chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: Idiopathic PE requiring hospitalization and initiation of therapeutic anticoagulation and monitoring
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Contusion, Death, Delirium
Clinical narrative: Pt presented to the ED on 11/15/2021 for a Head Contusion from a fall at home.  The patient tested positive for COVID- 19 at that time.  The pt developed progressive respiratory failure and was transferred to the ICU for BiPAP  While at RN the patient was treated with a course of remdesivir as well as Decadron.  The pt had high oxygen requirements and was on high-flow oxygen at 60L/minute with 65% FiO2.  Pt was noted to have significant delirium and there were concerns about the patients swallowing mechanics and the significant delirium, so patient was on TPN for nutritional support on admission to hospital. The plan was for the patient to continue on high-flow oxygen, Pulmonary Service was consulted to help with the patients respiratory failure.  While at hospital it was noted that the patient had worsening hypoxic respiratory failure likely due to COVID.  On 12/5/2021 family met with the Pulmonary physician and patients current respiratory status and prognosis were discussed, family at that time was deciding on comfort cares.  Family made the decision on 12/5/2021 at 0915, patient expired on 12/6/20210 at 1027.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Intensive care, Positive airway pressure therapy, Respiratory failure
Clinical narrative: Pt presented to the ED on 11/15/2021 for a Head Contusion from a fall at home.  The patient tested positive for COVID- 19 at that time.  The pt developed progressive respiratory failure and was transferred to the ICU for BiPAP  While at RN the patient was treated with a course of remdesivir as well as Decadron.  The pt had high oxygen requirements and was on high-flow oxygen at 60L/minute with 65% FiO2.  Pt was noted to have significant delirium and there were concerns about the patients swallowing mechanics and the significant delirium, so patient was on TPN for nutritional support on admission to hospital. The plan was for the patient to continue on high-flow oxygen, Pulmonary Service was consulted to help with the patients respiratory failure.  While at hospital it was noted that the patient had worsening hypoxic respiratory failure likely due to COVID.  On 12/5/2021 family met with the Pulmonary physician and patients current respiratory status and prognosis were discussed, family at that time was deciding on comfort cares.  Family made the decision on 12/5/2021 at 0915, patient expired on 12/6/20210 at 1027.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt presented to the ED on 11/15/2021 for a Head Contusion from a fall at home.  The patient tested positive for COVID- 19 at that time.  The pt developed progressive respiratory failure and was transferred to the ICU for BiPAP  While at RN the patient was treated with a course of remdesivir as well as Decadron.  The pt had high oxygen requirements and was on high-flow oxygen at 60L/minute with 65% FiO2.  Pt was noted to have significant delirium and there were concerns about the patients swallowing mechanics and the significant delirium, so patient was on TPN for nutritional support on admission to hospital. The plan was for the patient to continue on high-flow oxygen, Pulmonary Service was consulted to help with the patients respiratory failure.  While at hospital it was noted that the patient had worsening hypoxic respiratory failure likely due to COVID.  On 12/5/2021 family met with the Pulmonary physician and patients current respiratory status and prognosis were discussed, family at that time was deciding on comfort cares.  Family made the decision on 12/5/2021 at 0915, patient expired on 12/6/20210 at 1027.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Anxiety, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 11/30/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  ASSESSMENT / PLAN: 43 y.o. male with PMHx of morbid obesity, OSA, DMII, FERD, HLD, osteomyelitis with above knee amputation who is presenting 11/30 for acute hypoxic respiratory failure and DKA.      Acute Hypoxic Respiratory Failure COVID pneumonia  OSA AHRF likely secondary to COVID 19. Symptom onset 11/13 with positive home test. COVID(+) test in hospital 11/30. Fully vaccinated.  Will consider possible superimposed bacterial infection/atypical pneumonia. Also considering possible PE given history of acute progression after several weeks of symptoms and likely hypercoagulable state with COVID pneumonia. - Dexamethasone 6 mg 10 days (11/30 - day 1)  - Past window for Remdesivir - Empiric CAP coverage: Ceftriaxone, azithromycin (5 day course, starting 11/30) - Pneumonia labs: ProCal, Sputum culture, respiratory film array, legionella Ag, Strep pneumo, MRSA screen PCR - pending - Rule out PE: UE/LE ultrasound - rule out DVT - Prophylactic heparin - Echo 12/5/2021 note: Transferred to ICU for high risk of intubation. Remains comfortable on HFNC.  Intermittently continues to desat into the mid 80s with exertion. Plan for 12/5 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today BP better with  Coreg Klonipin  persistent anxiety Advance diet DGMS consult  12/7/2021 note: Acute hypoxic respiratory failure Related to COVID pneumonia  Chest XR with bilateral infiltrates  Cannot exclude superimposed bacterial pneumonia Procalcitonin .65 CAP coverage with ceftriaxone and azithromycin - plan for 5 days of treatment  Legionella, strep pneumo negative  Unable to collect sputum culture  Continues on HFNC without respiratory distress  Gentle diuresis w/ recent AKI Plan for 12/7 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today DGMS consult
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Diabetic ketoacidosis, Echocardiogram, Hypercoagulation
Clinical narrative: Hospitalized 11/30/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  ASSESSMENT / PLAN: 43 y.o. male with PMHx of morbid obesity, OSA, DMII, FERD, HLD, osteomyelitis with above knee amputation who is presenting 11/30 for acute hypoxic respiratory failure and DKA.      Acute Hypoxic Respiratory Failure COVID pneumonia  OSA AHRF likely secondary to COVID 19. Symptom onset 11/13 with positive home test. COVID(+) test in hospital 11/30. Fully vaccinated.  Will consider possible superimposed bacterial infection/atypical pneumonia. Also considering possible PE given history of acute progression after several weeks of symptoms and likely hypercoagulable state with COVID pneumonia. - Dexamethasone 6 mg 10 days (11/30 - day 1)  - Past window for Remdesivir - Empiric CAP coverage: Ceftriaxone, azithromycin (5 day course, starting 11/30) - Pneumonia labs: ProCal, Sputum culture, respiratory film array, legionella Ag, Strep pneumo, MRSA screen PCR - pending - Rule out PE: UE/LE ultrasound - rule out DVT - Prophylactic heparin - Echo 12/5/2021 note: Transferred to ICU for high risk of intubation. Remains comfortable on HFNC.  Intermittently continues to desat into the mid 80s with exertion. Plan for 12/5 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today BP better with  Coreg Klonipin  persistent anxiety Advance diet DGMS consult  12/7/2021 note: Acute hypoxic respiratory failure Related to COVID pneumonia  Chest XR with bilateral infiltrates  Cannot exclude superimposed bacterial pneumonia Procalcitonin .65 CAP coverage with ceftriaxone and azithromycin - plan for 5 days of treatment  Legionella, strep pneumo negative  Unable to collect sputum culture  Continues on HFNC without respiratory distress  Gentle diuresis w/ recent AKI Plan for 12/7 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today DGMS consult
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Legionella test, Lung infiltration, Oxygen saturation decreased, Pneumonia bacterial
Clinical narrative: Hospitalized 11/30/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  ASSESSMENT / PLAN: 43 y.o. male with PMHx of morbid obesity, OSA, DMII, FERD, HLD, osteomyelitis with above knee amputation who is presenting 11/30 for acute hypoxic respiratory failure and DKA.      Acute Hypoxic Respiratory Failure COVID pneumonia  OSA AHRF likely secondary to COVID 19. Symptom onset 11/13 with positive home test. COVID(+) test in hospital 11/30. Fully vaccinated.  Will consider possible superimposed bacterial infection/atypical pneumonia. Also considering possible PE given history of acute progression after several weeks of symptoms and likely hypercoagulable state with COVID pneumonia. - Dexamethasone 6 mg 10 days (11/30 - day 1)  - Past window for Remdesivir - Empiric CAP coverage: Ceftriaxone, azithromycin (5 day course, starting 11/30) - Pneumonia labs: ProCal, Sputum culture, respiratory film array, legionella Ag, Strep pneumo, MRSA screen PCR - pending - Rule out PE: UE/LE ultrasound - rule out DVT - Prophylactic heparin - Echo 12/5/2021 note: Transferred to ICU for high risk of intubation. Remains comfortable on HFNC.  Intermittently continues to desat into the mid 80s with exertion. Plan for 12/5 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today BP better with  Coreg Klonipin  persistent anxiety Advance diet DGMS consult  12/7/2021 note: Acute hypoxic respiratory failure Related to COVID pneumonia  Chest XR with bilateral infiltrates  Cannot exclude superimposed bacterial pneumonia Procalcitonin .65 CAP coverage with ceftriaxone and azithromycin - plan for 5 days of treatment  Legionella, strep pneumo negative  Unable to collect sputum culture  Continues on HFNC without respiratory distress  Gentle diuresis w/ recent AKI Plan for 12/7 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today DGMS consult
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin, Respiratory viral panel, SARS-CoV-2 test positive, Sleep apnoea syndrome, Streptococcus test negative
Clinical narrative: Hospitalized 11/30/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  ASSESSMENT / PLAN: 43 y.o. male with PMHx of morbid obesity, OSA, DMII, FERD, HLD, osteomyelitis with above knee amputation who is presenting 11/30 for acute hypoxic respiratory failure and DKA.      Acute Hypoxic Respiratory Failure COVID pneumonia  OSA AHRF likely secondary to COVID 19. Symptom onset 11/13 with positive home test. COVID(+) test in hospital 11/30. Fully vaccinated.  Will consider possible superimposed bacterial infection/atypical pneumonia. Also considering possible PE given history of acute progression after several weeks of symptoms and likely hypercoagulable state with COVID pneumonia. - Dexamethasone 6 mg 10 days (11/30 - day 1)  - Past window for Remdesivir - Empiric CAP coverage: Ceftriaxone, azithromycin (5 day course, starting 11/30) - Pneumonia labs: ProCal, Sputum culture, respiratory film array, legionella Ag, Strep pneumo, MRSA screen PCR - pending - Rule out PE: UE/LE ultrasound - rule out DVT - Prophylactic heparin - Echo 12/5/2021 note: Transferred to ICU for high risk of intubation. Remains comfortable on HFNC.  Intermittently continues to desat into the mid 80s with exertion. Plan for 12/5 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today BP better with  Coreg Klonipin  persistent anxiety Advance diet DGMS consult  12/7/2021 note: Acute hypoxic respiratory failure Related to COVID pneumonia  Chest XR with bilateral infiltrates  Cannot exclude superimposed bacterial pneumonia Procalcitonin .65 CAP coverage with ceftriaxone and azithromycin - plan for 5 days of treatment  Legionella, strep pneumo negative  Unable to collect sputum culture  Continues on HFNC without respiratory distress  Gentle diuresis w/ recent AKI Plan for 12/7 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today DGMS consult
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Superinfection, Ultrasound Doppler
Clinical narrative: Hospitalized 11/30/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  ASSESSMENT / PLAN: 43 y.o. male with PMHx of morbid obesity, OSA, DMII, FERD, HLD, osteomyelitis with above knee amputation who is presenting 11/30 for acute hypoxic respiratory failure and DKA.      Acute Hypoxic Respiratory Failure COVID pneumonia  OSA AHRF likely secondary to COVID 19. Symptom onset 11/13 with positive home test. COVID(+) test in hospital 11/30. Fully vaccinated.  Will consider possible superimposed bacterial infection/atypical pneumonia. Also considering possible PE given history of acute progression after several weeks of symptoms and likely hypercoagulable state with COVID pneumonia. - Dexamethasone 6 mg 10 days (11/30 - day 1)  - Past window for Remdesivir - Empiric CAP coverage: Ceftriaxone, azithromycin (5 day course, starting 11/30) - Pneumonia labs: ProCal, Sputum culture, respiratory film array, legionella Ag, Strep pneumo, MRSA screen PCR - pending - Rule out PE: UE/LE ultrasound - rule out DVT - Prophylactic heparin - Echo 12/5/2021 note: Transferred to ICU for high risk of intubation. Remains comfortable on HFNC.  Intermittently continues to desat into the mid 80s with exertion. Plan for 12/5 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today BP better with  Coreg Klonipin  persistent anxiety Advance diet DGMS consult  12/7/2021 note: Acute hypoxic respiratory failure Related to COVID pneumonia  Chest XR with bilateral infiltrates  Cannot exclude superimposed bacterial pneumonia Procalcitonin .65 CAP coverage with ceftriaxone and azithromycin - plan for 5 days of treatment  Legionella, strep pneumo negative  Unable to collect sputum culture  Continues on HFNC without respiratory distress  Gentle diuresis w/ recent AKI Plan for 12/7 Stable on HFNC Gentle diuresis w/ PRN lasix - 40 IV bid today DGMS consult
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arrhythmia, Chest pain, Decreased appetite, Electrocardiogram
Clinical narrative: Fever, arm pain, heart palpitations, arrhythmia, chest pain, nausea and severe stomach pain, inability to eat due to nausea/stomach pain. Ibuprofen and liquid diet. Still ongoing after almost 3 weeks since 2nd dose
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Palpitations, Pyrexia
Clinical narrative: Fever, arm pain, heart palpitations, arrhythmia, chest pain, nausea and severe stomach pain, inability to eat due to nausea/stomach pain. Ibuprofen and liquid diet. Still ongoing after almost 3 weeks since 2nd dose
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia
Clinical narrative: Pt experienced tingling around injection site on left deltoid, beginning 15 min after injection with reduction in tingling over subsequent 15 minutes.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Injection site reaction, Stress, Vaccination complication
Clinical narrative: . Stress response    2. Gastroesophageal reflux disease, unspecified whether esophagitis present    3. Local reaction to immunization, initial encounter      Discussed her situation and options.  Reviewed self-care with healthy diet, finding even short periods of time for exercise, minimizing alcohol (which has increased.)  Discussed the possibility of SSRI, although doesn't meet criteria for depressive or anxiety disorder, and will defer.  In the end, she plans to cut back her work in order to allow more self-care.  She will also check in with her GI surgeon.  Okay to continue occasional Tums in the meantime.   Reassuring exam of supraclavicular area.  Likely transient reaction to vaccine.  Follow up if persistent or new symptoms.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dehydration, Headache, Musculoskeletal stiffness
Clinical narrative: Headache, sore arm, pain in neck, stomach pain, dehydration, sharp pain in the front of the head, tension in neck area, chills. Symptoms come and go.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: Headache, sore arm, pain in neck, stomach pain, dehydration, sharp pain in the front of the head, tension in neck area, chills. Symptoms come and go.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: patient had syncope and witnessed fall. she was treated in the EC of hospital where she was tested. She was discharged on 12/7 from the EC.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Altered visual depth perception, Condition aggravated, Disorientation, Fatigue, Pain
Clinical narrative: Vaccine given at 12:00 on 12/6/21. pt woke today with body aches, recurrence of vertigo and changes in depth perception along with fatigue and some disorientation
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vaccine given at 12:00 on 12/6/21. pt woke today with body aches, recurrence of vertigo and changes in depth perception along with fatigue and some disorientation
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Palpitations, Peripheral coldness
Clinical narrative: Patient received the first dose of pfizer COVID 19 vaccine in pharmacy at 12PM. After given first dose of pfizer vaccine, pt was waiting for 15 minutes as precaution. Patient felt heart palpitation after 10 minutes of receiving vaccine. She was given water and sat on the chair for few minutes. She developed dizziness on top of palpitation. When pharmacist measured the blood pressure, her first blood pressure measured at 12:15 PM was 192/99 with hear rate of 86. According to patient, she never had high blood pressure before.  We offered patient to call ambulance but patient refused to call ambulance. At 12: 18, second blood pressure was measured with result of 182/88 with heart rate of 76. At a time, she experienced cold extremities.  Manager called an ambulance after pharmacist measured second blood pressure. While waiting for paramedics, third blood pressure was measured with 153/97 with heart rate of 94 at 12:30. At 12:35, patient left pharmacy with paramedics.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: (11/11/2021) Experienced break-thru COVID. Not sure what variant but had recovered in about 2 weeks. Verified by home test. Went in to  Urgent Care on 11/16 to verify.  Was advised to get an appointment at another center for a monoclonal IV infusion on 11/18. I was feeling somewhat better after 48hrs and after that it took about a week to recover. No additional issues arises.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: PATIENT HAD SEIZURE ACTIVITY LASTING APPROXIMATELY 20  MINUTES WITH TWO DIFFERENT EPISODES OF SEIZURES WITHIN THAT TIME FRAME LASTING APPROXIMATELY 5 MINUTES
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Uveitis
Clinical narrative: Pain in my eyes causing uveitis, lasted for a week.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Clostridium difficile infection, Clostridium test positive, Dehydration, Diarrhoea
Clinical narrative: 14 hours after my 2nd Moderna vaccine, on Feb 24, 2021, I had severe abdominal cramps and passed out briefly. That followed by severe diarrhea for several days. At day 5 I was dehydrated and admitted to the hospital, where I was quickly tested and diagnosed with C. Diff. I had 3 days of a course of Clindamycin a month prior.  After 3 days of Vancomycin in hospital I was discharged and much improved.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Loss of consciousness
Clinical narrative: 14 hours after my 2nd Moderna vaccine, on Feb 24, 2021, I had severe abdominal cramps and passed out briefly. That followed by severe diarrhea for several days. At day 5 I was dehydrated and admitted to the hospital, where I was quickly tested and diagnosed with C. Diff. I had 3 days of a course of Clindamycin a month prior.  After 3 days of Vancomycin in hospital I was discharged and much improved.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Fatigue, Injection site pain, Lymphadenopathy
Clinical narrative: Developed slight fever, chills, muscle aches, nausea, tired, pain in arm at injection site and most importantly, noticed the morning of the 7th:  pain deep in the left armpit and swelling of the left armpit leading onto the left breast (following lymph nodes?).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Developed slight fever, chills, muscle aches, nausea, tired, pain in arm at injection site and most importantly, noticed the morning of the 7th:  pain deep in the left armpit and swelling of the left armpit leading onto the left breast (following lymph nodes?).
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Sensitive skin, Urticaria
Clinical narrative: Hives and rash all over the body except face and stomach. Itchy and painful and feels like Shingles. Dr prescribed Prednisone, Benadryl, Zyrtec, and Pepcid but symptoms are unresolved. Any contact with the skin creates more of a rash including taking a shower, wearing gloves, wearing a coat, wearing underwear or socks.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Tinnitus
Clinical narrative: Several weeks after the second injection I was diagnosed with Tinnitis.  I have had it ever since with no breaks in this maddening tone in my head.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: dose 1 given 3/28/2021 Lot # ER8727 Pfizer  Patient hospitalized with Covid 19, recovered and discharged home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Pain, SARS-CoV-2 antibody test
Clinical narrative: The patient received Moderna #1 on 12/30/2020 and Moderna #2 on 01/27/2021. The patient's antibodies on 08/04/2021 were 1775.0 (U/mL). The patient proceeded to take the Moderna booster on 9/10/2021. After receiving the vaccine, patient experienced body aches, fatigue and "flu-like symptoms." On 11/03/2021, antibodies dropped to 129.3 (U/mL). The patients antibodies were checked again on 11/11/2021 and were only 118.1 (U/mL).
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccine. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Dizziness, Echocardiogram, Extra dose administered, Fatigue
Clinical narrative: I felt extremely tired a few hours after vaccine, however I knew that was a normal side effect so it didn't bother me. The next day I had extreme fog, a daily/normal task took a lot more effort. I kept telling my husband I feel "off." I went to the grocery store in which I suddenly got a hot flash and dizziness and had to sit down immediately before I was about to pass out. That was on November 18th. Then I was feeling semi normal again until December 1st, exactly two weeks after my booster. I had another episode in which I felt like I was going to pass out, my heart rate spiked, I felt dizzy, tingling in feet and hands, and had to lay down to get it under control. This continued to happen each day from December 1st-December 4th. I haven't had a 'almost passing out' episode again but I do have to be very intentional with breathing and I have to sit a lot of the day from fatigue. I'm a very active, healthy 39 year old that works out typically 4-5 days a week, so this sudden urge to have to stop and catch my breathing isn't normal.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Heart rate increased, Hot flush, Paraesthesia, Presyncope
Clinical narrative: I felt extremely tired a few hours after vaccine, however I knew that was a normal side effect so it didn't bother me. The next day I had extreme fog, a daily/normal task took a lot more effort. I kept telling my husband I feel "off." I went to the grocery store in which I suddenly got a hot flash and dizziness and had to sit down immediately before I was about to pass out. That was on November 18th. Then I was feeling semi normal again until December 1st, exactly two weeks after my booster. I had another episode in which I felt like I was going to pass out, my heart rate spiked, I felt dizzy, tingling in feet and hands, and had to lay down to get it under control. This continued to happen each day from December 1st-December 4th. I haven't had a 'almost passing out' episode again but I do have to be very intentional with breathing and I have to sit a lot of the day from fatigue. I'm a very active, healthy 39 year old that works out typically 4-5 days a week, so this sudden urge to have to stop and catch my breathing isn't normal.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angina unstable, Blood loss anaemia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as inpatient on 12/3 due to crescendo angina in the setting of worsening blood loss anemia. Patient was tested for COVID-19 and was positive on 11/23.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood gases, Blood pH normal, COVID-19, COVID-19 pneumonia
Clinical narrative: 47 y/o female with history of rheumatoid arthritis who p/w increased sob. The patient notes she began to feel she had some sinus issues about a week ago. Her husband began to feel ill a couple of days later. Symptoms kept worsening and so they got tested on Tuesday for Covid, tested positive. They received monoclonal ab on Wednesday (yesterday). Patient has been very short of breath, not able to get around her home. She called her PCP after her O2 sats dropped from low 90s yesterday to upper 80s today on her home pulse ox, and her PCP told her to come in to be evaluated. Patient is fully vaccinated with moderna, husband with pfizer. She has not yet received her booster. Patient states that she has actually been home from work the last 3 weeks with an RA flare (and has started prednisone and increased the dose), she then got shingles after this. Patient at baseline is on plaquenil and also sulfasalazine. She states she just started a new injection Saturday (after covid symptoms started), but does not know the name (Kevzara by facility).  In the ER, patient with ABG showing 7.44/36/58. She is currently saturating well on 2L. CXR with bilateral infiltrates c/w covid. Admission requested.   Discharge Summary Information  Admit Date: 12/02/21 20:00  Discharge Date: 12/5/2021 14:33:59  Discharge Diagnoses:  1. Pneumonia due to COVID-19 virus, Discharge, 12/02/2021 2. Acute hypoxemic respiratory failure, Discharge, 12/05/2021 3. Acute heart failure with preserved ejection fraction (HFpEF), Discharge, 12/05/2021 4. Rheumatoid arthritis, Discharge, 12/05/2021 5. Hypokalemia, Discharge, 12/05/2021 6. Obstructive sleep apnea, Dischrge, 12/05/2021 Hypoxia, Discharge, 12/02/2021 Secondary Diagnosis and Comorbidities: Hospital Course   This is a 47 year old lady with a PMH of RA who presented to the ED with shortness of breath. Fully vaccinated against COVID, recently started on new injection for her RA. She began to feel poorly about 1 week prior to presentation, 11/28. She began to worsen, she underwent COVID testing with her PCP and was positive on 11/30, received monoclonal Ab infusion on 12/1/21. ABG on presentation 7.44/36/58 on RA, started on 2L NC, started on remdesivir, dexamethasone, and admitted. CXR with cardiomegaly and bilateral airspace disease. She was started on IV lasix. Echo with preserved EF, G1DD, right heart without issues. She improved, she was able to stay off supplemental O2 for 24h, was able to ambulate throughout room on RA without issues. She did have electrolyte abnormalities that were corrected throughout her stay. She will be discharged home today. Complete PO dexamethasone as OP. Started on PO lasix, also PO potassium supplementation. Will need follow up with PCP, will need repeat BMP, potassium as an OP. She will need to follow up with her PCP, possible cardiology referral as an outpatient. She has been given isolation and booster shot recommendations, these are included in her discharge paperwork
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure, Cardiac failure acute, Cardiomegaly, Chest X-ray abnormal, Condition aggravated
Clinical narrative: 47 y/o female with history of rheumatoid arthritis who p/w increased sob. The patient notes she began to feel she had some sinus issues about a week ago. Her husband began to feel ill a couple of days later. Symptoms kept worsening and so they got tested on Tuesday for Covid, tested positive. They received monoclonal ab on Wednesday (yesterday). Patient has been very short of breath, not able to get around her home. She called her PCP after her O2 sats dropped from low 90s yesterday to upper 80s today on her home pulse ox, and her PCP told her to come in to be evaluated. Patient is fully vaccinated with moderna, husband with pfizer. She has not yet received her booster. Patient states that she has actually been home from work the last 3 weeks with an RA flare (and has started prednisone and increased the dose), she then got shingles after this. Patient at baseline is on plaquenil and also sulfasalazine. She states she just started a new injection Saturday (after covid symptoms started), but does not know the name (Kevzara by facility).  In the ER, patient with ABG showing 7.44/36/58. She is currently saturating well on 2L. CXR with bilateral infiltrates c/w covid. Admission requested.   Discharge Summary Information  Admit Date: 12/02/21 20:00  Discharge Date: 12/5/2021 14:33:59  Discharge Diagnoses:  1. Pneumonia due to COVID-19 virus, Discharge, 12/02/2021 2. Acute hypoxemic respiratory failure, Discharge, 12/05/2021 3. Acute heart failure with preserved ejection fraction (HFpEF), Discharge, 12/05/2021 4. Rheumatoid arthritis, Discharge, 12/05/2021 5. Hypokalemia, Discharge, 12/05/2021 6. Obstructive sleep apnea, Dischrge, 12/05/2021 Hypoxia, Discharge, 12/02/2021 Secondary Diagnosis and Comorbidities: Hospital Course   This is a 47 year old lady with a PMH of RA who presented to the ED with shortness of breath. Fully vaccinated against COVID, recently started on new injection for her RA. She began to feel poorly about 1 week prior to presentation, 11/28. She began to worsen, she underwent COVID testing with her PCP and was positive on 11/30, received monoclonal Ab infusion on 12/1/21. ABG on presentation 7.44/36/58 on RA, started on 2L NC, started on remdesivir, dexamethasone, and admitted. CXR with cardiomegaly and bilateral airspace disease. She was started on IV lasix. Echo with preserved EF, G1DD, right heart without issues. She improved, she was able to stay off supplemental O2 for 24h, was able to ambulate throughout room on RA without issues. She did have electrolyte abnormalities that were corrected throughout her stay. She will be discharged home today. Complete PO dexamethasone as OP. Started on PO lasix, also PO potassium supplementation. Will need follow up with PCP, will need repeat BMP, potassium as an OP. She will need to follow up with her PCP, possible cardiology referral as an outpatient. She has been given isolation and booster shot recommendations, these are included in her discharge paperwork
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diastolic dysfunction, Dyspnoea, Echocardiogram abnormal, Electrolyte imbalance, Herpes zoster
Clinical narrative: 47 y/o female with history of rheumatoid arthritis who p/w increased sob. The patient notes she began to feel she had some sinus issues about a week ago. Her husband began to feel ill a couple of days later. Symptoms kept worsening and so they got tested on Tuesday for Covid, tested positive. They received monoclonal ab on Wednesday (yesterday). Patient has been very short of breath, not able to get around her home. She called her PCP after her O2 sats dropped from low 90s yesterday to upper 80s today on her home pulse ox, and her PCP told her to come in to be evaluated. Patient is fully vaccinated with moderna, husband with pfizer. She has not yet received her booster. Patient states that she has actually been home from work the last 3 weeks with an RA flare (and has started prednisone and increased the dose), she then got shingles after this. Patient at baseline is on plaquenil and also sulfasalazine. She states she just started a new injection Saturday (after covid symptoms started), but does not know the name (Kevzara by facility).  In the ER, patient with ABG showing 7.44/36/58. She is currently saturating well on 2L. CXR with bilateral infiltrates c/w covid. Admission requested.   Discharge Summary Information  Admit Date: 12/02/21 20:00  Discharge Date: 12/5/2021 14:33:59  Discharge Diagnoses:  1. Pneumonia due to COVID-19 virus, Discharge, 12/02/2021 2. Acute hypoxemic respiratory failure, Discharge, 12/05/2021 3. Acute heart failure with preserved ejection fraction (HFpEF), Discharge, 12/05/2021 4. Rheumatoid arthritis, Discharge, 12/05/2021 5. Hypokalemia, Discharge, 12/05/2021 6. Obstructive sleep apnea, Dischrge, 12/05/2021 Hypoxia, Discharge, 12/02/2021 Secondary Diagnosis and Comorbidities: Hospital Course   This is a 47 year old lady with a PMH of RA who presented to the ED with shortness of breath. Fully vaccinated against COVID, recently started on new injection for her RA. She began to feel poorly about 1 week prior to presentation, 11/28. She began to worsen, she underwent COVID testing with her PCP and was positive on 11/30, received monoclonal Ab infusion on 12/1/21. ABG on presentation 7.44/36/58 on RA, started on 2L NC, started on remdesivir, dexamethasone, and admitted. CXR with cardiomegaly and bilateral airspace disease. She was started on IV lasix. Echo with preserved EF, G1DD, right heart without issues. She improved, she was able to stay off supplemental O2 for 24h, was able to ambulate throughout room on RA without issues. She did have electrolyte abnormalities that were corrected throughout her stay. She will be discharged home today. Complete PO dexamethasone as OP. Started on PO lasix, also PO potassium supplementation. Will need follow up with PCP, will need repeat BMP, potassium as an OP. She will need to follow up with her PCP, possible cardiology referral as an outpatient. She has been given isolation and booster shot recommendations, these are included in her discharge paperwork
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Hypoxia, Impaired work ability, Lung disorder, Lung infiltration
Clinical narrative: 47 y/o female with history of rheumatoid arthritis who p/w increased sob. The patient notes she began to feel she had some sinus issues about a week ago. Her husband began to feel ill a couple of days later. Symptoms kept worsening and so they got tested on Tuesday for Covid, tested positive. They received monoclonal ab on Wednesday (yesterday). Patient has been very short of breath, not able to get around her home. She called her PCP after her O2 sats dropped from low 90s yesterday to upper 80s today on her home pulse ox, and her PCP told her to come in to be evaluated. Patient is fully vaccinated with moderna, husband with pfizer. She has not yet received her booster. Patient states that she has actually been home from work the last 3 weeks with an RA flare (and has started prednisone and increased the dose), she then got shingles after this. Patient at baseline is on plaquenil and also sulfasalazine. She states she just started a new injection Saturday (after covid symptoms started), but does not know the name (Kevzara by facility).  In the ER, patient with ABG showing 7.44/36/58. She is currently saturating well on 2L. CXR with bilateral infiltrates c/w covid. Admission requested.   Discharge Summary Information  Admit Date: 12/02/21 20:00  Discharge Date: 12/5/2021 14:33:59  Discharge Diagnoses:  1. Pneumonia due to COVID-19 virus, Discharge, 12/02/2021 2. Acute hypoxemic respiratory failure, Discharge, 12/05/2021 3. Acute heart failure with preserved ejection fraction (HFpEF), Discharge, 12/05/2021 4. Rheumatoid arthritis, Discharge, 12/05/2021 5. Hypokalemia, Discharge, 12/05/2021 6. Obstructive sleep apnea, Dischrge, 12/05/2021 Hypoxia, Discharge, 12/02/2021 Secondary Diagnosis and Comorbidities: Hospital Course   This is a 47 year old lady with a PMH of RA who presented to the ED with shortness of breath. Fully vaccinated against COVID, recently started on new injection for her RA. She began to feel poorly about 1 week prior to presentation, 11/28. She began to worsen, she underwent COVID testing with her PCP and was positive on 11/30, received monoclonal Ab infusion on 12/1/21. ABG on presentation 7.44/36/58 on RA, started on 2L NC, started on remdesivir, dexamethasone, and admitted. CXR with cardiomegaly and bilateral airspace disease. She was started on IV lasix. Echo with preserved EF, G1DD, right heart without issues. She improved, she was able to stay off supplemental O2 for 24h, was able to ambulate throughout room on RA without issues. She did have electrolyte abnormalities that were corrected throughout her stay. She will be discharged home today. Complete PO dexamethasone as OP. Started on PO lasix, also PO potassium supplementation. Will need follow up with PCP, will need repeat BMP, potassium as an OP. She will need to follow up with her PCP, possible cardiology referral as an outpatient. She has been given isolation and booster shot recommendations, these are included in her discharge paperwork
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Mobility decreased, Oxygen saturation decreased, Rheumatoid arthritis, SARS-CoV-2 test positive
Clinical narrative: 47 y/o female with history of rheumatoid arthritis who p/w increased sob. The patient notes she began to feel she had some sinus issues about a week ago. Her husband began to feel ill a couple of days later. Symptoms kept worsening and so they got tested on Tuesday for Covid, tested positive. They received monoclonal ab on Wednesday (yesterday). Patient has been very short of breath, not able to get around her home. She called her PCP after her O2 sats dropped from low 90s yesterday to upper 80s today on her home pulse ox, and her PCP told her to come in to be evaluated. Patient is fully vaccinated with moderna, husband with pfizer. She has not yet received her booster. Patient states that she has actually been home from work the last 3 weeks with an RA flare (and has started prednisone and increased the dose), she then got shingles after this. Patient at baseline is on plaquenil and also sulfasalazine. She states she just started a new injection Saturday (after covid symptoms started), but does not know the name (Kevzara by facility).  In the ER, patient with ABG showing 7.44/36/58. She is currently saturating well on 2L. CXR with bilateral infiltrates c/w covid. Admission requested.   Discharge Summary Information  Admit Date: 12/02/21 20:00  Discharge Date: 12/5/2021 14:33:59  Discharge Diagnoses:  1. Pneumonia due to COVID-19 virus, Discharge, 12/02/2021 2. Acute hypoxemic respiratory failure, Discharge, 12/05/2021 3. Acute heart failure with preserved ejection fraction (HFpEF), Discharge, 12/05/2021 4. Rheumatoid arthritis, Discharge, 12/05/2021 5. Hypokalemia, Discharge, 12/05/2021 6. Obstructive sleep apnea, Dischrge, 12/05/2021 Hypoxia, Discharge, 12/02/2021 Secondary Diagnosis and Comorbidities: Hospital Course   This is a 47 year old lady with a PMH of RA who presented to the ED with shortness of breath. Fully vaccinated against COVID, recently started on new injection for her RA. She began to feel poorly about 1 week prior to presentation, 11/28. She began to worsen, she underwent COVID testing with her PCP and was positive on 11/30, received monoclonal Ab infusion on 12/1/21. ABG on presentation 7.44/36/58 on RA, started on 2L NC, started on remdesivir, dexamethasone, and admitted. CXR with cardiomegaly and bilateral airspace disease. She was started on IV lasix. Echo with preserved EF, G1DD, right heart without issues. She improved, she was able to stay off supplemental O2 for 24h, was able to ambulate throughout room on RA without issues. She did have electrolyte abnormalities that were corrected throughout her stay. She will be discharged home today. Complete PO dexamethasone as OP. Started on PO lasix, also PO potassium supplementation. Will need follow up with PCP, will need repeat BMP, potassium as an OP. She will need to follow up with her PCP, possible cardiology referral as an outpatient. She has been given isolation and booster shot recommendations, these are included in her discharge paperwork
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus disorder, Sleep apnoea syndrome
Clinical narrative: 47 y/o female with history of rheumatoid arthritis who p/w increased sob. The patient notes she began to feel she had some sinus issues about a week ago. Her husband began to feel ill a couple of days later. Symptoms kept worsening and so they got tested on Tuesday for Covid, tested positive. They received monoclonal ab on Wednesday (yesterday). Patient has been very short of breath, not able to get around her home. She called her PCP after her O2 sats dropped from low 90s yesterday to upper 80s today on her home pulse ox, and her PCP told her to come in to be evaluated. Patient is fully vaccinated with moderna, husband with pfizer. She has not yet received her booster. Patient states that she has actually been home from work the last 3 weeks with an RA flare (and has started prednisone and increased the dose), she then got shingles after this. Patient at baseline is on plaquenil and also sulfasalazine. She states she just started a new injection Saturday (after covid symptoms started), but does not know the name (Kevzara by facility).  In the ER, patient with ABG showing 7.44/36/58. She is currently saturating well on 2L. CXR with bilateral infiltrates c/w covid. Admission requested.   Discharge Summary Information  Admit Date: 12/02/21 20:00  Discharge Date: 12/5/2021 14:33:59  Discharge Diagnoses:  1. Pneumonia due to COVID-19 virus, Discharge, 12/02/2021 2. Acute hypoxemic respiratory failure, Discharge, 12/05/2021 3. Acute heart failure with preserved ejection fraction (HFpEF), Discharge, 12/05/2021 4. Rheumatoid arthritis, Discharge, 12/05/2021 5. Hypokalemia, Discharge, 12/05/2021 6. Obstructive sleep apnea, Dischrge, 12/05/2021 Hypoxia, Discharge, 12/02/2021 Secondary Diagnosis and Comorbidities: Hospital Course   This is a 47 year old lady with a PMH of RA who presented to the ED with shortness of breath. Fully vaccinated against COVID, recently started on new injection for her RA. She began to feel poorly about 1 week prior to presentation, 11/28. She began to worsen, she underwent COVID testing with her PCP and was positive on 11/30, received monoclonal Ab infusion on 12/1/21. ABG on presentation 7.44/36/58 on RA, started on 2L NC, started on remdesivir, dexamethasone, and admitted. CXR with cardiomegaly and bilateral airspace disease. She was started on IV lasix. Echo with preserved EF, G1DD, right heart without issues. She improved, she was able to stay off supplemental O2 for 24h, was able to ambulate throughout room on RA without issues. She did have electrolyte abnormalities that were corrected throughout her stay. She will be discharged home today. Complete PO dexamethasone as OP. Started on PO lasix, also PO potassium supplementation. Will need follow up with PCP, will need repeat BMP, potassium as an OP. She will need to follow up with her PCP, possible cardiology referral as an outpatient. She has been given isolation and booster shot recommendations, these are included in her discharge paperwork
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: on room air no fever sent to hospital after testing positive at NHF
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-HLA antibody test, Anti-transglutaminase antibody negative, Antinuclear antibody negative, Blood immunoglobulin A normal, C-reactive protein increased
Clinical narrative: The following is the HPI from her admission to Hospital, admitted on 9/9/2021:  12 yo female who presents to the ED due to painful genital ulcers and inability to urinate because of pain. Parents report patient received a second dose of her COVID vaccine last Friday, 6 days ago. Over the weekend patient had a fever T-max 104 and decreased appetite. Patient also began complaining of vaginal pain and swelling. Her mother states she took a look and noticed an ulcer on her labia.. They were seen by her PCP who obtained an HSV swab and recommended topical benzocaine but there was no improvement of her symptoms. Patient was seen by an OB/GYN  today where the patient had a debridement and was prescribed cephalexin, triamcinolone, and lidocaine. However, later today she began complaining of severe pain with urination due to this ulcer and voluntary urinary retention, which led her to present here.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Debridement, Decreased appetite, Differential white blood cell count normal, Dysuria, Epstein-Barr virus antibody positive
Clinical narrative: The following is the HPI from her admission to Hospital, admitted on 9/9/2021:  12 yo female who presents to the ED due to painful genital ulcers and inability to urinate because of pain. Parents report patient received a second dose of her COVID vaccine last Friday, 6 days ago. Over the weekend patient had a fever T-max 104 and decreased appetite. Patient also began complaining of vaginal pain and swelling. Her mother states she took a look and noticed an ulcer on her labia.. They were seen by her PCP who obtained an HSV swab and recommended topical benzocaine but there was no improvement of her symptoms. Patient was seen by an OB/GYN  today where the patient had a debridement and was prescribed cephalexin, triamcinolone, and lidocaine. However, later today she began complaining of severe pain with urination due to this ulcer and voluntary urinary retention, which led her to present here.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Genital pain, Genital ulceration, Herpes simplex test negative, Human chorionic gonadotropin negative
Clinical narrative: The following is the HPI from her admission to Hospital, admitted on 9/9/2021:  12 yo female who presents to the ED due to painful genital ulcers and inability to urinate because of pain. Parents report patient received a second dose of her COVID vaccine last Friday, 6 days ago. Over the weekend patient had a fever T-max 104 and decreased appetite. Patient also began complaining of vaginal pain and swelling. Her mother states she took a look and noticed an ulcer on her labia.. They were seen by her PCP who obtained an HSV swab and recommended topical benzocaine but there was no improvement of her symptoms. Patient was seen by an OB/GYN  today where the patient had a debridement and was prescribed cephalexin, triamcinolone, and lidocaine. However, later today she began complaining of severe pain with urination due to this ulcer and voluntary urinary retention, which led her to present here.