chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: On 12/21/2022, I took a trip and noticed others coughing on the plane. On the morning of 12/23/2022, I began to cough as well. I wouldn't have thought anything of it because I have asthma. My brother suggested that I test for COVID-19, and it was positive. The only other symptom I had, was a fever for one day and I vomited once while I was at the doctor's office. I went to a local walk-in clinic because I was out of state at the time. They prescribed PAXLOVID. I took that for 5 days and tested myself again after 8 days and it was negative.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine increased, Blood test abnormal, Blood urea increased, Chronic kidney disease, Ejection fraction abnormal
Clinical narrative: Two months after my booster everything started to rise my BMP. My kidney function, my kidneys are not working like they were. I have had to be put on blood pressure medicine my BUN, creatine, and my injection fraction or EGFR have risen. I am currently in stage three kidney failure.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate increased, Metabolic function test abnormal, Renal impairment
Clinical narrative: Two months after my booster everything started to rise my BMP. My kidney function, my kidneys are not working like they were. I have had to be put on blood pressure medicine my BUN, creatine, and my injection fraction or EGFR have risen. I am currently in stage three kidney failure.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Cough, Palpitations, SARS-CoV-2 test positive
Clinical narrative: 01/05/23 presents to ED for "cough, palpitations". PMHx of "COPD, CHG, A-fib"
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Pt was given a Covid Booster shot when they already had 3 prior shots
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pain in extremity
Clinical narrative: I experienced hurting in my left arm for a few days; tiredness; I starting coughing as well I was prescribed promethazine for coughing.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dysphagia, Fatigue, Headache, Laryngitis
Clinical narrative: I had a headache, chills and fatigue for about two days after receiving the vaccine. On 12/29/2022 I developed a sore throat, very tired, cough with a lot of phlegm. I had laryngitis for a week. I went to the doctor on 01/06/2023 and was tested very COVID-19 and strep was all negative. I had an unknown respiratory virus from 12/29/2022 to 01/17/2023. I was not given a prescription but advised to take over the counter meds to help with symptoms. I recently had an episode with difficulty swallowing. I went to the urgent clinic and received a prescription for omeprazole.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Productive cough, Respiratory tract infection viral, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: I had a headache, chills and fatigue for about two days after receiving the vaccine. On 12/29/2022 I developed a sore throat, very tired, cough with a lot of phlegm. I had laryngitis for a week. I went to the doctor on 01/06/2023 and was tested very COVID-19 and strep was all negative. I had an unknown respiratory virus from 12/29/2022 to 01/17/2023. I was not given a prescription but advised to take over the counter meds to help with symptoms. I recently had an episode with difficulty swallowing. I went to the urgent clinic and received a prescription for omeprazole.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 01/05/23 presents to ED for "fatigue, SOB". PMHx of "heavy uterine bleeding requiring pRBC transfusions, recent diagnosis of DVT/PE and leukocytosis"
Age: 50.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Arthralgia, Blood test abnormal, Contusion, Dry skin, Fatigue
Clinical narrative: I developed hives and itchiness all over the body excluding my face. They lasted for 3 weeks. The hives lasted for 2 weeks. I had poison ivy level itchiness which caused it to be difficult to sleep. I saw my doctor around the 2nd week of January. She prescribed prednisone after I had taken BENADRYL all weekend and showered with SELSUN BLUE. The itching was so bad that I developed black and blue bruises on my legs, arms, and back. I had had a massage and thought that it could be the massage oil. I took the prednisone, and it didn't help. I was using more steroids and removed spicy foods from my diet. I was only able to wear very soft loose clothing. I was advised not to drink alcohol. I was on the prednisone for 10 days and I was advised not to do any activities that would cause me to sweat and irritate the rash. My knees were so painful I wanted to cry. I took oatmeal baths and psoriasis. I used eczema creams as well. It didn't go away until last week. All the symptoms subsided except for a little dry skin. I am still very tired as well.
Age: 50.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Insomnia, Massage, Pruritus, Psoriasis, Urticaria
Clinical narrative: I developed hives and itchiness all over the body excluding my face. They lasted for 3 weeks. The hives lasted for 2 weeks. I had poison ivy level itchiness which caused it to be difficult to sleep. I saw my doctor around the 2nd week of January. She prescribed prednisone after I had taken BENADRYL all weekend and showered with SELSUN BLUE. The itching was so bad that I developed black and blue bruises on my legs, arms, and back. I had had a massage and thought that it could be the massage oil. I took the prednisone, and it didn't help. I was using more steroids and removed spicy foods from my diet. I was only able to wear very soft loose clothing. I was advised not to drink alcohol. I was on the prednisone for 10 days and I was advised not to do any activities that would cause me to sweat and irritate the rash. My knees were so painful I wanted to cry. I took oatmeal baths and psoriasis. I used eczema creams as well. It didn't go away until last week. All the symptoms subsided except for a little dry skin. I am still very tired as well.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood electrolytes, Blood glucose, Blood iron, Chest pain, Death
Clinical narrative: Tachycardia, chest pain, EKG changes Referral Cardiology ED visit Death
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram abnormal, Tachycardia, Thyroid function test, Vitamin D
Clinical narrative: Tachycardia, chest pain, EKG changes Referral Cardiology ED visit Death
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 01/06/23 presents to ED for "weakness, fatigue, COVID" PMHx of "HTN, afib"
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Anxiety, Chills, Disorientation, Feeling abnormal
Clinical narrative: She got her vaccine, halfway through the 15 minute waiting period she had a rushing sensation, like something was rushing into her blood stream, going up to the left side of her face. She had between the eye, ear and chin something that felt different, a numbness or tingling in that area.  She then went outside and walked around and felt kind of wound up but glad that she was doing well.  Then driving back home she had a sharp pain in her heart area, maybe up the arm on the left side where she did not have the shot.  Then she was disoriented, was holding onto a tree to get grounded once she got home.  She had the feeling that she was not fully in her body, this went on for about 2-3 days.  She would drive and feel that she was behind her body.  She also had tinnitus in the left ear, which she has had ever since the vaccine.  She did not have tinnitus prior to the vaccine.  She woke up the 2nd day with the feeling of doom, something was not right feeling.  She later in the month of it wearing out she had a sebaceous type of skin rash that she had never had which did go away after several months.  She has since seen some presentation on some medical students who were on the opening trials found out that these were symptoms of that.  She then found out that there were people who had problems in the face area like Bell's palsy, odd sensations with sounds and sight, and she felt lucky that it was not more severe.  She did get the 2nd vaccine, and has not gotten any boosters, she has talked to her doctor regarding this.  She only had a fever and chills with the 2nd vaccine.  She was concerned that they did not aspirate before giving the vaccine thinking that it got more into her blood stream than in just the muscle.  It is outlawed in Denmark and Sweden not to aspirate first.    She still has tinnitus that she did not have before.  She got better and was hesitant to do boosters.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pyrexia, Rash, Tinnitus
Clinical narrative: She got her vaccine, halfway through the 15 minute waiting period she had a rushing sensation, like something was rushing into her blood stream, going up to the left side of her face. She had between the eye, ear and chin something that felt different, a numbness or tingling in that area.  She then went outside and walked around and felt kind of wound up but glad that she was doing well.  Then driving back home she had a sharp pain in her heart area, maybe up the arm on the left side where she did not have the shot.  Then she was disoriented, was holding onto a tree to get grounded once she got home.  She had the feeling that she was not fully in her body, this went on for about 2-3 days.  She would drive and feel that she was behind her body.  She also had tinnitus in the left ear, which she has had ever since the vaccine.  She did not have tinnitus prior to the vaccine.  She woke up the 2nd day with the feeling of doom, something was not right feeling.  She later in the month of it wearing out she had a sebaceous type of skin rash that she had never had which did go away after several months.  She has since seen some presentation on some medical students who were on the opening trials found out that these were symptoms of that.  She then found out that there were people who had problems in the face area like Bell's palsy, odd sensations with sounds and sight, and she felt lucky that it was not more severe.  She did get the 2nd vaccine, and has not gotten any boosters, she has talked to her doctor regarding this.  She only had a fever and chills with the 2nd vaccine.  She was concerned that they did not aspirate before giving the vaccine thinking that it got more into her blood stream than in just the muscle.  It is outlawed in Denmark and Sweden not to aspirate first.    She still has tinnitus that she did not have before.  She got better and was hesitant to do boosters.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Dyspnoea, Fatigue, Headache
Clinical narrative: I first felt very fatigued that was the only symptom I could detect waking up. I felt generally sick and onset headache hours after. I could tell I was coming down with something. I had chills and shortness of breath throughout the day. Every hour things got progressively worse. I went to urgent care and was prescribed PAXLOVID. I also had a fever of 100.4 degrees. It sustained all day Tuesday and took PAXLOVID that night. That next morning my symptoms started to subside. I tested positive for at least two weeks. I think I was going through a rebound of COVID-19. I just started not having a headache for two weeks. My neck is hurting and tight, it's at the base of my skull. I have to stretch every day. Four to five days after having COVID-19, I dealt with light sinus inflammation and nose pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Muscle tightness, Neck pain, Pyrexia, Rhinalgia
Clinical narrative: I first felt very fatigued that was the only symptom I could detect waking up. I felt generally sick and onset headache hours after. I could tell I was coming down with something. I had chills and shortness of breath throughout the day. Every hour things got progressively worse. I went to urgent care and was prescribed PAXLOVID. I also had a fever of 100.4 degrees. It sustained all day Tuesday and took PAXLOVID that night. That next morning my symptoms started to subside. I tested positive for at least two weeks. I think I was going through a rebound of COVID-19. I just started not having a headache for two weeks. My neck is hurting and tight, it's at the base of my skull. I have to stretch every day. Four to five days after having COVID-19, I dealt with light sinus inflammation and nose pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I first felt very fatigued that was the only symptom I could detect waking up. I felt generally sick and onset headache hours after. I could tell I was coming down with something. I had chills and shortness of breath throughout the day. Every hour things got progressively worse. I went to urgent care and was prescribed PAXLOVID. I also had a fever of 100.4 degrees. It sustained all day Tuesday and took PAXLOVID that night. That next morning my symptoms started to subside. I tested positive for at least two weeks. I think I was going through a rebound of COVID-19. I just started not having a headache for two weeks. My neck is hurting and tight, it's at the base of my skull. I have to stretch every day. Four to five days after having COVID-19, I dealt with light sinus inflammation and nose pain.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Electrocardiogram abnormal, Extrasystoles, Fear, Oropharyngeal discomfort
Clinical narrative: On January 10, 2023, I started having palpitations and a flutter in my throat. I felt very anxious. It was mild to begin with, but, several days to a week later, they became more numerous. After a while, they felt like they were almost constant. I could feel my pulse skip a beat on my wrist. On January 25, 2022, I got frightened and called my husband to come home. He took me to a walk-in cardiac clinic that afternoon. They took my blood pressure and administered an ECG. The ECG was abnormal. She suggested I wear a 24-hour Holter monitor. I received it today and will wear it until tomorrow. I have a follow-up appointment in March.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Palpitations, Supraventricular extrasystoles
Clinical narrative: On January 10, 2023, I started having palpitations and a flutter in my throat. I felt very anxious. It was mild to begin with, but, several days to a week later, they became more numerous. After a while, they felt like they were almost constant. I could feel my pulse skip a beat on my wrist. On January 25, 2022, I got frightened and called my husband to come home. He took me to a walk-in cardiac clinic that afternoon. They took my blood pressure and administered an ECG. The ECG was abnormal. She suggested I wear a 24-hour Holter monitor. I received it today and will wear it until tomorrow. I have a follow-up appointment in March.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, Chest pain, Cortisol decreased, Dizziness
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/27/2023 Discharge Date: Feb 2, 2023  PRESENTING PROBLEM: Shortness of breath [R06.02] Lightheadedness [R42] Chest pain, unspecified type [R07.9] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 42-year-old woman who presented to emergency department due to shortness of breath.  She was positive for COVID in the emergency department and also found to be hypotensive.  She has a history of long haul COVID.  On further evaluation she was hypoxic in 80s with ambulation.  She was immediately started on Decadron.  Her blood pressures did respond to IV fluids however it continued to be soft in 90s.  Cortisol level was checked which was low.  Endocrine was consulted who thought the patient's cortisol level is low because of Decadron use and most likely this is contributing to her low blood pressures.  Decadron was stopped as patient remained on room air.  Patient was started on hydrocortisone which improved her blood pressures.  Echocardiogram was obtained during this admission which was within normal limits.  CT angiogram thorax was negative for pulmonary embolism as well.  Patient was doing well however suddenly again became hypoxic with ambulation r hence was restarted on Decadron after discussing with Endocrine.  Hydrocortisone was stopped.  Patient blood pressure remained stable in spite of stopping hydrocortisone.  She was discharged home with prescription for Decadron to finish total of 10 days.  At the time of discharge he was evaluated by Pulmonary in have and did not require home oxygen .  She was feeling significantly better with improvement in all her symptoms related to COVID and hypotension at the time of discharge.  Orthostatics were also checked which were negative during this admission.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Hypotension, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/27/2023 Discharge Date: Feb 2, 2023  PRESENTING PROBLEM: Shortness of breath [R06.02] Lightheadedness [R42] Chest pain, unspecified type [R07.9] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 42-year-old woman who presented to emergency department due to shortness of breath.  She was positive for COVID in the emergency department and also found to be hypotensive.  She has a history of long haul COVID.  On further evaluation she was hypoxic in 80s with ambulation.  She was immediately started on Decadron.  Her blood pressures did respond to IV fluids however it continued to be soft in 90s.  Cortisol level was checked which was low.  Endocrine was consulted who thought the patient's cortisol level is low because of Decadron use and most likely this is contributing to her low blood pressures.  Decadron was stopped as patient remained on room air.  Patient was started on hydrocortisone which improved her blood pressures.  Echocardiogram was obtained during this admission which was within normal limits.  CT angiogram thorax was negative for pulmonary embolism as well.  Patient was doing well however suddenly again became hypoxic with ambulation r hence was restarted on Decadron after discussing with Endocrine.  Hydrocortisone was stopped.  Patient blood pressure remained stable in spite of stopping hydrocortisone.  She was discharged home with prescription for Decadron to finish total of 10 days.  At the time of discharge he was evaluated by Pulmonary in have and did not require home oxygen .  She was feeling significantly better with improvement in all her symptoms related to COVID and hypotension at the time of discharge.  Orthostatics were also checked which were negative during this admission.
Sex: U
Vaccine: COVID19, COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Facility became concerned about our lack of a dedicated freezer for storing Moderna Covid-19 vaccine on 2/2/2023. I exlpained to them that when we enrolled in the fall of 2020 for the program I was informed that we did NOT need a dedicated freezer. We have been storing unopened cartons/vials in the freezer section of a "home" refrigerator/freezer combo. I have a dedicated freezer on order along with the required 2 DDLs to put in use. I have the email response from Moderna on file if needed for review.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray normal, Condition aggravated, Cough, Diarrhoea
Clinical narrative: I had first day vomiting and diarrhea day two fever over one hundred degrees day three was body aches day four the cough started and then days six my asthma started and got worse and worse and by day twenty I went to my doctor and right now we are day maybe thirty five days and I am starting to feel better after medications only.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Laboratory test, Pain, Pyrexia, Vomiting
Clinical narrative: I had first day vomiting and diarrhea day two fever over one hundred degrees day three was body aches day four the cough started and then days six my asthma started and got worse and worse and by day twenty I went to my doctor and right now we are day maybe thirty five days and I am starting to feel better after medications only.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Atrial fibrillation, COVID-19, Condition aggravated
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD   Date of Admission: 1/26/2023 Discharge Date: 1/31/2023 Room Number: 2023/2023-1    PRESENTING PROBLEM: Pleural effusion [J90] Generalized weakness [R53.1] Pulmonary nodules [R91.8] Community acquired bacterial pneumonia [J15.9] Atrial fibrillation with rapid ventricular response   [I48.91] Fall, initial encounter [W19.XXXA]   HOSPITAL COURSE: Patient is a 96-year-old man who presented to Hospital with altered mental status and weakness, including a fall in the bathroom.  Patient was recently treated for bilateral pneumonia as an outpatient with two courses of antibiotics. He was also given Xanax for anxiety but unclear if he had taken any of this.    In the emergency department images demonstrated new infiltrate, and his COVID test was noted to be positive.  Due to the new infiltrative sites he was started on IV antibiotics.  He was on room air.  Images also demonstrated bilateral pleural effusions.  He was admitted under the hospitalist service. Negative pro calcitonin and antibiotics stopped.  He was not hypoxic and thus did not meet criteria for any specific treatment for COVID, but did clinically improve.  He worked with Physical therapy and Occupational therapy and felt to benefit from subacute rehab.  Discussions with his daughter and Case Management, she is unable to continue caring for him at this time and will require long-term placement.   Case management and his daughter were able to secure long term care at facility. A hospital bed was requested and ordered.    He clinically improved overall throughout his admission but continued to have some mild hyponatremia and a small pleural effusion on imaging the day of discharge. He had no hypoxia, fevers, increased WOB or other indication for thoracentesis. Recommended avoiding any further xanax at this time.    Electrolytes were monitored and repleted PRN throughout the admission. Patient hemodynamically stable for discharge.  Discussed plan of care discharge with patient and daughter including outpatient follow-up PCP within 7 days, as well as follow up labs and chest XR to assess hyponatremia and pleural effusion. Patient voiced understanding was agreeable with plan of care discharge.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Electrolyte depletion, Electrolyte substitution therapy, Fall, Hyponatraemia, Impaired self-care
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD   Date of Admission: 1/26/2023 Discharge Date: 1/31/2023 Room Number: 2023/2023-1    PRESENTING PROBLEM: Pleural effusion [J90] Generalized weakness [R53.1] Pulmonary nodules [R91.8] Community acquired bacterial pneumonia [J15.9] Atrial fibrillation with rapid ventricular response   [I48.91] Fall, initial encounter [W19.XXXA]   HOSPITAL COURSE: Patient is a 96-year-old man who presented to Hospital with altered mental status and weakness, including a fall in the bathroom.  Patient was recently treated for bilateral pneumonia as an outpatient with two courses of antibiotics. He was also given Xanax for anxiety but unclear if he had taken any of this.    In the emergency department images demonstrated new infiltrate, and his COVID test was noted to be positive.  Due to the new infiltrative sites he was started on IV antibiotics.  He was on room air.  Images also demonstrated bilateral pleural effusions.  He was admitted under the hospitalist service. Negative pro calcitonin and antibiotics stopped.  He was not hypoxic and thus did not meet criteria for any specific treatment for COVID, but did clinically improve.  He worked with Physical therapy and Occupational therapy and felt to benefit from subacute rehab.  Discussions with his daughter and Case Management, she is unable to continue caring for him at this time and will require long-term placement.   Case management and his daughter were able to secure long term care at facility. A hospital bed was requested and ordered.    He clinically improved overall throughout his admission but continued to have some mild hyponatremia and a small pleural effusion on imaging the day of discharge. He had no hypoxia, fevers, increased WOB or other indication for thoracentesis. Recommended avoiding any further xanax at this time.    Electrolytes were monitored and repleted PRN throughout the admission. Patient hemodynamically stable for discharge.  Discussed plan of care discharge with patient and daughter including outpatient follow-up PCP within 7 days, as well as follow up labs and chest XR to assess hyponatremia and pleural effusion. Patient voiced understanding was agreeable with plan of care discharge.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Mental status changes, Pleural effusion, Pneumonia, Pneumonia bacterial
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD   Date of Admission: 1/26/2023 Discharge Date: 1/31/2023 Room Number: 2023/2023-1    PRESENTING PROBLEM: Pleural effusion [J90] Generalized weakness [R53.1] Pulmonary nodules [R91.8] Community acquired bacterial pneumonia [J15.9] Atrial fibrillation with rapid ventricular response   [I48.91] Fall, initial encounter [W19.XXXA]   HOSPITAL COURSE: Patient is a 96-year-old man who presented to Hospital with altered mental status and weakness, including a fall in the bathroom.  Patient was recently treated for bilateral pneumonia as an outpatient with two courses of antibiotics. He was also given Xanax for anxiety but unclear if he had taken any of this.    In the emergency department images demonstrated new infiltrate, and his COVID test was noted to be positive.  Due to the new infiltrative sites he was started on IV antibiotics.  He was on room air.  Images also demonstrated bilateral pleural effusions.  He was admitted under the hospitalist service. Negative pro calcitonin and antibiotics stopped.  He was not hypoxic and thus did not meet criteria for any specific treatment for COVID, but did clinically improve.  He worked with Physical therapy and Occupational therapy and felt to benefit from subacute rehab.  Discussions with his daughter and Case Management, she is unable to continue caring for him at this time and will require long-term placement.   Case management and his daughter were able to secure long term care at facility. A hospital bed was requested and ordered.    He clinically improved overall throughout his admission but continued to have some mild hyponatremia and a small pleural effusion on imaging the day of discharge. He had no hypoxia, fevers, increased WOB or other indication for thoracentesis. Recommended avoiding any further xanax at this time.    Electrolytes were monitored and repleted PRN throughout the admission. Patient hemodynamically stable for discharge.  Discussed plan of care discharge with patient and daughter including outpatient follow-up PCP within 7 days, as well as follow up labs and chest XR to assess hyponatremia and pleural effusion. Patient voiced understanding was agreeable with plan of care discharge.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin normal, Pulmonary imaging procedure abnormal, Pulmonary mass, SARS-CoV-2 test positive
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD   Date of Admission: 1/26/2023 Discharge Date: 1/31/2023 Room Number: 2023/2023-1    PRESENTING PROBLEM: Pleural effusion [J90] Generalized weakness [R53.1] Pulmonary nodules [R91.8] Community acquired bacterial pneumonia [J15.9] Atrial fibrillation with rapid ventricular response   [I48.91] Fall, initial encounter [W19.XXXA]   HOSPITAL COURSE: Patient is a 96-year-old man who presented to Hospital with altered mental status and weakness, including a fall in the bathroom.  Patient was recently treated for bilateral pneumonia as an outpatient with two courses of antibiotics. He was also given Xanax for anxiety but unclear if he had taken any of this.    In the emergency department images demonstrated new infiltrate, and his COVID test was noted to be positive.  Due to the new infiltrative sites he was started on IV antibiotics.  He was on room air.  Images also demonstrated bilateral pleural effusions.  He was admitted under the hospitalist service. Negative pro calcitonin and antibiotics stopped.  He was not hypoxic and thus did not meet criteria for any specific treatment for COVID, but did clinically improve.  He worked with Physical therapy and Occupational therapy and felt to benefit from subacute rehab.  Discussions with his daughter and Case Management, she is unable to continue caring for him at this time and will require long-term placement.   Case management and his daughter were able to secure long term care at facility. A hospital bed was requested and ordered.    He clinically improved overall throughout his admission but continued to have some mild hyponatremia and a small pleural effusion on imaging the day of discharge. He had no hypoxia, fevers, increased WOB or other indication for thoracentesis. Recommended avoiding any further xanax at this time.    Electrolytes were monitored and repleted PRN throughout the admission. Patient hemodynamically stable for discharge.  Discussed plan of care discharge with patient and daughter including outpatient follow-up PCP within 7 days, as well as follow up labs and chest XR to assess hyponatremia and pleural effusion. Patient voiced understanding was agreeable with plan of care discharge.
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: o Parent/Guardian attested multiple times that the patient?s date of birth. Also, she confirmed that patient was at least 5 years old. o I tried to correct DOB but wouldn?t allow it. Guardian did not want to provide birth certificate to submit change o Patient received the Pfizer 5-11 year old vaccine
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: o Parent/Guardian attested and submitted 2 separate forms confirming that patient date of birth is October 16th 2016 o I tried to correct DOB but the system wouldn?t allow it. Guardian did not want to provide birth certificate to submit to the agency for change o Patient received the Pfizer 5-11
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: o Parent/Guardian attested multiple times that the patient?s date of birth was Wednesday 09/26/2016. Also, confirmed that patient was at least 5 years old. o I tried to correct DOB but data entry system wouldn?t allow it. Guardian did not want to provide birth certificate to submit for change o Patient received the Pfizer 5-11 year old vaccine
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Two weeks after getting my COVID-19 vaccine, I started feeling congested with a sore throat. Currently taking Sudafed and using a vaporizer.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood thyroid stimulating hormone normal, COVID-19, COVID-19 pneumonia, Fall, Hypoglycaemia
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 1/26/2023 Discharge Date: 1/28/2023   PRESENTING PROBLEM: Hypokalemia  Thyroid nodule  Hypoglycemia Renal insufficiency  Fall, initial encounter  Pneumonia due to COVID-19 virus    HOSPITAL COURSE: The patient is a 87 y.o. male long term resident with a past medical history of anxiety, CKD, dementia, sleep disturbance, paroxysmal atrial fibrillation, coronary artery disease, hypertension, chronic obstructive pulmonary disease and left shoulder pain who presented to the emergency department after a ground level fall.  On presentation to emergency department he was noted to be hypoglycemic and hypothermic.  He had unknown COVID positive since 01/18/2023.  Urinalysis was consistent with infection and imaging showed a right lower lobe consolidation concerning for a superimposed bacterial pneumonia.  There was also an incidental finding of a thyroid nodule. He was admitted to the hospitalist service for COVID-19 pneumonia and urinary tract infection.   During hospitalization he initially required 2 L of nasal cannulated oxygen.  He was quickly weaned to room air.  He was placed on IV ceftriaxone and azithromycin for the treatment of superimposed bacterial pneumonia as well as Decadron for COVID-19.  Urinalysis did grow out Proteus and Aerococcus.  He was given a 1 time dose of fosfomycin for aerococcus coverage.  Thyroid nodule was discussed at length with patient and DPOA.  At this time they would do not want to pursue additional testing with thyroid ultrasound as he is not having any dysphagia or hoarse voice and they would most likely not pursue any type of treatment for malignancy.  TSH was normal on recent check.  He completed 3 days of ceftriaxone and 2 and half days of doxycycline.  He will be discharged on additional 2 half days of doxycycline and 2 days of Ceftin to complete antibiotic therapy for urinary tract infection and bacterial pneumonia.  He will also be prescribed additional 7 days of Decadron to complete 10 day course for COVID-19.  On the day of discharged in medically stable condition.  He denies any fever, chills,  shortness of breath, nausea, vomiting, or diarrhea.  He does continue to have a productive cough.  He does continue to have leukocytosis however with clinical improvement this is thought to be secondary to steroid use.  Recommend that he have a complete blood count in the next week or so after completing steroid therapy.  He will be discharged back to where he resides.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypokalaemia, Hypothermia, Leukocytosis, Lung consolidation, Pneumonia bacterial
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 1/26/2023 Discharge Date: 1/28/2023   PRESENTING PROBLEM: Hypokalemia  Thyroid nodule  Hypoglycemia Renal insufficiency  Fall, initial encounter  Pneumonia due to COVID-19 virus    HOSPITAL COURSE: The patient is a 87 y.o. male long term resident with a past medical history of anxiety, CKD, dementia, sleep disturbance, paroxysmal atrial fibrillation, coronary artery disease, hypertension, chronic obstructive pulmonary disease and left shoulder pain who presented to the emergency department after a ground level fall.  On presentation to emergency department he was noted to be hypoglycemic and hypothermic.  He had unknown COVID positive since 01/18/2023.  Urinalysis was consistent with infection and imaging showed a right lower lobe consolidation concerning for a superimposed bacterial pneumonia.  There was also an incidental finding of a thyroid nodule. He was admitted to the hospitalist service for COVID-19 pneumonia and urinary tract infection.   During hospitalization he initially required 2 L of nasal cannulated oxygen.  He was quickly weaned to room air.  He was placed on IV ceftriaxone and azithromycin for the treatment of superimposed bacterial pneumonia as well as Decadron for COVID-19.  Urinalysis did grow out Proteus and Aerococcus.  He was given a 1 time dose of fosfomycin for aerococcus coverage.  Thyroid nodule was discussed at length with patient and DPOA.  At this time they would do not want to pursue additional testing with thyroid ultrasound as he is not having any dysphagia or hoarse voice and they would most likely not pursue any type of treatment for malignancy.  TSH was normal on recent check.  He completed 3 days of ceftriaxone and 2 and half days of doxycycline.  He will be discharged on additional 2 half days of doxycycline and 2 days of Ceftin to complete antibiotic therapy for urinary tract infection and bacterial pneumonia.  He will also be prescribed additional 7 days of Decadron to complete 10 day course for COVID-19.  On the day of discharged in medically stable condition.  He denies any fever, chills,  shortness of breath, nausea, vomiting, or diarrhea.  He does continue to have a productive cough.  He does continue to have leukocytosis however with clinical improvement this is thought to be secondary to steroid use.  Recommend that he have a complete blood count in the next week or so after completing steroid therapy.  He will be discharged back to where he resides.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Productive cough, Proteus test positive, Pulmonary imaging procedure abnormal, Renal failure, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 1/26/2023 Discharge Date: 1/28/2023   PRESENTING PROBLEM: Hypokalemia  Thyroid nodule  Hypoglycemia Renal insufficiency  Fall, initial encounter  Pneumonia due to COVID-19 virus    HOSPITAL COURSE: The patient is a 87 y.o. male long term resident with a past medical history of anxiety, CKD, dementia, sleep disturbance, paroxysmal atrial fibrillation, coronary artery disease, hypertension, chronic obstructive pulmonary disease and left shoulder pain who presented to the emergency department after a ground level fall.  On presentation to emergency department he was noted to be hypoglycemic and hypothermic.  He had unknown COVID positive since 01/18/2023.  Urinalysis was consistent with infection and imaging showed a right lower lobe consolidation concerning for a superimposed bacterial pneumonia.  There was also an incidental finding of a thyroid nodule. He was admitted to the hospitalist service for COVID-19 pneumonia and urinary tract infection.   During hospitalization he initially required 2 L of nasal cannulated oxygen.  He was quickly weaned to room air.  He was placed on IV ceftriaxone and azithromycin for the treatment of superimposed bacterial pneumonia as well as Decadron for COVID-19.  Urinalysis did grow out Proteus and Aerococcus.  He was given a 1 time dose of fosfomycin for aerococcus coverage.  Thyroid nodule was discussed at length with patient and DPOA.  At this time they would do not want to pursue additional testing with thyroid ultrasound as he is not having any dysphagia or hoarse voice and they would most likely not pursue any type of treatment for malignancy.  TSH was normal on recent check.  He completed 3 days of ceftriaxone and 2 and half days of doxycycline.  He will be discharged on additional 2 half days of doxycycline and 2 days of Ceftin to complete antibiotic therapy for urinary tract infection and bacterial pneumonia.  He will also be prescribed additional 7 days of Decadron to complete 10 day course for COVID-19.  On the day of discharged in medically stable condition.  He denies any fever, chills,  shortness of breath, nausea, vomiting, or diarrhea.  He does continue to have a productive cough.  He does continue to have leukocytosis however with clinical improvement this is thought to be secondary to steroid use.  Recommend that he have a complete blood count in the next week or so after completing steroid therapy.  He will be discharged back to where he resides.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Streptococcus test positive, Superinfection, Thyroid mass, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 1/26/2023 Discharge Date: 1/28/2023   PRESENTING PROBLEM: Hypokalemia  Thyroid nodule  Hypoglycemia Renal insufficiency  Fall, initial encounter  Pneumonia due to COVID-19 virus    HOSPITAL COURSE: The patient is a 87 y.o. male long term resident with a past medical history of anxiety, CKD, dementia, sleep disturbance, paroxysmal atrial fibrillation, coronary artery disease, hypertension, chronic obstructive pulmonary disease and left shoulder pain who presented to the emergency department after a ground level fall.  On presentation to emergency department he was noted to be hypoglycemic and hypothermic.  He had unknown COVID positive since 01/18/2023.  Urinalysis was consistent with infection and imaging showed a right lower lobe consolidation concerning for a superimposed bacterial pneumonia.  There was also an incidental finding of a thyroid nodule. He was admitted to the hospitalist service for COVID-19 pneumonia and urinary tract infection.   During hospitalization he initially required 2 L of nasal cannulated oxygen.  He was quickly weaned to room air.  He was placed on IV ceftriaxone and azithromycin for the treatment of superimposed bacterial pneumonia as well as Decadron for COVID-19.  Urinalysis did grow out Proteus and Aerococcus.  He was given a 1 time dose of fosfomycin for aerococcus coverage.  Thyroid nodule was discussed at length with patient and DPOA.  At this time they would do not want to pursue additional testing with thyroid ultrasound as he is not having any dysphagia or hoarse voice and they would most likely not pursue any type of treatment for malignancy.  TSH was normal on recent check.  He completed 3 days of ceftriaxone and 2 and half days of doxycycline.  He will be discharged on additional 2 half days of doxycycline and 2 days of Ceftin to complete antibiotic therapy for urinary tract infection and bacterial pneumonia.  He will also be prescribed additional 7 days of Decadron to complete 10 day course for COVID-19.  On the day of discharged in medically stable condition.  He denies any fever, chills,  shortness of breath, nausea, vomiting, or diarrhea.  He does continue to have a productive cough.  He does continue to have leukocytosis however with clinical improvement this is thought to be secondary to steroid use.  Recommend that he have a complete blood count in the next week or so after completing steroid therapy.  He will be discharged back to where he resides.
Age: 40.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Paraesthesia oral, Tongue pruritus
Clinical narrative: 10:45am  as client was leaving, she stated that her lips were alittle tingly .  came back in to clinic and waited then she complained that her tongue was a little itchy.  11:00am  Gave Benadryl 50mg IM to right arm.  sat in clinic x 30 mins.  during that time, she did say she was better, just tired   called a family member to pick her up.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient came into office for 1st dose COVID shot, administered. shot expired on 02/02/2023, no treatment required, no adverse outcome
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: age 80 Admit 1/27/2023 with Afib with RVR as principal problem. COVID positive 1/27/2023. Noted Acute respiratory failure with hypoxia on discharge diagnoses. Patient was made comfort care. Date of death: 2/1/2023
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Ultrasound scan vagina normal
Clinical narrative: after first dose my menstrual period stopped for 4 months. after the 3rd shot   menstrual periods last 6 weeks then disappear for 57 days then come back for 2 weeks and so on.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient got the IMZ high up and behind the arm. Immediately felt pain, and shortly after redness. Just took ibuprofen. Redness, but the pain moved down and felt her pinkie and pointer finger start to get tingly and numb. Been over a month and still feeling the numbness and tingling.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Patient got the IMZ high up and behind the arm. Immediately felt pain, and shortly after redness. Just took ibuprofen. Redness, but the pain moved down and felt her pinkie and pointer finger start to get tingly and numb. Been over a month and still feeling the numbness and tingling.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Chest tube insertion, Death, Dyspnoea
Clinical narrative: 3RD DOSE, MODERNA COVID VACCINE GIVEN 11/23/21, LOT #034F21A;  pt to ED with c/o chest pain, dyspnea, fatigue; productive cough; poor po intake; has Pleurx catheter; positive for COVID; respiratory status worsened requiring Optiflow 50L at 50%; pt's condition continued to deteriorate; transitioned to hospice and passed away in the hospital
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, General physical health deterioration, Hypophagia, Productive cough, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE, MODERNA COVID VACCINE GIVEN 11/23/21, LOT #034F21A;  pt to ED with c/o chest pain, dyspnea, fatigue; productive cough; poor po intake; has Pleurx catheter; positive for COVID; respiratory status worsened requiring Optiflow 50L at 50%; pt's condition continued to deteriorate; transitioned to hospice and passed away in the hospital
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea exertional, Hypovolaemic shock, Magnetic resonance imaging heart
Clinical narrative: Admission Date: 1/24/2023 Discharge Date: 2/3/23  PRESENTING PROBLEM: Septic shock (HCC) [A41.9, R65.21] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 73 y.o. woman s/p right lung transplant 8/3/2015 for RA related pulmonary fibrosis, admitted 1/24/23 due to COVID-19 pneumonia and shock related to hypovolemia. Receiving decadrone and remdesivir. Now with persistent dyspnea, tachycardia on exertion. Cardiac MRI repeated while here, structural heart stated stable and no intervention at this time.  O2 was able to be weaned to room air at rest and 2 liters with activity, She continues to have DOE and tachycardia with exertion (had for past year +) - suspect this is due to multifactorial etiology: deconditioning, underlying heart disease (valvular), single lung, recent COVID. PT recommended acute rehab, palliative had goals of care discussion  -  hospice vs rehab - they wanted to try a week of rehab then go home and re-assess hospice vs continued palliative care. Her insurance denied rehab - family and patient wanted to go home.
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Physical deconditioning, Septic shock, Tachycardia
Clinical narrative: Admission Date: 1/24/2023 Discharge Date: 2/3/23  PRESENTING PROBLEM: Septic shock (HCC) [A41.9, R65.21] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 73 y.o. woman s/p right lung transplant 8/3/2015 for RA related pulmonary fibrosis, admitted 1/24/23 due to COVID-19 pneumonia and shock related to hypovolemia. Receiving decadrone and remdesivir. Now with persistent dyspnea, tachycardia on exertion. Cardiac MRI repeated while here, structural heart stated stable and no intervention at this time.  O2 was able to be weaned to room air at rest and 2 liters with activity, She continues to have DOE and tachycardia with exertion (had for past year +) - suspect this is due to multifactorial etiology: deconditioning, underlying heart disease (valvular), single lung, recent COVID. PT recommended acute rehab, palliative had goals of care discussion  -  hospice vs rehab - they wanted to try a week of rehab then go home and re-assess hospice vs continued palliative care. Her insurance denied rehab - family and patient wanted to go home.