chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Clostridium difficile infection, Communication disorder, Diverticulitis, Dyspnoea
Clinical narrative: Update to date on COVID vaccines, admitted through ED for sepsis with multiple infection sites who tested detected for COVID.  Provider discharge summary below:  "Patient admitted for sepsis secondary to urinary tract infection, C difficile, and diverticulitis, on Zosyn and oral Vancocin.  Patient also presented with altered mental status thought to be secondary to sepsis.  Unfortunately throughout his stay this not improve. At  times his eyes were open and he showed recognition of his wife but other than being able to state his name and that his leg hurt he was not able to communicate further.  Kidney function was monitored throughout this day.  Unfortunately his creatinine continued to increase despite gentle rehydration with D5 W.  At one point his hemoglobin dropped below 7, the patient was given a unit of blood. HGB was stable after infusion.  Patient also thought to have aspiration pneumonia as seen with chest x-ray which showed bilateral hazy infiltrates, and felt that this Zosyn which he was already on a would be able to treat that.  He began having worsened difficulty breathing, ABG performed showed O2 sat 75%, pH 7.46, patient started on BiPAP.  On BiPAP his O2 stabilized.  Respiratory therapy tried several times to wean him off BiPAP but was unsuccessful.  Altered mental status and AKI continued to worsen despite our medical care.  Patient's family discussed with attending physician and they decided at that time that it would be in the patient's best interest to switch to comfort care and consult with hospice.  Comfort care initiated, antibiotics stopped, labs stopped, gentle fluids continued with morphine 3 mg PRN.  Hospice consulted and they took over care."
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Infection, Lung infiltration, Mental status changes, Pain in extremity
Clinical narrative: Update to date on COVID vaccines, admitted through ED for sepsis with multiple infection sites who tested detected for COVID.  Provider discharge summary below:  "Patient admitted for sepsis secondary to urinary tract infection, C difficile, and diverticulitis, on Zosyn and oral Vancocin.  Patient also presented with altered mental status thought to be secondary to sepsis.  Unfortunately throughout his stay this not improve. At  times his eyes were open and he showed recognition of his wife but other than being able to state his name and that his leg hurt he was not able to communicate further.  Kidney function was monitored throughout this day.  Unfortunately his creatinine continued to increase despite gentle rehydration with D5 W.  At one point his hemoglobin dropped below 7, the patient was given a unit of blood. HGB was stable after infusion.  Patient also thought to have aspiration pneumonia as seen with chest x-ray which showed bilateral hazy infiltrates, and felt that this Zosyn which he was already on a would be able to treat that.  He began having worsened difficulty breathing, ABG performed showed O2 sat 75%, pH 7.46, patient started on BiPAP.  On BiPAP his O2 stabilized.  Respiratory therapy tried several times to wean him off BiPAP but was unsuccessful.  Altered mental status and AKI continued to worsen despite our medical care.  Patient's family discussed with attending physician and they decided at that time that it would be in the patient's best interest to switch to comfort care and consult with hospice.  Comfort care initiated, antibiotics stopped, labs stopped, gentle fluids continued with morphine 3 mg PRN.  Hospice consulted and they took over care."
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia aspiration, Positive airway pressure therapy, SARS-CoV-2 test positive, Sepsis, Transfusion
Clinical narrative: Update to date on COVID vaccines, admitted through ED for sepsis with multiple infection sites who tested detected for COVID.  Provider discharge summary below:  "Patient admitted for sepsis secondary to urinary tract infection, C difficile, and diverticulitis, on Zosyn and oral Vancocin.  Patient also presented with altered mental status thought to be secondary to sepsis.  Unfortunately throughout his stay this not improve. At  times his eyes were open and he showed recognition of his wife but other than being able to state his name and that his leg hurt he was not able to communicate further.  Kidney function was monitored throughout this day.  Unfortunately his creatinine continued to increase despite gentle rehydration with D5 W.  At one point his hemoglobin dropped below 7, the patient was given a unit of blood. HGB was stable after infusion.  Patient also thought to have aspiration pneumonia as seen with chest x-ray which showed bilateral hazy infiltrates, and felt that this Zosyn which he was already on a would be able to treat that.  He began having worsened difficulty breathing, ABG performed showed O2 sat 75%, pH 7.46, patient started on BiPAP.  On BiPAP his O2 stabilized.  Respiratory therapy tried several times to wean him off BiPAP but was unsuccessful.  Altered mental status and AKI continued to worsen despite our medical care.  Patient's family discussed with attending physician and they decided at that time that it would be in the patient's best interest to switch to comfort care and consult with hospice.  Comfort care initiated, antibiotics stopped, labs stopped, gentle fluids continued with morphine 3 mg PRN.  Hospice consulted and they took over care."
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urinary tract infection
Clinical narrative: Update to date on COVID vaccines, admitted through ED for sepsis with multiple infection sites who tested detected for COVID.  Provider discharge summary below:  "Patient admitted for sepsis secondary to urinary tract infection, C difficile, and diverticulitis, on Zosyn and oral Vancocin.  Patient also presented with altered mental status thought to be secondary to sepsis.  Unfortunately throughout his stay this not improve. At  times his eyes were open and he showed recognition of his wife but other than being able to state his name and that his leg hurt he was not able to communicate further.  Kidney function was monitored throughout this day.  Unfortunately his creatinine continued to increase despite gentle rehydration with D5 W.  At one point his hemoglobin dropped below 7, the patient was given a unit of blood. HGB was stable after infusion.  Patient also thought to have aspiration pneumonia as seen with chest x-ray which showed bilateral hazy infiltrates, and felt that this Zosyn which he was already on a would be able to treat that.  He began having worsened difficulty breathing, ABG performed showed O2 sat 75%, pH 7.46, patient started on BiPAP.  On BiPAP his O2 stabilized.  Respiratory therapy tried several times to wean him off BiPAP but was unsuccessful.  Altered mental status and AKI continued to worsen despite our medical care.  Patient's family discussed with attending physician and they decided at that time that it would be in the patient's best interest to switch to comfort care and consult with hospice.  Comfort care initiated, antibiotics stopped, labs stopped, gentle fluids continued with morphine 3 mg PRN.  Hospice consulted and they took over care."
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with two doses of Moderna. Tested positive for Covid 19 on 1/4/2022. Admitted to hospital on 01/17/2022. Patient expired on 01/20/2022 while still hospitalized.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE "PRIVATE" REPORT.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna given to patient under the age of 18. NO Adverse adverse event was experienced from patient.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Depression, Discomfort, Hallucination, auditory
Clinical narrative: This is a 67y.o. male . Patient carries a diagnosis of schizophrenia. This time he presented with depression, hearing voices telling him to kill himself and was paranoid towards people. He felt uncomfortable among people and was socially isolated. Patient needed to be transferred off the unit to general medical floor due to becoming positive for COVID. He is readmitted to monitor his condition and complete quarantine before discharge. Patient has been improving. Patient reports feeling much better. Suicidal ideation are completely gone. Voices are less intense. His mood is much better. He has started to eat better.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Paranoia, SARS-CoV-2 test positive, Suicidal ideation
Clinical narrative: This is a 67y.o. male . Patient carries a diagnosis of schizophrenia. This time he presented with depression, hearing voices telling him to kill himself and was paranoid towards people. He felt uncomfortable among people and was socially isolated. Patient needed to be transferred off the unit to general medical floor due to becoming positive for COVID. He is readmitted to monitor his condition and complete quarantine before discharge. Patient has been improving. Patient reports feeling much better. Suicidal ideation are completely gone. Voices are less intense. His mood is much better. He has started to eat better.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 3rd vaccine; breakthrough case admission
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: left shoulder joint/muscle aching and pain with abduction and internal and external rotation-- with no history of prior trauma or joint issues.  Symptoms are still present three weeks later and hinder normal activities of daily living
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: VACCINE WAS ADMINISTERED 13 + HOURS AFTER PUNCTION OF VIAL WHEN MANUFACTURERS RECOMMENDS TO BE ADMINISTERED IN A 12 HOUR PERIOD. AT THE TIME, PATIENT REPORTS NO ADVERSE EVENT.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Leukocytosis, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/27/2022-02/07/2022 for left upper lobe pneumonia; COVID-19 positive; leukocytosis. Treated with baricitinib, Remdesivir, dexamethasone, zinc 50mg daily, vitamin D3 50mcg daily and vitamin C 1,000mg daily.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Computerised tomogram, Cow pox, Full blood count
Clinical narrative: I had no AE to the vaccine, but on 1/24 I developed a sinus infection but the rapid COVID test was neg.  I was given a Z-Pac for the sinus infections.   But that Tuesday I developed a very bad headache so I didn't go to work.  Later that night my O2 stats upon walking was dropping to the low 80's one time it even dropped as low as 77.  The next morning I went to see my PCP,  but before I was accepted into the office a precautionary COVID test was performed and was positive and was advised to go to the Health System ER to have a CT scan, blood work and various other test were performed and was released after several hours.  I later went back and was administered antibodies and to date I am still experiencing intermittent headaches and just feel totally sluggish, my body hurts all the time
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Oxygen saturation decreased, Pain, SARS-CoV-2 test negative
Clinical narrative: I had no AE to the vaccine, but on 1/24 I developed a sinus infection but the rapid COVID test was neg.  I was given a Z-Pac for the sinus infections.   But that Tuesday I developed a very bad headache so I didn't go to work.  Later that night my O2 stats upon walking was dropping to the low 80's one time it even dropped as low as 77.  The next morning I went to see my PCP,  but before I was accepted into the office a precautionary COVID test was performed and was positive and was advised to go to the Health System ER to have a CT scan, blood work and various other test were performed and was released after several hours.  I later went back and was administered antibodies and to date I am still experiencing intermittent headaches and just feel totally sluggish, my body hurts all the time
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis, Sluggishness
Clinical narrative: I had no AE to the vaccine, but on 1/24 I developed a sinus infection but the rapid COVID test was neg.  I was given a Z-Pac for the sinus infections.   But that Tuesday I developed a very bad headache so I didn't go to work.  Later that night my O2 stats upon walking was dropping to the low 80's one time it even dropped as low as 77.  The next morning I went to see my PCP,  but before I was accepted into the office a precautionary COVID test was performed and was positive and was advised to go to the Health System ER to have a CT scan, blood work and various other test were performed and was released after several hours.  I later went back and was administered antibodies and to date I am still experiencing intermittent headaches and just feel totally sluggish, my body hurts all the time
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Sudden onset tinnitus since day 2 of receiving vaccine. Continue to  experience tinnitus since 1/27/22. No tinnitus before receiving vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Oxygen saturation decreased, Pyrexia
Clinical narrative: Onset of fever 2/13/2022. O2 SATs in the low-mid 80's beginning 2/14/2022. Treatment included: Oxygen via NC and hospital admission.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No event Patient Vaccinated two months prior to BD, works in a medical facilty
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: Suffered a stroke.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Chest discomfort, Chills
Clinical narrative: Pt reports she began having covid like symptoms beginning last Monday. Pt tested positive for covid-19 on 12/20. Pt reports since that time she has progressively worsening symptoms. Pt asked PCP about receiving monoclonal antibody therapy on 12/21, but never heard back and she states that is something she is still interested in. Pt was then evaluated here in the ED on 12/25 for worsening covid-19 symptoms. She received some fluids and was ultimately discharged home. Pt was then seen via telemedicine on 12/26 with questions regarding covid-19. Pt returns to the ED today with concerns of worsening covid-19 symptoms. Pt states she is having trouble breathing with SOA, productive cough with yellow sputum, and chest tightness. Pt states SOA is worse with ambulation, but just sitting at rest she feels short of breath as well. Pt also states she has been taking Tylenol around the clock for fever, but has been unable to keep her fever down with Tmax 101F. Pt complains of associated fatigue, weakness, chills, and headache. Pt endorses congestion, sore throat, rhinorrhea, and sneezing as well. Pt states she has had constipation and nausea since last Monday. She states this has lead to decreased appetite and poor PO intake. Pt denies any changes in vision, chest pain, abdominal pain, dysuria, dizziness, or syncope. Pt is ~91-94% on room air, but desats to ~84% with ambulation. Pt is tachycardic in the 100s at rest, but with ambulation pt's HR jumps into the 140s. Pt was currently hemodynamically stable at time of assessment.    Not requiring oxygen at rest but needing 2L on ambulation. She completed a course of remdesivir. While inpatient, CXR demosntrated some vascular congestion. She received Lasix 40mg IV x3d inpatient with improvement in her oxygenation and stamina.  She feels stable and ready for discharge. I agree with her and feel that she has maximized her benefit from being in the hospital. She will be discharged home with 2 more days of diuretics (bumex 1mg every day) as well as dexamethasone.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Constipation, Decreased appetite, Dyspnoea, Dyspnoea at rest, Dyspnoea exertional
Clinical narrative: Pt reports she began having covid like symptoms beginning last Monday. Pt tested positive for covid-19 on 12/20. Pt reports since that time she has progressively worsening symptoms. Pt asked PCP about receiving monoclonal antibody therapy on 12/21, but never heard back and she states that is something she is still interested in. Pt was then evaluated here in the ED on 12/25 for worsening covid-19 symptoms. She received some fluids and was ultimately discharged home. Pt was then seen via telemedicine on 12/26 with questions regarding covid-19. Pt returns to the ED today with concerns of worsening covid-19 symptoms. Pt states she is having trouble breathing with SOA, productive cough with yellow sputum, and chest tightness. Pt states SOA is worse with ambulation, but just sitting at rest she feels short of breath as well. Pt also states she has been taking Tylenol around the clock for fever, but has been unable to keep her fever down with Tmax 101F. Pt complains of associated fatigue, weakness, chills, and headache. Pt endorses congestion, sore throat, rhinorrhea, and sneezing as well. Pt states she has had constipation and nausea since last Monday. She states this has lead to decreased appetite and poor PO intake. Pt denies any changes in vision, chest pain, abdominal pain, dysuria, dizziness, or syncope. Pt is ~91-94% on room air, but desats to ~84% with ambulation. Pt is tachycardic in the 100s at rest, but with ambulation pt's HR jumps into the 140s. Pt was currently hemodynamically stable at time of assessment.    Not requiring oxygen at rest but needing 2L on ambulation. She completed a course of remdesivir. While inpatient, CXR demosntrated some vascular congestion. She received Lasix 40mg IV x3d inpatient with improvement in her oxygenation and stamina.  She feels stable and ready for discharge. I agree with her and feel that she has maximized her benefit from being in the hospital. She will be discharged home with 2 more days of diuretics (bumex 1mg every day) as well as dexamethasone.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Hypophagia, Malaise, Nausea
Clinical narrative: Pt reports she began having covid like symptoms beginning last Monday. Pt tested positive for covid-19 on 12/20. Pt reports since that time she has progressively worsening symptoms. Pt asked PCP about receiving monoclonal antibody therapy on 12/21, but never heard back and she states that is something she is still interested in. Pt was then evaluated here in the ED on 12/25 for worsening covid-19 symptoms. She received some fluids and was ultimately discharged home. Pt was then seen via telemedicine on 12/26 with questions regarding covid-19. Pt returns to the ED today with concerns of worsening covid-19 symptoms. Pt states she is having trouble breathing with SOA, productive cough with yellow sputum, and chest tightness. Pt states SOA is worse with ambulation, but just sitting at rest she feels short of breath as well. Pt also states she has been taking Tylenol around the clock for fever, but has been unable to keep her fever down with Tmax 101F. Pt complains of associated fatigue, weakness, chills, and headache. Pt endorses congestion, sore throat, rhinorrhea, and sneezing as well. Pt states she has had constipation and nausea since last Monday. She states this has lead to decreased appetite and poor PO intake. Pt denies any changes in vision, chest pain, abdominal pain, dysuria, dizziness, or syncope. Pt is ~91-94% on room air, but desats to ~84% with ambulation. Pt is tachycardic in the 100s at rest, but with ambulation pt's HR jumps into the 140s. Pt was currently hemodynamically stable at time of assessment.    Not requiring oxygen at rest but needing 2L on ambulation. She completed a course of remdesivir. While inpatient, CXR demosntrated some vascular congestion. She received Lasix 40mg IV x3d inpatient with improvement in her oxygenation and stamina.  She feels stable and ready for discharge. I agree with her and feel that she has maximized her benefit from being in the hospital. She will be discharged home with 2 more days of diuretics (bumex 1mg every day) as well as dexamethasone.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Oxygen saturation decreased, Productive cough, Pulmonary congestion, Pyrexia
Clinical narrative: Pt reports she began having covid like symptoms beginning last Monday. Pt tested positive for covid-19 on 12/20. Pt reports since that time she has progressively worsening symptoms. Pt asked PCP about receiving monoclonal antibody therapy on 12/21, but never heard back and she states that is something she is still interested in. Pt was then evaluated here in the ED on 12/25 for worsening covid-19 symptoms. She received some fluids and was ultimately discharged home. Pt was then seen via telemedicine on 12/26 with questions regarding covid-19. Pt returns to the ED today with concerns of worsening covid-19 symptoms. Pt states she is having trouble breathing with SOA, productive cough with yellow sputum, and chest tightness. Pt states SOA is worse with ambulation, but just sitting at rest she feels short of breath as well. Pt also states she has been taking Tylenol around the clock for fever, but has been unable to keep her fever down with Tmax 101F. Pt complains of associated fatigue, weakness, chills, and headache. Pt endorses congestion, sore throat, rhinorrhea, and sneezing as well. Pt states she has had constipation and nausea since last Monday. She states this has lead to decreased appetite and poor PO intake. Pt denies any changes in vision, chest pain, abdominal pain, dysuria, dizziness, or syncope. Pt is ~91-94% on room air, but desats to ~84% with ambulation. Pt is tachycardic in the 100s at rest, but with ambulation pt's HR jumps into the 140s. Pt was currently hemodynamically stable at time of assessment.    Not requiring oxygen at rest but needing 2L on ambulation. She completed a course of remdesivir. While inpatient, CXR demosntrated some vascular congestion. She received Lasix 40mg IV x3d inpatient with improvement in her oxygenation and stamina.  She feels stable and ready for discharge. I agree with her and feel that she has maximized her benefit from being in the hospital. She will be discharged home with 2 more days of diuretics (bumex 1mg every day) as well as dexamethasone.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing, Sputum discoloured
Clinical narrative: Pt reports she began having covid like symptoms beginning last Monday. Pt tested positive for covid-19 on 12/20. Pt reports since that time she has progressively worsening symptoms. Pt asked PCP about receiving monoclonal antibody therapy on 12/21, but never heard back and she states that is something she is still interested in. Pt was then evaluated here in the ED on 12/25 for worsening covid-19 symptoms. She received some fluids and was ultimately discharged home. Pt was then seen via telemedicine on 12/26 with questions regarding covid-19. Pt returns to the ED today with concerns of worsening covid-19 symptoms. Pt states she is having trouble breathing with SOA, productive cough with yellow sputum, and chest tightness. Pt states SOA is worse with ambulation, but just sitting at rest she feels short of breath as well. Pt also states she has been taking Tylenol around the clock for fever, but has been unable to keep her fever down with Tmax 101F. Pt complains of associated fatigue, weakness, chills, and headache. Pt endorses congestion, sore throat, rhinorrhea, and sneezing as well. Pt states she has had constipation and nausea since last Monday. She states this has lead to decreased appetite and poor PO intake. Pt denies any changes in vision, chest pain, abdominal pain, dysuria, dizziness, or syncope. Pt is ~91-94% on room air, but desats to ~84% with ambulation. Pt is tachycardic in the 100s at rest, but with ambulation pt's HR jumps into the 140s. Pt was currently hemodynamically stable at time of assessment.    Not requiring oxygen at rest but needing 2L on ambulation. She completed a course of remdesivir. While inpatient, CXR demosntrated some vascular congestion. She received Lasix 40mg IV x3d inpatient with improvement in her oxygenation and stamina.  She feels stable and ready for discharge. I agree with her and feel that she has maximized her benefit from being in the hospital. She will be discharged home with 2 more days of diuretics (bumex 1mg every day) as well as dexamethasone.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: Pt reports she began having covid like symptoms beginning last Monday. Pt tested positive for covid-19 on 12/20. Pt reports since that time she has progressively worsening symptoms. Pt asked PCP about receiving monoclonal antibody therapy on 12/21, but never heard back and she states that is something she is still interested in. Pt was then evaluated here in the ED on 12/25 for worsening covid-19 symptoms. She received some fluids and was ultimately discharged home. Pt was then seen via telemedicine on 12/26 with questions regarding covid-19. Pt returns to the ED today with concerns of worsening covid-19 symptoms. Pt states she is having trouble breathing with SOA, productive cough with yellow sputum, and chest tightness. Pt states SOA is worse with ambulation, but just sitting at rest she feels short of breath as well. Pt also states she has been taking Tylenol around the clock for fever, but has been unable to keep her fever down with Tmax 101F. Pt complains of associated fatigue, weakness, chills, and headache. Pt endorses congestion, sore throat, rhinorrhea, and sneezing as well. Pt states she has had constipation and nausea since last Monday. She states this has lead to decreased appetite and poor PO intake. Pt denies any changes in vision, chest pain, abdominal pain, dysuria, dizziness, or syncope. Pt is ~91-94% on room air, but desats to ~84% with ambulation. Pt is tachycardic in the 100s at rest, but with ambulation pt's HR jumps into the 140s. Pt was currently hemodynamically stable at time of assessment.    Not requiring oxygen at rest but needing 2L on ambulation. She completed a course of remdesivir. While inpatient, CXR demosntrated some vascular congestion. She received Lasix 40mg IV x3d inpatient with improvement in her oxygenation and stamina.  She feels stable and ready for discharge. I agree with her and feel that she has maximized her benefit from being in the hospital. She will be discharged home with 2 more days of diuretics (bumex 1mg every day) as well as dexamethasone.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dizziness, Hyperhidrosis, Magnetic resonance imaging head
Clinical narrative: massive sweating and light head. Auditory and visual disturbances.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: massive sweating and light head. Auditory and visual disturbances.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: fully vaccinated with covid vaccine x 3. tested postitive for covid on 1/13/22. admitted to hospital on 01/22/2022. Expired on 01/26/2022 while still hospitalized.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chills
Clinical narrative: DISCHARGE DIAGNOSES: Acute hypoxic respiratory failure, Covid-19 pneumonia, GPC blood cultures, Metabolic encephalopathy, Underlying Alzheimer's dementia, Diastolic heart failure, not in exacerbation, H/O PE, Subtherapeutic INR, Schizoaffective disorder, HLD, GERD. HOSPITAL COURSE: Briefly, this is a 62 y.o., female, with a PMH of Alzheimer's dementia, CKD, COPD on2 L O2, PE on Coumadin, and schizoaffective disorder who presented with nausea/vomiting, fevers and chills. Found to be Covid-19 positive. For more detail, including PMH, PSH, PFH, Social HX and further info please see admissions. Hospital course dictated by problem: Acute hypoxic respiratory failure, Covid-19 pneumonia, Treating with Decadron, Already anticoagulated with Coumadin, O2 needs seem to have improved to baseline. Discharging home: GPC blood cultures- Both bottles growing GPC identified as Staph hominis. She was started on IV Vancomycin overnight. Obtained repeat blood cultures on 2/10 which were negative. Per guidelines, she will complete ABX coverage with Keflex x 3 more days. Metabolic encephalopathy, Underlying Alzheimer's dementia, Encephalopathy likely resolved and patient is perhaps now at baseline- Continue with donepezil. Diastolic heart failure, not in exacerbation- Continue with torsemide, spironolactone, and potassium supplements. H/O PE- Subtherapeutic INR- Coumadin dosed by pharmacy- Daily INRs. Schizoaffective disorder- Continue PTA meds of prazosin, mirtazapine, hydroxyzine, gabapentin, Cymbalta, and clozapine- Defer ordering PTA Klonopin PRN at this time. HLD- Continue atorvastatin. GERD- Continue pantoprazole.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Gram stain positive, International normalised ratio, Left ventricular failure, Metabolic encephalopathy
Clinical narrative: DISCHARGE DIAGNOSES: Acute hypoxic respiratory failure, Covid-19 pneumonia, GPC blood cultures, Metabolic encephalopathy, Underlying Alzheimer's dementia, Diastolic heart failure, not in exacerbation, H/O PE, Subtherapeutic INR, Schizoaffective disorder, HLD, GERD. HOSPITAL COURSE: Briefly, this is a 62 y.o., female, with a PMH of Alzheimer's dementia, CKD, COPD on2 L O2, PE on Coumadin, and schizoaffective disorder who presented with nausea/vomiting, fevers and chills. Found to be Covid-19 positive. For more detail, including PMH, PSH, PFH, Social HX and further info please see admissions. Hospital course dictated by problem: Acute hypoxic respiratory failure, Covid-19 pneumonia, Treating with Decadron, Already anticoagulated with Coumadin, O2 needs seem to have improved to baseline. Discharging home: GPC blood cultures- Both bottles growing GPC identified as Staph hominis. She was started on IV Vancomycin overnight. Obtained repeat blood cultures on 2/10 which were negative. Per guidelines, she will complete ABX coverage with Keflex x 3 more days. Metabolic encephalopathy, Underlying Alzheimer's dementia, Encephalopathy likely resolved and patient is perhaps now at baseline- Continue with donepezil. Diastolic heart failure, not in exacerbation- Continue with torsemide, spironolactone, and potassium supplements. H/O PE- Subtherapeutic INR- Coumadin dosed by pharmacy- Daily INRs. Schizoaffective disorder- Continue PTA meds of prazosin, mirtazapine, hydroxyzine, gabapentin, Cymbalta, and clozapine- Defer ordering PTA Klonopin PRN at this time. HLD- Continue atorvastatin. GERD- Continue pantoprazole.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test positive, Staphylococcus test positive, Vomiting
Clinical narrative: DISCHARGE DIAGNOSES: Acute hypoxic respiratory failure, Covid-19 pneumonia, GPC blood cultures, Metabolic encephalopathy, Underlying Alzheimer's dementia, Diastolic heart failure, not in exacerbation, H/O PE, Subtherapeutic INR, Schizoaffective disorder, HLD, GERD. HOSPITAL COURSE: Briefly, this is a 62 y.o., female, with a PMH of Alzheimer's dementia, CKD, COPD on2 L O2, PE on Coumadin, and schizoaffective disorder who presented with nausea/vomiting, fevers and chills. Found to be Covid-19 positive. For more detail, including PMH, PSH, PFH, Social HX and further info please see admissions. Hospital course dictated by problem: Acute hypoxic respiratory failure, Covid-19 pneumonia, Treating with Decadron, Already anticoagulated with Coumadin, O2 needs seem to have improved to baseline. Discharging home: GPC blood cultures- Both bottles growing GPC identified as Staph hominis. She was started on IV Vancomycin overnight. Obtained repeat blood cultures on 2/10 which were negative. Per guidelines, she will complete ABX coverage with Keflex x 3 more days. Metabolic encephalopathy, Underlying Alzheimer's dementia, Encephalopathy likely resolved and patient is perhaps now at baseline- Continue with donepezil. Diastolic heart failure, not in exacerbation- Continue with torsemide, spironolactone, and potassium supplements. H/O PE- Subtherapeutic INR- Coumadin dosed by pharmacy- Daily INRs. Schizoaffective disorder- Continue PTA meds of prazosin, mirtazapine, hydroxyzine, gabapentin, Cymbalta, and clozapine- Defer ordering PTA Klonopin PRN at this time. HLD- Continue atorvastatin. GERD- Continue pantoprazole.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: stroke
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Condition aggravated, Decreased appetite
Clinical narrative: Started with mild nausea on the Wednesday morning. Lack of appetite throughout day & low energy. I?m the evening it went to exhaustion, no appetite, chills, & fever. Had a fever for nearly 6 days. Secondary flare up of esophagitis with chest pain as well.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza virus test negative, Nausea, Oesophagitis, Pyrexia
Clinical narrative: Started with mild nausea on the Wednesday morning. Lack of appetite throughout day & low energy. I?m the evening it went to exhaustion, no appetite, chills, & fever. Had a fever for nearly 6 days. Secondary flare up of esophagitis with chest pain as well.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Started with mild nausea on the Wednesday morning. Lack of appetite throughout day & low energy. I?m the evening it went to exhaustion, no appetite, chills, & fever. Had a fever for nearly 6 days. Secondary flare up of esophagitis with chest pain as well.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PATIENT WAS 10 YEARS OLD AND RECEIVED THE 0.3 ML / 30 MCG DOSE. MONITORED PATIENT FOR ADVERSE REACTIONS. NO ADVERSE REACTIONS OCCURED. PATIENT STATED BEING FINE AND MOTHER WAS PRESENT.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: This is a 73y.o. female who presents to the ER due to shortness of breath. The patient has a longstanding history of COPD, and has multiple prior hospitalizations due to exacerbations.  She is on home oxygen, 3 L/min at rest and 4 L/min with exertion. She has been vaccinated against COVID-19 with the Janssen vaccine on 6/2/2021, with no booster shot recorded in the system.   In the emergency department she was found to be positive for COVID-19.  She was also hypoxic, requiring the use of heated high flow, currently at 41% FiO2.  At the time of my examination she reported that her shortness of breath had improved.  Also, she was noted to have an intermediate troponin which has trended upward overnight.  She has seen Dr. in the past.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: This is a 73y.o. female who presents to the ER due to shortness of breath. The patient has a longstanding history of COPD, and has multiple prior hospitalizations due to exacerbations.  She is on home oxygen, 3 L/min at rest and 4 L/min with exertion. She has been vaccinated against COVID-19 with the Janssen vaccine on 6/2/2021, with no booster shot recorded in the system.   In the emergency department she was found to be positive for COVID-19.  She was also hypoxic, requiring the use of heated high flow, currently at 41% FiO2.  At the time of my examination she reported that her shortness of breath had improved.  Also, she was noted to have an intermediate troponin which has trended upward overnight.  She has seen Dr. in the past.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Confusional state, Pyrexia, SARS-CoV-2 test positive, Swelling
Clinical narrative: 1/25/2022 Patient arrived to ER with fever, increased confusion, and swelling below her right ear. She tested positive for Covid19 1/31/2022.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Colitis ischaemic, Death, Gastrointestinal haemorrhage
Clinical narrative: Patient was a 74 yo female admitted with acute GI bleed secondary to ischemic colitis.  She had PMH of cirrhosis.  She developed worsening renal failure and metabolic acidosis.  She  Also developed worsening hypoxemic respiratory failure and tested positive for COVID-19.  She had development of metabolic encephalopathy and was made comfort care per husband's wishes.  Time of death 0207, cause of death ischemic colitis, acute renal failure, acute hypoxemic respiratory failure, COVID-19.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic acidosis, Metabolic encephalopathy, Renal failure, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient was a 74 yo female admitted with acute GI bleed secondary to ischemic colitis.  She had PMH of cirrhosis.  She developed worsening renal failure and metabolic acidosis.  She  Also developed worsening hypoxemic respiratory failure and tested positive for COVID-19.  She had development of metabolic encephalopathy and was made comfort care per husband's wishes.  Time of death 0207, cause of death ischemic colitis, acute renal failure, acute hypoxemic respiratory failure, COVID-19.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Aspartate aminotransferase normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood potassium normal
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood thyroid stimulating hormone decreased, Blood urea nitrogen/creatinine ratio, Blood urea normal, C-reactive protein decreased
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray, Chest discomfort, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage, Fatigue, Full blood count, Glomerular filtration rate normal, Granulocyte percentage
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte percentage increased, Neutrophil percentage, Palpitations
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total normal, Red blood cell count normal, Red cell distribution width normal, Streptococcus test negative
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin increased, White blood cell count decreased
Clinical narrative: Patient developed heart palpitations, tachycardia, chest tightness, dyspnea, and exhaustion approx. 16 hours after receiving her vaccine. Continued to have intermittent episodes and ended up in the ER 5 days later to evaluate and treat symptoms.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pharmacy notified the dose received was 22 days expired
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Tested positive 8/16 and arrived with increasing SOB, dx with COVID pna. On 3-4 L O2 at baseline. Treated with O2, lovenox, steroids, zinc, vit-c. Stable on 6L O2 and discharged home on increased O2.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Death, Endotracheal intubation
Clinical narrative: Diagnosed with COVID on 8/17, arrived with hypoxia. Found to have COVID pna and superimposed bacterial pna. Fully vaccinated wiht Moderna. Treated with O2, zinc, vit-c, vit-d, singulair, steroids, lovenox, zithromax. Required intubation 8/26. Eventually went into shock requiring levo, epi and neo and with refractory hypoxia despite full vent support. Care withdrawn and pt expired shortly after.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Mechanical ventilation, Pneumonia bacterial, Shock, Superinfection
Clinical narrative: Diagnosed with COVID on 8/17, arrived with hypoxia. Found to have COVID pna and superimposed bacterial pna. Fully vaccinated wiht Moderna. Treated with O2, zinc, vit-c, vit-d, singulair, steroids, lovenox, zithromax. Required intubation 8/26. Eventually went into shock requiring levo, epi and neo and with refractory hypoxia despite full vent support. Care withdrawn and pt expired shortly after.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram head abnormal, Facial paralysis, Hypoaesthesia
Clinical narrative: On the morning of the 18th, I started feeling numbness on the side of my tongue. It seemed weird and I didn't do anything about it. About 1 pm, I went to the ER for my tongue. I told them the symptoms was losing feeling in my tongue moving to my lips. They though it might be a stroke. They asked about my vaccine. They gave me a couple scans and told me it seemed that it could be early signs of Bells palsy. They wanted to do an MRI I denied. They sent me home. The next day the whole right side of my face was frozen and numb. I couldn't feel anything or move it. I made an appointment with the neurologist. They confirmed it was Bells Palsy. They prescribed my some meds for it. They did not attribute it to the vaccine. It stayed the same for about 1-2 weeks. I was able to regain feeling in my face. It took 2-3 months for everything to go back to completely normal.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Laboratory test
Clinical narrative: On the morning of the 18th, I started feeling numbness on the side of my tongue. It seemed weird and I didn't do anything about it. About 1 pm, I went to the ER for my tongue. I told them the symptoms was losing feeling in my tongue moving to my lips. They though it might be a stroke. They asked about my vaccine. They gave me a couple scans and told me it seemed that it could be early signs of Bells palsy. They wanted to do an MRI I denied. They sent me home. The next day the whole right side of my face was frozen and numb. I couldn't feel anything or move it. I made an appointment with the neurologist. They confirmed it was Bells Palsy. They prescribed my some meds for it. They did not attribute it to the vaccine. It stayed the same for about 1-2 weeks. I was able to regain feeling in my face. It took 2-3 months for everything to go back to completely normal.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Covid vaccine x 2 . Tested positive for Covid on 01/28/2022. 2. Expired on 01/29/2022 at Hospital after arriving to the ER in cardiac arrest.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE REACTION ADMINISTERED IN ERROR-PATIENT NOT 18 YEARS OR OLDER
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Nausea, Rash
Clinical narrative: After the vaccine I had shortness of breath, dizziness, nausea, rash all over my body, they took me to the Emergency Room of the Hospital and they administered me medications by vein, they gave me other oral medications (pills) for the house.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, Cardiac failure congestive, Dyspnoea, Left ventricular failure, Polyuria
Clinical narrative: To ED on 2/8/2022 with c/o shortness of breath and weight gain. BNP 708. Admitted with systolic Congestive Heart Failure for diuresis with IV Lasix.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Weight increased
Clinical narrative: To ED on 2/8/2022 with c/o shortness of breath and weight gain. BNP 708. Admitted with systolic Congestive Heart Failure for diuresis with IV Lasix.