chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal cyst, Pleural effusion, Pulmonary oedema, Pyrexia, Respiratory syncytial virus test negative
Clinical narrative: Patient currently hospitalized.  This is a pleasant 78 year old female with history of angioblastic T cell lymphoma as well as CKD, diastolic heart failure, and Afib who presented to the ED today with worsening SOB. She tells me that her home lasix dose had decreased in December and she has gradually noted an increase in lower ext edema since that time. As well as a gradually weight gain and slowly increasing SOB. This past week she did develop a low grade fever and was started on oral abx as an OP for an UTI. Low grade fevers have continued and she has been more fatigued with more sleeping and her appetite has decreased in the last several days. Her Daughter is with her and she reports that today when she went to bring her to the ED, moving her around made her quite SOB. In the ED labs revealed a positive Covid-19 PCR, as well as a BNP of 59,999 and a CXR that showed mild fluid overload. Her Hgb appeared relatively stable as to what she has had in the office at 8.6 and her Kidney function actually was better with a Cre at 1.82 than what it had been previously. She is admitted for further medical management and work-up.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound Doppler normal, Urinary tract infection, Vascular calcification, Weight increased
Clinical narrative: Patient currently hospitalized.  This is a pleasant 78 year old female with history of angioblastic T cell lymphoma as well as CKD, diastolic heart failure, and Afib who presented to the ED today with worsening SOB. She tells me that her home lasix dose had decreased in December and she has gradually noted an increase in lower ext edema since that time. As well as a gradually weight gain and slowly increasing SOB. This past week she did develop a low grade fever and was started on oral abx as an OP for an UTI. Low grade fevers have continued and she has been more fatigued with more sleeping and her appetite has decreased in the last several days. Her Daughter is with her and she reports that today when she went to bring her to the ED, moving her around made her quite SOB. In the ED labs revealed a positive Covid-19 PCR, as well as a BNP of 59,999 and a CXR that showed mild fluid overload. Her Hgb appeared relatively stable as to what she has had in the office at 8.6 and her Kidney function actually was better with a Cre at 1.82 than what it had been previously. She is admitted for further medical management and work-up.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: After speaking with the immunizing pharmacist, no recollection of the incident occurred.  Once processing the paperwork, it was noted that the patient got the booster early.  1st 8/19/21, 2nd 9/9/2021.  Booster should have been in February of 2022, but received 1/20/22
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Herpes simplex, Oral herpes
Clinical narrative: Increased occurrence of HSV flare ups. Prior to vaccination 0-2 flare ups per year requiring PRN treatment. Since vaccination 4 flare ups (Spring 2021, July 2021, Oct 2021, Jan 2022) requiring PRN treatment and now (for the first time ever) daily prophylaxis. Clinical note from treating MD stating booster series contraindicated. Each flare up of HSV risks corneal scarring which could lead to blindness and the need for cornea transplant.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: I got a headache that night, the 14th, and have woken up with a headache every day since then. Treatment: Acetaminophen
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: CLIENTS MOTHER STATES 5 MINUTES AFTER ADMINISTRATION OF PFIZER VACCINE CLIENT HAD A 4 MINUTE LONG SEIZURE - SEIZURE WAS NOT OBSERVED BY NURSES - MONITOR NOTIFIED NURSE ONCE THE 15 MINUTE OBSERVATION TIME WAS UP AND MOTHER HAD ASKED TO SPEAK WITH A NURSE BEFORE LEAVING - MOTHER STATES THIS IS NORMAL FOR HIM - HE HAS DAILY SEIZURES - BUT SHE DID NOT KNOW IF IT WAS DUE TO THE VACCINE OR NOT.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Gait inability, Hypoaesthesia
Clinical narrative: (This HPI is from an Infectious Disease consult):  Patient is a 16 yo female with no significant past medical history that was referred to clinic to discuss COVID19 vaccination. The mother reports that she believes in vaccines and everyone else in the house has gotten the primary COVID19 series, however, she feels hesitant with giving Patient the second dose because of possible adverse effects from dose #1. Patient had acute SARS-CoV2 infection in September 2021 and recovered well, she had URI symptoms x 5 days, mild myalgias and fevers x 2 days. Otherwise no other issues. In 11/14. Patient had her first dose of the vaccine. A bout 14 hours after she received the vaccine, she was sitting in class in started to feel numbness and tingling in and all of her extremities. The tingling started to spread and she also felt she was unable to walk or move her hands. She was brought to the ED where  Patient also felts that she couldn't breath. She was placed on oxygen and she also felt that her face was numb. No rash or itching. She is tachycardic in the 120s and then about 4 hours later she developed a fever.  After her fever came down her symptoms seem to improve.  Over the next few days she felt a little bit achy and a little tired, but her symptoms have completely resolved.  She had labs that were unremarkable, and a normal EKG in the ER.  Mom has been extensively counseled by her PCP but mom wanted to discuss further with ID.  Mom looked up the symptoms online and was concerned that Patient may have developed Guillain-Barre syndrome and is very worried that dose #2 would be worse.  Patient and mom would very much like the second dose so she can travel, they just want to make sure it is safe. Pmhx Non significant pmhx. no anxiety, no panic attacks, no hosp or surg. Social hx lives with both parents and sibs. Family Hx: no hx of adverse reactions to any vaccines. No hx of autoimmune disorders. No hx of severe allergies.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pyrexia, Tachycardia
Clinical narrative: (This HPI is from an Infectious Disease consult):  Patient is a 16 yo female with no significant past medical history that was referred to clinic to discuss COVID19 vaccination. The mother reports that she believes in vaccines and everyone else in the house has gotten the primary COVID19 series, however, she feels hesitant with giving Patient the second dose because of possible adverse effects from dose #1. Patient had acute SARS-CoV2 infection in September 2021 and recovered well, she had URI symptoms x 5 days, mild myalgias and fevers x 2 days. Otherwise no other issues. In 11/14. Patient had her first dose of the vaccine. A bout 14 hours after she received the vaccine, she was sitting in class in started to feel numbness and tingling in and all of her extremities. The tingling started to spread and she also felt she was unable to walk or move her hands. She was brought to the ED where  Patient also felts that she couldn't breath. She was placed on oxygen and she also felt that her face was numb. No rash or itching. She is tachycardic in the 120s and then about 4 hours later she developed a fever.  After her fever came down her symptoms seem to improve.  Over the next few days she felt a little bit achy and a little tired, but her symptoms have completely resolved.  She had labs that were unremarkable, and a normal EKG in the ER.  Mom has been extensively counseled by her PCP but mom wanted to discuss further with ID.  Mom looked up the symptoms online and was concerned that Patient may have developed Guillain-Barre syndrome and is very worried that dose #2 would be worse.  Patient and mom would very much like the second dose so she can travel, they just want to make sure it is safe. Pmhx Non significant pmhx. no anxiety, no panic attacks, no hosp or surg. Social hx lives with both parents and sibs. Family Hx: no hx of adverse reactions to any vaccines. No hx of autoimmune disorders. No hx of severe allergies.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash
Clinical narrative: About 3 days after the Moderna booster shot I starting to see a rash on my stomach, then back, then arms and legs. It's nearly an entire body rash that is mostly on my stomach and back. I went the dermatologist and they aren't sure what it is. They haven't seen anything like it other than Pitaris Rosacea. They didn't take a biopsy to know, but it's quite strange that the only thing that changed during this time period was getting the Moderna shot. I didn't have a reaction other than this rash. My first shot was in April with the J&J shot and I didn't have this reaction. I had zero symptoms. The rash is still here and it's been 3 weeks. I think it's getting better but not sure?
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Breast pain
Clinical narrative: False Breast cancer symptoms  Lump in R breast , Lactating, stabbing pain in breasts
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received the the Pfizer peds (5-11) for first dose. Patient was 12 years old at the time of visit. Error was not known until patient returned for 2nd vaccine on 1/20/2022. Patients mother reported no adverse reactions.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna booster given to 17 year old.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Pyrexia
Clinical narrative: Uncontrolled shivering, fever 103.7 deg; sweats; lasted 8 hrs until fever broke; started 10 hrs after injection
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine error noted 1/18/22 @ 1:30pm. Vaccine drawn up and given from expired vial mixed on 1/17/22 with 6 hour expiration noted for 9:40pm. Telephone call to manufacturer to check stability of vaccine and verify if patient needs to have repeated. Advised no stability information available. Per CDC guidelines if no stability information is available patient will need vaccine repeated with no minimum interval in the opposite arm. Telephone call to system to report error and findings. Practice manager spoke with patient and advised of error. Patient is going to call back to schedule repeat dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pruritus
Clinical narrative: severe itching all over entire body and coughing
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Echocardiogram, Palpitations, Ultrasound Doppler
Clinical narrative: Significant heart palpitations every night for three weeks.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: A 3rd dose of Janssen J&J was given
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: A 3rd dose of Janssen J&J was given
Age: 47.0
Sex: M
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: Person was suppose to get an MMR vaccine and was given a TDAP
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine given to 16 year old.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lip swelling, Pruritus, Rash erythematous, Swelling of eyelid, Urticaria
Clinical narrative: I started experiencing swelling of my lip and eye lids and tear duct areas. I also starting having itching all over body with small red rashes/hives  that predominantly happened on my scalp, sides and groin area. This all started in late November 2021. The day after receiving my booster shot on 12/2/2021, I had another lip/eye swelling episode and an intense rash all over my body. This has been ongoing since and for the last 2 weeks approximately, the rashes have been severe and occurring daily. Antihistamines help. I have been taking Benadryl daily. The hives are itchy and get worse if I scratch. The hive breakouts seem most severe at night. Lip swelling is random and usually happens in the morning. The intensity does seem to be lessening over the last couple days, but it is hard to say if it is getting better and if it  will continue to improve as this has been elusive and hard to track until I connected it to the vaccines.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Large red welt, 1.5" diameter, slightly raised, warm to the touch, some soreness and itchyness.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Large red welt, 1.5" diameter, slightly raised, warm to the touch, some soreness and itchyness.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Boosted patient admitted to hospital with COVID-19 infection.   Admitted 1/20/22
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: negative 1/19, positive 1/20 congestion, nasal pressure
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Presyncope, Vision blurred
Clinical narrative: Presyncope, blurry vision, dizziness, difficulty walking
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Blood creatinine increased, Blood glucose increased, COVID-19, Cardiac failure
Clinical narrative: 10/15/2021 - arrived in ER with LLQ pain, marked HTN (229/91), hypothermic/afebrile. Vitals WNL. CT reveals mesenteric ischemia - patient taken to OR for right hemicolectomy. Covid positive on 10/1. Received MAB at home and was stable to follow. Covid positive on admission. 10/18 - C/O SOB - xray demonstrates bil pneumonia with rhonchi on exam. Remains afebrile and hypertensive 208/68. Already on Cefepime and Flagyl. Vancomycin added 10/17. Difficulty breathing overnight. NC placed at 3.5L, saturating 92%. WBC 18.4-21.4 10/19 - WBC continues to trend up  despite Cefepime, Flagyl, Vancomycin. Vancomycin stopped/started on Linezolid and Azithromycin. Cr 1.2 repeat 1.1. Remdesivir added at 100mg every 24hrs. 10/19 - New onset HF - D-dimer 1336. Breathing improved - 2L at 94-97%. BP- WNL.  10/20 - No complaints. Eating, no SOB- saturating well on 2L, better air movement on exam. Continuing antibiotics, Remdesivir, and diuretics. Adding steroids due to groundglass finding on imaging.  10/23 - Remdesivir and Azithromycin complete. New onset vomiting/diarrhea - C-diff negative. Continuing Cefepime and Flagyl. Cr improving 1.0. HF no change - continuing Lasix. Glucose continuously elevated despite sliding scale. 258-398. Moving from low to medium sliding scale.  10/28 - GI bleed - S/P 3 units blood. Reports no appetite, dark tarry diarrhea since 10/26, free fluid in abdomen seen on CT. WBC 19.1, Hemoglobin 7.4 (down from 10.7). 10/30- Patient no longer alert and oriented. DNR/DNI, comfort care  - status changed from full per family. GI bleed suspected. Condition to unstable for endoscopic eval. 10/31 - Made palliative care.  11/4 - Patient expired from cardiopulmonary arrest from complications of mesenteric ischemia.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardio-respiratory arrest, Chest X-ray abnormal, Clostridium test negative, Colectomy, Computerised tomogram abdomen abnormal
Clinical narrative: 10/15/2021 - arrived in ER with LLQ pain, marked HTN (229/91), hypothermic/afebrile. Vitals WNL. CT reveals mesenteric ischemia - patient taken to OR for right hemicolectomy. Covid positive on 10/1. Received MAB at home and was stable to follow. Covid positive on admission. 10/18 - C/O SOB - xray demonstrates bil pneumonia with rhonchi on exam. Remains afebrile and hypertensive 208/68. Already on Cefepime and Flagyl. Vancomycin added 10/17. Difficulty breathing overnight. NC placed at 3.5L, saturating 92%. WBC 18.4-21.4 10/19 - WBC continues to trend up  despite Cefepime, Flagyl, Vancomycin. Vancomycin stopped/started on Linezolid and Azithromycin. Cr 1.2 repeat 1.1. Remdesivir added at 100mg every 24hrs. 10/19 - New onset HF - D-dimer 1336. Breathing improved - 2L at 94-97%. BP- WNL.  10/20 - No complaints. Eating, no SOB- saturating well on 2L, better air movement on exam. Continuing antibiotics, Remdesivir, and diuretics. Adding steroids due to groundglass finding on imaging.  10/23 - Remdesivir and Azithromycin complete. New onset vomiting/diarrhea - C-diff negative. Continuing Cefepime and Flagyl. Cr improving 1.0. HF no change - continuing Lasix. Glucose continuously elevated despite sliding scale. 258-398. Moving from low to medium sliding scale.  10/28 - GI bleed - S/P 3 units blood. Reports no appetite, dark tarry diarrhea since 10/26, free fluid in abdomen seen on CT. WBC 19.1, Hemoglobin 7.4 (down from 10.7). 10/30- Patient no longer alert and oriented. DNR/DNI, comfort care  - status changed from full per family. GI bleed suspected. Condition to unstable for endoscopic eval. 10/31 - Made palliative care.  11/4 - Patient expired from cardiopulmonary arrest from complications of mesenteric ischemia.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Decreased appetite, Depressed level of consciousness, Diarrhoea
Clinical narrative: 10/15/2021 - arrived in ER with LLQ pain, marked HTN (229/91), hypothermic/afebrile. Vitals WNL. CT reveals mesenteric ischemia - patient taken to OR for right hemicolectomy. Covid positive on 10/1. Received MAB at home and was stable to follow. Covid positive on admission. 10/18 - C/O SOB - xray demonstrates bil pneumonia with rhonchi on exam. Remains afebrile and hypertensive 208/68. Already on Cefepime and Flagyl. Vancomycin added 10/17. Difficulty breathing overnight. NC placed at 3.5L, saturating 92%. WBC 18.4-21.4 10/19 - WBC continues to trend up  despite Cefepime, Flagyl, Vancomycin. Vancomycin stopped/started on Linezolid and Azithromycin. Cr 1.2 repeat 1.1. Remdesivir added at 100mg every 24hrs. 10/19 - New onset HF - D-dimer 1336. Breathing improved - 2L at 94-97%. BP- WNL.  10/20 - No complaints. Eating, no SOB- saturating well on 2L, better air movement on exam. Continuing antibiotics, Remdesivir, and diuretics. Adding steroids due to groundglass finding on imaging.  10/23 - Remdesivir and Azithromycin complete. New onset vomiting/diarrhea - C-diff negative. Continuing Cefepime and Flagyl. Cr improving 1.0. HF no change - continuing Lasix. Glucose continuously elevated despite sliding scale. 258-398. Moving from low to medium sliding scale.  10/28 - GI bleed - S/P 3 units blood. Reports no appetite, dark tarry diarrhea since 10/26, free fluid in abdomen seen on CT. WBC 19.1, Hemoglobin 7.4 (down from 10.7). 10/30- Patient no longer alert and oriented. DNR/DNI, comfort care  - status changed from full per family. GI bleed suspected. Condition to unstable for endoscopic eval. 10/31 - Made palliative care.  11/4 - Patient expired from cardiopulmonary arrest from complications of mesenteric ischemia.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dyspnoea, Faeces discoloured, Fibrin D dimer, Gastrointestinal haemorrhage
Clinical narrative: 10/15/2021 - arrived in ER with LLQ pain, marked HTN (229/91), hypothermic/afebrile. Vitals WNL. CT reveals mesenteric ischemia - patient taken to OR for right hemicolectomy. Covid positive on 10/1. Received MAB at home and was stable to follow. Covid positive on admission. 10/18 - C/O SOB - xray demonstrates bil pneumonia with rhonchi on exam. Remains afebrile and hypertensive 208/68. Already on Cefepime and Flagyl. Vancomycin added 10/17. Difficulty breathing overnight. NC placed at 3.5L, saturating 92%. WBC 18.4-21.4 10/19 - WBC continues to trend up  despite Cefepime, Flagyl, Vancomycin. Vancomycin stopped/started on Linezolid and Azithromycin. Cr 1.2 repeat 1.1. Remdesivir added at 100mg every 24hrs. 10/19 - New onset HF - D-dimer 1336. Breathing improved - 2L at 94-97%. BP- WNL.  10/20 - No complaints. Eating, no SOB- saturating well on 2L, better air movement on exam. Continuing antibiotics, Remdesivir, and diuretics. Adding steroids due to groundglass finding on imaging.  10/23 - Remdesivir and Azithromycin complete. New onset vomiting/diarrhea - C-diff negative. Continuing Cefepime and Flagyl. Cr improving 1.0. HF no change - continuing Lasix. Glucose continuously elevated despite sliding scale. 258-398. Moving from low to medium sliding scale.  10/28 - GI bleed - S/P 3 units blood. Reports no appetite, dark tarry diarrhea since 10/26, free fluid in abdomen seen on CT. WBC 19.1, Hemoglobin 7.4 (down from 10.7). 10/30- Patient no longer alert and oriented. DNR/DNI, comfort care  - status changed from full per family. GI bleed suspected. Condition to unstable for endoscopic eval. 10/31 - Made palliative care.  11/4 - Patient expired from cardiopulmonary arrest from complications of mesenteric ischemia.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Hypertension, Hypothermia, Intestinal ischaemia, Intra-abdominal fluid collection
Clinical narrative: 10/15/2021 - arrived in ER with LLQ pain, marked HTN (229/91), hypothermic/afebrile. Vitals WNL. CT reveals mesenteric ischemia - patient taken to OR for right hemicolectomy. Covid positive on 10/1. Received MAB at home and was stable to follow. Covid positive on admission. 10/18 - C/O SOB - xray demonstrates bil pneumonia with rhonchi on exam. Remains afebrile and hypertensive 208/68. Already on Cefepime and Flagyl. Vancomycin added 10/17. Difficulty breathing overnight. NC placed at 3.5L, saturating 92%. WBC 18.4-21.4 10/19 - WBC continues to trend up  despite Cefepime, Flagyl, Vancomycin. Vancomycin stopped/started on Linezolid and Azithromycin. Cr 1.2 repeat 1.1. Remdesivir added at 100mg every 24hrs. 10/19 - New onset HF - D-dimer 1336. Breathing improved - 2L at 94-97%. BP- WNL.  10/20 - No complaints. Eating, no SOB- saturating well on 2L, better air movement on exam. Continuing antibiotics, Remdesivir, and diuretics. Adding steroids due to groundglass finding on imaging.  10/23 - Remdesivir and Azithromycin complete. New onset vomiting/diarrhea - C-diff negative. Continuing Cefepime and Flagyl. Cr improving 1.0. HF no change - continuing Lasix. Glucose continuously elevated despite sliding scale. 258-398. Moving from low to medium sliding scale.  10/28 - GI bleed - S/P 3 units blood. Reports no appetite, dark tarry diarrhea since 10/26, free fluid in abdomen seen on CT. WBC 19.1, Hemoglobin 7.4 (down from 10.7). 10/30- Patient no longer alert and oriented. DNR/DNI, comfort care  - status changed from full per family. GI bleed suspected. Condition to unstable for endoscopic eval. 10/31 - Made palliative care.  11/4 - Patient expired from cardiopulmonary arrest from complications of mesenteric ischemia.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Melaena, Pneumonia, Polyuria, Rhonchi
Clinical narrative: 10/15/2021 - arrived in ER with LLQ pain, marked HTN (229/91), hypothermic/afebrile. Vitals WNL. CT reveals mesenteric ischemia - patient taken to OR for right hemicolectomy. Covid positive on 10/1. Received MAB at home and was stable to follow. Covid positive on admission. 10/18 - C/O SOB - xray demonstrates bil pneumonia with rhonchi on exam. Remains afebrile and hypertensive 208/68. Already on Cefepime and Flagyl. Vancomycin added 10/17. Difficulty breathing overnight. NC placed at 3.5L, saturating 92%. WBC 18.4-21.4 10/19 - WBC continues to trend up  despite Cefepime, Flagyl, Vancomycin. Vancomycin stopped/started on Linezolid and Azithromycin. Cr 1.2 repeat 1.1. Remdesivir added at 100mg every 24hrs. 10/19 - New onset HF - D-dimer 1336. Breathing improved - 2L at 94-97%. BP- WNL.  10/20 - No complaints. Eating, no SOB- saturating well on 2L, better air movement on exam. Continuing antibiotics, Remdesivir, and diuretics. Adding steroids due to groundglass finding on imaging.  10/23 - Remdesivir and Azithromycin complete. New onset vomiting/diarrhea - C-diff negative. Continuing Cefepime and Flagyl. Cr improving 1.0. HF no change - continuing Lasix. Glucose continuously elevated despite sliding scale. 258-398. Moving from low to medium sliding scale.  10/28 - GI bleed - S/P 3 units blood. Reports no appetite, dark tarry diarrhea since 10/26, free fluid in abdomen seen on CT. WBC 19.1, Hemoglobin 7.4 (down from 10.7). 10/30- Patient no longer alert and oriented. DNR/DNI, comfort care  - status changed from full per family. GI bleed suspected. Condition to unstable for endoscopic eval. 10/31 - Made palliative care.  11/4 - Patient expired from cardiopulmonary arrest from complications of mesenteric ischemia.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Transfusion, Vomiting, White blood cell count increased
Clinical narrative: 10/15/2021 - arrived in ER with LLQ pain, marked HTN (229/91), hypothermic/afebrile. Vitals WNL. CT reveals mesenteric ischemia - patient taken to OR for right hemicolectomy. Covid positive on 10/1. Received MAB at home and was stable to follow. Covid positive on admission. 10/18 - C/O SOB - xray demonstrates bil pneumonia with rhonchi on exam. Remains afebrile and hypertensive 208/68. Already on Cefepime and Flagyl. Vancomycin added 10/17. Difficulty breathing overnight. NC placed at 3.5L, saturating 92%. WBC 18.4-21.4 10/19 - WBC continues to trend up  despite Cefepime, Flagyl, Vancomycin. Vancomycin stopped/started on Linezolid and Azithromycin. Cr 1.2 repeat 1.1. Remdesivir added at 100mg every 24hrs. 10/19 - New onset HF - D-dimer 1336. Breathing improved - 2L at 94-97%. BP- WNL.  10/20 - No complaints. Eating, no SOB- saturating well on 2L, better air movement on exam. Continuing antibiotics, Remdesivir, and diuretics. Adding steroids due to groundglass finding on imaging.  10/23 - Remdesivir and Azithromycin complete. New onset vomiting/diarrhea - C-diff negative. Continuing Cefepime and Flagyl. Cr improving 1.0. HF no change - continuing Lasix. Glucose continuously elevated despite sliding scale. 258-398. Moving from low to medium sliding scale.  10/28 - GI bleed - S/P 3 units blood. Reports no appetite, dark tarry diarrhea since 10/26, free fluid in abdomen seen on CT. WBC 19.1, Hemoglobin 7.4 (down from 10.7). 10/30- Patient no longer alert and oriented. DNR/DNI, comfort care  - status changed from full per family. GI bleed suspected. Condition to unstable for endoscopic eval. 10/31 - Made palliative care.  11/4 - Patient expired from cardiopulmonary arrest from complications of mesenteric ischemia.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Nasal congestion, Pyrexia
Clinical narrative: 12/27/2021- Started out just with nasal congestion, fatigue, and then over the next couple of days coughing, headache, and fever. 01/03/2022- Went to see doctor and she prescribed prednisone, cough syrup with codeine, and she performed a COVID-19 test - negative. I received the results on 01/05/2022, results were negative.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 12/27/2021- Started out just with nasal congestion, fatigue, and then over the next couple of days coughing, headache, and fever. 01/03/2022- Went to see doctor and she prescribed prednisone, cough syrup with codeine, and she performed a COVID-19 test - negative. I received the results on 01/05/2022, results were negative.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient is an 85-year-old male with past medical history of myelofibrosis (on hydrea), CKD stage III, who has been fully vaccinated and boosted for COVID. He tested positive for COVID on 1/3/22, with fevers, poor PO intake cough, and shortness of breath. He attempted to get monoclonal antibodies as an outpatient but was unable to get them. He presented to the ED on 1/12/22 and was found to be hypoxic. CXR consistent with COVID pneumonia. He was started on dexamethasone and remdesevir. Due to his fevers, elevated WBC count, as well as elevated procalcitonin, there was concern for superimposed bacterial pneumonia and so he was started on rocephin and doxycycline as well. He was given lovenox for DVT prophylaxis. CRP and D dimer down-trended. He was able to be weaned off oxygen, initially required 2L by nasal cannula but this was weaned off on 1/16/22. He was able to maintain O2 saturaitons in the 90's on room air with ambulation. On 1/16/22, he was feeling well, denied cough, shortness of breath, or fever. He was requesting discharge. His vital signs and lab work remained stable. He was given his final dose of rocephin to complete a 5 day course. He had one more evening dose of PO doxycycline and requested this be sent to his outpatient pharmacy. Dexamethasone and remdesevir were discontinued upon discharge. He was instructed to contact his PCP for a follow up visit. Discharge instructions and medication changes were reviewed with the patient and he expressed understanding. He was discharged in stable condition, with arrangements for home PT.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fibrin D dimer increased, Hypophagia, Hypoxia
Clinical narrative: Patient is an 85-year-old male with past medical history of myelofibrosis (on hydrea), CKD stage III, who has been fully vaccinated and boosted for COVID. He tested positive for COVID on 1/3/22, with fevers, poor PO intake cough, and shortness of breath. He attempted to get monoclonal antibodies as an outpatient but was unable to get them. He presented to the ED on 1/12/22 and was found to be hypoxic. CXR consistent with COVID pneumonia. He was started on dexamethasone and remdesevir. Due to his fevers, elevated WBC count, as well as elevated procalcitonin, there was concern for superimposed bacterial pneumonia and so he was started on rocephin and doxycycline as well. He was given lovenox for DVT prophylaxis. CRP and D dimer down-trended. He was able to be weaned off oxygen, initially required 2L by nasal cannula but this was weaned off on 1/16/22. He was able to maintain O2 saturaitons in the 90's on room air with ambulation. On 1/16/22, he was feeling well, denied cough, shortness of breath, or fever. He was requesting discharge. His vital signs and lab work remained stable. He was given his final dose of rocephin to complete a 5 day course. He had one more evening dose of PO doxycycline and requested this be sent to his outpatient pharmacy. Dexamethasone and remdesevir were discontinued upon discharge. He was instructed to contact his PCP for a follow up visit. Discharge instructions and medication changes were reviewed with the patient and he expressed understanding. He was discharged in stable condition, with arrangements for home PT.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Lung opacity, Procalcitonin increased, Pyrexia
Clinical narrative: Patient is an 85-year-old male with past medical history of myelofibrosis (on hydrea), CKD stage III, who has been fully vaccinated and boosted for COVID. He tested positive for COVID on 1/3/22, with fevers, poor PO intake cough, and shortness of breath. He attempted to get monoclonal antibodies as an outpatient but was unable to get them. He presented to the ED on 1/12/22 and was found to be hypoxic. CXR consistent with COVID pneumonia. He was started on dexamethasone and remdesevir. Due to his fevers, elevated WBC count, as well as elevated procalcitonin, there was concern for superimposed bacterial pneumonia and so he was started on rocephin and doxycycline as well. He was given lovenox for DVT prophylaxis. CRP and D dimer down-trended. He was able to be weaned off oxygen, initially required 2L by nasal cannula but this was weaned off on 1/16/22. He was able to maintain O2 saturaitons in the 90's on room air with ambulation. On 1/16/22, he was feeling well, denied cough, shortness of breath, or fever. He was requesting discharge. His vital signs and lab work remained stable. He was given his final dose of rocephin to complete a 5 day course. He had one more evening dose of PO doxycycline and requested this be sent to his outpatient pharmacy. Dexamethasone and remdesevir were discontinued upon discharge. He was instructed to contact his PCP for a follow up visit. Discharge instructions and medication changes were reviewed with the patient and he expressed understanding. He was discharged in stable condition, with arrangements for home PT.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Patient is an 85-year-old male with past medical history of myelofibrosis (on hydrea), CKD stage III, who has been fully vaccinated and boosted for COVID. He tested positive for COVID on 1/3/22, with fevers, poor PO intake cough, and shortness of breath. He attempted to get monoclonal antibodies as an outpatient but was unable to get them. He presented to the ED on 1/12/22 and was found to be hypoxic. CXR consistent with COVID pneumonia. He was started on dexamethasone and remdesevir. Due to his fevers, elevated WBC count, as well as elevated procalcitonin, there was concern for superimposed bacterial pneumonia and so he was started on rocephin and doxycycline as well. He was given lovenox for DVT prophylaxis. CRP and D dimer down-trended. He was able to be weaned off oxygen, initially required 2L by nasal cannula but this was weaned off on 1/16/22. He was able to maintain O2 saturaitons in the 90's on room air with ambulation. On 1/16/22, he was feeling well, denied cough, shortness of breath, or fever. He was requesting discharge. His vital signs and lab work remained stable. He was given his final dose of rocephin to complete a 5 day course. He had one more evening dose of PO doxycycline and requested this be sent to his outpatient pharmacy. Dexamethasone and remdesevir were discontinued upon discharge. He was instructed to contact his PCP for a follow up visit. Discharge instructions and medication changes were reviewed with the patient and he expressed understanding. He was discharged in stable condition, with arrangements for home PT.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Had the first seizure I've ever had. No history of seizures and no family history of seizures.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient was given Moderna vaccine- He was under 18-  Provider notified immediately and she looked up information on up to date and CDC and the recommendation was to go forward and given the 2nd dose in 1 month. Patient had no adverse reaction Mother updated Second dose given 1 month later
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Blood test, Cardiac monitoring, Chills, Dizziness
Clinical narrative: After getting the first dose it was about a day later i started with loss of taste all my liquids has a sort of gas taste and a slight burn sensation when i swallow, my fatigue which i already had from when I had covid back in April has gotten worse, after the second dose i started having bloody noses a few times a day could be coincidence with weather so I did try to keep the humidity in home but the bleeds were bad i have also been experiencing  dizzy spells which I have had since having covid back in April but now have got worse to the point I started passing out. my vision has got worse after second dose, I find it hard to sleep yet my exhaustion is extremely bad to the point when i get home from work i do not eat I pretty much go strait to bed until next day , i am also experiencing cold chills not a normal cold but cold to the point that when a person says chilled to the bone I understand the term , to say i am miserable is an understatement. i have been working with dr they did echo heart monitor and standard blood work all they found is vitamin B12 deficiency so far , i have also had an MRI of the brain everything comes back fine, but i don't get what has changed? has anyone else had trouble like this?
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Epistaxis, Fatigue, Feeling abnormal, Insomnia
Clinical narrative: After getting the first dose it was about a day later i started with loss of taste all my liquids has a sort of gas taste and a slight burn sensation when i swallow, my fatigue which i already had from when I had covid back in April has gotten worse, after the second dose i started having bloody noses a few times a day could be coincidence with weather so I did try to keep the humidity in home but the bleeds were bad i have also been experiencing  dizzy spells which I have had since having covid back in April but now have got worse to the point I started passing out. my vision has got worse after second dose, I find it hard to sleep yet my exhaustion is extremely bad to the point when i get home from work i do not eat I pretty much go strait to bed until next day , i am also experiencing cold chills not a normal cold but cold to the point that when a person says chilled to the bone I understand the term , to say i am miserable is an understatement. i have been working with dr they did echo heart monitor and standard blood work all they found is vitamin B12 deficiency so far , i have also had an MRI of the brain everything comes back fine, but i don't get what has changed? has anyone else had trouble like this?
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Throat irritation, Visual impairment, Vitamin B12 deficiency
Clinical narrative: After getting the first dose it was about a day later i started with loss of taste all my liquids has a sort of gas taste and a slight burn sensation when i swallow, my fatigue which i already had from when I had covid back in April has gotten worse, after the second dose i started having bloody noses a few times a day could be coincidence with weather so I did try to keep the humidity in home but the bleeds were bad i have also been experiencing  dizzy spells which I have had since having covid back in April but now have got worse to the point I started passing out. my vision has got worse after second dose, I find it hard to sleep yet my exhaustion is extremely bad to the point when i get home from work i do not eat I pretty much go strait to bed until next day , i am also experiencing cold chills not a normal cold but cold to the point that when a person says chilled to the bone I understand the term , to say i am miserable is an understatement. i have been working with dr they did echo heart monitor and standard blood work all they found is vitamin B12 deficiency so far , i have also had an MRI of the brain everything comes back fine, but i don't get what has changed? has anyone else had trouble like this?
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: All over itchiness, almost like an allergic reaction, that comes and goes throughout the day.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: admitted to hospital with breakthrough covid infection 1/20/22
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Limb discomfort
Clinical narrative: 2 hours after receiving the vaccine, I developed left-sided facial numbness/heaviness and some numbness in the left arm. I called my PCP and they told me it was a reaction to the vaccine and to monitor it. They said if it worsens/shortness of breath occurs to call them back. The numbness lasted for about 2 days then it resolved on its own.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Patient was given Proquad in left upper arm subq.  Started immediately with redness and swelling that has progressed. Seen for advisement. She prescribed antibiotic.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Dyspnoea, Fatigue, Haemoglobin decreased
Clinical narrative: Hospitalized for newly diagnosed anemia (Hgb 5.8) found to be positive for COVID 19 fatigued and dyspneic.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalized for newly diagnosed anemia (Hgb 5.8) found to be positive for COVID 19 fatigued and dyspneic.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated against and then tested positive for COVID19
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Admitted to hospital with breakthrough covid 1/20/22.  Has received 1 J&J shot and no booster.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Disability, Immediate post-injection reaction, Injected limb mobility decreased, Magnetic resonance imaging
Clinical narrative: Pt.'s Wife states that after receiving the 1st dose of Shingrix 09/2021, started experiencing symptoms immediately of extreme pain throughout the neck and right arm. Knee pain developed in the Left knee moving into the right arm.  10/2021 Primary visit, MRI preformed.  Diagnosed with Parsonage?Turner syndrome by Dr./Specialist (Found 4 nerves that weren't preforming). PT was the recommendation with no results/ Nerve study preformed 01/2022. Pt. continues to experience symptoms of difficulty using/moving Left arm (disability).
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Neck pain, Nerve conduction studies, Neuralgic amyotrophy, Pain in extremity
Clinical narrative: Pt.'s Wife states that after receiving the 1st dose of Shingrix 09/2021, started experiencing symptoms immediately of extreme pain throughout the neck and right arm. Knee pain developed in the Left knee moving into the right arm.  10/2021 Primary visit, MRI preformed.  Diagnosed with Parsonage?Turner syndrome by Dr./Specialist (Found 4 nerves that weren't preforming). PT was the recommendation with no results/ Nerve study preformed 01/2022. Pt. continues to experience symptoms of difficulty using/moving Left arm (disability).
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Bacterial test positive, Bacteriuria, Blood culture negative
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid normal, COVID-19, Cardiomegaly, Chest X-ray abnormal, Cough
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine positive, Diarrhoea, Dyspnoea, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.