vision. Went back into the store and sat down, they gave me water and started looking stiff and convulsed rapidly for about a minute or two. Paramedics took me to the ER. By the time I got there, it had worn off and told me to stop taking the meds and that's where I stand now. I cannot drive for 90 days and I am seeing a neurologist due to the episode.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Immunisation reaction, Pallor, Rash, Rash erythematous
Clinical narrative: Immunization reaction - erythematous blanching rash started on left side of chest -patient was given MMRV and DTaP-IPV and flu shot.  Within about 15 min she started to develop a faint red rash around her left side of neck and chest that seemed to be spreading and was on her left arm.  No pain.  No vomiting. No trouble breathing. Was well appearing at baseline behavior and energy.   -benadryl 12.5 mg given in office, patient observed for about 5 min was very well appearing, mom was taking her home, discussed signs to watch out for and to call office with any changes -can give 12.5 mg of diphenhydramine every 6 hours for the next 24 hours if needed.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product use issue
Clinical narrative: Vaccine was inadvertently administered 5 days after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 81.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Cough, Dysstasia
Clinical narrative: Admission Date: 2/15/2023 Discharge Date: Feb 17, 2023  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 81-year-old male with past medical history of ventricular tachycardia status post ICD, dilated cardiomyopathy, essential hypertension, hyperlipidemia bipolar disorder who presented with a chief complaint of generalized weakness 1 day prior to admission.  His wife was also sick and was positive for COVID-19 outpatient.  Patient was so fatigued and weak that he had difficulty getting out of his chair, walking or standing.  He admitted to a mild cough without sputum production.  He denied fever or chills.  He also complained of left leg pain that was intermittent.  In the emergency department, he was hemodynamically stable.  His oxygen saturation was normal on room air.  Labs were within normal limits.  Chest x-ray showed patchy infiltrates.  COVID-19 PCR was positive.  Left lower extremity ultrasound was negative for DVT.  Patient worked with PT/OT who recommended home with home care.  The patient was discharged home on 02/17/2023.  He did not qualify for remdesivir or Decadron during his stay secondary to lack of hypoxia.
Age: 81.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Exposure to SARS-CoV-2, Fatigue, Gait disturbance, Laboratory test normal, Lung infiltration
Clinical narrative: Admission Date: 2/15/2023 Discharge Date: Feb 17, 2023  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 81-year-old male with past medical history of ventricular tachycardia status post ICD, dilated cardiomyopathy, essential hypertension, hyperlipidemia bipolar disorder who presented with a chief complaint of generalized weakness 1 day prior to admission.  His wife was also sick and was positive for COVID-19 outpatient.  Patient was so fatigued and weak that he had difficulty getting out of his chair, walking or standing.  He admitted to a mild cough without sputum production.  He denied fever or chills.  He also complained of left leg pain that was intermittent.  In the emergency department, he was hemodynamically stable.  His oxygen saturation was normal on room air.  Labs were within normal limits.  Chest x-ray showed patchy infiltrates.  COVID-19 PCR was positive.  Left lower extremity ultrasound was negative for DVT.  Patient worked with PT/OT who recommended home with home care.  The patient was discharged home on 02/17/2023.  He did not qualify for remdesivir or Decadron during his stay secondary to lack of hypoxia.
Age: 81.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Pain in extremity, SARS-CoV-2 test positive, Ultrasound Doppler normal
Clinical narrative: Admission Date: 2/15/2023 Discharge Date: Feb 17, 2023  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 81-year-old male with past medical history of ventricular tachycardia status post ICD, dilated cardiomyopathy, essential hypertension, hyperlipidemia bipolar disorder who presented with a chief complaint of generalized weakness 1 day prior to admission.  His wife was also sick and was positive for COVID-19 outpatient.  Patient was so fatigued and weak that he had difficulty getting out of his chair, walking or standing.  He admitted to a mild cough without sputum production.  He denied fever or chills.  He also complained of left leg pain that was intermittent.  In the emergency department, he was hemodynamically stable.  His oxygen saturation was normal on room air.  Labs were within normal limits.  Chest x-ray showed patchy infiltrates.  COVID-19 PCR was positive.  Left lower extremity ultrasound was negative for DVT.  Patient worked with PT/OT who recommended home with home care.  The patient was discharged home on 02/17/2023.  He did not qualify for remdesivir or Decadron during his stay secondary to lack of hypoxia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product use issue
Clinical narrative: Vaccine was inadvertently administered 1 days after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Atelectasis, Blood creatinine increased, Blood glucose increased, Blood lactic acid
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD    Admission Date: 2/15/2023 Discharge Date: 2/17/2023   a 58 y.o. female with past medical history of interstitial lung disease/pulmonary fibrosis from COVID 19 infection back in 2021 currently on 2 L nasal cannula with activity, DM type II, hypertension, hypothyroidism, obstructive sleep apnea, coronary artery disease, recently diagnosed ductal cell carcinoma in situ of left breast.   She presented to the emergency department on 2/15/23 with fever, chills, headache and shortness of breath, nausea and vomiting. She was not able to eat or drink anything today, she started feeling more short of breath so she presented to the emergency department for evaluation. In the emergency department she was noted to be afebrile, with T max of 38.7 rectally, patient was saturating well on room air, labs were significant for sodium of 132, serum creatinine of 1.11 and blood glucose level of 335, complete blood count was unremarkable, lactic acid was 1.8.  Chest x-ray shows subsegmental atelectasis in the right lower lung without focal infiltrate.  Viral PCR came back positive for COVID-19 infection, patient desaturated to 87% with ambulation without oxygen.  She received Tylenol and albuterol and 1 L normal saline bolus, fever resolved. She was admitted for observation.  She clinically improved, Pox was 99% on RA at rest. Nausea and vomiting resolved, and she tolerated well DM liberal diet. Hyponatremia and AKI resolved, creat. on admission was 1.2, at discharge 1.09.  DM II well controlled with current meds.  She was discharged home on 2/17/2023 Should follow up with PCP as needed and with her onco/ rad onco as scheduled before.  She should stay in respiratory isolation until 2/25/23.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Chest X-ray abnormal, Chills, Dyspnoea, Full blood count normal
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD    Admission Date: 2/15/2023 Discharge Date: 2/17/2023   a 58 y.o. female with past medical history of interstitial lung disease/pulmonary fibrosis from COVID 19 infection back in 2021 currently on 2 L nasal cannula with activity, DM type II, hypertension, hypothyroidism, obstructive sleep apnea, coronary artery disease, recently diagnosed ductal cell carcinoma in situ of left breast.   She presented to the emergency department on 2/15/23 with fever, chills, headache and shortness of breath, nausea and vomiting. She was not able to eat or drink anything today, she started feeling more short of breath so she presented to the emergency department for evaluation. In the emergency department she was noted to be afebrile, with T max of 38.7 rectally, patient was saturating well on room air, labs were significant for sodium of 132, serum creatinine of 1.11 and blood glucose level of 335, complete blood count was unremarkable, lactic acid was 1.8.  Chest x-ray shows subsegmental atelectasis in the right lower lung without focal infiltrate.  Viral PCR came back positive for COVID-19 infection, patient desaturated to 87% with ambulation without oxygen.  She received Tylenol and albuterol and 1 L normal saline bolus, fever resolved. She was admitted for observation.  She clinically improved, Pox was 99% on RA at rest. Nausea and vomiting resolved, and she tolerated well DM liberal diet. Hyponatremia and AKI resolved, creat. on admission was 1.2, at discharge 1.09.  DM II well controlled with current meds.  She was discharged home on 2/17/2023 Should follow up with PCP as needed and with her onco/ rad onco as scheduled before.  She should stay in respiratory isolation until 2/25/23.