chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD NO ADVERSE REACTIONS
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case.  Moderna 2/20/21 007M20A, 3/20/21 047A21A, and boosted 11/8/21 077C21B
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE. PATIENT HAD NO ADVERSE REACTIONS.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: severe tinnitus, persisted continuously for ~ 3days, and has continued intermittently since.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test abnormal, Chest discomfort, Dyspnoea exertional
Clinical narrative: Three months after receiving the second dose of the Covid 19 vaccine, he  began complaining of chest tightness and also had difficulty catching his breath after participating in strenuous activity. He initially believed he was experiencing Exercise-induced asthma, which he had experienced in the past.  He was prescribed an Albuterol Sulfate HFA inhaler.  He believed he felt some relief while using the inhaler; however, at some point, it was no longer helping.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Chills, Cough, Dyspnoea
Clinical narrative: Pt has complaints of fatigue, chills, shortness of breath, cough, and has been symptomatic for the past 5 days. He is admitted to the hospital with COVID, right lower lobe pneumonia, and acute on chronic respiratory failure with hypoxia.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoxia, Malaise, Pneumonia
Clinical narrative: Pt has complaints of fatigue, chills, shortness of breath, cough, and has been symptomatic for the past 5 days. He is admitted to the hospital with COVID, right lower lobe pneumonia, and acute on chronic respiratory failure with hypoxia.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Laziness, Nasal congestion
Clinical narrative: Covid 19 I tested positive for covid on August 18, I experienced drainage in throat, congestion, I had a fever it got up to 105.0 had a cough with stuffy nose, I had to sleep sitting up otherwise i would cough all night. On Friday I was really lazy and tired and on Saturday i started to feel a little better. I was taking Paxlovid for my symptons as directed by my Dr 3 pills twice a day for 5 days. I was also taking Tylenol as well for pain.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus operation, Sleep disorder
Clinical narrative: Covid 19 I tested positive for covid on August 18, I experienced drainage in throat, congestion, I had a fever it got up to 105.0 had a cough with stuffy nose, I had to sleep sitting up otherwise i would cough all night. On Friday I was really lazy and tired and on Saturday i started to feel a little better. I was taking Paxlovid for my symptons as directed by my Dr 3 pills twice a day for 5 days. I was also taking Tylenol as well for pain.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Product storage error, Pyrexia, Vaccine positive rechallenge
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD CHILLS AND A FEVER WILL ALL COVID VACCINES HE RECEIVED
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Swelling, hot to the touch and a large lump in injection site. Red all around injection site (24h+) (still in effect) Severe muscle pain in legs and arm (13H+) (still in effect) Migraines (still in effect) Trouble sleeping, cold chills, fever (still in effect)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Insomnia, Migraine, Myalgia, Pain in extremity
Clinical narrative: Swelling, hot to the touch and a large lump in injection site. Red all around injection site (24h+) (still in effect) Severe muscle pain in legs and arm (13H+) (still in effect) Migraines (still in effect) Trouble sleeping, cold chills, fever (still in effect)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Swelling, hot to the touch and a large lump in injection site. Red all around injection site (24h+) (still in effect) Severe muscle pain in legs and arm (13H+) (still in effect) Migraines (still in effect) Trouble sleeping, cold chills, fever (still in effect)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium normal, Cardiac stress test normal, Chest X-ray normal, Chest pain, Discomfort
Clinical narrative: In March of 2022 I began to notice chest pains. There didn't seem to be a pattern. They come and go at random. They aren't excruciating but are uncomfortable. Sometimes I feel out of breath when climbing stairs. I contacted my transplant team who advised that I see a doctor. I went to be checked and they did some tests but advised that I go to the emergency room where more tests were done. I have been following up with my cardiologist and my primary care physician who believe it may be a G.I. issue. They still have not narrowed down a diagnosis but do not believe it is heart related. I have received a round of Evusheld injections in March 2022.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Echocardiogram normal, Gastrointestinal disorder, Laboratory test normal, Scan with contrast normal
Clinical narrative: In March of 2022 I began to notice chest pains. There didn't seem to be a pattern. They come and go at random. They aren't excruciating but are uncomfortable. Sometimes I feel out of breath when climbing stairs. I contacted my transplant team who advised that I see a doctor. I went to be checked and they did some tests but advised that I go to the emergency room where more tests were done. I have been following up with my cardiologist and my primary care physician who believe it may be a G.I. issue. They still have not narrowed down a diagnosis but do not believe it is heart related. I have received a round of Evusheld injections in March 2022.
Age: 13.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Fall
Clinical narrative: Patient was given the vaccines, and suddenly fell back on the wall. Was sat up on the bed and was given some crackers and water. Over 20 minutes patient was checked by Provider and was released to leave the office.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD NO ADVERSE REACTIONS
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 1/22/21 EL9261, 2/12/21 EL9267, and boosted 12/8/21 33130BA
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood test normal, Cardiac valve disease, Catheterisation cardiac, Echocardiogram abnormal
Clinical narrative: I went for one year checkout for my Cardiologist and order an Echo (6/22) and then it was discovered that my Valve needed to be replace again, I had it replaced 5 years ago. I had CTA done. August 23, 2022, Cardiac catheterization.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Liver function test abnormal
Clinical narrative: I went for one year checkout for my Cardiologist and order an Echo (6/22) and then it was discovered that my Valve needed to be replace again, I had it replaced 5 years ago. I had CTA done. August 23, 2022, Cardiac catheterization.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD NO ADVERSE REACTIONS
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD NO ADVERSE REACTIONS
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood glucose decreased, COVID-19, Chest pain, Constipation, Dysphagia
Clinical narrative: Pt to ED 8/6 for chest pain related to being constipation. COVID+ 8/2 prior to admission, COVID+ 8/6 upon admission, had MAB treatmeant 8/3. Rx Remdesivir for 3 days. 8/7 pt has a congested productive cough with slight yellow tinge coloring to it. 8/8 pt with difficulty swallowing with dysphagia and sore throat, which could be related to COVID. 8/9-8/10 Clinically stable, no new complains. 8/11 no new complaints noted except constipation. 8/13 pt blood sugar is 55 , pt says she can barley swallow. Pt discharged 8/13.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Productive cough, Respiratory tract congestion, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Pt to ED 8/6 for chest pain related to being constipation. COVID+ 8/2 prior to admission, COVID+ 8/6 upon admission, had MAB treatmeant 8/3. Rx Remdesivir for 3 days. 8/7 pt has a congested productive cough with slight yellow tinge coloring to it. 8/8 pt with difficulty swallowing with dysphagia and sore throat, which could be related to COVID. 8/9-8/10 Clinically stable, no new complains. 8/11 no new complaints noted except constipation. 8/13 pt blood sugar is 55 , pt says she can barley swallow. Pt discharged 8/13.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dysphagia, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 8/6 for chest pain related to being constipation. COVID+ 8/2 prior to admission, COVID+ 8/6 upon admission, had MAB treatmeant 8/3. Rx Remdesivir for 3 days. 8/7 pt has a congested productive cough with slight yellow tinge coloring to it. 8/8 pt with difficulty swallowing with dysphagia and sore throat, which could be related to COVID. 8/9-8/10 Clinically stable, no new complains. 8/11 no new complaints noted except constipation. 8/13 pt blood sugar is 55 , pt says she can barley swallow. Pt discharged 8/13.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Atrial fibrillation, COVID-19, Dyspnoea
Clinical narrative: History of coronary disease with CABG and heart failure with preserved ejection fraction is evaluated for weakness and shortness of breath. Pt has cold-like symptoms. Pt is found to be COVID positive and is admitted for acute hypoxic respiratory failure and atrial fibrillation with RVR.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: History of coronary disease with CABG and heart failure with preserved ejection fraction is evaluated for weakness and shortness of breath. Pt has cold-like symptoms. Pt is found to be COVID positive and is admitted for acute hypoxic respiratory failure and atrial fibrillation with RVR.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD NO ADVERSE REACTIONS
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: reports headache, body aches, feeling "feverish" in the evening of 8/25/2022- tested negative for covid on home rapid antigen test 8/25/2022, symptoms continued 8/26/22- tested positive on home rapid antigen test morning of 8/26/22
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD NO ADVERSE REACTIONS
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: Her arm is swollen, and a she now has a bump on the inside of her arm
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenal haemorrhage, Diverticulitis, Large intestine perforation, Pulmonary embolism, Pyrexia
Clinical narrative: Fever, High white blood cell count, diverticulitis w/colon perforation, sepsis, adrenal hemorrage, shock, pulomnary embolism.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Shock, White blood cell count increased
Clinical narrative: Fever, High white blood cell count, diverticulitis w/colon perforation, sepsis, adrenal hemorrage, shock, pulomnary embolism.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCNE.  PATIENT HAD NO ADVERSE REACTIONS
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: tested positive on binax rapid antigen test 8/26/22- asymptomatic, was tested as part of routine follow up due to known exposure from another positive resident
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: developed sx of stuffy nose and cough 8/26/22- tested positive on binax rapid antigen test
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: Bilateral Upper Paresthesia/ Pain
Age: 19.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Immediate post-injection reaction, Presyncope
Clinical narrative: Pt experienced vasovagal episode lasting for 10 seconds immediately after receiving the vaccine. reported history of vasovagal with blood draw with vaccination. placed the patient on flat surface and legs elevated, observation extended to 30 minutes.  VS within normal range. oriented x4 and ambulatory, with symptoms completely resolving when leaving the site.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC13, RV1
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given Pediarix (DTaP, HBV, IPV) and HepB (Energix) on the same date (08/26/22), by accident. We mistakenly thought Pediarix contained Hib, not HBV. The patient experienced no adverse reaction during the 20 minute period after vaccine administration.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse events. Vaccine was one week off exp date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient given 2nd booster in error.  Should have not received this due to age being under current authorization.   Pt contacted by telephone and advised of the event.  She denied any ill effects.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: fever tmax 100.9F and body aches
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration
Clinical narrative: I adminstered the vaccine SQ instead of IM.  No symptoms as of date and time administered
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Pain
Clinical narrative: The first day I had fever and aches with fatigue and a headache. That lasted for 24hrs. I took PAXLOVID for 5 days. Because I didn't have enough COVID-19 tests after I finished with PAXLOVID I self tested and was positive and continued to for a total of 3 weeks. I'm not sure if I tested negative at one point and then rebounded. I had a rollercoaster ride of symptoms that was primarily congestion, runny nose and a cough which came and went. I continue to have a little bit of a cough today which is unusual for me because I don't have allergies.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: The first day I had fever and aches with fatigue and a headache. That lasted for 24hrs. I took PAXLOVID for 5 days. Because I didn't have enough COVID-19 tests after I finished with PAXLOVID I self tested and was positive and continued to for a total of 3 weeks. I'm not sure if I tested negative at one point and then rebounded. I had a rollercoaster ride of symptoms that was primarily congestion, runny nose and a cough which came and went. I continue to have a little bit of a cough today which is unusual for me because I don't have allergies.
Age: 37.0
Sex: M
Vaccine: COVID19, HPV9, PNC13
Symptoms: COVID-19, Influenza, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Started feeling mild flu symptoms, took home COVID-19 test negative, next day is was positive. Dr. prescribed PAXLOVID. Had tested positive for two weeks.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Diabetic wound, Exposure to SARS-CoV-2, Impaired healing, SARS-CoV-2 test positive
Clinical narrative: Pt was admitted on 8/19 for a nonhealing diabetic foot wound. On 8/25 he was tested for COVID due to his wife being a visitor and testing positive for COVID at hospitalized at an outside facility with COVID-pneumonia. He was found to be positive, but asymptomatic.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event. Vaccine with wrong exp date, 7 days past.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram, Electrocardiogram, Heart rate increased, Hypersensitivity, Injection site erythema
Clinical narrative: REACTION TO BOOSTER  no issues with first 2 vaccines.   Had covid first week of december. 4 weeks later was told to get booster.   Redness/swelling at injection site hours after vaccine  Delayed allergic response  24 hours later ER visit for allergic response.  Elevated HR, Rash face,chest, and arms, leg spasms, tingling in both left and right legs,face puffy,  sinus tachcardyia  Issues still not resolved coming out of ER  ER Visit multiple times after  For reaction not being resolved  Eventually seen by allergist who starts anthistimaine medication round the clock
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site swelling, Muscle spasms, No reaction on previous exposure to drug, Paraesthesia, Rash
Clinical narrative: REACTION TO BOOSTER  no issues with first 2 vaccines.   Had covid first week of december. 4 weeks later was told to get booster.   Redness/swelling at injection site hours after vaccine  Delayed allergic response  24 hours later ER visit for allergic response.  Elevated HR, Rash face,chest, and arms, leg spasms, tingling in both left and right legs,face puffy,  sinus tachcardyia  Issues still not resolved coming out of ER  ER Visit multiple times after  For reaction not being resolved  Eventually seen by allergist who starts anthistimaine medication round the clock
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sinus tachycardia, Swelling face, Ultrasound Doppler
Clinical narrative: REACTION TO BOOSTER  no issues with first 2 vaccines.   Had covid first week of december. 4 weeks later was told to get booster.   Redness/swelling at injection site hours after vaccine  Delayed allergic response  24 hours later ER visit for allergic response.  Elevated HR, Rash face,chest, and arms, leg spasms, tingling in both left and right legs,face puffy,  sinus tachcardyia  Issues still not resolved coming out of ER  ER Visit multiple times after  For reaction not being resolved  Eventually seen by allergist who starts anthistimaine medication round the clock
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt under age for current authorization for booster #2.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Constipation, Dyspnoea, Fatigue, Headache
Clinical narrative: Pt to ED 8/11 for dyspnea. Pt c/o moist cough, generalized fatigue, fever, and SOB. COVID+ 8/11, prior infection in July,continue decadron, rx empiric ceftriaxone and Zithromax for possible bacterial superinfection. 8/13 pt AxOx4, VSS, no c/o pain. 8/14 pt alert and oriented x 4 C/O constipation, denies pain, pt with worsening leukopenia. Pt started on granix and leucovorin calcium due to low WBC. 8/15 Pt A&Ox4, ambulatory/independent. Denies pain or SOB. 8/17 leukopenia improved, remained a+ox4 c c/o headache pain relieved with prn pain meds. 8/18 pt received/remained A+ox4 c c/o mild pain at head 3/10 throughout. 8/19 Patient is A&O x 4. Ready for discharge. Pt discharged 8/ 19.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Leukopenia, Productive cough, Pyrexia, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: Pt to ED 8/11 for dyspnea. Pt c/o moist cough, generalized fatigue, fever, and SOB. COVID+ 8/11, prior infection in July,continue decadron, rx empiric ceftriaxone and Zithromax for possible bacterial superinfection. 8/13 pt AxOx4, VSS, no c/o pain. 8/14 pt alert and oriented x 4 C/O constipation, denies pain, pt with worsening leukopenia. Pt started on granix and leucovorin calcium due to low WBC. 8/15 Pt A&Ox4, ambulatory/independent. Denies pain or SOB. 8/17 leukopenia improved, remained a+ox4 c c/o headache pain relieved with prn pain meds. 8/18 pt received/remained A+ox4 c c/o mild pain at head 3/10 throughout. 8/19 Patient is A&O x 4. Ready for discharge. Pt discharged 8/ 19.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Moderna 18+ administered to 17 yo on 08.24.22 - no immediate reaction/symptoms;  followup on 08.25.22 - arm soreness, no other symptoms
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product expiration date issue
Clinical narrative: No adverse event. Vaccine with wrong exp date, 7 days past.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient got the 5-11 y/o formulation for a booster dose after getting this formulation for the first 2 primary doses. patient turned 12.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product expiration date issue
Clinical narrative: No adverse event. Vaccine with wrong exp date, 7 days past.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product expiration date issue
Clinical narrative: No adverse event. Vaccine with wrong exp date, 7 days past.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cough, Diarrhoea, Nausea
Clinical narrative: Pt to ED 8/11 for running nose, cough, sore throat and body aches for the past 2 days. COVID+ 8/11, discharged 8/11. Pt back to ED 8/15 for intermittent abdominal pain, nausea and diarrhea. Pt A&OX4. Resp even and unlabored, complaints of abdominal soreness. On room air,no acute resp distress. Pt discharged 8/16.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 8/11 for running nose, cough, sore throat and body aches for the past 2 days. COVID+ 8/11, discharged 8/11. Pt back to ED 8/15 for intermittent abdominal pain, nausea and diarrhea. Pt A&OX4. Resp even and unlabored, complaints of abdominal soreness. On room air,no acute resp distress. Pt discharged 8/16.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Vaccine was administered on 8/24/22.  Patient developed symptoms 8/25/22. Patient experienced diffuse urticaria and itching. No swelling, shortness of breath, nausea, vomiting, diarrhea, or fever. They did not visit an urgent care clinic or emergency department. Patient visited internal medicine office on 8/26/22 as symptoms had not resolved. Patient was prescribed antihistamines and Medrol dose-pak.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal wall wound, Aggression, Blood test normal, Bradycardia, COVID-19
Clinical narrative: Patient is an 80-year-old male with history of arthritis, Early dementia, sleep apnea, COPD and hyperlipidemia along with a recent abdominal ex lap due to a perforated gastric ulcer presenting to the emergency department via EMS from home for confusion and combative behavior.  Patient was recently admitted at hospital from 7/19-8/10 for abdominal issues where he underwent an exploratory laparotomy.  He was then discharged from hospital to a nursing facility as he was diagnosed with COVID in the hospital and this was the only facility that was able to take COVID-positive patients.  Per patient's daughter who is power of attorney and lives in another state, she told us over the phone that patient was then discharged from the nursing facility and was to go to another nursing home, however they did not have any beds available, so he ended up back home.  He is currently living with his wife who is also disabled and unable to take care of him.  He recently has become combative towards his wife.  He does have a wound in the center of his abdomen, and he will not let anybody touch this anymore either.  Upon arrival, patient is alert to self and place, however he thinks it is 1940s. Patient's wife is unable to come up to the hospital due to her disability. Associated Symptoms: skin lesions
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Condition aggravated, Confusional state, Dementia, Explorative laparotomy
Clinical narrative: Patient is an 80-year-old male with history of arthritis, Early dementia, sleep apnea, COPD and hyperlipidemia along with a recent abdominal ex lap due to a perforated gastric ulcer presenting to the emergency department via EMS from home for confusion and combative behavior.  Patient was recently admitted at hospital from 7/19-8/10 for abdominal issues where he underwent an exploratory laparotomy.  He was then discharged from hospital to a nursing facility as he was diagnosed with COVID in the hospital and this was the only facility that was able to take COVID-positive patients.  Per patient's daughter who is power of attorney and lives in another state, she told us over the phone that patient was then discharged from the nursing facility and was to go to another nursing home, however they did not have any beds available, so he ended up back home.  He is currently living with his wife who is also disabled and unable to take care of him.  He recently has become combative towards his wife.  He does have a wound in the center of his abdomen, and he will not let anybody touch this anymore either.  Upon arrival, patient is alert to self and place, however he thinks it is 1940s. Patient's wife is unable to come up to the hospital due to her disability. Associated Symptoms: skin lesions
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gastric ulcer perforation, Gastrointestinal disorder, Loss of personal independence in daily activities, Memory impairment, Skin lesion
Clinical narrative: Patient is an 80-year-old male with history of arthritis, Early dementia, sleep apnea, COPD and hyperlipidemia along with a recent abdominal ex lap due to a perforated gastric ulcer presenting to the emergency department via EMS from home for confusion and combative behavior.  Patient was recently admitted at hospital from 7/19-8/10 for abdominal issues where he underwent an exploratory laparotomy.  He was then discharged from hospital to a nursing facility as he was diagnosed with COVID in the hospital and this was the only facility that was able to take COVID-positive patients.  Per patient's daughter who is power of attorney and lives in another state, she told us over the phone that patient was then discharged from the nursing facility and was to go to another nursing home, however they did not have any beds available, so he ended up back home.  He is currently living with his wife who is also disabled and unable to take care of him.  He recently has become combative towards his wife.  He does have a wound in the center of his abdomen, and he will not let anybody touch this anymore either.  Upon arrival, patient is alert to self and place, however he thinks it is 1940s. Patient's wife is unable to come up to the hospital due to her disability. Associated Symptoms: skin lesions
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: Patient is an 80-year-old male with history of arthritis, Early dementia, sleep apnea, COPD and hyperlipidemia along with a recent abdominal ex lap due to a perforated gastric ulcer presenting to the emergency department via EMS from home for confusion and combative behavior.  Patient was recently admitted at hospital from 7/19-8/10 for abdominal issues where he underwent an exploratory laparotomy.  He was then discharged from hospital to a nursing facility as he was diagnosed with COVID in the hospital and this was the only facility that was able to take COVID-positive patients.  Per patient's daughter who is power of attorney and lives in another state, she told us over the phone that patient was then discharged from the nursing facility and was to go to another nursing home, however they did not have any beds available, so he ended up back home.  He is currently living with his wife who is also disabled and unable to take care of him.  He recently has become combative towards his wife.  He does have a wound in the center of his abdomen, and he will not let anybody touch this anymore either.  Upon arrival, patient is alert to self and place, however he thinks it is 1940s. Patient's wife is unable to come up to the hospital due to her disability. Associated Symptoms: skin lesions
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Acute kidney injury, Alanine aminotransferase normal, Aspartate aminotransferase normal, Bilirubin conjugated
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood gases, Blood glucose increased, Blood osmolarity increased, Blood potassium normal
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea increased, COVID-19, Carbon dioxide decreased, Chronic kidney disease
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulation test, Essential hypertension, Full blood count, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Imaging procedure abnormal, International normalised ratio normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Metabolic function test, Myocardial necrosis marker, Platelet count normal, Pneumonia
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total decreased, Prothrombin time normal, Red blood cell count decreased, Red cell distribution width normal, Troponin I normal
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, White blood cell count normal
Clinical narrative: Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with stage 3a chronic kidney disease, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This elderly man was admitted with acute kidney injury.  He had recently been in hospital with covid.  He was given ivf and he is doing well.  He is eating better and his creatinine is near normal.  Follow up with pcp.           Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient states that he has a hx of passing out after receiving vaccines or injections. Patient received tdap vaccine at 3:45pm and states that he felt fine at the time of injection. Patient was escorted to the lobby to get receipt of payment from the clerk and briefly passed out at 3:54  and was pale and diaphoretic.  B/P was taken and stable. Patient was monitored x 30 minutes. Mother picked patient up from health department. Patient declined visit to PCP or ER.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Atrial fibrillation, Blood test, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: On 8-8-2022, I was in a hot area with other people and felt abdominal discomfort and started sweating and felt like I was about to get diarrhea. I passed out and woke up with an ambulance on the way. One of the ladies I was playing cards with told the paramedic that I had an irregular heartbeat. I was nauseated in the ambulance and they gave me a pill for nausea. I was taken to the ER. They drew blood and done an EKG. I stayed overnight in the ER but was never put in a room on a floor. They told me my heart was in and out of Atrial Fib and this was my first time I have experienced this to my knowledge. They gave me IV fluids with Cardizem drip and it brought my heart rate down. On 8-9 they done a Cardiac ECHO and told me my heart looked good. I was discharged on 8-9-2022 with a prescription for Cardizem and Pradaxa. I am feeling good now.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: On 8-8-2022, I was in a hot area with other people and felt abdominal discomfort and started sweating and felt like I was about to get diarrhea. I passed out and woke up with an ambulance on the way. One of the ladies I was playing cards with told the paramedic that I had an irregular heartbeat. I was nauseated in the ambulance and they gave me a pill for nausea. I was taken to the ER. They drew blood and done an EKG. I stayed overnight in the ER but was never put in a room on a floor. They told me my heart was in and out of Atrial Fib and this was my first time I have experienced this to my knowledge. They gave me IV fluids with Cardizem drip and it brought my heart rate down. On 8-9 they done a Cardiac ECHO and told me my heart looked good. I was discharged on 8-9-2022 with a prescription for Cardizem and Pradaxa. I am feeling good now.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Exposure via skin contact
Clinical narrative: Patient received her second Moderna Vaccine last night and moved during administration. The nurse had injected part of the vaccine, the patient moved and the needle grazed the patients skin.  The vaccine was visible by mom on the patient's skin.  The nurse then punctured the skin a second time and injected the rest of the vaccine.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was administered 2nd dose of meningococcal vaccine early. Patient was not due until 16 years old for 2nd dose of meningococcal,  No reactions or treatment needed. Spoke to patients father patient had no symptoms after receiving vaccine.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Ear infection, Hand-foot-and-mouth disease
Clinical narrative: He was diagnosed with a double ear infection on August 22 and hand foot& mouth disease on August 24. Not sure if this is related to the COVID vaccine, but I'm reporting it just in case.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt under age for current authorization for booster # 2. Pt contacted and no ill effects.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio normal, Anion gap, Aortic arteriosclerosis
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase normal, Atrial fibrillation, Bacterial test positive, Base excess, Basophil count normal
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bicarbonate increased, Blood bilirubin normal
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride decreased, Blood creatinine normal, Blood culture positive, Blood fibrinogen increased
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood glucose normal, Blood lactate dehydrogenase normal, Blood lactic acid decreased, Blood osmolarity normal
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair