chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Procalcitonin increased, Respiratory failure, Superinfection
Clinical narrative: hpi: arthritis, atrial fibrillation, hypertension, mrsa, sob, bph, ckd stage iii, colon cancer stage 3, contusion of left hand, depression, diabetes, facial contusion, facial laceration, fall, gerd, gout, head injuru without loc, hyperlipidemia, hypothyroidism, migraine, musculoskeletal neck pain, prostate enlargement, skin cancer, sleep apnea.  cause of death listed as respiratory failure due to COVID-19  HOSP COURSE: COVID-19 pneumonia symptoms started on 11/15 with presentation to the hospiatl on 11/19. Acure hypoxemia respiratory failure. acute metabolic encephalopathy secondary to multiple comorbidities; worsening acute on chronic kidney disease stage iii with creatinine going up to 2.57, bradycardia on precedex drip. leukopenia at presentation. outpt with leukemoide type  superimposed bacterial pneumonia with elevated procalitonin
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Sudden cardiac death
Clinical narrative: HPI: decompression of lumbar spine, closed fracture of left clavicle, cholecystectomy, bilateral tubal ligation, total hip replacement. No history of tobacco use. Allergies: penicillins, tetracycline, ativan, ambien, sulfa, apsirin, naproxen, advil Preliminary cause of death listed as COVID-19 with sudden cardiac death
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after vaccination. Patient was diagnosed with Covid Tylenol Inpatient
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone normal, C-reactive protein increased, Injection site pain, Ligamentitis, Magnetic resonance imaging abnormal
Clinical narrative: The patient developed severe left shoulder pain.  went to orthopedics, had PT, had cortisone injection.  None of these helped.  She continued with pain and MRI was performed and showed signs concerning for osteomyelitis as well as severe inflammation of tendons, muscles, ligaments.  Biopsy of the bone was negative for infection.  She will be undergoing a total shoulder replacement this month.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Myositis, Red blood cell sedimentation rate increased, Tendonitis
Clinical narrative: The patient developed severe left shoulder pain.  went to orthopedics, had PT, had cortisone injection.  None of these helped.  She continued with pain and MRI was performed and showed signs concerning for osteomyelitis as well as severe inflammation of tendons, muscles, ligaments.  Biopsy of the bone was negative for infection.  She will be undergoing a total shoulder replacement this month.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Within the first 10 minutes I had a sever headache that lasted 2 weeks. A few hours after injection, my left side of neck lymph gland started hurting and has continued to hurt and grow over the past year.  I would report this information through the CDC portal.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility with covid infection
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash...started on back of neck, them stomach, arms,  behind ears, scalp, legs
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Chest tube insertion, Death
Clinical narrative: Seen in ER on 9/18/21 with acute dyspnea. Had a MVC about two weeks ago. He had a small pneumothorax. He did not need a chest tube. The patient was noted to have several rib fractures but stated he had been doing much better but had progressively become more short of breath. Patient was admitted with COVID Pneumonia and date of death was 9/20/21 following a cold blue and withdrawal of care by family.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pneumothorax, Rib fracture, Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: Seen in ER on 9/18/21 with acute dyspnea. Had a MVC about two weeks ago. He had a small pneumothorax. He did not need a chest tube. The patient was noted to have several rib fractures but stated he had been doing much better but had progressively become more short of breath. Patient was admitted with COVID Pneumonia and date of death was 9/20/21 following a cold blue and withdrawal of care by family.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Computerised tomogram head abnormal, Fall, Head injury
Clinical narrative: Date of Evaluation: 1/22/2022                                  Date of Injury: 1/22/2022 Time of Trauma page: 1935                                     Time of Evaluation: 1940 Trauma Code: Level 3   Chief Complaint:  Trauma, Fall   Source of Information:  Patient and Available medical record   Mechanism of Injury/Details of Event:  This is a 51y.o. male past medical history of hemorrhagic stroke with  left-sided deficits, diabetes, CAD, hypertension and kidney/pancreas transplant who presents via EMS from home for fall and trauma surgery was consulted to evaluate. Patient states that prior to his arrival he was using his motorized scooter and went over a small bump which caused him to fall out and he landed on his left side and hit his head. Patient denies any loss of consciousness. Patient is complaining of left-sided shoulder pain. No numbness or tingling in the bilateral upper lower extremity extremities noted. No focal neurological deficits. CT the head was obtained which was significant for a subarachnoid hemorrhage. Patient is currently clinically stable afebrile.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Injury, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Date of Evaluation: 1/22/2022                                  Date of Injury: 1/22/2022 Time of Trauma page: 1935                                     Time of Evaluation: 1940 Trauma Code: Level 3   Chief Complaint:  Trauma, Fall   Source of Information:  Patient and Available medical record   Mechanism of Injury/Details of Event:  This is a 51y.o. male past medical history of hemorrhagic stroke with  left-sided deficits, diabetes, CAD, hypertension and kidney/pancreas transplant who presents via EMS from home for fall and trauma surgery was consulted to evaluate. Patient states that prior to his arrival he was using his motorized scooter and went over a small bump which caused him to fall out and he landed on his left side and hit his head. Patient denies any loss of consciousness. Patient is complaining of left-sided shoulder pain. No numbness or tingling in the bilateral upper lower extremity extremities noted. No focal neurological deficits. CT the head was obtained which was significant for a subarachnoid hemorrhage. Patient is currently clinically stable afebrile.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Subarachnoid haemorrhage
Clinical narrative: Date of Evaluation: 1/22/2022                                  Date of Injury: 1/22/2022 Time of Trauma page: 1935                                     Time of Evaluation: 1940 Trauma Code: Level 3   Chief Complaint:  Trauma, Fall   Source of Information:  Patient and Available medical record   Mechanism of Injury/Details of Event:  This is a 51y.o. male past medical history of hemorrhagic stroke with  left-sided deficits, diabetes, CAD, hypertension and kidney/pancreas transplant who presents via EMS from home for fall and trauma surgery was consulted to evaluate. Patient states that prior to his arrival he was using his motorized scooter and went over a small bump which caused him to fall out and he landed on his left side and hit his head. Patient denies any loss of consciousness. Patient is complaining of left-sided shoulder pain. No numbness or tingling in the bilateral upper lower extremity extremities noted. No focal neurological deficits. CT the head was obtained which was significant for a subarachnoid hemorrhage. Patient is currently clinically stable afebrile.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, General physical health deterioration, Laboratory test
Clinical narrative: On 2/12/2022 (4 days after vaccination), patient went to the ER due to difficulty breathing, where he was admitted for health failure.  He was admitted for 1 week, then discharged home.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Atypical pneumonia, Blood bicarbonate decreased, Blood chloride decreased, Blood creatinine increased, Blood gases
Clinical narrative: HPI: hypertension, diabetes with retinopathy and OSA;  PMH: cataract, diabetic macular edema, both eyes, peripheral neuropathy, pneumonia bilateral, venouse insufficiency of both lower extremities.  PT presented to ER with sob and symptoms of COVID-19 headache, cough, myalgia, and fatigue; symptoms gradually worsened. O2 in low 70's.  Pt treated with bag valve mask ventilation then bipap and received iv solumedrol, ceftriaxone, doxycycline, 1 l ns pt placed on maximum support on vapotherm and nr;
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood lactate dehydrogenase increased, Blood lactic acid increased, Blood potassium increased, Blood sodium decreased
Clinical narrative: HPI: hypertension, diabetes with retinopathy and OSA;  PMH: cataract, diabetic macular edema, both eyes, peripheral neuropathy, pneumonia bilateral, venouse insufficiency of both lower extremities.  PT presented to ER with sob and symptoms of COVID-19 headache, cough, myalgia, and fatigue; symptoms gradually worsened. O2 in low 70's.  Pt treated with bag valve mask ventilation then bipap and received iv solumedrol, ceftriaxone, doxycycline, 1 l ns pt placed on maximum support on vapotherm and nr;
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Brain natriuretic peptide increased, COVID-19, Calcium ionised decreased, Chest X-ray abnormal
Clinical narrative: HPI: hypertension, diabetes with retinopathy and OSA;  PMH: cataract, diabetic macular edema, both eyes, peripheral neuropathy, pneumonia bilateral, venouse insufficiency of both lower extremities.  PT presented to ER with sob and symptoms of COVID-19 headache, cough, myalgia, and fatigue; symptoms gradually worsened. O2 in low 70's.  Pt treated with bag valve mask ventilation then bipap and received iv solumedrol, ceftriaxone, doxycycline, 1 l ns pt placed on maximum support on vapotherm and nr;
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Fibrin D dimer increased, Headache
Clinical narrative: HPI: hypertension, diabetes with retinopathy and OSA;  PMH: cataract, diabetic macular edema, both eyes, peripheral neuropathy, pneumonia bilateral, venouse insufficiency of both lower extremities.  PT presented to ER with sob and symptoms of COVID-19 headache, cough, myalgia, and fatigue; symptoms gradually worsened. O2 in low 70's.  Pt treated with bag valve mask ventilation then bipap and received iv solumedrol, ceftriaxone, doxycycline, 1 l ns pt placed on maximum support on vapotherm and nr;
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Positive airway pressure therapy, SARS-CoV-2 test positive, Troponin
Clinical narrative: HPI: hypertension, diabetes with retinopathy and OSA;  PMH: cataract, diabetic macular edema, both eyes, peripheral neuropathy, pneumonia bilateral, venouse insufficiency of both lower extremities.  PT presented to ER with sob and symptoms of COVID-19 headache, cough, myalgia, and fatigue; symptoms gradually worsened. O2 in low 70's.  Pt treated with bag valve mask ventilation then bipap and received iv solumedrol, ceftriaxone, doxycycline, 1 l ns pt placed on maximum support on vapotherm and nr;
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: HPI: hypertension, diabetes with retinopathy and OSA;  PMH: cataract, diabetic macular edema, both eyes, peripheral neuropathy, pneumonia bilateral, venouse insufficiency of both lower extremities.  PT presented to ER with sob and symptoms of COVID-19 headache, cough, myalgia, and fatigue; symptoms gradually worsened. O2 in low 70's.  Pt treated with bag valve mask ventilation then bipap and received iv solumedrol, ceftriaxone, doxycycline, 1 l ns pt placed on maximum support on vapotherm and nr;
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: pt was given vaccine on 3/7/22  from vial that was first punctured on 3/4/22.  Pt did not show any signs of adverse effects after waiting the 15 minutes after injection.  Manufacturer contacted, waiting on info regarding revaccination of patient
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted and developed covid infection
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Deep vein thrombosis, Influenza A virus test negative, Influenza B virus test, Pain in extremity
Clinical narrative: This is a 29y.o. male With history of previous pulmonary embolism Approximately 4 years ago.  Was treated with Xeralto for 6 months.  Underwent hypercoagulable workup at that time which, according to the patient, was negative.  Patient presented to the ER Today complaining of left calf pain.  Ultrasound reveals a DVT in the left popliteal vein
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Ultrasound Doppler abnormal
Clinical narrative: This is a 29y.o. male With history of previous pulmonary embolism Approximately 4 years ago.  Was treated with Xeralto for 6 months.  Underwent hypercoagulable workup at that time which, according to the patient, was negative.  Patient presented to the ER Today complaining of left calf pain.  Ultrasound reveals a DVT in the left popliteal vein
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Energy increased, Feeling abnormal, Impaired work ability, Injection site erythema, Injection site swelling
Clinical narrative: Received shot around 5:30 PM on Friday, felt 10' tall that night, lots of energy. Woke up Saturday AM, hurt all over, injection site looked like a softball had hit my arm. Area was angry red, hot, did not have to touch the area to feel the heat. Did not take my fever. Saturday and Sunday were spent down and out. Injection site on Monday was still angry red, and you did not have to touch it to feel the heat. Felt like a mac truck had hit me. Worked less hours the whole week. Heat came out of the injection site mid week, by Friday the swelling had gone done.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain
Clinical narrative: Received shot around 5:30 PM on Friday, felt 10' tall that night, lots of energy. Woke up Saturday AM, hurt all over, injection site looked like a softball had hit my arm. Area was angry red, hot, did not have to touch the area to feel the heat. Did not take my fever. Saturday and Sunday were spent down and out. Injection site on Monday was still angry red, and you did not have to touch it to feel the heat. Felt like a mac truck had hit me. Worked less hours the whole week. Heat came out of the injection site mid week, by Friday the swelling had gone done.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/12/21, 3/13/21. Positive on 2/16/22
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Death, Diarrhoea, Endotracheal intubation
Clinical narrative: Patient was tested on 01/21/2022 at a local Hospital.  Patient was admitted on 01/30/2022 and died 01/31/2022.  She was admitted to the ICU and intubated.  Symptoms reported were muscle aches, vomiting, abdominal pain, diarrhea,.  Records indicate pre-existing conditions but none listed in database from medical records.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intensive care, Myalgia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient was tested on 01/21/2022 at a local Hospital.  Patient was admitted on 01/30/2022 and died 01/31/2022.  She was admitted to the ICU and intubated.  Symptoms reported were muscle aches, vomiting, abdominal pain, diarrhea,.  Records indicate pre-existing conditions but none listed in database from medical records.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 1/29/21, 2/24/21. Positive on 3/3/22
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Injection site reaction, Injection site urticaria
Clinical narrative: Developed five red bumps, similar to hives in a circular pattern by my injection site.  They are approximately the size of a dime. They are hard and painful. One is slightly itchy. Noticed them on 3/6/2022 in the evening. This morning, 3/7/2022, some of the hard, red bumps are a little better, but not all. Note, I looked online at pictures of other peoples reactions where they had one large red circle. Mine is not like that. Again, mine is five distinct dime-sized circles in a circular patters around my shot. My whole shoulder hurts to the touch.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Developed five red bumps, similar to hives in a circular pattern by my injection site.  They are approximately the size of a dime. They are hard and painful. One is slightly itchy. Noticed them on 3/6/2022 in the evening. This morning, 3/7/2022, some of the hard, red bumps are a little better, but not all. Note, I looked online at pictures of other peoples reactions where they had one large red circle. Mine is not like that. Again, mine is five distinct dime-sized circles in a circular patters around my shot. My whole shoulder hurts to the touch.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 1/25/21, 2/18/21. Positive on 3/4/22
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted and positive for covid infection
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Exposure to SARS-CoV-2, Eye pain
Clinical narrative: I went to a wedding on 1/14/2022 and was exposed to COVID -19. I received a call from a friend 1/17/2022 stating someone at my table tested positive for COVID-19. I woke up on the 19th feeling like I had a sinus infection. I had a sore throat, headache, I felt ran down, I had a cough, and eye pain. I went for a PET scan the same day and was feeling ill more like a sinus infection and was giving a rapid test, PCR, Flu, and strep throat test and it was negative. I developed a fever of 101.7 and my other symptoms lasted for 3-4 days. I lost my taste and smell on 1/22/2022. I experienced some fatigue for an additional week. I have since recovered from all my symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza virus test negative, Malaise, Oropharyngeal pain
Clinical narrative: I went to a wedding on 1/14/2022 and was exposed to COVID -19. I received a call from a friend 1/17/2022 stating someone at my table tested positive for COVID-19. I woke up on the 19th feeling like I had a sinus infection. I had a sore throat, headache, I felt ran down, I had a cough, and eye pain. I went for a PET scan the same day and was feeling ill more like a sinus infection and was giving a rapid test, PCR, Flu, and strep throat test and it was negative. I developed a fever of 101.7 and my other symptoms lasted for 3-4 days. I lost my taste and smell on 1/22/2022. I experienced some fatigue for an additional week. I have since recovered from all my symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sinusitis, Streptococcus test negative
Clinical narrative: I went to a wedding on 1/14/2022 and was exposed to COVID -19. I received a call from a friend 1/17/2022 stating someone at my table tested positive for COVID-19. I woke up on the 19th feeling like I had a sinus infection. I had a sore throat, headache, I felt ran down, I had a cough, and eye pain. I went for a PET scan the same day and was feeling ill more like a sinus infection and was giving a rapid test, PCR, Flu, and strep throat test and it was negative. I developed a fever of 101.7 and my other symptoms lasted for 3-4 days. I lost my taste and smell on 1/22/2022. I experienced some fatigue for an additional week. I have since recovered from all my symptoms.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Blood creatinine increased, COVID-19, Ecchymosis, Fall
Clinical narrative: Date of Evaluation: 1/22/2022                                  Date of Injury: 1/22/2022 Time of Trauma page: 18:27                                                Time of Evaluation: 18:40 Trauma Code: Level 3   Chief Complaint:  Trauma, Unwitnessed Mechanical Fall   Source of Information:  Daughter   Mechanism of Injury/Details of Event:  This is a 86y.o. female seen by Trauma Surgery for unwitnessed mechanical ground level fall 2 days ago. Patient was found by daughter in the bathroom. Daughter and daughter's husband were carrying patient for past two days and noticed today that patient had enlarging Right thigh.  It is unknown if patient hit head but mental status appears baseline. Patient does have obvious ecchymosis on Right posterior thigh. Patient has biphasic DP and TP pulses in the right leg. She is grossly in pain. Hgb was 6.4 with creatinine 2.06. Patient's past medical history is unknown. Patient also noted to be hypotensive and tachycardic on presentation which corrected with 500ml bolus. Troponins and CPK elevated
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypotension, Influenza A virus test negative, Influenza B virus test, Injury
Clinical narrative: Date of Evaluation: 1/22/2022                                  Date of Injury: 1/22/2022 Time of Trauma page: 18:27                                                Time of Evaluation: 18:40 Trauma Code: Level 3   Chief Complaint:  Trauma, Unwitnessed Mechanical Fall   Source of Information:  Daughter   Mechanism of Injury/Details of Event:  This is a 86y.o. female seen by Trauma Surgery for unwitnessed mechanical ground level fall 2 days ago. Patient was found by daughter in the bathroom. Daughter and daughter's husband were carrying patient for past two days and noticed today that patient had enlarging Right thigh.  It is unknown if patient hit head but mental status appears baseline. Patient does have obvious ecchymosis on Right posterior thigh. Patient has biphasic DP and TP pulses in the right leg. She is grossly in pain. Hgb was 6.4 with creatinine 2.06. Patient's past medical history is unknown. Patient also noted to be hypotensive and tachycardic on presentation which corrected with 500ml bolus. Troponins and CPK elevated
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Date of Evaluation: 1/22/2022                                  Date of Injury: 1/22/2022 Time of Trauma page: 18:27                                                Time of Evaluation: 18:40 Trauma Code: Level 3   Chief Complaint:  Trauma, Unwitnessed Mechanical Fall   Source of Information:  Daughter   Mechanism of Injury/Details of Event:  This is a 86y.o. female seen by Trauma Surgery for unwitnessed mechanical ground level fall 2 days ago. Patient was found by daughter in the bathroom. Daughter and daughter's husband were carrying patient for past two days and noticed today that patient had enlarging Right thigh.  It is unknown if patient hit head but mental status appears baseline. Patient does have obvious ecchymosis on Right posterior thigh. Patient has biphasic DP and TP pulses in the right leg. She is grossly in pain. Hgb was 6.4 with creatinine 2.06. Patient's past medical history is unknown. Patient also noted to be hypotensive and tachycardic on presentation which corrected with 500ml bolus. Troponins and CPK elevated
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Date of Evaluation: 1/22/2022                                  Date of Injury: 1/22/2022 Time of Trauma page: 18:27                                                Time of Evaluation: 18:40 Trauma Code: Level 3   Chief Complaint:  Trauma, Unwitnessed Mechanical Fall   Source of Information:  Daughter   Mechanism of Injury/Details of Event:  This is a 86y.o. female seen by Trauma Surgery for unwitnessed mechanical ground level fall 2 days ago. Patient was found by daughter in the bathroom. Daughter and daughter's husband were carrying patient for past two days and noticed today that patient had enlarging Right thigh.  It is unknown if patient hit head but mental status appears baseline. Patient does have obvious ecchymosis on Right posterior thigh. Patient has biphasic DP and TP pulses in the right leg. She is grossly in pain. Hgb was 6.4 with creatinine 2.06. Patient's past medical history is unknown. Patient also noted to be hypotensive and tachycardic on presentation which corrected with 500ml bolus. Troponins and CPK elevated
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Arthralgia, CSF culture, CSF oligoclonal band absent
Clinical narrative: Patient had shoulder and neck pain that progressed to bilateral arm weakness the next day. Within hours, patient had bilateral upper and lower extremity numbness and left arm and leg weakness. She felt the strength in the right upper and lower extremities was strong and normal. She was seen in the ED that day because she was dragging her left foot/leg and couldn't use her left hand. She was admitted into the hospital with an abnormal C spine MRI. Within 24 hours, she had complete left sided paralysis with bilateral upper and lower extremities numbness. She received 5 days of 1,000 mg solumedrol. She slowly saw improvement in movement to the arm and then leg during her 8 day hospital stay. She was discharged on day 8 with a wheel chair. She is learning to walk again with the help of home PT and OT. She has been out of work for 6 weeks now.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Gait disturbance, Hemiplegia, Hypoaesthesia, Impaired work ability
Clinical narrative: Patient had shoulder and neck pain that progressed to bilateral arm weakness the next day. Within hours, patient had bilateral upper and lower extremity numbness and left arm and leg weakness. She felt the strength in the right upper and lower extremities was strong and normal. She was seen in the ED that day because she was dragging her left foot/leg and couldn't use her left hand. She was admitted into the hospital with an abnormal C spine MRI. Within 24 hours, she had complete left sided paralysis with bilateral upper and lower extremities numbness. She received 5 days of 1,000 mg solumedrol. She slowly saw improvement in movement to the arm and then leg during her 8 day hospital stay. She was discharged on day 8 with a wheel chair. She is learning to walk again with the help of home PT and OT. She has been out of work for 6 weeks now.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal abnormal, Movement disorder, Muscular weakness
Clinical narrative: Patient had shoulder and neck pain that progressed to bilateral arm weakness the next day. Within hours, patient had bilateral upper and lower extremity numbness and left arm and leg weakness. She felt the strength in the right upper and lower extremities was strong and normal. She was seen in the ED that day because she was dragging her left foot/leg and couldn't use her left hand. She was admitted into the hospital with an abnormal C spine MRI. Within 24 hours, she had complete left sided paralysis with bilateral upper and lower extremities numbness. She received 5 days of 1,000 mg solumedrol. She slowly saw improvement in movement to the arm and then leg during her 8 day hospital stay. She was discharged on day 8 with a wheel chair. She is learning to walk again with the help of home PT and OT. She has been out of work for 6 weeks now.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal disorder, Neck pain, Scan with contrast normal, Treponema test, Viral test
Clinical narrative: Patient had shoulder and neck pain that progressed to bilateral arm weakness the next day. Within hours, patient had bilateral upper and lower extremity numbness and left arm and leg weakness. She felt the strength in the right upper and lower extremities was strong and normal. She was seen in the ED that day because she was dragging her left foot/leg and couldn't use her left hand. She was admitted into the hospital with an abnormal C spine MRI. Within 24 hours, she had complete left sided paralysis with bilateral upper and lower extremities numbness. She received 5 days of 1,000 mg solumedrol. She slowly saw improvement in movement to the arm and then leg during her 8 day hospital stay. She was discharged on day 8 with a wheel chair. She is learning to walk again with the help of home PT and OT. She has been out of work for 6 weeks now.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: Patient had shoulder and neck pain that progressed to bilateral arm weakness the next day. Within hours, patient had bilateral upper and lower extremity numbness and left arm and leg weakness. She felt the strength in the right upper and lower extremities was strong and normal. She was seen in the ED that day because she was dragging her left foot/leg and couldn't use her left hand. She was admitted into the hospital with an abnormal C spine MRI. Within 24 hours, she had complete left sided paralysis with bilateral upper and lower extremities numbness. She received 5 days of 1,000 mg solumedrol. She slowly saw improvement in movement to the arm and then leg during her 8 day hospital stay. She was discharged on day 8 with a wheel chair. She is learning to walk again with the help of home PT and OT. She has been out of work for 6 weeks now.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral, Urticaria
Clinical narrative: PATIENT HAD TINGLING AND SWELLING IN THE LIPS THE SAME DAY AS RECEIVING THE COVID-19 VACCINE AND TOOK BENADRYL AND SYMPTOMS RESOLVED.  THE NEXT DAY, SATURDAY, THE PATIENT BROKE OUT IN HIVES IN THE TORSO AREA AND TOOK BENADRYL AGAIN AND THE SYMPTOMS RESOLVED.  THE PATIENT HAS NOT HAD ANY OTHER SYMPTOMS.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Coronavirus test positive, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Patient tested positive on 01/26/2022.  Admitted to the hospital on 01/30/2022 with symptoms: feverish, muscle aches, runny nose, cough, wheezing, shortness of breath, nausea or vomiting, headache, fatigue, diarrhea, olfactory disorder, difficulty breathing.  No date of discharge was listed. Patient has multiple pre-existing health conditions.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Parosmia
Clinical narrative: Patient tested positive on 01/26/2022.  Admitted to the hospital on 01/30/2022 with symptoms: feverish, muscle aches, runny nose, cough, wheezing, shortness of breath, nausea or vomiting, headache, fatigue, diarrhea, olfactory disorder, difficulty breathing.  No date of discharge was listed. Patient has multiple pre-existing health conditions.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Rhinorrhoea, Vomiting, Wheezing
Clinical narrative: Patient tested positive on 01/26/2022.  Admitted to the hospital on 01/30/2022 with symptoms: feverish, muscle aches, runny nose, cough, wheezing, shortness of breath, nausea or vomiting, headache, fatigue, diarrhea, olfactory disorder, difficulty breathing.  No date of discharge was listed. Patient has multiple pre-existing health conditions.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Debridement, Dyspnoea, Hypoxia, Incisional drainage
Clinical narrative: Attending Physician:    Date of Admission:  1/23/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and available chart review    History of Present Illness:  This is a 64y.o. male with a PMHx of essential hypertension, type II diabetes mellitus, osteomyelitis of LLE, right BKA, PVD, and DVT who presents to the hospital with a chief complaint of shortness of breath and hypoxia. Patient was found to have low SpO2 at his ECF this morning and states he had an acute onset of shortness of breath that started to occur last night. He states his SOB was present at rest. He is currently denying any active chest pain, palpitations, n/v/d, fever, chills, abdominal pain, lower extremity pain, headache, lightheadedness, dizziness. He does admit to a non-productive cough, which started yesterday. Patient was placed on 4L NC at that time with improvement of SpO2 to 97% per EMS. Patient does not require any oxygen at baseline. Patient denies any recent travel or sick contacts. He is vaccinated x3 for COVID-19 with his booster completed in October 2021. Of note, patient was recently seen at our facility and discharged on 1/14/22 for acute osteomyelitis of his left lower extremity. He underwent debridement on 1/3/22 and incision and drainage on 1/7/22. He was discharged on 1/14 to ECF with wound VAC changes every other day.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Osteomyelitis acute, Oxygen saturation decreased, Respiratory syncytial virus test negative
Clinical narrative: Attending Physician:    Date of Admission:  1/23/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and available chart review    History of Present Illness:  This is a 64y.o. male with a PMHx of essential hypertension, type II diabetes mellitus, osteomyelitis of LLE, right BKA, PVD, and DVT who presents to the hospital with a chief complaint of shortness of breath and hypoxia. Patient was found to have low SpO2 at his ECF this morning and states he had an acute onset of shortness of breath that started to occur last night. He states his SOB was present at rest. He is currently denying any active chest pain, palpitations, n/v/d, fever, chills, abdominal pain, lower extremity pain, headache, lightheadedness, dizziness. He does admit to a non-productive cough, which started yesterday. Patient was placed on 4L NC at that time with improvement of SpO2 to 97% per EMS. Patient does not require any oxygen at baseline. Patient denies any recent travel or sick contacts. He is vaccinated x3 for COVID-19 with his booster completed in October 2021. Of note, patient was recently seen at our facility and discharged on 1/14/22 for acute osteomyelitis of his left lower extremity. He underwent debridement on 1/3/22 and incision and drainage on 1/7/22. He was discharged on 1/14 to ECF with wound VAC changes every other day.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Attending Physician:    Date of Admission:  1/23/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and available chart review    History of Present Illness:  This is a 64y.o. male with a PMHx of essential hypertension, type II diabetes mellitus, osteomyelitis of LLE, right BKA, PVD, and DVT who presents to the hospital with a chief complaint of shortness of breath and hypoxia. Patient was found to have low SpO2 at his ECF this morning and states he had an acute onset of shortness of breath that started to occur last night. He states his SOB was present at rest. He is currently denying any active chest pain, palpitations, n/v/d, fever, chills, abdominal pain, lower extremity pain, headache, lightheadedness, dizziness. He does admit to a non-productive cough, which started yesterday. Patient was placed on 4L NC at that time with improvement of SpO2 to 97% per EMS. Patient does not require any oxygen at baseline. Patient denies any recent travel or sick contacts. He is vaccinated x3 for COVID-19 with his booster completed in October 2021. Of note, patient was recently seen at our facility and discharged on 1/14/22 for acute osteomyelitis of his left lower extremity. He underwent debridement on 1/3/22 and incision and drainage on 1/7/22. He was discharged on 1/14 to ECF with wound VAC changes every other day.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt received dose #2, was given outside the recommended timeframe of 28 days for Moderna vaccine
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Dysarthria, Facial paralysis, Laboratory test, Motor dysfunction
Clinical narrative: Pt says he had dizziness, mumbled/slurred speech, droopy face on left side, pt says he dropped his coffee
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Speech disorder
Clinical narrative: Pt says he had dizziness, mumbled/slurred speech, droopy face on left side, pt says he dropped his coffee
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall
Clinical narrative: Case fell at home and was admitted to hospital. No other Covid symptoms reported. Case was discharged on 02/23/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Headache, Oropharyngeal pain
Clinical narrative: Approximately around 2 months after my booster shot I tested positive for COVID 19 and experienced the following symptoms: Sore throat (Swollen tonsils), Fever, Headache, Cough, Knee pain. My sore throat lasted for about 1-2 days (I took antibiotic for treatment), and for the other symptoms stated above lasted for about 5 days except for the headache which I am still experiencing as of the moment.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Tonsillar hypertrophy
Clinical narrative: Approximately around 2 months after my booster shot I tested positive for COVID 19 and experienced the following symptoms: Sore throat (Swollen tonsils), Fever, Headache, Cough, Knee pain. My sore throat lasted for about 1-2 days (I took antibiotic for treatment), and for the other symptoms stated above lasted for about 5 days except for the headache which I am still experiencing as of the moment.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, COVID-19, Decreased appetite, Exposure to SARS-CoV-2
Clinical narrative: Date: 1/23/2022    HPI:   Patient is a very pleasant 87-year-old male, well-known to my outpatient practice.  He presented to the emergency room with abdominal pain, predominantly right upper quadrant and fever.  He does report 1 episode of emesis yesterday.  Noted with temperature of 102 degrees.  Took Tylenol prior to coming in.  Patient globally weak. He has had recent anorexia, fatigue. Challenged getting out of bed at home today. He is COVID vaccinated x3.  He has had family exposures to COVID illness.  Not wearing a mask.  Seen in the emergency room setting in which he appears to be comfortable.  He did have a brief hypoxic event with a decline  In O2 saturation to 88% .
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypoxia, Laboratory test normal, Mobility decreased, Oxygen saturation decreased
Clinical narrative: Date: 1/23/2022    HPI:   Patient is a very pleasant 87-year-old male, well-known to my outpatient practice.  He presented to the emergency room with abdominal pain, predominantly right upper quadrant and fever.  He does report 1 episode of emesis yesterday.  Noted with temperature of 102 degrees.  Took Tylenol prior to coming in.  Patient globally weak. He has had recent anorexia, fatigue. Challenged getting out of bed at home today. He is COVID vaccinated x3.  He has had family exposures to COVID illness.  Not wearing a mask.  Seen in the emergency room setting in which he appears to be comfortable.  He did have a brief hypoxic event with a decline  In O2 saturation to 88% .
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Date: 1/23/2022    HPI:   Patient is a very pleasant 87-year-old male, well-known to my outpatient practice.  He presented to the emergency room with abdominal pain, predominantly right upper quadrant and fever.  He does report 1 episode of emesis yesterday.  Noted with temperature of 102 degrees.  Took Tylenol prior to coming in.  Patient globally weak. He has had recent anorexia, fatigue. Challenged getting out of bed at home today. He is COVID vaccinated x3.  He has had family exposures to COVID illness.  Not wearing a mask.  Seen in the emergency room setting in which he appears to be comfortable.  He did have a brief hypoxic event with a decline  In O2 saturation to 88% .
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cystoscopy, Laboratory test, Magnetic resonance imaging head, Pollakiuria, Ultrasound scan
Clinical narrative: Frequent urination relentless.  Since  4/2021 to current date. Nighttime urination frequent  3-5 night time wakings. Multiple tests  and no answers. Everything is negative.  No current UTI, No current menopause symptoms. No current muscular relate diagnosis . LPR diagnosed in 7/2021 separate later symptom in June 2021.  Multiple intake and output 2 day notes. All reflect intake is way under 2 L and mainly stop drinking fluids by 7-8PM nightly and remain 700-1L extra urine output per night. This is every night. There is no brake in pattern and no noticeable ways to change issue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Frequent urination relentless.  Since  4/2021 to current date. Nighttime urination frequent  3-5 night time wakings. Multiple tests  and no answers. Everything is negative.  No current UTI, No current menopause symptoms. No current muscular relate diagnosis . LPR diagnosed in 7/2021 separate later symptom in June 2021.  Multiple intake and output 2 day notes. All reflect intake is way under 2 L and mainly stop drinking fluids by 7-8PM nightly and remain 700-1L extra urine output per night. This is every night. There is no brake in pattern and no noticeable ways to change issue.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cardio-respiratory arrest, Cough, Dyspnoea, Endotracheal intubation
Clinical narrative: pt presented to the hospital complaining of sob for 3 days. Saw Dr. the office 09/24 and was sent to hospital to be evaluated for possible pneumonia. pt complained of cough anrd pain with cough.  HPI: sob, O2 at 90%; PMH: cirrhosis of liver with ascites, diabetes type I, pancytopenia, esophogeal varices, hypertension, diabetes type 2 insulin requiring, anasarca, chronic renal failure stage iv, sumptomatic anemia, gastric antral vascular ectasia, hepatic encephalopathy, pt had previous echocardiogram ejection fraction 60-65% mild concentric left ventricular hypertrophy, bicuspid aortic valve with stenosis, deficiency anemia, diabetic peripheral neuropathy, history of cardia arrhythmias with frequent pvcs and apcs  pt treated with enoxaparin 80 mg, soin-inj, subcutaneous, q24h-int, routine, first dose 10/06/21 sodium chloride 0.45% 1000ml + sodium bicarbonate 50 meq 1000ml iv 10.5 hr rate = 100ml/hr 10/05/2021 sodium chloride 0.9% 1000ml, 1000ml iv 10 hr rate = 100ml/hr 10/05/2021 treated with remdesivir dexamethasone along with antibiotic levaquin and merrem patient was placed on oxygen nonrebreather and a nasal cannula oxygen. pt recedive injectable lasix  pt suffered from cardiopulmary arrest and was resuscitated by the er physician and intubated and transferred to icu.pt on levophed iv fluids but bc of low blood pressure and on ventilator support.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Mechanical ventilation, Resuscitation
Clinical narrative: pt presented to the hospital complaining of sob for 3 days. Saw Dr. the office 09/24 and was sent to hospital to be evaluated for possible pneumonia. pt complained of cough anrd pain with cough.  HPI: sob, O2 at 90%; PMH: cirrhosis of liver with ascites, diabetes type I, pancytopenia, esophogeal varices, hypertension, diabetes type 2 insulin requiring, anasarca, chronic renal failure stage iv, sumptomatic anemia, gastric antral vascular ectasia, hepatic encephalopathy, pt had previous echocardiogram ejection fraction 60-65% mild concentric left ventricular hypertrophy, bicuspid aortic valve with stenosis, deficiency anemia, diabetic peripheral neuropathy, history of cardia arrhythmias with frequent pvcs and apcs  pt treated with enoxaparin 80 mg, soin-inj, subcutaneous, q24h-int, routine, first dose 10/06/21 sodium chloride 0.45% 1000ml + sodium bicarbonate 50 meq 1000ml iv 10.5 hr rate = 100ml/hr 10/05/2021 sodium chloride 0.9% 1000ml, 1000ml iv 10 hr rate = 100ml/hr 10/05/2021 treated with remdesivir dexamethasone along with antibiotic levaquin and merrem patient was placed on oxygen nonrebreather and a nasal cannula oxygen. pt recedive injectable lasix  pt suffered from cardiopulmary arrest and was resuscitated by the er physician and intubated and transferred to icu.pt on levophed iv fluids but bc of low blood pressure and on ventilator support.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Have had inconsistent menstrual cycle since vaccination - blood clots, heavier than normal, frequency varies, length varies
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Feeling cold, Hypoaesthesia, Pain in extremity
Clinical narrative: I had coldness in whole body, numbness in hands more so the right hand, right hand elbow and wrist have soreness.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19 pneumonia, Chest tube insertion, Hyperkalaemia
Clinical narrative: Acute hypoxic respiratory failure MV 9-21-21 severe COVID 19 pneumonia septic shock right-sided pneumothorax s/p chest tube 14 F pigtail 9-21-21 pulseless electrical activity of the heart diastolic heart failure acute kidney injury lactic acidosis-improved hyperkalemia
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lactic acidosis, Left ventricular failure, Pneumothorax, Pulseless electrical activity, Septic shock
Clinical narrative: Acute hypoxic respiratory failure MV 9-21-21 severe COVID 19 pneumonia septic shock right-sided pneumothorax s/p chest tube 14 F pigtail 9-21-21 pulseless electrical activity of the heart diastolic heart failure acute kidney injury lactic acidosis-improved hyperkalemia