chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hypernatraemia, Lethargy, Mental status changes, Metabolic acidosis, Pancytopenia
Clinical narrative: Date of Admission  01/18/2022   Date of Discharge  01/21/2022   Reason for Hospitalization   PER EMS, FAMILY REPORTED PT BEING LETHARGIC AND INCREASED SOB; MILD FEVER.  Hospital Course   Patient is a 85 y/o female with dementia, dysphagia, previous hospice patient admitted for acute hypoxic respiratory failure secondary to COVID-10 pneumonia and suspected aspiration pneumonia.  Grandson is primary decision maker.  Per hospice agency, hospice status was revoked so patient could come to hospital for medical treatment.  Grandson wanted to continue with medical management except for intubation or CPR. She was treated with with dexamethasone, remdesivir, and antibiotics for aspiration pneumonia concerns. Her oxygen requirements were increased on high-flow nasal cannula during hospitalization. Initially she was able to have oxygen requirements decreased to 3L NC.   We had goals of care discussion with family regarding nutrition as patient had been NPO throughout admission. (please refer to addendum on progress note from 1/20/2022). After discussion family wanted to trial patient tube feeds. However, overnight on 1/21 patient had teams called x 2 due to increased work of breathing, oxygen requirement and decreased mentation. After discussion with family patient was transitioned to comfort care.  Discharge Diagnoses      #Acute hypoxic respiratory failure secondary to COVID-19 pneumonia #Suspected aspiration pneumonia #Advanced Dementia  #High anion gap metabolic acidosis #Dehydration  #Underweight  #Hypernatremia  #Pancytopenia  #Anemia of chronic disease     Other Diagnoses   Ongoing  No chronic problems  Historical  No qualifying data        Discharge Disposition  Unable To Determine    Medications  New, Changed, or Refilled Medications  None    Medications to be Continued  acetaminophen (acetaminophen 650 mg rectal suppository) 650 mg, 1 Supp, Rectal, q4h, PRN: fever>100      Discontinued Medications  None  Physical Exam at Discharge       No reaction to verbal or tactile stimulation.  No pupillary light reflex noted, pupils fixed and dilated  Breathing and other lung sounds were absent.  No carotid pulse or heart sound can be heard               Addendum by MD on January 24, 2022 15:02:08 (Verified)    Attestation by MD on January 24, 2022 15:02 I personally saw and evaluated the patient on the result date found in the header of this document.  I independently performed the critical/key portions of the Evaluation and Management service and discussed the management with the author of this document.  I agree with everything documented above.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia aspiration, Pupil fixed, Pupillary reflex impaired, Pyrexia, Underweight
Clinical narrative: Date of Admission  01/18/2022   Date of Discharge  01/21/2022   Reason for Hospitalization   PER EMS, FAMILY REPORTED PT BEING LETHARGIC AND INCREASED SOB; MILD FEVER.  Hospital Course   Patient is a 85 y/o female with dementia, dysphagia, previous hospice patient admitted for acute hypoxic respiratory failure secondary to COVID-10 pneumonia and suspected aspiration pneumonia.  Grandson is primary decision maker.  Per hospice agency, hospice status was revoked so patient could come to hospital for medical treatment.  Grandson wanted to continue with medical management except for intubation or CPR. She was treated with with dexamethasone, remdesivir, and antibiotics for aspiration pneumonia concerns. Her oxygen requirements were increased on high-flow nasal cannula during hospitalization. Initially she was able to have oxygen requirements decreased to 3L NC.   We had goals of care discussion with family regarding nutrition as patient had been NPO throughout admission. (please refer to addendum on progress note from 1/20/2022). After discussion family wanted to trial patient tube feeds. However, overnight on 1/21 patient had teams called x 2 due to increased work of breathing, oxygen requirement and decreased mentation. After discussion with family patient was transitioned to comfort care.  Discharge Diagnoses      #Acute hypoxic respiratory failure secondary to COVID-19 pneumonia #Suspected aspiration pneumonia #Advanced Dementia  #High anion gap metabolic acidosis #Dehydration  #Underweight  #Hypernatremia  #Pancytopenia  #Anemia of chronic disease     Other Diagnoses   Ongoing  No chronic problems  Historical  No qualifying data        Discharge Disposition  Unable To Determine    Medications  New, Changed, or Refilled Medications  None    Medications to be Continued  acetaminophen (acetaminophen 650 mg rectal suppository) 650 mg, 1 Supp, Rectal, q4h, PRN: fever>100      Discontinued Medications  None  Physical Exam at Discharge       No reaction to verbal or tactile stimulation.  No pupillary light reflex noted, pupils fixed and dilated  Breathing and other lung sounds were absent.  No carotid pulse or heart sound can be heard               Addendum by MD on January 24, 2022 15:02:08 (Verified)    Attestation by MD on January 24, 2022 15:02 I personally saw and evaluated the patient on the result date found in the header of this document.  I independently performed the critical/key portions of the Evaluation and Management service and discussed the management with the author of this document.  I agree with everything documented above.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Date of Admission  01/18/2022   Date of Discharge  01/21/2022   Reason for Hospitalization   PER EMS, FAMILY REPORTED PT BEING LETHARGIC AND INCREASED SOB; MILD FEVER.  Hospital Course   Patient is a 85 y/o female with dementia, dysphagia, previous hospice patient admitted for acute hypoxic respiratory failure secondary to COVID-10 pneumonia and suspected aspiration pneumonia.  Grandson is primary decision maker.  Per hospice agency, hospice status was revoked so patient could come to hospital for medical treatment.  Grandson wanted to continue with medical management except for intubation or CPR. She was treated with with dexamethasone, remdesivir, and antibiotics for aspiration pneumonia concerns. Her oxygen requirements were increased on high-flow nasal cannula during hospitalization. Initially she was able to have oxygen requirements decreased to 3L NC.   We had goals of care discussion with family regarding nutrition as patient had been NPO throughout admission. (please refer to addendum on progress note from 1/20/2022). After discussion family wanted to trial patient tube feeds. However, overnight on 1/21 patient had teams called x 2 due to increased work of breathing, oxygen requirement and decreased mentation. After discussion with family patient was transitioned to comfort care.  Discharge Diagnoses      #Acute hypoxic respiratory failure secondary to COVID-19 pneumonia #Suspected aspiration pneumonia #Advanced Dementia  #High anion gap metabolic acidosis #Dehydration  #Underweight  #Hypernatremia  #Pancytopenia  #Anemia of chronic disease     Other Diagnoses   Ongoing  No chronic problems  Historical  No qualifying data        Discharge Disposition  Unable To Determine    Medications  New, Changed, or Refilled Medications  None    Medications to be Continued  acetaminophen (acetaminophen 650 mg rectal suppository) 650 mg, 1 Supp, Rectal, q4h, PRN: fever>100      Discontinued Medications  None  Physical Exam at Discharge       No reaction to verbal or tactile stimulation.  No pupillary light reflex noted, pupils fixed and dilated  Breathing and other lung sounds were absent.  No carotid pulse or heart sound can be heard               Addendum by MD on January 24, 2022 15:02:08 (Verified)    Attestation by MD on January 24, 2022 15:02 I personally saw and evaluated the patient on the result date found in the header of this document.  I independently performed the critical/key portions of the Evaluation and Management service and discussed the management with the author of this document.  I agree with everything documented above.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19 pneumonia
Clinical narrative: COVID PNA, AKI
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis, Feeling hot, Rash, Rash erythematous, Rash papular
Clinical narrative: On 3/12/2022 my face was feeling very hot and then I noticed my entire face was covered in a raised, red rash. It was covering my cheeks, chin, and upper lip area. It was rad and warm, not itchy.  I took Ibuprofen and after two days now it seems to have gone almost completely away.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Neurological symptom
Clinical narrative: Stroke symptoms, COVID
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Altered state of consciousness, Confusional state, Fall, Tremor
Clinical narrative: After giving the vaccine patient began to fall back, so I thought she was just fainting so I leaned her o back to lay her down and when I did she began shaking all over uncontrollably for 20 seconds, eyes wide open. When patient came back to herself she was confused on what had happened.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Loss of personal independence in daily activities
Clinical narrative: A few hours after getting the vaccine at 3:45PM (3/11/22), I experienced a headache.  Around midnight, I woke up with a headache and felt mild flu-like symptoms.  I took 2 Advil PM and went back to sleep.  I woke up at 6:30AM (3/13/22) experiencing significant flu-like symptoms including fever, chills, muscle aches and fatigue.  I took 600 mg of Advil and symptoms got somewhat better after a few hours.  The symptoms broke through again and I took antoher 600 mg of Advil at  12:45PM.  I spent the whole day laying on the couch unable to do my normal activities.  By early evening, around 7:00 PM, my symptoms were greatly decreased.  I took 400mg of Advil at bedtime and awoke the next day (3/13/22) feeling much, much better.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia, Sleep disorder
Clinical narrative: A few hours after getting the vaccine at 3:45PM (3/11/22), I experienced a headache.  Around midnight, I woke up with a headache and felt mild flu-like symptoms.  I took 2 Advil PM and went back to sleep.  I woke up at 6:30AM (3/13/22) experiencing significant flu-like symptoms including fever, chills, muscle aches and fatigue.  I took 600 mg of Advil and symptoms got somewhat better after a few hours.  The symptoms broke through again and I took antoher 600 mg of Advil at  12:45PM.  I spent the whole day laying on the couch unable to do my normal activities.  By early evening, around 7:00 PM, my symptoms were greatly decreased.  I took 400mg of Advil at bedtime and awoke the next day (3/13/22) feeling much, much better.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Failure to thrive, Fluid intake reduced, General physical health deterioration
Clinical narrative: Source of Information: Available medical record   History of Present Illness:  This is a 88y.o. female with hx of dementia (AAOx1 per records), CHF, VTE on eliquis, Factor V Leiden, HTN, GERD who presents to Hospital via EMS from Facility with a chief complaint of failure to thrive per EMS report. Pt is currently nonverbal, lethargic therefore unable to obtain history from the patient.    Called family member listed in chart, to obtain further history. At baseline, pt is perky, sits outside of her room and talks to the residents. She does not ambulate and uses a wheelchair at the facility. She reports the patient was diagnosed with COVID approximately two weeks ago and is supposed to be out of isolation now. She continued to be weak and was informed that the patient had pneumonia due to aspiration and the Facility wanted to start antibiotics. She states the Facility originally informed her that she was getting better and eating, however on 1/29, she was informed that she was pocketing food which progressed significantly to complete cessation of eating/drinking. She states the facility discussed initiation of a feeding tube and the guardian declined, stating it is too risky with her being on anticoagulation. She continued to decline in regards to PO status and informed today that she will go to the ED.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Influenza A virus test negative, Influenza B virus test, Lethargy, Pneumonia aspiration
Clinical narrative: Source of Information: Available medical record   History of Present Illness:  This is a 88y.o. female with hx of dementia (AAOx1 per records), CHF, VTE on eliquis, Factor V Leiden, HTN, GERD who presents to Hospital via EMS from Facility with a chief complaint of failure to thrive per EMS report. Pt is currently nonverbal, lethargic therefore unable to obtain history from the patient.    Called family member listed in chart, to obtain further history. At baseline, pt is perky, sits outside of her room and talks to the residents. She does not ambulate and uses a wheelchair at the facility. She reports the patient was diagnosed with COVID approximately two weeks ago and is supposed to be out of isolation now. She continued to be weak and was informed that the patient had pneumonia due to aspiration and the Facility wanted to start antibiotics. She states the Facility originally informed her that she was getting better and eating, however on 1/29, she was informed that she was pocketing food which progressed significantly to complete cessation of eating/drinking. She states the facility discussed initiation of a feeding tube and the guardian declined, stating it is too risky with her being on anticoagulation. She continued to decline in regards to PO status and informed today that she will go to the ED.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Speech disorder, Wheelchair user
Clinical narrative: Source of Information: Available medical record   History of Present Illness:  This is a 88y.o. female with hx of dementia (AAOx1 per records), CHF, VTE on eliquis, Factor V Leiden, HTN, GERD who presents to Hospital via EMS from Facility with a chief complaint of failure to thrive per EMS report. Pt is currently nonverbal, lethargic therefore unable to obtain history from the patient.    Called family member listed in chart, to obtain further history. At baseline, pt is perky, sits outside of her room and talks to the residents. She does not ambulate and uses a wheelchair at the facility. She reports the patient was diagnosed with COVID approximately two weeks ago and is supposed to be out of isolation now. She continued to be weak and was informed that the patient had pneumonia due to aspiration and the Facility wanted to start antibiotics. She states the Facility originally informed her that she was getting better and eating, however on 1/29, she was informed that she was pocketing food which progressed significantly to complete cessation of eating/drinking. She states the facility discussed initiation of a feeding tube and the guardian declined, stating it is too risky with her being on anticoagulation. She continued to decline in regards to PO status and informed today that she will go to the ED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Impaired work ability
Clinical narrative: 3/12/22 Saturday morning - sore arm, swelling hands, feet, and arm redness where injection was given. Saturday evening - diarrhea, nausea, chills, and tired. 03/13/22 Sunday all day very tired, sore throat, loss appetite, and body aches. 03/14/22 Monday, whole body aches, had to call out of work. Sore throat, very tired.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Nausea, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: 3/12/22 Saturday morning - sore arm, swelling hands, feet, and arm redness where injection was given. Saturday evening - diarrhea, nausea, chills, and tired. 03/13/22 Sunday all day very tired, sore throat, loss appetite, and body aches. 03/14/22 Monday, whole body aches, had to call out of work. Sore throat, very tired.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: 3/12/22 Saturday morning - sore arm, swelling hands, feet, and arm redness where injection was given. Saturday evening - diarrhea, nausea, chills, and tired. 03/13/22 Sunday all day very tired, sore throat, loss appetite, and body aches. 03/14/22 Monday, whole body aches, had to call out of work. Sore throat, very tired.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Chronic obstructive pulmonary disease, Respiratory failure
Clinical narrative: resp failure, chronic COPD, AKI
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Thrombosis
Clinical narrative: Bil popliteal thrombus, AKI
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, Dyspnoea exertional, Gait disturbance
Clinical narrative: Date of Admission:  2/4/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 86y.o. female with a past medical history significant for asthma, biventricular ICD Saint Jude, chronic heart failure with preserved ejection fraction, cardiomyopathy nonischemic, hypertension.  She presented to hospital on 2/4/2022 for evaluation of subjective shortness of breath and new onset cough.  She states that the shortness of breath is worse with exertion.  She denies any orthopnea.  She states that her cough is productive of green-colored sputum.  She states that the symptoms have been worsening over the last 2 to 3 days.  She also notes intermittent nausea that she gets with dizziness.  She states that over the same timeframe that when she goes to walk she has become unsteady and at times is felt like she is going to fall.  She denies any falling, loss of consciousness.  She describes a sensation as the room spinning as opposed to lightheadedness.  She states that she is vaccinated for Covid with a Johnson & Johnson one-time dose.  She denies any new onset fevers.   Discussed case with emergency department, patient was set for discharge however during ambulation test patient was very unsteady and required assistance.  She lives in a community living facility where she does not have significant help.  Admission for PT OT evaluation and close O2 monitoring with regards to new Covid diagnosis.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Nausea, Productive cough, Respiratory syncytial virus test negative
Clinical narrative: Date of Admission:  2/4/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 86y.o. female with a past medical history significant for asthma, biventricular ICD Saint Jude, chronic heart failure with preserved ejection fraction, cardiomyopathy nonischemic, hypertension.  She presented to hospital on 2/4/2022 for evaluation of subjective shortness of breath and new onset cough.  She states that the shortness of breath is worse with exertion.  She denies any orthopnea.  She states that her cough is productive of green-colored sputum.  She states that the symptoms have been worsening over the last 2 to 3 days.  She also notes intermittent nausea that she gets with dizziness.  She states that over the same timeframe that when she goes to walk she has become unsteady and at times is felt like she is going to fall.  She denies any falling, loss of consciousness.  She describes a sensation as the room spinning as opposed to lightheadedness.  She states that she is vaccinated for Covid with a Johnson & Johnson one-time dose.  She denies any new onset fevers.   Discussed case with emergency department, patient was set for discharge however during ambulation test patient was very unsteady and required assistance.  She lives in a community living facility where she does not have significant help.  Admission for PT OT evaluation and close O2 monitoring with regards to new Covid diagnosis.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured, Vertigo
Clinical narrative: Date of Admission:  2/4/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 86y.o. female with a past medical history significant for asthma, biventricular ICD Saint Jude, chronic heart failure with preserved ejection fraction, cardiomyopathy nonischemic, hypertension.  She presented to hospital on 2/4/2022 for evaluation of subjective shortness of breath and new onset cough.  She states that the shortness of breath is worse with exertion.  She denies any orthopnea.  She states that her cough is productive of green-colored sputum.  She states that the symptoms have been worsening over the last 2 to 3 days.  She also notes intermittent nausea that she gets with dizziness.  She states that over the same timeframe that when she goes to walk she has become unsteady and at times is felt like she is going to fall.  She denies any falling, loss of consciousness.  She describes a sensation as the room spinning as opposed to lightheadedness.  She states that she is vaccinated for Covid with a Johnson & Johnson one-time dose.  She denies any new onset fevers.   Discussed case with emergency department, patient was set for discharge however during ambulation test patient was very unsteady and required assistance.  She lives in a community living facility where she does not have significant help.  Admission for PT OT evaluation and close O2 monitoring with regards to new Covid diagnosis.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: COVID PNA
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: It was 5 days after the vaccine rash appeared in my scalp. I went to my primary doctor diagnosed with Shingles treated with Acyclovir.  The Shingles cleared up and then I got Dose 2. Then the next day after Dose 2 I got PHN shingles. I went back to the doctor the severe pain and prescribed Gabapentin and referred to the Neurologist. I'm currently still take Gabapentin for the pain.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Tinnitus
Clinical narrative: I started to get horrible tinnitus (loud high pitched ringing in my ears) in Dec 2021 - Jan 2022. Began getting debilitating migraines after my first Covid vaccine in April 2021.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on entire face.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Decreased appetite, Erythema, Gait disturbance, Hallucination, auditory
Clinical narrative: Loss consciousness that evening of injection. Found next morning at 9am still unconscious. Loss of memory for 2 days. Fever for 2 days. Vomiting for 2 days, No appetite 5 days. Rash -red dots started on legs, now on arms, trunk. Toes are red / prune looking. Throat sore. Auditory hallucinations on Friday 11th. Unable to function for 2 days. Unable to perform ADL's. Needed someone to do everything for her. Was seen by home nurse. Is now able to get to the restroom by herself after 5 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Loss of personal independence in daily activities, Oropharyngeal pain, Pyrexia, Rash
Clinical narrative: Loss consciousness that evening of injection. Found next morning at 9am still unconscious. Loss of memory for 2 days. Fever for 2 days. Vomiting for 2 days, No appetite 5 days. Rash -red dots started on legs, now on arms, trunk. Toes are red / prune looking. Throat sore. Auditory hallucinations on Friday 11th. Unable to function for 2 days. Unable to perform ADL's. Needed someone to do everything for her. Was seen by home nurse. Is now able to get to the restroom by herself after 5 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin wrinkling, Vomiting
Clinical narrative: Loss consciousness that evening of injection. Found next morning at 9am still unconscious. Loss of memory for 2 days. Fever for 2 days. Vomiting for 2 days, No appetite 5 days. Rash -red dots started on legs, now on arms, trunk. Toes are red / prune looking. Throat sore. Auditory hallucinations on Friday 11th. Unable to function for 2 days. Unable to perform ADL's. Needed someone to do everything for her. Was seen by home nurse. Is now able to get to the restroom by herself after 5 days.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Stroke
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, COVID-19, Cognitive disorder, Cough, Dizziness
Clinical narrative: 01/11/2022- sore throat. 01/12/2022 - severe sore throat. 01/13/2022- fever, coughing, body aches, dizziness, again severe sore throat. I went to an Urgent Care- COVID-19 test- positive. They prescribed Paxlovid. 2 PCR test a day or 2 later and that came back positive also.  I had to go back and continue to be tested so I could continue to get the Ocrevus medication. I had to test negative in order to take the Ocrevus. 01/25- rapid test and that still came back as positive.  The vaccine is going to be less effective for a person who are taking Ocrevus. So I believe based on the fact that I am on this ocrevus medication is probably why I ended up with COVID-19 because I don't have the response to this vaccine. All 3 of my antibody test checked came back with no antibodies. After Pfizer dose 1- 0 antibodies, Pfizer dose 2- 0 antibodies, Pfizer dose 3- 0 antibodies. So to judge the vaccine this will be an unfair evaluation. It is the medication I am on that causes me to have  no immune response to the vaccine. In fairness to Pfizer and the vaccine I don't think we are evaluating it fairly.  The vaccine effectiveness prevents my immune system response from the Ocrevus medication I am taking. The Ocrevus is not allowing my immune system to respond to the vaccine. The vaccine is not the problem . The Ocrevus reduces the effectiveness of the vaccine to prevent the immune system in response to the vaccine. I have not recovered from the adverse event because I am still having fatigue, cognitive, and cough. I was told to get the EVU sheld to put the antibodies back into me. I have not tested to see the antibodies are in me, after a few weeks they are going to test me to see what the antibodies are at that point.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 antibody test negative
Clinical narrative: 01/11/2022- sore throat. 01/12/2022 - severe sore throat. 01/13/2022- fever, coughing, body aches, dizziness, again severe sore throat. I went to an Urgent Care- COVID-19 test- positive. They prescribed Paxlovid. 2 PCR test a day or 2 later and that came back positive also.  I had to go back and continue to be tested so I could continue to get the Ocrevus medication. I had to test negative in order to take the Ocrevus. 01/25- rapid test and that still came back as positive.  The vaccine is going to be less effective for a person who are taking Ocrevus. So I believe based on the fact that I am on this ocrevus medication is probably why I ended up with COVID-19 because I don't have the response to this vaccine. All 3 of my antibody test checked came back with no antibodies. After Pfizer dose 1- 0 antibodies, Pfizer dose 2- 0 antibodies, Pfizer dose 3- 0 antibodies. So to judge the vaccine this will be an unfair evaluation. It is the medication I am on that causes me to have  no immune response to the vaccine. In fairness to Pfizer and the vaccine I don't think we are evaluating it fairly.  The vaccine effectiveness prevents my immune system response from the Ocrevus medication I am taking. The Ocrevus is not allowing my immune system to respond to the vaccine. The vaccine is not the problem . The Ocrevus reduces the effectiveness of the vaccine to prevent the immune system in response to the vaccine. I have not recovered from the adverse event because I am still having fatigue, cognitive, and cough. I was told to get the EVU sheld to put the antibodies back into me. I have not tested to see the antibodies are in me, after a few weeks they are going to test me to see what the antibodies are at that point.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 01/11/2022- sore throat. 01/12/2022 - severe sore throat. 01/13/2022- fever, coughing, body aches, dizziness, again severe sore throat. I went to an Urgent Care- COVID-19 test- positive. They prescribed Paxlovid. 2 PCR test a day or 2 later and that came back positive also.  I had to go back and continue to be tested so I could continue to get the Ocrevus medication. I had to test negative in order to take the Ocrevus. 01/25- rapid test and that still came back as positive.  The vaccine is going to be less effective for a person who are taking Ocrevus. So I believe based on the fact that I am on this ocrevus medication is probably why I ended up with COVID-19 because I don't have the response to this vaccine. All 3 of my antibody test checked came back with no antibodies. After Pfizer dose 1- 0 antibodies, Pfizer dose 2- 0 antibodies, Pfizer dose 3- 0 antibodies. So to judge the vaccine this will be an unfair evaluation. It is the medication I am on that causes me to have  no immune response to the vaccine. In fairness to Pfizer and the vaccine I don't think we are evaluating it fairly.  The vaccine effectiveness prevents my immune system response from the Ocrevus medication I am taking. The Ocrevus is not allowing my immune system to respond to the vaccine. The vaccine is not the problem . The Ocrevus reduces the effectiveness of the vaccine to prevent the immune system in response to the vaccine. I have not recovered from the adverse event because I am still having fatigue, cognitive, and cough. I was told to get the EVU sheld to put the antibodies back into me. I have not tested to see the antibodies are in me, after a few weeks they are going to test me to see what the antibodies are at that point.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes under arm.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received his second dose of Moderna on 01/06/2022. It was 6 days early. Patient is being notified to come repeat the second dose since the one administered is invalid.  No signs or symptoms reported.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: First COVID vaccine Moderna. Second COVID vaccine Pfizer. Third COVID vaccine Pfizer. Incorrect medication given on second dose.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Breakthrough Covid
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Cardiac arrest, Cardiac failure
Clinical narrative: Cardiac arrest, AKI, HF
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion
Clinical narrative: Nasally.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Initial COVID vaccine Moderna, second and third COVID vaccine Pfizer. Incorrect vaccine given for second injection
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Cardiac failure congestive
Clinical narrative: CHF, AKI
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient
Age: 31.0
Sex: F
Vaccine: VARZOS
Symptoms: Circumstance or information capable of leading to medication error, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse events occurred. the error was a misinterpretation of immunocompromised. i thought being that the patient is a diabetic she qualified for the new 19 and above recommendation
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Osteomyelitis, Staphylococcal bacteraemia
Clinical narrative: Cardiac arrest, MRSA bacteremia, osteomylitis
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Up to date with COVID vaccine admitted 3/11/22 with + COVID-19.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Otitis externa, Otitis media, Product administered to patient of inappropriate age, Tympanic membrane perforation
Clinical narrative: Accidental administration to underage. No known/reported adverse event. However, the day after injection patient presented with seasonal allergies and left ear otitis media, otitis externa with perforation that has since resolve. Clinic learned of event incidentally through local pharmacy. Patient's mother had called clinic requesting second dose in series. Clinic is no longer participating in vaccination administration. Patient family was referred to local pharmacy for second injection. Pharmacist called to inform of underage patient receiving unapproved vaccination.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Anticoagulant therapy, Blood gases, COVID-19
Clinical narrative: Hospitalized 3.4.22 - 3.12.22;  COVID-19 positive (3.4.22);  Fully vaccinated PLUS booster Admission Date: 3/4/2022 Details of Hospital Stay PRESENTING PROBLEM: Chronic respiratory failure with hypoxia and hypercapnia (HCC) HOSPITAL COURSE: History of Present Illness History obtained from patient, ED physician/records, and personally reviewed past medical records. The patient is a 66 y.o. female who presents today with worsening hypoxia.  Patient has a history of chronic respiratory failure on 2 L nasal cannula at baseline, chronic diastolic heart failure, obstructive sleep apnea, hypothyroid, anxiety/depression, morbid obesity.  She recently had a hospitalization for heart failure and hypoxia.  She currently has been at a facility for rehab.  She had been coughing and feeling sick for past 3-4 days.  The staff found that she was hypoxic down to 77% and was placed on 5 L nasal cannula.  When EMS arrived placed on non-rebreather and she was satting 98%.  She recently had an x-ray which showed concern for possible pneumonia in the right lower lung.  Patient denies any fevers/chills, abdominal pain, nausea/vomiting.  She had a headache earlier which has resolved.  Patient also states that she did have COVID a few months ago.  She is vaccinated. The patient was brought to the emergency department, she was able to be weaned down to 3-4 L nasal cannula.  Chest x-ray shows bilateral airspace disease.  Procalcitonin is unremarkable.  Patient was started on Decadron.  The patient is a 66 y.o. female who presented with worsening hypoxia.  Admitted for COVID-19 pneumonia and acute/chronic hypoxic respiratory failure. She is normally on 2L NC but was requiring 5L at her assisted living facility before she was sent to ED. She was started on dexamethasone and lovenox subQ for DVT prophylaxis. O2 was weaned back to 2L and discharged back assisted living facility.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiac failure, Chest X-ray abnormal, Chest pain, Chronic obstructive pulmonary disease
Clinical narrative: Hospitalized 3.4.22 - 3.12.22;  COVID-19 positive (3.4.22);  Fully vaccinated PLUS booster Admission Date: 3/4/2022 Details of Hospital Stay PRESENTING PROBLEM: Chronic respiratory failure with hypoxia and hypercapnia (HCC) HOSPITAL COURSE: History of Present Illness History obtained from patient, ED physician/records, and personally reviewed past medical records. The patient is a 66 y.o. female who presents today with worsening hypoxia.  Patient has a history of chronic respiratory failure on 2 L nasal cannula at baseline, chronic diastolic heart failure, obstructive sleep apnea, hypothyroid, anxiety/depression, morbid obesity.  She recently had a hospitalization for heart failure and hypoxia.  She currently has been at a facility for rehab.  She had been coughing and feeling sick for past 3-4 days.  The staff found that she was hypoxic down to 77% and was placed on 5 L nasal cannula.  When EMS arrived placed on non-rebreather and she was satting 98%.  She recently had an x-ray which showed concern for possible pneumonia in the right lower lung.  Patient denies any fevers/chills, abdominal pain, nausea/vomiting.  She had a headache earlier which has resolved.  Patient also states that she did have COVID a few months ago.  She is vaccinated. The patient was brought to the emergency department, she was able to be weaned down to 3-4 L nasal cannula.  Chest x-ray shows bilateral airspace disease.  Procalcitonin is unremarkable.  Patient was started on Decadron.  The patient is a 66 y.o. female who presented with worsening hypoxia.  Admitted for COVID-19 pneumonia and acute/chronic hypoxic respiratory failure. She is normally on 2L NC but was requiring 5L at her assisted living facility before she was sent to ED. She was started on dexamethasone and lovenox subQ for DVT prophylaxis. O2 was weaned back to 2L and discharged back assisted living facility.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chronic respiratory failure, Condition aggravated, Cough, Dyspnoea, Endotracheal intubation
Clinical narrative: Hospitalized 3.4.22 - 3.12.22;  COVID-19 positive (3.4.22);  Fully vaccinated PLUS booster Admission Date: 3/4/2022 Details of Hospital Stay PRESENTING PROBLEM: Chronic respiratory failure with hypoxia and hypercapnia (HCC) HOSPITAL COURSE: History of Present Illness History obtained from patient, ED physician/records, and personally reviewed past medical records. The patient is a 66 y.o. female who presents today with worsening hypoxia.  Patient has a history of chronic respiratory failure on 2 L nasal cannula at baseline, chronic diastolic heart failure, obstructive sleep apnea, hypothyroid, anxiety/depression, morbid obesity.  She recently had a hospitalization for heart failure and hypoxia.  She currently has been at a facility for rehab.  She had been coughing and feeling sick for past 3-4 days.  The staff found that she was hypoxic down to 77% and was placed on 5 L nasal cannula.  When EMS arrived placed on non-rebreather and she was satting 98%.  She recently had an x-ray which showed concern for possible pneumonia in the right lower lung.  Patient denies any fevers/chills, abdominal pain, nausea/vomiting.  She had a headache earlier which has resolved.  Patient also states that she did have COVID a few months ago.  She is vaccinated. The patient was brought to the emergency department, she was able to be weaned down to 3-4 L nasal cannula.  Chest x-ray shows bilateral airspace disease.  Procalcitonin is unremarkable.  Patient was started on Decadron.  The patient is a 66 y.o. female who presented with worsening hypoxia.  Admitted for COVID-19 pneumonia and acute/chronic hypoxic respiratory failure. She is normally on 2L NC but was requiring 5L at her assisted living facility before she was sent to ED. She was started on dexamethasone and lovenox subQ for DVT prophylaxis. O2 was weaned back to 2L and discharged back assisted living facility.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Hypercapnia, Hypoxia, Lung disorder, Malaise
Clinical narrative: Hospitalized 3.4.22 - 3.12.22;  COVID-19 positive (3.4.22);  Fully vaccinated PLUS booster Admission Date: 3/4/2022 Details of Hospital Stay PRESENTING PROBLEM: Chronic respiratory failure with hypoxia and hypercapnia (HCC) HOSPITAL COURSE: History of Present Illness History obtained from patient, ED physician/records, and personally reviewed past medical records. The patient is a 66 y.o. female who presents today with worsening hypoxia.  Patient has a history of chronic respiratory failure on 2 L nasal cannula at baseline, chronic diastolic heart failure, obstructive sleep apnea, hypothyroid, anxiety/depression, morbid obesity.  She recently had a hospitalization for heart failure and hypoxia.  She currently has been at a facility for rehab.  She had been coughing and feeling sick for past 3-4 days.  The staff found that she was hypoxic down to 77% and was placed on 5 L nasal cannula.  When EMS arrived placed on non-rebreather and she was satting 98%.  She recently had an x-ray which showed concern for possible pneumonia in the right lower lung.  Patient denies any fevers/chills, abdominal pain, nausea/vomiting.  She had a headache earlier which has resolved.  Patient also states that she did have COVID a few months ago.  She is vaccinated. The patient was brought to the emergency department, she was able to be weaned down to 3-4 L nasal cannula.  Chest x-ray shows bilateral airspace disease.  Procalcitonin is unremarkable.  Patient was started on Decadron.  The patient is a 66 y.o. female who presented with worsening hypoxia.  Admitted for COVID-19 pneumonia and acute/chronic hypoxic respiratory failure. She is normally on 2L NC but was requiring 5L at her assisted living facility before she was sent to ED. She was started on dexamethasone and lovenox subQ for DVT prophylaxis. O2 was weaned back to 2L and discharged back assisted living facility.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mechanical ventilation, Obesity, Obstructive sleep apnoea syndrome, Oedema peripheral, Orthopnoea
Clinical narrative: Hospitalized 3.4.22 - 3.12.22;  COVID-19 positive (3.4.22);  Fully vaccinated PLUS booster Admission Date: 3/4/2022 Details of Hospital Stay PRESENTING PROBLEM: Chronic respiratory failure with hypoxia and hypercapnia (HCC) HOSPITAL COURSE: History of Present Illness History obtained from patient, ED physician/records, and personally reviewed past medical records. The patient is a 66 y.o. female who presents today with worsening hypoxia.  Patient has a history of chronic respiratory failure on 2 L nasal cannula at baseline, chronic diastolic heart failure, obstructive sleep apnea, hypothyroid, anxiety/depression, morbid obesity.  She recently had a hospitalization for heart failure and hypoxia.  She currently has been at a facility for rehab.  She had been coughing and feeling sick for past 3-4 days.  The staff found that she was hypoxic down to 77% and was placed on 5 L nasal cannula.  When EMS arrived placed on non-rebreather and she was satting 98%.  She recently had an x-ray which showed concern for possible pneumonia in the right lower lung.  Patient denies any fevers/chills, abdominal pain, nausea/vomiting.  She had a headache earlier which has resolved.  Patient also states that she did have COVID a few months ago.  She is vaccinated. The patient was brought to the emergency department, she was able to be weaned down to 3-4 L nasal cannula.  Chest x-ray shows bilateral airspace disease.  Procalcitonin is unremarkable.  Patient was started on Decadron.  The patient is a 66 y.o. female who presented with worsening hypoxia.  Admitted for COVID-19 pneumonia and acute/chronic hypoxic respiratory failure. She is normally on 2L NC but was requiring 5L at her assisted living facility before she was sent to ED. She was started on dexamethasone and lovenox subQ for DVT prophylaxis. O2 was weaned back to 2L and discharged back assisted living facility.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: PCO2 increased, Pain in extremity, Painful respiration, Positive airway pressure therapy, Procalcitonin normal
Clinical narrative: Hospitalized 3.4.22 - 3.12.22;  COVID-19 positive (3.4.22);  Fully vaccinated PLUS booster Admission Date: 3/4/2022 Details of Hospital Stay PRESENTING PROBLEM: Chronic respiratory failure with hypoxia and hypercapnia (HCC) HOSPITAL COURSE: History of Present Illness History obtained from patient, ED physician/records, and personally reviewed past medical records. The patient is a 66 y.o. female who presents today with worsening hypoxia.  Patient has a history of chronic respiratory failure on 2 L nasal cannula at baseline, chronic diastolic heart failure, obstructive sleep apnea, hypothyroid, anxiety/depression, morbid obesity.  She recently had a hospitalization for heart failure and hypoxia.  She currently has been at a facility for rehab.  She had been coughing and feeling sick for past 3-4 days.  The staff found that she was hypoxic down to 77% and was placed on 5 L nasal cannula.  When EMS arrived placed on non-rebreather and she was satting 98%.  She recently had an x-ray which showed concern for possible pneumonia in the right lower lung.  Patient denies any fevers/chills, abdominal pain, nausea/vomiting.  She had a headache earlier which has resolved.  Patient also states that she did have COVID a few months ago.  She is vaccinated. The patient was brought to the emergency department, she was able to be weaned down to 3-4 L nasal cannula.  Chest x-ray shows bilateral airspace disease.  Procalcitonin is unremarkable.  Patient was started on Decadron.  The patient is a 66 y.o. female who presented with worsening hypoxia.  Admitted for COVID-19 pneumonia and acute/chronic hypoxic respiratory failure. She is normally on 2L NC but was requiring 5L at her assisted living facility before she was sent to ED. She was started on dexamethasone and lovenox subQ for DVT prophylaxis. O2 was weaned back to 2L and discharged back assisted living facility.