chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Somnolence, Syncope, Unresponsive to stimuli
Clinical narrative: 16 year old female had both Covid booster (Pfizer Bivalent) and the flu shot administered in one sitting on Sun., Oct. 30th at approximately 12:30 pm. This was her fourth overall Pfizer Covid shot; she has never had any issues with the past three shots except for some soreness at the site of the injection. She also has had her flu shots and also did not have any adverse reactions. This time, she reported arm pain throughout the day, nothing more serious. In the evening at dinnertime, around 7 pm, she said her stomach didn't feel great and she ate very lightly. She continued with a series of tasks, including homework and doing laundry with no complaint. At around 11 pm, as she went to bed, she said she felt very tired and "was done for the day," She fell asleep and had no issues throughout the night. At 6:15 am, she awoke to get ready for school and said she felt groggy. That is not unusual- as a teenager, she wakes up sleepy a bit. About 20 minutes later, at around 6:35 am, as she's brushing her teeth and we are reviewing what is ahead , she said "I don't feel well." I went to touch her forehead, stepped one foot closer, and she went to embrace me.  I heard her mumble something into my shoulder, and when I lifted my head, I heard her say more clearly, "I feel like I'm going to pass out." She then went fully limp in my arms, her eyes rolled back into her head and she collapsed on the floor, her body weight leaning against me. She was unresponsive and fully unconscious for about 1 minute but she would not respond and her eyes alternated between closed and open without her responding. I yelled her name, shook her lightly applied pressure with my palms to either side of her face but she did not respond. As I held her up off the floor, I tried to reach the phone to call 911. After about 1 minute, she came to, still very dazed, completely unable to stand on her own and with no balance. She was confused, out of it, unaware of what was happening.  I helped her move to the couch where she has been resting. I have called her doctor and she said to keep an eye on her. This has only happened in the last two hours so not sure what the day will bring. She has NEVER had any adverse reactions to any vaccines or medicines before and has no chronic or ongoing health issues. She has never passe d out before.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23).
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Malaise, Pain
Clinical narrative: aches, headache, tired It lasted about 10 hours.  I was not real sick, just didn't feel well.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Acne, Acute respiratory failure, Angiogram pulmonary abnormal, Anion gap, COVID-19
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Cough, Culture wound positive, Debridement, Dizziness, Dyspnoea
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Dyspnoea exertional, Electrolyte imbalance, Fall, Fatigue, Fibrin D dimer increased
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Glycosylated haemoglobin normal, Hyperglycaemia, Hypokalaemia, Hypoxia, Leukocytosis
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Limb mass, Lung opacity, Metabolic acidosis, Nausea, Pain
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Pneumonia bacterial, Procalcitonin increased, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Sepsis, Staphylococcus test positive, Streptococcus test positive, Superinfection, Syncope
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 38.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Urine antigen test, Vomiting, Wound treatment
Clinical narrative: Patient with 2 COVID vaccines who admitted inpatient with complications from COVID and detected COVID PCR.  Provider d/c note:  "39 year old female with PMHx significant for anxiety, depression, asthma, and IBS who presented to the emergency department for evaluation of syncope and lightheadedness. She states that she has been having a productive cough for a "few months", never fully resolving upon her diagnosis of CAP in June despite finishing her Azithromycin. On Thursday (10/13) patient began noting increased fatigue, nausea, subjective fever, shortness of breath, and worsening productive cough. She has had a difficult time keeping food down due to persistent nausea with vomiting, only taking a few bites each of the last 4 days. She does endorse drinking plenty of water. She feels increasingly short of breath with exertion, using her albuterol inhaler 5-6 times per day. This evening upon standing to answer the door she had a syncopal episode, did not notice any prodromal symptoms. She denies hitting her head or having any injuries from her fall. In addition to the symptoms noted above she endorses a "lump" on her right upper arm since 10/13. This began as a small "pimple" which she expressed and has grown and become more painful over the past few days. Patient denies recent weight change, headache, rhinorrhea, dysphagia, chest pain, palpitations, abdominal pain, diarrhea, or urinary symptoms.             Upon arrival she was found to be hypoxic, SpO2 of 90 on arrival. She was promptly placed on nasal cannula with improvement in her saturations. She was found to be COVID positive. In addition she has leukocytosis, hypokalemia, an elevated D-Dimer, and an anion gap metabolic acidosis. CTA negative for PE , however does show diffuse tree-in-bud opacities bilaterally. Patient is to be admitted for acute hypoxia,  evaluation for a possible RUE abscess, and management of electrolyte abnormalities.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory failure with sepsis due to COVID with superimposed bacterial pneumonia-  Procalcitonin elevated, strep pneumoniae positive urine antigen.  MRSA nasal swab also positive. - treated with Rocephin and vancomycin for 6 days. Dc on po Doxy. .   - Continue Decadron / completed remdesivir for COVID.   - weaned off o2.  - CTA negative for PE   Right upper arm abscess- vancomycin, s/p I and D with general surgery 10/20, will need op wound care follow up. Wound culture growing MRSA. Treated with Iv vanco - > po Doxy on DC.    Hyperglycemia- likely related to Decadron, A1c only 5.4.   MDD/GAD/personality disorder/PTSD- home medications - continue Geodon, buspar, Vortioxetine.   "
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Body temperature increased, Communication disorder, Decreased appetite, Dizziness
Clinical narrative: She got her vaccine, her temperature went up, her normal is 97.3 when she came home as she always takes her temp as she had a reaction to Shingrix in the past.  It went up by Saturday morning sometime ? as she was out of it, and it was 103.1.  It was still 103.1 later in the day.  Her pulse was very high and erratic so she did not know what it was, normally 55 and it was in the 70s and 80s, and was all over the place.  She had a really severe headache and moderately light headed and why she had difficulty taking her pulse and temp due to that.  She did not have strength to get up until Saturday around 3:00 PM.  She remember opening her eyes and looking at the clock several times in the morning and afternoon but she could not even communicate and was out of it.  She felt really bad.  She had severe headache when she finally was able to get up, moderately light headed, had a moderate sore throat, moderate cramps in extremities and body aches.  She sat in her chair for a little while was watching TV and was sort of out of it (drunk type reaction but not a drinker), did not eat much, loss of appetite and then went back to bed.  She got on Sunday and was definitely better, the temperature was down in the 101 range when she got up.  Her body aches were worse, possibly due to the fact that she was more awake on Sunday.  The light headedness was bothering her yesterday and still a little bit today.  The sore throat seems to be gone but a little scratchy.  She was able to eat something last night but does not remember what, and then did eat breakfast this morning.  She is still not feeling her best, kind of wondering if she is fighting off a bit of a migraine, which she had after the 2nd Pfizer vaccine, which she had a few spells in which she was talking to somebody and knew who they were and her memory would drop for a second, and maybe she wasn't getting enough oxygen.  Somebody gave her a ride to her car, wearing a mask and some fresh air and forgot what she was talking about.  She then got the J&J for her booster.  She doesn't get migraines often just seems when she gets a vaccine, takes a new medicine or has to switch medicines (calcium).  She still as a headache today but not like she had Saturday.  She did take a children's Tylenol, which she felt helped her temp a bit.  Her temp today is normal at 97.3.  Her pulse is still a little bit higher than her normal pulse and not real steady, which is sort of her normal.   She is still a little bit achy.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Feeling drunk, Headache, Heart rate increased, Heart rate irregular
Clinical narrative: She got her vaccine, her temperature went up, her normal is 97.3 when she came home as she always takes her temp as she had a reaction to Shingrix in the past.  It went up by Saturday morning sometime ? as she was out of it, and it was 103.1.  It was still 103.1 later in the day.  Her pulse was very high and erratic so she did not know what it was, normally 55 and it was in the 70s and 80s, and was all over the place.  She had a really severe headache and moderately light headed and why she had difficulty taking her pulse and temp due to that.  She did not have strength to get up until Saturday around 3:00 PM.  She remember opening her eyes and looking at the clock several times in the morning and afternoon but she could not even communicate and was out of it.  She felt really bad.  She had severe headache when she finally was able to get up, moderately light headed, had a moderate sore throat, moderate cramps in extremities and body aches.  She sat in her chair for a little while was watching TV and was sort of out of it (drunk type reaction but not a drinker), did not eat much, loss of appetite and then went back to bed.  She got on Sunday and was definitely better, the temperature was down in the 101 range when she got up.  Her body aches were worse, possibly due to the fact that she was more awake on Sunday.  The light headedness was bothering her yesterday and still a little bit today.  The sore throat seems to be gone but a little scratchy.  She was able to eat something last night but does not remember what, and then did eat breakfast this morning.  She is still not feeling her best, kind of wondering if she is fighting off a bit of a migraine, which she had after the 2nd Pfizer vaccine, which she had a few spells in which she was talking to somebody and knew who they were and her memory would drop for a second, and maybe she wasn't getting enough oxygen.  Somebody gave her a ride to her car, wearing a mask and some fresh air and forgot what she was talking about.  She then got the J&J for her booster.  She doesn't get migraines often just seems when she gets a vaccine, takes a new medicine or has to switch medicines (calcium).  She still as a headache today but not like she had Saturday.  She did take a children's Tylenol, which she felt helped her temp a bit.  Her temp today is normal at 97.3.  Her pulse is still a little bit higher than her normal pulse and not real steady, which is sort of her normal.   She is still a little bit achy.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypophagia, Muscle spasms, Oropharyngeal pain, Pain, Throat irritation
Clinical narrative: She got her vaccine, her temperature went up, her normal is 97.3 when she came home as she always takes her temp as she had a reaction to Shingrix in the past.  It went up by Saturday morning sometime ? as she was out of it, and it was 103.1.  It was still 103.1 later in the day.  Her pulse was very high and erratic so she did not know what it was, normally 55 and it was in the 70s and 80s, and was all over the place.  She had a really severe headache and moderately light headed and why she had difficulty taking her pulse and temp due to that.  She did not have strength to get up until Saturday around 3:00 PM.  She remember opening her eyes and looking at the clock several times in the morning and afternoon but she could not even communicate and was out of it.  She felt really bad.  She had severe headache when she finally was able to get up, moderately light headed, had a moderate sore throat, moderate cramps in extremities and body aches.  She sat in her chair for a little while was watching TV and was sort of out of it (drunk type reaction but not a drinker), did not eat much, loss of appetite and then went back to bed.  She got on Sunday and was definitely better, the temperature was down in the 101 range when she got up.  Her body aches were worse, possibly due to the fact that she was more awake on Sunday.  The light headedness was bothering her yesterday and still a little bit today.  The sore throat seems to be gone but a little scratchy.  She was able to eat something last night but does not remember what, and then did eat breakfast this morning.  She is still not feeling her best, kind of wondering if she is fighting off a bit of a migraine, which she had after the 2nd Pfizer vaccine, which she had a few spells in which she was talking to somebody and knew who they were and her memory would drop for a second, and maybe she wasn't getting enough oxygen.  Somebody gave her a ride to her car, wearing a mask and some fresh air and forgot what she was talking about.  She then got the J&J for her booster.  She doesn't get migraines often just seems when she gets a vaccine, takes a new medicine or has to switch medicines (calcium).  She still as a headache today but not like she had Saturday.  She did take a children's Tylenol, which she felt helped her temp a bit.  Her temp today is normal at 97.3.  Her pulse is still a little bit higher than her normal pulse and not real steady, which is sort of her normal.   She is still a little bit achy.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Breath sounds abnormal, COVID-19, Computerised tomogram spine, Confusional state
Clinical narrative: Patient with 2 COVID vaccines who admitted with weakness and positive COVID PCR.  Provider d/c note:  "89 foreign speaking only YO female that presented to the ED with c/o GLF and difficulty walking. Chronic health conditions include T2DM  anemia  HTN  HLD chronic back pain on narcotic  CKD4  PAF  Pacer for T2 2nd degree . Patient/family  reports that yesterday morning she fell and ambulance came to help her up but she refused to go to the hospital. She had two small abrasions. This morning family checked in on her but she could not get off the sofa. Family stood her up and she had leg pain and she was shakey. Also she had breathing that sounded rattley. The family had COVID last week. Pain has improved since she was treated in the ED.  Treatments at home included taking her prescribed Norco.  Family reports that patient has taken all medications today except Pravachol and Norco which she normally takes 2x per day for chronic pain. (HPI per NP)   Hospital Course: No notes on file, patient is an 89yr old female with a history of HTN, DM. PAfib, Mobitz Type 2 on PPM, Chronic back pain, CKD who presented with difficulty walking following GLF and COVID.   GLF Multiple Compression Fractures - seen as progressed on CT Lumbar with most severe being at L4. MRI not done due to PPM. PT/OT recommending Home with 24hr supervision vs Home with HT vs Rehab. I contacted IR to see if patient is a candidate for kyphoplasty - need to know acuity of fracture, recommended bone scan. However today patient is denying any back pain and did well with PT without any limitation of movement attributed to pain. No need to bone scan or kyphoplasty and ok to discharge home. I discussed with patients son who agreed with plan.   COVID - Largely asymptomatic. No hypoxia and no indication for covid directed therapy   Discharge Exam: General - Elderly female, calm, not in obvious distress, appears to be confused HEENT - NC AT Heart - S1 S2 RRR, PPM in place Lung - Moderate air entry Ext - Left LE - dry scab over left heel             RLE - No overt sign of cellulitis Back - non-tender Neuro - AAO x3"
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Gait disturbance, Mobility decreased, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 COVID vaccines who admitted with weakness and positive COVID PCR.  Provider d/c note:  "89 foreign speaking only YO female that presented to the ED with c/o GLF and difficulty walking. Chronic health conditions include T2DM  anemia  HTN  HLD chronic back pain on narcotic  CKD4  PAF  Pacer for T2 2nd degree . Patient/family  reports that yesterday morning she fell and ambulance came to help her up but she refused to go to the hospital. She had two small abrasions. This morning family checked in on her but she could not get off the sofa. Family stood her up and she had leg pain and she was shakey. Also she had breathing that sounded rattley. The family had COVID last week. Pain has improved since she was treated in the ED.  Treatments at home included taking her prescribed Norco.  Family reports that patient has taken all medications today except Pravachol and Norco which she normally takes 2x per day for chronic pain. (HPI per NP)   Hospital Course: No notes on file, patient is an 89yr old female with a history of HTN, DM. PAfib, Mobitz Type 2 on PPM, Chronic back pain, CKD who presented with difficulty walking following GLF and COVID.   GLF Multiple Compression Fractures - seen as progressed on CT Lumbar with most severe being at L4. MRI not done due to PPM. PT/OT recommending Home with 24hr supervision vs Home with HT vs Rehab. I contacted IR to see if patient is a candidate for kyphoplasty - need to know acuity of fracture, recommended bone scan. However today patient is denying any back pain and did well with PT without any limitation of movement attributed to pain. No need to bone scan or kyphoplasty and ok to discharge home. I discussed with patients son who agreed with plan.   COVID - Largely asymptomatic. No hypoxia and no indication for covid directed therapy   Discharge Exam: General - Elderly female, calm, not in obvious distress, appears to be confused HEENT - NC AT Heart - S1 S2 RRR, PPM in place Lung - Moderate air entry Ext - Left LE - dry scab over left heel             RLE - No overt sign of cellulitis Back - non-tender Neuro - AAO x3"
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Scab, Skin abrasion, Spinal compression fracture, Tremor
Clinical narrative: Patient with 2 COVID vaccines who admitted with weakness and positive COVID PCR.  Provider d/c note:  "89 foreign speaking only YO female that presented to the ED with c/o GLF and difficulty walking. Chronic health conditions include T2DM  anemia  HTN  HLD chronic back pain on narcotic  CKD4  PAF  Pacer for T2 2nd degree . Patient/family  reports that yesterday morning she fell and ambulance came to help her up but she refused to go to the hospital. She had two small abrasions. This morning family checked in on her but she could not get off the sofa. Family stood her up and she had leg pain and she was shakey. Also she had breathing that sounded rattley. The family had COVID last week. Pain has improved since she was treated in the ED.  Treatments at home included taking her prescribed Norco.  Family reports that patient has taken all medications today except Pravachol and Norco which she normally takes 2x per day for chronic pain. (HPI per NP)   Hospital Course: No notes on file, patient is an 89yr old female with a history of HTN, DM. PAfib, Mobitz Type 2 on PPM, Chronic back pain, CKD who presented with difficulty walking following GLF and COVID.   GLF Multiple Compression Fractures - seen as progressed on CT Lumbar with most severe being at L4. MRI not done due to PPM. PT/OT recommending Home with 24hr supervision vs Home with HT vs Rehab. I contacted IR to see if patient is a candidate for kyphoplasty - need to know acuity of fracture, recommended bone scan. However today patient is denying any back pain and did well with PT without any limitation of movement attributed to pain. No need to bone scan or kyphoplasty and ok to discharge home. I discussed with patients son who agreed with plan.   COVID - Largely asymptomatic. No hypoxia and no indication for covid directed therapy   Discharge Exam: General - Elderly female, calm, not in obvious distress, appears to be confused HEENT - NC AT Heart - S1 S2 RRR, PPM in place Lung - Moderate air entry Ext - Left LE - dry scab over left heel             RLE - No overt sign of cellulitis Back - non-tender Neuro - AAO x3"
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness, Neuralgia, Odynophagia, Pain, Pain in extremity
Clinical narrative: Patient reported having a sore arm later in the day after receiving vaccine.  Then was having stiff neck and nerve pain whenever he moved his head and swallowing larger amounts of food.  Was advised to take acetaminophen and ice packs to help with symptoms until Monday where his primary care physician could be contacted in order to further treat the symptoms.
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the Bivalent vaccine for the second dose of her primary series, instead of the monovalent. No adverse reactions reported
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abnormal behaviour, Altered state of consciousness, Amnesia, Breast pain, Breast swelling
Clinical narrative: On 10/6/21 the next day, I dont remember anything. My daughter took a video of it. She was asking my name, and I didnt know anything, I was able to move, but I didnt know. She called the ambulance, and they asked what I took, but all she could find was medication in my purse, so they admitted me to the hospital stating that I accidentally overdose. So they gave me Narcan when I was here, gave me another shot in the ambulance. When I got to the hospital, the er doctor gave me another shot, and I went crazy. All of a sudden I dont remember anything. Then the next thing I remember, is the er doctor came in and said I overdose. He stated he didnt know what was wrong, cause no one told him, I had the covid shot. I dont remember saying things to the doctor. My grandaughter was beside me, and about 10 at night, they said they gave me some tylenol and narcan and sodium chloride. I didnt even know what hospital I was in. Around 10 I was heginning to come around to myself. They ran all kind of test, and couldnt find anything. When they told the doctor that I had the covid shot, he knew that's what it was.  Then the doctor stated he was sending me for a CTSCAN of the brain and also my breast on the left side was swollen and sore, and under my arm was swollen. They diagnose me with alternate mental status (Transient Alteration Awareness).
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test, Oedema peripheral
Clinical narrative: On 10/6/21 the next day, I dont remember anything. My daughter took a video of it. She was asking my name, and I didnt know anything, I was able to move, but I didnt know. She called the ambulance, and they asked what I took, but all she could find was medication in my purse, so they admitted me to the hospital stating that I accidentally overdose. So they gave me Narcan when I was here, gave me another shot in the ambulance. When I got to the hospital, the er doctor gave me another shot, and I went crazy. All of a sudden I dont remember anything. Then the next thing I remember, is the er doctor came in and said I overdose. He stated he didnt know what was wrong, cause no one told him, I had the covid shot. I dont remember saying things to the doctor. My grandaughter was beside me, and about 10 at night, they said they gave me some tylenol and narcan and sodium chloride. I didnt even know what hospital I was in. Around 10 I was heginning to come around to myself. They ran all kind of test, and couldnt find anything. When they told the doctor that I had the covid shot, he knew that's what it was.  Then the doctor stated he was sending me for a CTSCAN of the brain and also my breast on the left side was swollen and sore, and under my arm was swollen. They diagnose me with alternate mental status (Transient Alteration Awareness).
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Red, swollen arm at injection site.  Mild fever.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal
Clinical narrative: COVID + 10/25/22 - Vaccination status - moderna x3 Discharge Summary  HOSPITALIST                                              Discharge Information: Discharge Provider:  MD  Primary Care Provider :     Procedures to be scheduled by PCP: None   Results/Procedures requiring PCP followup: None   Admission Date: 10/25/2022 Discharge Date: 10/30/2022   Admitting Diagnoses: Acute hypoxemic respiratory failure due to COVID-19    Details of Hospital Stay PRESENTING PROBLEM:  Acute hypoxemic respiratory failure due to COVID-19 [U07.1, J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 85 y.o. male  who presents to hospital with shortness of breath.  Patient attended a wedding 10 days ago where multiple people became sick, including his wife.  He began to feel ill 3 days ago, with fatigue and cough.  Symptoms gradually worsened and this morning he had a pulse ox of "50%" at home according to his wife.  EMS was called and the patient brought to the ED.  He required a NRB mask to maintain adequate sats in the ED.  CT showed no signs of PE but bilateral ground glass and tree in bud opacities.  COVID testing was positive.  Because of his severe hypoxemia he was referred to the hospital and transferred to hospital for further evaluation and care.   Patient was admitted to the critical care unit and treated with steroids remdesivir and empiric antibiotics to cover community-acquired pneumonia.  He was managed with high-flow nasal cannula oxygen which was gradually weaned.  He continued to have significant weakness hypoxia and shortness of breath.  He underwent aggressive respiratory hygiene, physical occupational therapy.  Gradually his symptoms did improve.  He was weaned back down to his normal 2 L nasal cannula.  He improved with physical therapy and was felt that he did not need subacute rehab.  He completed a 5 day course of remdesivir and antibiotics.  He is discharged in stable condition on dexamethasone for 3 more days.  Home care will be arranged for him and he will follow up with primary care provider within the next week.  He is instructed to continue to self isolate for 2 more days which will be 10 days from symptom onset.