chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test abnormal, Malaise, Positive airway pressure therapy, Red blood cell count decreased
Clinical narrative: I had been talking to my doctor, pulmonologist about my breathing, I was having a hard time catching a full breath. I was wondering if it had anything to do with my C-pap machine as it was one that was part of the recall. My pulmonologist had me do the chamber breathing test to determine if I was getting enough oxygen in my lungs. They said I was getting oxygen into my lungs, but the oxygen is not transferring to my red blood cells properly. I will be going for a CT scan of my lungs for my pulmonologist to get a better look at my lungs to determine if the C-pap machine could have damaged my lungs or if this is long haul COVID-19 symptoms.
Age: 6.0
Sex: F
Vaccine: TD
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction occurred.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cardiac amyloidosis, Cardiac imaging procedure abnormal, Condition aggravated, Diuretic therapy
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/15/2023 Discharge Date: Apr 20, 2023  PRESENTING PROBLEM: Shortness of breath [R06.02]   HOSPITAL COURSE: 86-year-old gentleman admitted with evidence of recurrent diastolic heart failure on 4/15.  Patient has a past history of possible hypertrophic cardiomyopathy. He was incidentally positive for COVID19 on admission.  On previous echocardiogram is also noted to have moderate aortic stenosis with a concern that the evaluation done in March of 2023 may be underestimating the severity of AS.  Previous outpatient evaluation has shown abnormal light chains raising concern for possible cardiac amyloidosis.  The patient was treated with IV diuresis with gradual improvement.  Cardiology was consulted and recommended increasing the Lasix dosing in addition to proceeding with a PYP scan which was completed and demonstrated evidence of cardiac amyloidosis.  They felt that the patient could have a outpatient TEE to investigate the severity of his AS due to current COVID19 infection. Patient significantly improved on day of discharge, swelling significantly reduced. Kidney function remained stable around baseline. He will DC on BID lasix for 4 more days then transition to daily lasix. He denied any new complaints on day of discharge, spouse updated on plan at bedside.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Left ventricular failure, Renal function test, SARS-CoV-2 test positive, Swelling
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/15/2023 Discharge Date: Apr 20, 2023  PRESENTING PROBLEM: Shortness of breath [R06.02]   HOSPITAL COURSE: 86-year-old gentleman admitted with evidence of recurrent diastolic heart failure on 4/15.  Patient has a past history of possible hypertrophic cardiomyopathy. He was incidentally positive for COVID19 on admission.  On previous echocardiogram is also noted to have moderate aortic stenosis with a concern that the evaluation done in March of 2023 may be underestimating the severity of AS.  Previous outpatient evaluation has shown abnormal light chains raising concern for possible cardiac amyloidosis.  The patient was treated with IV diuresis with gradual improvement.  Cardiology was consulted and recommended increasing the Lasix dosing in addition to proceeding with a PYP scan which was completed and demonstrated evidence of cardiac amyloidosis.  They felt that the patient could have a outpatient TEE to investigate the severity of his AS due to current COVID19 infection. Patient significantly improved on day of discharge, swelling significantly reduced. Kidney function remained stable around baseline. He will DC on BID lasix for 4 more days then transition to daily lasix. He denied any new complaints on day of discharge, spouse updated on plan at bedside.
Age: 0.83
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dehydration, Diarrhoea, Ear disorder, Ear infection, Hand-foot-and-mouth disease
Clinical narrative: He got sick on 11/08/22. We took him to the doctor was diagnosed with an ear infection and was prescribed Amoxicillin. He still had the ear infection on 11/22/22, so we went back to the doctor, and he was also diagnosed with hands foot and mouth as well. He was prescribed Amoxicillin-Pot Clavulanate. He got better, then we went back on 12/2/23, because he was having ear trouble again and was having diarrhea. Due to being dehydrated, we stopped taking Amoxicillin until his stomach got better and then we started Amoxicillin again. This lasted until 12/31/22.
Age: 0.83
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Malaise, SARS-CoV-2 test negative
Clinical narrative: He got sick on 11/08/22. We took him to the doctor was diagnosed with an ear infection and was prescribed Amoxicillin. He still had the ear infection on 11/22/22, so we went back to the doctor, and he was also diagnosed with hands foot and mouth as well. He was prescribed Amoxicillin-Pot Clavulanate. He got better, then we went back on 12/2/23, because he was having ear trouble again and was having diarrhea. Due to being dehydrated, we stopped taking Amoxicillin until his stomach got better and then we started Amoxicillin again. This lasted until 12/31/22.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date excursion, BUD date was 4-7-23 and vaccine was administered. 4-21-23.
Age: 83.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: COVID-19, Dyspnoea, Hypoxia, Laboratory test normal, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider:  Primary Care Provider: PA-C Admission Date: 4/17/2023 Discharge Date: Apr 21, 2023  PRESENTING PROBLEM: Hypoxia [R09.02] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 y.o. male with a past medical history of dementia, chronic obstructive pulmonary disease, hypertension, hyperlipidemia, BPH, type 2 diabetes, OSA on CPAP, hypothyroidism, chronic anemia, GERD who presented with shortness of breath from his assisted living facility. COVID 19 positive on admission requiring 2L NC. Remainder of work up relatively unremarkable. Started on dexamethasone and remdesivir. He was weaned quickly to room air.    He completed 5 day course of remdesivir while in hospital and discontinued dexamethasone at discharge.   Pulmonary have evaluated patient prior to discharge and he was able to ambulate on room air without significant symptoms.  He did not qualify for home oxygen.   In stable condition patient is discharged to facility with home health care.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Case tested positive 04/18/2023 and was hospitalized at Hospital A few days after discharge case experience difficulty breathing, went to Hospital and was admitted on 05/04/2023. Case continued to test positive for COVID-19 on 05/04/2023.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date excursion, BUD was 4-7-23 and vaccine was administered 4-16-23.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: 02/25/23 presents to ED for "weakness". PMHx of "A-fib, Acute cystitis with hematuria (9/21/2015), Anemia, Aortic valve stenosis, Arthritis"
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date excursion. BUD was 4-7-23 and vaccine was administered. 4-21-23.
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chest X-ray abnormal, Computerised tomogram abdomen normal, Cough, Diarrhoea
Clinical narrative: Discharge Provider:  Primary Care Provider: DO Admission Date: 4/17/2023 Discharge Date: 4/20/23  PRESENTING PROBLEM: Emesis    HOSPITAL COURSE:   Patient is a 70 yr old male with hx IPF, short telomer, osteopenia CAD, HTN Tachycardia s/p Bilateral Lung Transplant for IPF 12/2022. His post op course has been complicated by multiple GI issues. He has a history of patulous esophagus, esophogeal dysmotility with GERD, and dysphagia prior to transplant. PGJ was placed for feeding and meds in the post operative period. Since transplant he continues to struggle with nausea, emesis of even liquids, dysphagia of large volumes (can't tolerated barium for esophagram test). Reglan started for presumed gastroparesis as well.  Additionally,  pt was noted to have hx of pneumotosis coli on imaging post op (this was treated conservatively). Overall he called complaining of intolerance of liquids (can keep down applesauce and 2 meds he takes orally) , nausea, and increasing diarrhea despite reglan and venting G port. He has been taking 100% enteral  nutrition via J port.  He also has complaints of new cough and dypnea with stable lung function at home. He is directly admitted to further evaluate.     Upon admission bowel rest with 24 hour drainage of G port, CT abd/pelvis, film array obtained. No acute findings on imaging. Film array + for COVID 19. Remdesivir started for 3 day course as minimal symptoms. GI symptoms resolved, enteral feeding started on day 2 with continues g port drainage and tolerated well. Day 3 advanced to nocturnal feeding with nocturnal drainage of g port and clamping during the day. Ice chips started and tolerated well.  This was tolerated wee.  3 days of remdesivir completed and patient stable for discharge
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Dysphagia, Dyspnoea, Enteral nutrition, Fluid intake reduced, Impaired gastric emptying
Clinical narrative: Discharge Provider:  Primary Care Provider: DO Admission Date: 4/17/2023 Discharge Date: 4/20/23  PRESENTING PROBLEM: Emesis    HOSPITAL COURSE:   Patient is a 70 yr old male with hx IPF, short telomer, osteopenia CAD, HTN Tachycardia s/p Bilateral Lung Transplant for IPF 12/2022. His post op course has been complicated by multiple GI issues. He has a history of patulous esophagus, esophogeal dysmotility with GERD, and dysphagia prior to transplant. PGJ was placed for feeding and meds in the post operative period. Since transplant he continues to struggle with nausea, emesis of even liquids, dysphagia of large volumes (can't tolerated barium for esophagram test). Reglan started for presumed gastroparesis as well.  Additionally,  pt was noted to have hx of pneumotosis coli on imaging post op (this was treated conservatively). Overall he called complaining of intolerance of liquids (can keep down applesauce and 2 meds he takes orally) , nausea, and increasing diarrhea despite reglan and venting G port. He has been taking 100% enteral  nutrition via J port.  He also has complaints of new cough and dypnea with stable lung function at home. He is directly admitted to further evaluate.     Upon admission bowel rest with 24 hour drainage of G port, CT abd/pelvis, film array obtained. No acute findings on imaging. Film array + for COVID 19. Remdesivir started for 3 day course as minimal symptoms. GI symptoms resolved, enteral feeding started on day 2 with continues g port drainage and tolerated well. Day 3 advanced to nocturnal feeding with nocturnal drainage of g port and clamping during the day. Ice chips started and tolerated well.  This was tolerated wee.  3 days of remdesivir completed and patient stable for discharge
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Nausea, Product intolerance, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Discharge Provider:  Primary Care Provider: DO Admission Date: 4/17/2023 Discharge Date: 4/20/23  PRESENTING PROBLEM: Emesis    HOSPITAL COURSE:   Patient is a 70 yr old male with hx IPF, short telomer, osteopenia CAD, HTN Tachycardia s/p Bilateral Lung Transplant for IPF 12/2022. His post op course has been complicated by multiple GI issues. He has a history of patulous esophagus, esophogeal dysmotility with GERD, and dysphagia prior to transplant. PGJ was placed for feeding and meds in the post operative period. Since transplant he continues to struggle with nausea, emesis of even liquids, dysphagia of large volumes (can't tolerated barium for esophagram test). Reglan started for presumed gastroparesis as well.  Additionally,  pt was noted to have hx of pneumotosis coli on imaging post op (this was treated conservatively). Overall he called complaining of intolerance of liquids (can keep down applesauce and 2 meds he takes orally) , nausea, and increasing diarrhea despite reglan and venting G port. He has been taking 100% enteral  nutrition via J port.  He also has complaints of new cough and dypnea with stable lung function at home. He is directly admitted to further evaluate.     Upon admission bowel rest with 24 hour drainage of G port, CT abd/pelvis, film array obtained. No acute findings on imaging. Film array + for COVID 19. Remdesivir started for 3 day course as minimal symptoms. GI symptoms resolved, enteral feeding started on day 2 with continues g port drainage and tolerated well. Day 3 advanced to nocturnal feeding with nocturnal drainage of g port and clamping during the day. Ice chips started and tolerated well.  This was tolerated wee.  3 days of remdesivir completed and patient stable for discharge
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date excursion. BUD was 4-7-23 and vaccine was administered 4-21-23.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Cardiac discomfort, Cardiac disorder, Cataract
Clinical narrative: He got his vaccine, he had a sore arm, like somebody hit him with a sledge hammer and a metallic taste that day, he just wanted to sleep.  Within a couple of days his vision started getting double and very very bad . His heart just felt like he could not get enough air, had some weird heart palpitations, near the center of his chest.  He would get shooting pains in his arms and joints and feeling and tingling like his arms were going to sleep.  He would get pains in his joints, especially previous broken bones.  He could not sleep flat anymore because he could not get enough oxygen and now has to sleep sitting up in a recliner.  This was about 2 1/2 weeks after that shot.  He did not have this problem prior and used to sleep on his stomach or back before the vaccine.  His eyesight has gone progressively worse, he can see with his glasses and a magnifying glass, but as the day progress his eyes get bugged out, blurred and having double vision.  He has gone to the eye doctor and has had glass prescriptions changed 3 times in one year, and was told he had bad cataracts.  Unless he takes certain supplements in the morning he ends up defecating about 3 times.  If he lays down and gets up real quick there is a significant change in his heart.  If he is kneeling and gets up it feels like an elevator in his chest and shortness of breath.  Taking his garbage to the curb, 78' wears him out and he sweats profusely from that. He has 0 tolerance with heat when it was in the 70s he tried to take his dog for a walk, and just walking about 8th of a mile would start seating profusely.  The heat bothers him really bad now.  He did not have this problem before.  He formerly ran a bucket utility truck in the sun and it lever bothered him, and now he cannot tolerate the heat at all.   He did not have vision issues prior to the vaccine other than needing readers.  No family members have a  history of cataracts.   The eye doctor said she had never seen eye issues that progressed so rapidly.   He has had shakes that has developed and his body shakes, which started about a month after the 2nd shot and has gotten worse since the 3rd vaccine.  He cannot have a full cup of coffee to drink or it will spill.   He gets stabbing pains, 3 fingers in and just drives his heart one 5:00 from nipple area, 3:00 and in between 10-11:00 on his left pec which is larger than his right.    He is going to the ER today.    After his 2nd vaccine he felt like he had a sledge hammer hit him in the left arm, and wanted to sleep again.  He did not feel too good, but after 2-3 days that disappeared.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Condition aggravated, Diplopia, Dysgeusia
Clinical narrative: He got his vaccine, he had a sore arm, like somebody hit him with a sledge hammer and a metallic taste that day, he just wanted to sleep.  Within a couple of days his vision started getting double and very very bad . His heart just felt like he could not get enough air, had some weird heart palpitations, near the center of his chest.  He would get shooting pains in his arms and joints and feeling and tingling like his arms were going to sleep.  He would get pains in his joints, especially previous broken bones.  He could not sleep flat anymore because he could not get enough oxygen and now has to sleep sitting up in a recliner.  This was about 2 1/2 weeks after that shot.  He did not have this problem prior and used to sleep on his stomach or back before the vaccine.  His eyesight has gone progressively worse, he can see with his glasses and a magnifying glass, but as the day progress his eyes get bugged out, blurred and having double vision.  He has gone to the eye doctor and has had glass prescriptions changed 3 times in one year, and was told he had bad cataracts.  Unless he takes certain supplements in the morning he ends up defecating about 3 times.  If he lays down and gets up real quick there is a significant change in his heart.  If he is kneeling and gets up it feels like an elevator in his chest and shortness of breath.  Taking his garbage to the curb, 78' wears him out and he sweats profusely from that. He has 0 tolerance with heat when it was in the 70s he tried to take his dog for a walk, and just walking about 8th of a mile would start seating profusely.  The heat bothers him really bad now.  He did not have this problem before.  He formerly ran a bucket utility truck in the sun and it lever bothered him, and now he cannot tolerate the heat at all.   He did not have vision issues prior to the vaccine other than needing readers.  No family members have a  history of cataracts.   The eye doctor said she had never seen eye issues that progressed so rapidly.   He has had shakes that has developed and his body shakes, which started about a month after the 2nd shot and has gotten worse since the 3rd vaccine.  He cannot have a full cup of coffee to drink or it will spill.   He gets stabbing pains, 3 fingers in and just drives his heart one 5:00 from nipple area, 3:00 and in between 10-11:00 on his left pec which is larger than his right.    He is going to the ER today.    After his 2nd vaccine he felt like he had a sledge hammer hit him in the left arm, and wanted to sleep again.  He did not feel too good, but after 2-3 days that disappeared.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eye disorder, Eyeglasses therapy, Fatigue, Hyperhidrosis
Clinical narrative: He got his vaccine, he had a sore arm, like somebody hit him with a sledge hammer and a metallic taste that day, he just wanted to sleep.  Within a couple of days his vision started getting double and very very bad . His heart just felt like he could not get enough air, had some weird heart palpitations, near the center of his chest.  He would get shooting pains in his arms and joints and feeling and tingling like his arms were going to sleep.  He would get pains in his joints, especially previous broken bones.  He could not sleep flat anymore because he could not get enough oxygen and now has to sleep sitting up in a recliner.  This was about 2 1/2 weeks after that shot.  He did not have this problem prior and used to sleep on his stomach or back before the vaccine.  His eyesight has gone progressively worse, he can see with his glasses and a magnifying glass, but as the day progress his eyes get bugged out, blurred and having double vision.  He has gone to the eye doctor and has had glass prescriptions changed 3 times in one year, and was told he had bad cataracts.  Unless he takes certain supplements in the morning he ends up defecating about 3 times.  If he lays down and gets up real quick there is a significant change in his heart.  If he is kneeling and gets up it feels like an elevator in his chest and shortness of breath.  Taking his garbage to the curb, 78' wears him out and he sweats profusely from that. He has 0 tolerance with heat when it was in the 70s he tried to take his dog for a walk, and just walking about 8th of a mile would start seating profusely.  The heat bothers him really bad now.  He did not have this problem before.  He formerly ran a bucket utility truck in the sun and it lever bothered him, and now he cannot tolerate the heat at all.   He did not have vision issues prior to the vaccine other than needing readers.  No family members have a  history of cataracts.   The eye doctor said she had never seen eye issues that progressed so rapidly.   He has had shakes that has developed and his body shakes, which started about a month after the 2nd shot and has gotten worse since the 3rd vaccine.  He cannot have a full cup of coffee to drink or it will spill.   He gets stabbing pains, 3 fingers in and just drives his heart one 5:00 from nipple area, 3:00 and in between 10-11:00 on his left pec which is larger than his right.    He is going to the ER today.    After his 2nd vaccine he felt like he had a sledge hammer hit him in the left arm, and wanted to sleep again.  He did not feel too good, but after 2-3 days that disappeared.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nipple pain, Pain, Pain in extremity, Palpitations
Clinical narrative: He got his vaccine, he had a sore arm, like somebody hit him with a sledge hammer and a metallic taste that day, he just wanted to sleep.  Within a couple of days his vision started getting double and very very bad . His heart just felt like he could not get enough air, had some weird heart palpitations, near the center of his chest.  He would get shooting pains in his arms and joints and feeling and tingling like his arms were going to sleep.  He would get pains in his joints, especially previous broken bones.  He could not sleep flat anymore because he could not get enough oxygen and now has to sleep sitting up in a recliner.  This was about 2 1/2 weeks after that shot.  He did not have this problem prior and used to sleep on his stomach or back before the vaccine.  His eyesight has gone progressively worse, he can see with his glasses and a magnifying glass, but as the day progress his eyes get bugged out, blurred and having double vision.  He has gone to the eye doctor and has had glass prescriptions changed 3 times in one year, and was told he had bad cataracts.  Unless he takes certain supplements in the morning he ends up defecating about 3 times.  If he lays down and gets up real quick there is a significant change in his heart.  If he is kneeling and gets up it feels like an elevator in his chest and shortness of breath.  Taking his garbage to the curb, 78' wears him out and he sweats profusely from that. He has 0 tolerance with heat when it was in the 70s he tried to take his dog for a walk, and just walking about 8th of a mile would start seating profusely.  The heat bothers him really bad now.  He did not have this problem before.  He formerly ran a bucket utility truck in the sun and it lever bothered him, and now he cannot tolerate the heat at all.   He did not have vision issues prior to the vaccine other than needing readers.  No family members have a  history of cataracts.   The eye doctor said she had never seen eye issues that progressed so rapidly.   He has had shakes that has developed and his body shakes, which started about a month after the 2nd shot and has gotten worse since the 3rd vaccine.  He cannot have a full cup of coffee to drink or it will spill.   He gets stabbing pains, 3 fingers in and just drives his heart one 5:00 from nipple area, 3:00 and in between 10-11:00 on his left pec which is larger than his right.    He is going to the ER today.    After his 2nd vaccine he felt like he had a sledge hammer hit him in the left arm, and wanted to sleep again.  He did not feel too good, but after 2-3 days that disappeared.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Sleep disorder, Somnolence, Temperature intolerance, Therapy change
Clinical narrative: He got his vaccine, he had a sore arm, like somebody hit him with a sledge hammer and a metallic taste that day, he just wanted to sleep.  Within a couple of days his vision started getting double and very very bad . His heart just felt like he could not get enough air, had some weird heart palpitations, near the center of his chest.  He would get shooting pains in his arms and joints and feeling and tingling like his arms were going to sleep.  He would get pains in his joints, especially previous broken bones.  He could not sleep flat anymore because he could not get enough oxygen and now has to sleep sitting up in a recliner.  This was about 2 1/2 weeks after that shot.  He did not have this problem prior and used to sleep on his stomach or back before the vaccine.  His eyesight has gone progressively worse, he can see with his glasses and a magnifying glass, but as the day progress his eyes get bugged out, blurred and having double vision.  He has gone to the eye doctor and has had glass prescriptions changed 3 times in one year, and was told he had bad cataracts.  Unless he takes certain supplements in the morning he ends up defecating about 3 times.  If he lays down and gets up real quick there is a significant change in his heart.  If he is kneeling and gets up it feels like an elevator in his chest and shortness of breath.  Taking his garbage to the curb, 78' wears him out and he sweats profusely from that. He has 0 tolerance with heat when it was in the 70s he tried to take his dog for a walk, and just walking about 8th of a mile would start seating profusely.  The heat bothers him really bad now.  He did not have this problem before.  He formerly ran a bucket utility truck in the sun and it lever bothered him, and now he cannot tolerate the heat at all.   He did not have vision issues prior to the vaccine other than needing readers.  No family members have a  history of cataracts.   The eye doctor said she had never seen eye issues that progressed so rapidly.   He has had shakes that has developed and his body shakes, which started about a month after the 2nd shot and has gotten worse since the 3rd vaccine.  He cannot have a full cup of coffee to drink or it will spill.   He gets stabbing pains, 3 fingers in and just drives his heart one 5:00 from nipple area, 3:00 and in between 10-11:00 on his left pec which is larger than his right.    He is going to the ER today.    After his 2nd vaccine he felt like he had a sledge hammer hit him in the left arm, and wanted to sleep again.  He did not feel too good, but after 2-3 days that disappeared.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Vision blurred, Visual impairment
Clinical narrative: He got his vaccine, he had a sore arm, like somebody hit him with a sledge hammer and a metallic taste that day, he just wanted to sleep.  Within a couple of days his vision started getting double and very very bad . His heart just felt like he could not get enough air, had some weird heart palpitations, near the center of his chest.  He would get shooting pains in his arms and joints and feeling and tingling like his arms were going to sleep.  He would get pains in his joints, especially previous broken bones.  He could not sleep flat anymore because he could not get enough oxygen and now has to sleep sitting up in a recliner.  This was about 2 1/2 weeks after that shot.  He did not have this problem prior and used to sleep on his stomach or back before the vaccine.  His eyesight has gone progressively worse, he can see with his glasses and a magnifying glass, but as the day progress his eyes get bugged out, blurred and having double vision.  He has gone to the eye doctor and has had glass prescriptions changed 3 times in one year, and was told he had bad cataracts.  Unless he takes certain supplements in the morning he ends up defecating about 3 times.  If he lays down and gets up real quick there is a significant change in his heart.  If he is kneeling and gets up it feels like an elevator in his chest and shortness of breath.  Taking his garbage to the curb, 78' wears him out and he sweats profusely from that. He has 0 tolerance with heat when it was in the 70s he tried to take his dog for a walk, and just walking about 8th of a mile would start seating profusely.  The heat bothers him really bad now.  He did not have this problem before.  He formerly ran a bucket utility truck in the sun and it lever bothered him, and now he cannot tolerate the heat at all.   He did not have vision issues prior to the vaccine other than needing readers.  No family members have a  history of cataracts.   The eye doctor said she had never seen eye issues that progressed so rapidly.   He has had shakes that has developed and his body shakes, which started about a month after the 2nd shot and has gotten worse since the 3rd vaccine.  He cannot have a full cup of coffee to drink or it will spill.   He gets stabbing pains, 3 fingers in and just drives his heart one 5:00 from nipple area, 3:00 and in between 10-11:00 on his left pec which is larger than his right.    He is going to the ER today.    After his 2nd vaccine he felt like he had a sledge hammer hit him in the left arm, and wanted to sleep again.  He did not feel too good, but after 2-3 days that disappeared.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Endoscopy abnormal, Fatigue, Gastrooesophageal reflux disease, Pain in extremity
Clinical narrative: I had a sore arm and was tired for about a day after receiving the vaccine. In 03/2023, I had an endoscopy, and I was diagnosed with GERD. I am now taking medication to help with my symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Dyspnoea, Headache, Musculoskeletal chest pain
Clinical narrative: I had a bad cough and a headache. My ribs hurt from coughing, and I felt like I couldn't get enough oxygen. I went to urgent care on April 24, 2023. They did a Strep test. It was negative. They prescribed Prednisone, an Albuterol Inhaler, and Robitussin with Codeine. On April 26, 2023, I took an at home COVID-19 test. It was negative. I had COVID-19 previously in February of 2023. I went to my regular doctor on May 03, 2023, because I wasn't getting better. I had a Chest X-Ray. It was negative for Pneumonia. She prescribed medications, but I did not get them filled. By May 05, 2023, I felt better. The symptoms lasted 14 days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: I had a bad cough and a headache. My ribs hurt from coughing, and I felt like I couldn't get enough oxygen. I went to urgent care on April 24, 2023. They did a Strep test. It was negative. They prescribed Prednisone, an Albuterol Inhaler, and Robitussin with Codeine. On April 26, 2023, I took an at home COVID-19 test. It was negative. I had COVID-19 previously in February of 2023. I went to my regular doctor on May 03, 2023, because I wasn't getting better. I had a Chest X-Ray. It was negative for Pneumonia. She prescribed medications, but I did not get them filled. By May 05, 2023, I felt better. The symptoms lasted 14 days.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 02/28/23 presents to ED for "SOB, cough". PMHx of "HTN, HLP, AAA, bladder Ca, OA"
Age: 1.67
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Wrong product administered
Clinical narrative: On 05/03/2023 the notified Dr. that she draw and give the wrong vaccine, pt. was in a rush and the MA prepared meningococal vaccine opposed to the Prevnar 13. Pt. was called by both Drs. to explain the situation and assure her that no harm or risk would come o her child.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE PULMONARY EMBOLISM
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Coronary artery disease
Clinical narrative: I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 8/15/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 8/15/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Gait inability, Joint swelling, Peripheral swelling
Clinical narrative: I experienced joint pain and there is a very good chance at my age that it is arthritis of some kind. My ankles swelled up and when it does that my foot swelled up and I was unable to walk.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchiectasis, Bronchoscopy abnormal, Condition aggravated, Cough, Pneumothorax
Clinical narrative: I have been dealing with a chronic cough for years because of GERD, it has gotten so much worse. In November I had gone into my pulmonologist for a regular six-month checkup that I need to do since having had my lung collapsed. My pulmonologist scheduled me to have a bronchial scope lung test, it was confirmed that I have bronchiectasis. I was prescribed albuterol nebulizer and a butterfly valve to help clear my lungs. There is not recovery for bronchiectasis, it will eventually get worse, it can be controlled.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure, Shock, Sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE SLEEP APNEA ACUTE RESPIRATORY FAILURE CHRONIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY SHOCK, UNSPECIFIED 12/16/2022,  11/22/2022,   11/30/2022,  1/17/2023,  2/16/2023  -- RECURRENCE OF SAME SYMPTOMS
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE SLEEP APNEA ACUTE RESPIRATORY FAILURE CHRONIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY SHOCK, UNSPECIFIED 12/16/2022,  11/22/2022,   11/30/2022,  1/17/2023,  2/16/2023  -- RECURRENCE OF SAME SYMPTOMS
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic arteriosclerosis, Hyperlipidaemia, Hypoxia
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 6/24/2022 HYPERLIPIDEMIA J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/28/2022 HYPERLIPIDEMIA R09.02 HYPOXIA 6/24/2022 HYPERLIPIDEMIA J96.00 ACUTE RESPIRATORY FAILURE 6/24/2022 ATHEROSCLEROSIS OF AORTA J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/28/2022 ATHEROSCLEROSIS OF AORTA R09.02 HYPOXIA 6/24/2022 ATHEROSCLEROSIS OF AORTA
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Abdominal pain, COVID-19, Change in seizure presentation, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/30/2023 Discharge Date: May 3, 2023  PRESENTING PROBLEM: Status epilepticus (HCC)  Seizures (HCC)    HOSPITAL COURSE: Patient is a 57yoF who was admitted with breakthrough seizures in the setting of CAP. She has a known seizure disorder for which she has taken Dilantin for many years. She was diagnosed with COVID about 5 weeks ago, and was improving, then for the past 3 weeks has noticed increasing mucous production and not feeling well. She also has had increasing frequency of her baseline seizures. She had multiple seizures and presented to a local ED. She was given 5mg Versed and 3G Keppra, and as she was not returning to baseline, was intubated and sedated. She was transferred to an ICU for further care. On admission, she was placed on EEG and after determining she was not actively seizing, her sedation was weaned. Her CXR was consistent with a RLL pneumonia and she was started on a 5d course of Unasyn for CAP. Later in the day, she self extubated and had noted stridor that was treated successfully with steroids and racemic epinephrine. She has continued to improve clinically and passed a bedside swallow evaluation. She transferred out of the ICU to the general floor. She worked with PT/OT and did not require subacute rehab. She remained seizure free. She was transitioned from Unasyn to augmentin for her pneumonia for 5 days. She complained of significant abdominal pain, was evaluated by GI who recommended increasing PPI to BID. She will continue to hold seroquel due to prolonged QTc. Follow up with her PCP and neurology outpatient. PT/OT recommended home with assist. Patient is discharging in improved and stable condition
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Electrocardiogram QT prolonged, Electroencephalogram normal, Endotracheal intubation, Intensive care, Intentional medical device removal by patient
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/30/2023 Discharge Date: May 3, 2023  PRESENTING PROBLEM: Status epilepticus (HCC)  Seizures (HCC)    HOSPITAL COURSE: Patient is a 57yoF who was admitted with breakthrough seizures in the setting of CAP. She has a known seizure disorder for which she has taken Dilantin for many years. She was diagnosed with COVID about 5 weeks ago, and was improving, then for the past 3 weeks has noticed increasing mucous production and not feeling well. She also has had increasing frequency of her baseline seizures. She had multiple seizures and presented to a local ED. She was given 5mg Versed and 3G Keppra, and as she was not returning to baseline, was intubated and sedated. She was transferred to an ICU for further care. On admission, she was placed on EEG and after determining she was not actively seizing, her sedation was weaned. Her CXR was consistent with a RLL pneumonia and she was started on a 5d course of Unasyn for CAP. Later in the day, she self extubated and had noted stridor that was treated successfully with steroids and racemic epinephrine. She has continued to improve clinically and passed a bedside swallow evaluation. She transferred out of the ICU to the general floor. She worked with PT/OT and did not require subacute rehab. She remained seizure free. She was transitioned from Unasyn to augmentin for her pneumonia for 5 days. She complained of significant abdominal pain, was evaluated by GI who recommended increasing PPI to BID. She will continue to hold seroquel due to prolonged QTc. Follow up with her PCP and neurology outpatient. PT/OT recommended home with assist. Patient is discharging in improved and stable condition
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Malaise, Pneumonia, Secretion discharge, Seizure, Status epilepticus
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/30/2023 Discharge Date: May 3, 2023  PRESENTING PROBLEM: Status epilepticus (HCC)  Seizures (HCC)    HOSPITAL COURSE: Patient is a 57yoF who was admitted with breakthrough seizures in the setting of CAP. She has a known seizure disorder for which she has taken Dilantin for many years. She was diagnosed with COVID about 5 weeks ago, and was improving, then for the past 3 weeks has noticed increasing mucous production and not feeling well. She also has had increasing frequency of her baseline seizures. She had multiple seizures and presented to a local ED. She was given 5mg Versed and 3G Keppra, and as she was not returning to baseline, was intubated and sedated. She was transferred to an ICU for further care. On admission, she was placed on EEG and after determining she was not actively seizing, her sedation was weaned. Her CXR was consistent with a RLL pneumonia and she was started on a 5d course of Unasyn for CAP. Later in the day, she self extubated and had noted stridor that was treated successfully with steroids and racemic epinephrine. She has continued to improve clinically and passed a bedside swallow evaluation. She transferred out of the ICU to the general floor. She worked with PT/OT and did not require subacute rehab. She remained seizure free. She was transitioned from Unasyn to augmentin for her pneumonia for 5 days. She complained of significant abdominal pain, was evaluated by GI who recommended increasing PPI to BID. She will continue to hold seroquel due to prolonged QTc. Follow up with her PCP and neurology outpatient. PT/OT recommended home with assist. Patient is discharging in improved and stable condition
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Stridor, Swallow study
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/30/2023 Discharge Date: May 3, 2023  PRESENTING PROBLEM: Status epilepticus (HCC)  Seizures (HCC)    HOSPITAL COURSE: Patient is a 57yoF who was admitted with breakthrough seizures in the setting of CAP. She has a known seizure disorder for which she has taken Dilantin for many years. She was diagnosed with COVID about 5 weeks ago, and was improving, then for the past 3 weeks has noticed increasing mucous production and not feeling well. She also has had increasing frequency of her baseline seizures. She had multiple seizures and presented to a local ED. She was given 5mg Versed and 3G Keppra, and as she was not returning to baseline, was intubated and sedated. She was transferred to an ICU for further care. On admission, she was placed on EEG and after determining she was not actively seizing, her sedation was weaned. Her CXR was consistent with a RLL pneumonia and she was started on a 5d course of Unasyn for CAP. Later in the day, she self extubated and had noted stridor that was treated successfully with steroids and racemic epinephrine. She has continued to improve clinically and passed a bedside swallow evaluation. She transferred out of the ICU to the general floor. She worked with PT/OT and did not require subacute rehab. She remained seizure free. She was transitioned from Unasyn to augmentin for her pneumonia for 5 days. She complained of significant abdominal pain, was evaluated by GI who recommended increasing PPI to BID. She will continue to hold seroquel due to prolonged QTc. Follow up with her PCP and neurology outpatient. PT/OT recommended home with assist. Patient is discharging in improved and stable condition
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Megacolon
Clinical narrative: I95.9 HYPOTENSION 8/10/2022 TOXIC MEGACOLON I95.9 HYPOTENSION 8/10/2022 TOXIC MEGACOLON
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Dyspnoea, Echocardiogram normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 4/30/2023 Discharge Date: May 1, 2023  PRESENTING PROBLEM: Precordial chest pain [R07.2] Chest pain [R07.9] Essential hypertension [I10] Abnormal EKG [R94.31] COVID-19 [U07.1]   HOSPITAL COURSE: 71-year-old female with a past medical history significant for diabetes as well as contact with a family member with COVID-19 who presents due to complaints of headache, chest pain, shortness of breath.   In the emergency department the patient is tachycardic with otherwise stable.  EKG was obtained which showed some nonspecific ST-T changes.  Repeat EKG showed similar findings.  High sensitivity cardiac enzymes were tested and found to be in the indeterminate range with slight increased upon repeat check.  Patient was checked for COVID-19 and found to be positive.  D-dimer was found to be negative.  Chest x-ray showed no acute process.  Case was discussed with Cardiology patient was recommended to be admitted to the hospital with cardiology consultation.   Patient seen in consultation by Cardiology.  Cardiology recommended echocardiogram to ensure no evidence of cardiomyopathy.  Eventually, echocardiogram came back showing a preserved ejection fraction with no evidence of focal wall motion abnormality and no evidence of pericardial effusion.   Per Cardiology, there was no indication for any further testing from a cardiac standpoint.  Patient felt essentially unchanged from admission but she remained hemodynamically stable and on room air.  Patient inquired as to use of Paxlovid in the setting of acute COVID-19 infection.  Patient was prescribed Paxlovid and  discharged home in stable condition on 05/01.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ejection fraction normal, Electrocardiogram ST-T change, Essential hypertension, Fibrin D dimer normal, Headache
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 4/30/2023 Discharge Date: May 1, 2023  PRESENTING PROBLEM: Precordial chest pain [R07.2] Chest pain [R07.9] Essential hypertension [I10] Abnormal EKG [R94.31] COVID-19 [U07.1]   HOSPITAL COURSE: 71-year-old female with a past medical history significant for diabetes as well as contact with a family member with COVID-19 who presents due to complaints of headache, chest pain, shortness of breath.   In the emergency department the patient is tachycardic with otherwise stable.  EKG was obtained which showed some nonspecific ST-T changes.  Repeat EKG showed similar findings.  High sensitivity cardiac enzymes were tested and found to be in the indeterminate range with slight increased upon repeat check.  Patient was checked for COVID-19 and found to be positive.  D-dimer was found to be negative.  Chest x-ray showed no acute process.  Case was discussed with Cardiology patient was recommended to be admitted to the hospital with cardiology consultation.   Patient seen in consultation by Cardiology.  Cardiology recommended echocardiogram to ensure no evidence of cardiomyopathy.  Eventually, echocardiogram came back showing a preserved ejection fraction with no evidence of focal wall motion abnormality and no evidence of pericardial effusion.   Per Cardiology, there was no indication for any further testing from a cardiac standpoint.  Patient felt essentially unchanged from admission but she remained hemodynamically stable and on room air.  Patient inquired as to use of Paxlovid in the setting of acute COVID-19 infection.  Patient was prescribed Paxlovid and  discharged home in stable condition on 05/01.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myocardial necrosis marker increased, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 4/30/2023 Discharge Date: May 1, 2023  PRESENTING PROBLEM: Precordial chest pain [R07.2] Chest pain [R07.9] Essential hypertension [I10] Abnormal EKG [R94.31] COVID-19 [U07.1]   HOSPITAL COURSE: 71-year-old female with a past medical history significant for diabetes as well as contact with a family member with COVID-19 who presents due to complaints of headache, chest pain, shortness of breath.   In the emergency department the patient is tachycardic with otherwise stable.  EKG was obtained which showed some nonspecific ST-T changes.  Repeat EKG showed similar findings.  High sensitivity cardiac enzymes were tested and found to be in the indeterminate range with slight increased upon repeat check.  Patient was checked for COVID-19 and found to be positive.  D-dimer was found to be negative.  Chest x-ray showed no acute process.  Case was discussed with Cardiology patient was recommended to be admitted to the hospital with cardiology consultation.   Patient seen in consultation by Cardiology.  Cardiology recommended echocardiogram to ensure no evidence of cardiomyopathy.  Eventually, echocardiogram came back showing a preserved ejection fraction with no evidence of focal wall motion abnormality and no evidence of pericardial effusion.   Per Cardiology, there was no indication for any further testing from a cardiac standpoint.  Patient felt essentially unchanged from admission but she remained hemodynamically stable and on room air.  Patient inquired as to use of Paxlovid in the setting of acute COVID-19 infection.  Patient was prescribed Paxlovid and  discharged home in stable condition on 05/01.
Age: 10.0
Sex: F
Vaccine: COVID19-2, HPV9, TDAP
Symptoms: Dizziness, Headache, Pain in extremity, Pyrexia, Vaginal lesion
Clinical narrative: Patient received HPV, Covid 19 Pfizer Bivalent 5-11 and Tdap.  Thursday and Friday she had a sore arm, HA and fever. Saturday She had a HA, dizzy with movement and started with vaginal sores. Seen today in the office and started on antibiotics.