chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: Patient received 1st covid vaccine on 2/16/21 and the 2nd dose on 3/16/21. Patient presented to outside hospital on 10/6/21 with worsening cough, SOB and chest pressure that started since July 2021 found to have large L pleural effusion and moderate pericardial effusion. She had signs of systemic inflammation with a leukocytosis to 17.6, D-dimer of 2500, ESR of 101, and CRP of 250. Patient was covid negative. Chest x ray demonstrated a left sided moderate pleural effusion with retrocardiac opacity and moderate pulmonary interstitial edema. EKG re demonstrated the moderate circumferential pericardial effusion with consolidated appearance and no evidence of tamponade. Patient received cardiac mri on 12/10/21 as an outpatient and below is the conclusion. 1.  There is mild thickening and late gadolinium enhancement of the pericardium, likely representing ongoing pericardial inflammation. No pericardial edema to indicate acute pericarditis. Interval resolution of pericardial effusion. No evidence of pericardial constriction. 2.  Conglomerate of lymph nodes in the right anterior mediastinum which is decreased in size slightly compared with prior imaging may be reactive. This can be reassessed with contrast enhanced CT chest in 2-3 months. 3.  Small left pleural effusion with interval decrease in size.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Pyrexia
Clinical narrative: Fever, chills, and diarhea...self-treated with Tylenol and plenty of fluids. Effects lasted for 2 days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Rash, Swelling face
Clinical narrative: NEXT MORNING FACE WAS VERY SWOLLEN FROM UNDER EYES TO  SIDE OF FACE  FAINT RASH ON CHEEKS. SEVERE MIGRAINE.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Fall, Hyperhidrosis
Clinical narrative: Patient approached RN in observation and stated he felt light headed. I directed patient to wheelchair but he fell to his knees immediately. RN helped patient to ground without injury. Patient diaphoretic and disoriented. Patient placed on stretcher and assessed. A&O x4. Denies pain.  Vitals at 11:20 BP 89/50 Pulse 51 02 98%  Vitals at 11:25 BP 96/58 Pulse 40 (epi pen ready to use and EMS ready to be called but pulse increased to high 40s) 02 98%  Vitals 11:30 BP 116/75 Pulse 65 02 99%  Vitals 11:40  BP 134/87 Pulse 69 02 97%  Patient denies pain during reaction and is now fully alert and oriented x4. Patient no longer diaphoretic.  Patient states he feels 100% back to normal. Son is with patient and states he will drive them home. Patient states he has had reactions like this in the past. I advised him to tell staff of his past reactions any time he is to be treated with a vaccine in the future. Patient advised to immediately seek medical attention if any further symptoms develop.  Patient discharged from nursing care at 11:44
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Night sweats, Postmenopausal haemorrhage, Pyrexia
Clinical narrative: Menopausal female began bleeding day after shot was given.  Continues to have bleeding on and off, very tender breasts, nights sweating and nightly fevers everyday since first shot.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity, Somnolence
Clinical narrative: Pt was to receive 0.25ml booster dose of Moderna - SARS - 2, instead received 0.50ml dose. Pt states that she had a sore arm for 2-3 days after vaccine and has notices sleepiness over the last couple of days, asking if that might be from the vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Headache, Insomnia, Laboratory test, Magnetic resonance imaging head
Clinical narrative: Occipital headaches (worse when lying down), started within a week of vaccination. Minimal relief with analgesics. Never had headaches before. Unable to sleep prolonged.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5 ml Moderna Booster
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: A fine red rash on trunk, legs and arms
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Aura, Blepharospasm, Contusion, Electrocardiogram normal, Erythema
Clinical narrative: --Started 24 hours after the shot with redness and swelling that grew to encompass most of my upper arm, severe constant pain in the entire arm, enough to render it useless, and the arm would go completely numb during sleep. Severe pain lasted over two months. Moderate pain continues to this day. --extreme tinnitus, developed a few days after shot, lasting for approx 2 months --vertigo, developed a few days after shot, lasting for approx 2 months --easy and very unusual bruising, particularly in my lower calves, developed about a week after shot, lasting for approx 2 months --aches in my extremities, particularly lower calves,  developed about a week after shot, lasting for approx 2 months --muscle twinges and twitching throughout body, developed a few days after shot, intense developed about a week after shot, lasting for approx 2 months, persists still but mild and less frequent --dark red mark on left eye appeared one morning approx 3 weeks after shot. Followed by onset of sudden and persistent black floaters and a blurry patch in my vision that persists to this day (eye doctor this damage is irreversible). Also have intense fluttering and twinges in both eyes that persists to this day. --severe headaches, both highly localized flaring pain, sometimes what I would describe as a full helmet of pain. Developed approx one week after shot, lasted approx 3+ months --extreme vision distortion and intense visual auras. Developed approx one week after shot, lasted approx 3+ months --menstrual spotting (which I have never experienced in my life), and extreme heavy menstrual bleeding. Approx 2 weeks duration for spotting, at least 3 cycles affect with the heavy bleeding. --racing heart. Developed a few days after shot, lasted approx 2 months
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heavy menstrual bleeding, Hypoaesthesia, Injection site erythema, Intermenstrual bleeding
Clinical narrative: --Started 24 hours after the shot with redness and swelling that grew to encompass most of my upper arm, severe constant pain in the entire arm, enough to render it useless, and the arm would go completely numb during sleep. Severe pain lasted over two months. Moderate pain continues to this day. --extreme tinnitus, developed a few days after shot, lasting for approx 2 months --vertigo, developed a few days after shot, lasting for approx 2 months --easy and very unusual bruising, particularly in my lower calves, developed about a week after shot, lasting for approx 2 months --aches in my extremities, particularly lower calves,  developed about a week after shot, lasting for approx 2 months --muscle twinges and twitching throughout body, developed a few days after shot, intense developed about a week after shot, lasting for approx 2 months, persists still but mild and less frequent --dark red mark on left eye appeared one morning approx 3 weeks after shot. Followed by onset of sudden and persistent black floaters and a blurry patch in my vision that persists to this day (eye doctor this damage is irreversible). Also have intense fluttering and twinges in both eyes that persists to this day. --severe headaches, both highly localized flaring pain, sometimes what I would describe as a full helmet of pain. Developed approx one week after shot, lasted approx 3+ months --extreme vision distortion and intense visual auras. Developed approx one week after shot, lasted approx 3+ months --menstrual spotting (which I have never experienced in my life), and extreme heavy menstrual bleeding. Approx 2 weeks duration for spotting, at least 3 cycles affect with the heavy bleeding. --racing heart. Developed a few days after shot, lasted approx 2 months
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Metamorphopsia, Mobility decreased, Muscle twitching, Pain, Pain in extremity
Clinical narrative: --Started 24 hours after the shot with redness and swelling that grew to encompass most of my upper arm, severe constant pain in the entire arm, enough to render it useless, and the arm would go completely numb during sleep. Severe pain lasted over two months. Moderate pain continues to this day. --extreme tinnitus, developed a few days after shot, lasting for approx 2 months --vertigo, developed a few days after shot, lasting for approx 2 months --easy and very unusual bruising, particularly in my lower calves, developed about a week after shot, lasting for approx 2 months --aches in my extremities, particularly lower calves,  developed about a week after shot, lasting for approx 2 months --muscle twinges and twitching throughout body, developed a few days after shot, intense developed about a week after shot, lasting for approx 2 months, persists still but mild and less frequent --dark red mark on left eye appeared one morning approx 3 weeks after shot. Followed by onset of sudden and persistent black floaters and a blurry patch in my vision that persists to this day (eye doctor this damage is irreversible). Also have intense fluttering and twinges in both eyes that persists to this day. --severe headaches, both highly localized flaring pain, sometimes what I would describe as a full helmet of pain. Developed approx one week after shot, lasted approx 3+ months --extreme vision distortion and intense visual auras. Developed approx one week after shot, lasted approx 3+ months --menstrual spotting (which I have never experienced in my life), and extreme heavy menstrual bleeding. Approx 2 weeks duration for spotting, at least 3 cycles affect with the heavy bleeding. --racing heart. Developed a few days after shot, lasted approx 2 months
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Peripheral swelling, Tinnitus, Tooth extraction, Vertigo
Clinical narrative: --Started 24 hours after the shot with redness and swelling that grew to encompass most of my upper arm, severe constant pain in the entire arm, enough to render it useless, and the arm would go completely numb during sleep. Severe pain lasted over two months. Moderate pain continues to this day. --extreme tinnitus, developed a few days after shot, lasting for approx 2 months --vertigo, developed a few days after shot, lasting for approx 2 months --easy and very unusual bruising, particularly in my lower calves, developed about a week after shot, lasting for approx 2 months --aches in my extremities, particularly lower calves,  developed about a week after shot, lasting for approx 2 months --muscle twinges and twitching throughout body, developed a few days after shot, intense developed about a week after shot, lasting for approx 2 months, persists still but mild and less frequent --dark red mark on left eye appeared one morning approx 3 weeks after shot. Followed by onset of sudden and persistent black floaters and a blurry patch in my vision that persists to this day (eye doctor this damage is irreversible). Also have intense fluttering and twinges in both eyes that persists to this day. --severe headaches, both highly localized flaring pain, sometimes what I would describe as a full helmet of pain. Developed approx one week after shot, lasted approx 3+ months --extreme vision distortion and intense visual auras. Developed approx one week after shot, lasted approx 3+ months --menstrual spotting (which I have never experienced in my life), and extreme heavy menstrual bleeding. Approx 2 weeks duration for spotting, at least 3 cycles affect with the heavy bleeding. --racing heart. Developed a few days after shot, lasted approx 2 months
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Vitreous floaters
Clinical narrative: --Started 24 hours after the shot with redness and swelling that grew to encompass most of my upper arm, severe constant pain in the entire arm, enough to render it useless, and the arm would go completely numb during sleep. Severe pain lasted over two months. Moderate pain continues to this day. --extreme tinnitus, developed a few days after shot, lasting for approx 2 months --vertigo, developed a few days after shot, lasting for approx 2 months --easy and very unusual bruising, particularly in my lower calves, developed about a week after shot, lasting for approx 2 months --aches in my extremities, particularly lower calves,  developed about a week after shot, lasting for approx 2 months --muscle twinges and twitching throughout body, developed a few days after shot, intense developed about a week after shot, lasting for approx 2 months, persists still but mild and less frequent --dark red mark on left eye appeared one morning approx 3 weeks after shot. Followed by onset of sudden and persistent black floaters and a blurry patch in my vision that persists to this day (eye doctor this damage is irreversible). Also have intense fluttering and twinges in both eyes that persists to this day. --severe headaches, both highly localized flaring pain, sometimes what I would describe as a full helmet of pain. Developed approx one week after shot, lasted approx 3+ months --extreme vision distortion and intense visual auras. Developed approx one week after shot, lasted approx 3+ months --menstrual spotting (which I have never experienced in my life), and extreme heavy menstrual bleeding. Approx 2 weeks duration for spotting, at least 3 cycles affect with the heavy bleeding. --racing heart. Developed a few days after shot, lasted approx 2 months
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Client presented to the vaccination site on 01/29/22 for booster. The client notified RN that 1 to 2 weeks after receiving her 1st dose of Janssen on 06/28/2021, she experienced an short onset of sharp chest pain that lasted 1 second. Client states two similar episodes occurred a month apart. Client denied shortness of breath, difficulty breathing, urticaria, rash, or dizziness. Client denied known allergies, taking medication at home or significant past medical history.  Client did not follow up with PCP following onset of chest pain reaction after 1st dose of Janssen vaccination. Co- Lead RN submitted a medical consult via message to Vaccine Operations Leads, requesting to proceed with the COVID booster vaccine (Pfizer). MD approved booster dose. Client received COVID vaccine (Pfizer) Lot# FK9729 on 01/29/2022. The client did not report any symptoms during the 15 minute observation period. Co-Lead RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site at 1610 with a steady gait and denied any concerns.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site erythema, Injection site swelling, Nausea, Paraesthesia oral
Clinical narrative: The patient woke up at 4:00am with sneezing, headache, nausea/vomiting, and tingly tongue. The vaccinated arm was red and swollen. There was no other swelling elsewhere on the body. The patient had completely recovered when they presented to the pharmacy today.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Sneezing, Vomiting
Clinical narrative: The patient woke up at 4:00am with sneezing, headache, nausea/vomiting, and tingly tongue. The vaccinated arm was red and swollen. There was no other swelling elsewhere on the body. The patient had completely recovered when they presented to the pharmacy today.
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Unable to contact patient for follow up. Certified letter sent to patient address on file.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: VACCINATION ERROR
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: chest pain
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given one day past BUD.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given0.5 ml instead of 0.25ml booster 3rd dosage, patient was called on 1/18/2022 and denies any problems since vaccination. A letter was sent to patient informing of dosage given
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No symptoms reported at this time.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event, Product administration error
Clinical narrative: No adverse event but a administration error.  He got this booster shot before it was 2 months after his J%J primary dose.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.  COVID infection breakthrough, asymptomatic
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5 ml Moderna booster
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever, headache, body aches for >1 week
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Abdominal tenderness, Acute myocardial infarction, Angiogram pulmonary abnormal
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood chloride normal, Blood cholesterol increased, Blood creatinine normal
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture positive, Blood glucose increased, Blood lactic acid, Blood potassium normal, Blood sodium normal
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, Blood triglycerides increased, Blood urea decreased, Brain natriuretic peptide increased, Bronchoscopy abnormal
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Carbon dioxide normal, Computerised tomogram abdomen abnormal, Computerised tomogram abnormal, Condition aggravated
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Diverticular perforation, Diverticulitis, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Eosinophil percentage, Fall, Flatulence, Full blood count
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: General physical condition abnormal, Glycosylated haemoglobin normal, Haematocrit normal, Haemoglobin normal, Haemoptysis
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: High density lipoprotein decreased, Hypotension, Hypoxia, Low density lipoprotein increased, Lung infiltration
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Lymphocyte percentage decreased, Mean cell volume increased, Monocyte percentage, Nausea
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Peritonitis, Platelet count normal, Pneumonia, Pneumoperitoneum
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary haemorrhage, Rib fracture, Staphylococcus test positive, Traumatic fracture, Troponin increased
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia, NSTEMI  86 Y female h/o COPD, on PRN home O2, DM2, HTN, CKD, AFib (no AC d/t GIB), obesity (BMI 35), traumatic rib fractures 12/30/21, who was admitted 1/9/22 with COVID pneumonia with complicated hospital course. At admission also had rapid AFib with elevated trop concerning for NSTEMI. Pt managed with IV heparin 48 hrs. Admission blood cultures with S.mitis. TTE ordered showing no endocarditis but decreased EF. Pt was diuresed with plan for cath on 1/18. On 1/17 pt developed peritonitis and CT showed diverticular perforation. Surgery evaluated pt and due to high surgical risk planned for conservative management with bowel rest, TPN, IV antibiotics. Coronary cath postponed indefinitely.   From 1/27-1/31, active issues included rapid AFib, ongoing low-volume hemoptysis, worsening hypoxia and b/l pulmonary infiltrates. Also with variable abdominal symptoms while on clears.   On 1/29 pt with increasing hemoptysis and oxygen requirements. Also with nausea and increased abd tenderness. CTA chest and CT A/P done to evaluate, noting bibasilar GGOs in the lungs and Abd CT with resolving free air and sigmoid diverticulitis, but possible tiny abscess in LLQ adjacent to gas-filled structure. Also with signs of possible ileus. Abd pain improved spontaneously. Pulm planned for bronch for hemoptysis which was done on 1/30/22. Bronch notable for old blood in the LUL and less in the LLL. Sent for washings, results noted in progress note. Vancomycin added.   On 1/31, pt with increased abd bloating and transient hypotension. Repeat trop negative, BNP improving. Pt slowly weaning down on O2 requirements. Condition remains guarded
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 9/25/21
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Axillary pain, Fatigue, Feeling abnormal, Headache, Injection site rash
Clinical narrative: Patient reporting on 1/25/22 around 5pm she noted a rash at injection site. Later that evening she noted another spot on her back and currently has 4-5 additional spots on her back and neck. She denies fever, but reports feeling off and fatigued with headache and muscle aches for a few days. Patient also reports right armpit was painful and swollen 1-2 days before the rash started. Patient reported symptoms to office and referral placed on 1/26/22 for patient to be evaluated by dermatology. Patient was seen by dermatology department  1/27/22 and diagnosed with vaccine induced varicella. Patient advised by dermatology to keep lesions covered, maintain wearing a mask and avoid contact with susceptible individuals.  Patient currently breastfeeding so topical lidocaine and  Oatmeal baths for pruritus.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Myalgia, Peripheral swelling, Rash macular, Skin lesion, Varicella
Clinical narrative: Patient reporting on 1/25/22 around 5pm she noted a rash at injection site. Later that evening she noted another spot on her back and currently has 4-5 additional spots on her back and neck. She denies fever, but reports feeling off and fatigued with headache and muscle aches for a few days. Patient also reports right armpit was painful and swollen 1-2 days before the rash started. Patient reported symptoms to office and referral placed on 1/26/22 for patient to be evaluated by dermatology. Patient was seen by dermatology department  1/27/22 and diagnosed with vaccine induced varicella. Patient advised by dermatology to keep lesions covered, maintain wearing a mask and avoid contact with susceptible individuals.  Patient currently breastfeeding so topical lidocaine and  Oatmeal baths for pruritus.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Medical induction of coma
Clinical narrative: Pt in a medically induced coma
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Blood test, Cardiac arrest, Chest X-ray, Computerised tomogram head
Clinical narrative: Sudden cardiac arrest occurred 7 days post covid-19 booster. Was feeling heartburn-like symptoms a few hours prior to cardiac arrest. Resuscitated by paramedics and transported to the hospital for a week-long ICU stay. No known/identifiable cause of cardiac arrest. After numerous tests/imaging, heart structure found to be healthy and heart functions normally. ICD implanted to prevent future episodes of cardiac arrest since no cause was identified and no other treatment was appropriate.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspepsia, Echocardiogram, Electrocardiogram, Implantable defibrillator insertion, Intensive care
Clinical narrative: Sudden cardiac arrest occurred 7 days post covid-19 booster. Was feeling heartburn-like symptoms a few hours prior to cardiac arrest. Resuscitated by paramedics and transported to the hospital for a week-long ICU stay. No known/identifiable cause of cardiac arrest. After numerous tests/imaging, heart structure found to be healthy and heart functions normally. ICD implanted to prevent future episodes of cardiac arrest since no cause was identified and no other treatment was appropriate.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Resuscitation
Clinical narrative: Sudden cardiac arrest occurred 7 days post covid-19 booster. Was feeling heartburn-like symptoms a few hours prior to cardiac arrest. Resuscitated by paramedics and transported to the hospital for a week-long ICU stay. No known/identifiable cause of cardiac arrest. After numerous tests/imaging, heart structure found to be healthy and heart functions normally. ICD implanted to prevent future episodes of cardiac arrest since no cause was identified and no other treatment was appropriate.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Seizure
Clinical narrative: sudden onset of mild fever, seizure in the middle of the night.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.  COVID breakthrough infection
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5 ml Moderna Booster.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Scratchy throat 15 minutes after vaccine was given. One dose of Benadryl given and symptoms subsided.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: hospitalized with breakthrough COIVD infection
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Received Janssen vaccine on 3/4, 11/12/21 COVID-19 positive by PCR on  1/22/22 admitted to hospital on 1/30/22 for COVID pneumonia underlying Type 1 DM
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received adult Pfizer vaccine when she should have received the pediatric dose (patient is 11 years old).  No adverse reaction was observed and no treatment was required.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml instead of 0.25ml booster 3rd dosage,  patient was called on 1/18/2022 and denied any problems since vaccination. A letter was sent informing patient of dosage given.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Autoimmune disorder, Biopsy, Cardiac disorder, Dyspnoea
Clinical narrative: About 2 months post vaccine, I started getting tired, SOB. I'm a big golfer and it began to get difficult for me to just walk on the golf course. That was the beginning symptoms. I finally got in to see my doctor in August. I ended up in the hospital. My heart rate and BP were very high for 6 weeks. They finally got it down. I'm on 3 pills for my heart.  My lungs were collapsed, they had to do a biopsy, My GI system, I got an autoimmune disease. I lost 30 lbs. Now my kidneys are shutting down. I was perfectly healthy. We are at a standstill because of the kidney failure. My lungs, heart and everything is  being affected. There is a risk to do a biopsy because of my kidney. They know my lungs are getting bad, but they cannot confirm why. They cannot put me to sleep to do some of these test because of my kidneys. The test they have done are not giving them an affinitive diagnosis, they call it unresolved.