chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Dyspnoea, Essential hypertension, Fibrin D dimer increased, Full blood count, Glomerular filtration rate decreased
Clinical narrative: Discharge Provider: DO Primary Care Physician at Discharge: PA-C  Admission Date: 12/2/2022 COVID positive date 11/27/2022 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 90-year-old male with a history of chronic obstructive pulmonary disease, history of paroxysmal atrial fibrillation s/p Watchman procedure, hypothyroidism and chronic hyponatremia who present with increasing shortness of breath and hypoxia on 12/02.  The patient had recently been admitted to hospital treated for community-acquired pneumonia with Levaquin.  COVID test was negative at that time and he was discharged to skilled nursing for a deconditioning.  Patient subsequently had worsening hypoxia, and presented on 12/02 with increasing shortness of breath.  COVID test was positive at that time.  CT of the chest was negative for PE, but did show bilateral ground-glass infiltrates consistent with COVID pneumonia.  Patient was started on Decadron and remdesivir.  Unfortunately despite treatment the patient had worsening hypoxia it was transition to high-flow nasal cannula on 12/03.  Overnight between 12/3 and 12/4 the patient was tried on BiPAP, but did poorly.  D-dimer was markedly elevated on admission.  As mentioned before, CT was negative for PE.  Ultrasound of the lower extremities did show a clot in the popliteal vein, but which was below the knee.  Although the clot was below the knee, it is felt that he was high risk for propagation of the clot, and he was started on full anticoagulation with Lovenox.  The patient was noted to have significant cough and wheezing, and dexamethasone was changed to Solu-Medrol.  The patient was also started on aggressive cough suppressants with Tessalon Perles and guaifenesin with codeine.  CRP was markedly elevated.  On 12/04 pulmonary was consulted, and the patient was treated with tocilizumab x1.  At the time of admission the patient did state that he was clearly DNR/DNI.  With his worsening respiratory failure this was readdressed, and he reiterated that he would not want to be intubated.  Unfortunately, despite aggressive treatment the patient's respiratory status worsened.  An informational visit with hospice occurred on 12/05.  Patient family lactic proceed with comfort/hospice care.  Admitted to hospice.  Patient passed away on 12/07 under hospice/comfort care
Age: 90.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Hyponatraemia, Hypothyroidism, Hypoxia, Influenza virus test negative, Lung infiltration
Clinical narrative: Discharge Provider: DO Primary Care Physician at Discharge: PA-C  Admission Date: 12/2/2022 COVID positive date 11/27/2022 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 90-year-old male with a history of chronic obstructive pulmonary disease, history of paroxysmal atrial fibrillation s/p Watchman procedure, hypothyroidism and chronic hyponatremia who present with increasing shortness of breath and hypoxia on 12/02.  The patient had recently been admitted to hospital treated for community-acquired pneumonia with Levaquin.  COVID test was negative at that time and he was discharged to skilled nursing for a deconditioning.  Patient subsequently had worsening hypoxia, and presented on 12/02 with increasing shortness of breath.  COVID test was positive at that time.  CT of the chest was negative for PE, but did show bilateral ground-glass infiltrates consistent with COVID pneumonia.  Patient was started on Decadron and remdesivir.  Unfortunately despite treatment the patient had worsening hypoxia it was transition to high-flow nasal cannula on 12/03.  Overnight between 12/3 and 12/4 the patient was tried on BiPAP, but did poorly.  D-dimer was markedly elevated on admission.  As mentioned before, CT was negative for PE.  Ultrasound of the lower extremities did show a clot in the popliteal vein, but which was below the knee.  Although the clot was below the knee, it is felt that he was high risk for propagation of the clot, and he was started on full anticoagulation with Lovenox.  The patient was noted to have significant cough and wheezing, and dexamethasone was changed to Solu-Medrol.  The patient was also started on aggressive cough suppressants with Tessalon Perles and guaifenesin with codeine.  CRP was markedly elevated.  On 12/04 pulmonary was consulted, and the patient was treated with tocilizumab x1.  At the time of admission the patient did state that he was clearly DNR/DNI.  With his worsening respiratory failure this was readdressed, and he reiterated that he would not want to be intubated.  Unfortunately, despite aggressive treatment the patient's respiratory status worsened.  An informational visit with hospice occurred on 12/05.  Patient family lactic proceed with comfort/hospice care.  Admitted to hospice.  Patient passed away on 12/07 under hospice/comfort care
Age: 90.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Lung opacity, Malaise, Metabolic function test abnormal, Pneumonia, Polyuria
Clinical narrative: Discharge Provider: DO Primary Care Physician at Discharge: PA-C  Admission Date: 12/2/2022 COVID positive date 11/27/2022 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 90-year-old male with a history of chronic obstructive pulmonary disease, history of paroxysmal atrial fibrillation s/p Watchman procedure, hypothyroidism and chronic hyponatremia who present with increasing shortness of breath and hypoxia on 12/02.  The patient had recently been admitted to hospital treated for community-acquired pneumonia with Levaquin.  COVID test was negative at that time and he was discharged to skilled nursing for a deconditioning.  Patient subsequently had worsening hypoxia, and presented on 12/02 with increasing shortness of breath.  COVID test was positive at that time.  CT of the chest was negative for PE, but did show bilateral ground-glass infiltrates consistent with COVID pneumonia.  Patient was started on Decadron and remdesivir.  Unfortunately despite treatment the patient had worsening hypoxia it was transition to high-flow nasal cannula on 12/03.  Overnight between 12/3 and 12/4 the patient was tried on BiPAP, but did poorly.  D-dimer was markedly elevated on admission.  As mentioned before, CT was negative for PE.  Ultrasound of the lower extremities did show a clot in the popliteal vein, but which was below the knee.  Although the clot was below the knee, it is felt that he was high risk for propagation of the clot, and he was started on full anticoagulation with Lovenox.  The patient was noted to have significant cough and wheezing, and dexamethasone was changed to Solu-Medrol.  The patient was also started on aggressive cough suppressants with Tessalon Perles and guaifenesin with codeine.  CRP was markedly elevated.  On 12/04 pulmonary was consulted, and the patient was treated with tocilizumab x1.  At the time of admission the patient did state that he was clearly DNR/DNI.  With his worsening respiratory failure this was readdressed, and he reiterated that he would not want to be intubated.  Unfortunately, despite aggressive treatment the patient's respiratory status worsened.  An informational visit with hospice occurred on 12/05.  Patient family lactic proceed with comfort/hospice care.  Admitted to hospice.  Patient passed away on 12/07 under hospice/comfort care
Age: 90.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Positive airway pressure therapy, Productive cough, Respiratory failure, Respiratory syncytial virus test negative, Respiratory tract congestion
Clinical narrative: Discharge Provider: DO Primary Care Physician at Discharge: PA-C  Admission Date: 12/2/2022 COVID positive date 11/27/2022 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 90-year-old male with a history of chronic obstructive pulmonary disease, history of paroxysmal atrial fibrillation s/p Watchman procedure, hypothyroidism and chronic hyponatremia who present with increasing shortness of breath and hypoxia on 12/02.  The patient had recently been admitted to hospital treated for community-acquired pneumonia with Levaquin.  COVID test was negative at that time and he was discharged to skilled nursing for a deconditioning.  Patient subsequently had worsening hypoxia, and presented on 12/02 with increasing shortness of breath.  COVID test was positive at that time.  CT of the chest was negative for PE, but did show bilateral ground-glass infiltrates consistent with COVID pneumonia.  Patient was started on Decadron and remdesivir.  Unfortunately despite treatment the patient had worsening hypoxia it was transition to high-flow nasal cannula on 12/03.  Overnight between 12/3 and 12/4 the patient was tried on BiPAP, but did poorly.  D-dimer was markedly elevated on admission.  As mentioned before, CT was negative for PE.  Ultrasound of the lower extremities did show a clot in the popliteal vein, but which was below the knee.  Although the clot was below the knee, it is felt that he was high risk for propagation of the clot, and he was started on full anticoagulation with Lovenox.  The patient was noted to have significant cough and wheezing, and dexamethasone was changed to Solu-Medrol.  The patient was also started on aggressive cough suppressants with Tessalon Perles and guaifenesin with codeine.  CRP was markedly elevated.  On 12/04 pulmonary was consulted, and the patient was treated with tocilizumab x1.  At the time of admission the patient did state that he was clearly DNR/DNI.  With his worsening respiratory failure this was readdressed, and he reiterated that he would not want to be intubated.  Unfortunately, despite aggressive treatment the patient's respiratory status worsened.  An informational visit with hospice occurred on 12/05.  Patient family lactic proceed with comfort/hospice care.  Admitted to hospice.  Patient passed away on 12/07 under hospice/comfort care
Age: 90.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Rhonchi, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sputum discoloured, Troponin increased
Clinical narrative: Discharge Provider: DO Primary Care Physician at Discharge: PA-C  Admission Date: 12/2/2022 COVID positive date 11/27/2022 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 90-year-old male with a history of chronic obstructive pulmonary disease, history of paroxysmal atrial fibrillation s/p Watchman procedure, hypothyroidism and chronic hyponatremia who present with increasing shortness of breath and hypoxia on 12/02.  The patient had recently been admitted to hospital treated for community-acquired pneumonia with Levaquin.  COVID test was negative at that time and he was discharged to skilled nursing for a deconditioning.  Patient subsequently had worsening hypoxia, and presented on 12/02 with increasing shortness of breath.  COVID test was positive at that time.  CT of the chest was negative for PE, but did show bilateral ground-glass infiltrates consistent with COVID pneumonia.  Patient was started on Decadron and remdesivir.  Unfortunately despite treatment the patient had worsening hypoxia it was transition to high-flow nasal cannula on 12/03.  Overnight between 12/3 and 12/4 the patient was tried on BiPAP, but did poorly.  D-dimer was markedly elevated on admission.  As mentioned before, CT was negative for PE.  Ultrasound of the lower extremities did show a clot in the popliteal vein, but which was below the knee.  Although the clot was below the knee, it is felt that he was high risk for propagation of the clot, and he was started on full anticoagulation with Lovenox.  The patient was noted to have significant cough and wheezing, and dexamethasone was changed to Solu-Medrol.  The patient was also started on aggressive cough suppressants with Tessalon Perles and guaifenesin with codeine.  CRP was markedly elevated.  On 12/04 pulmonary was consulted, and the patient was treated with tocilizumab x1.  At the time of admission the patient did state that he was clearly DNR/DNI.  With his worsening respiratory failure this was readdressed, and he reiterated that he would not want to be intubated.  Unfortunately, despite aggressive treatment the patient's respiratory status worsened.  An informational visit with hospice occurred on 12/05.  Patient family lactic proceed with comfort/hospice care.  Admitted to hospice.  Patient passed away on 12/07 under hospice/comfort care
Age: 90.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Ultrasound Doppler abnormal, Wheezing, White blood cell count normal
Clinical narrative: Discharge Provider: DO Primary Care Physician at Discharge: PA-C  Admission Date: 12/2/2022 COVID positive date 11/27/2022 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 90-year-old male with a history of chronic obstructive pulmonary disease, history of paroxysmal atrial fibrillation s/p Watchman procedure, hypothyroidism and chronic hyponatremia who present with increasing shortness of breath and hypoxia on 12/02.  The patient had recently been admitted to hospital treated for community-acquired pneumonia with Levaquin.  COVID test was negative at that time and he was discharged to skilled nursing for a deconditioning.  Patient subsequently had worsening hypoxia, and presented on 12/02 with increasing shortness of breath.  COVID test was positive at that time.  CT of the chest was negative for PE, but did show bilateral ground-glass infiltrates consistent with COVID pneumonia.  Patient was started on Decadron and remdesivir.  Unfortunately despite treatment the patient had worsening hypoxia it was transition to high-flow nasal cannula on 12/03.  Overnight between 12/3 and 12/4 the patient was tried on BiPAP, but did poorly.  D-dimer was markedly elevated on admission.  As mentioned before, CT was negative for PE.  Ultrasound of the lower extremities did show a clot in the popliteal vein, but which was below the knee.  Although the clot was below the knee, it is felt that he was high risk for propagation of the clot, and he was started on full anticoagulation with Lovenox.  The patient was noted to have significant cough and wheezing, and dexamethasone was changed to Solu-Medrol.  The patient was also started on aggressive cough suppressants with Tessalon Perles and guaifenesin with codeine.  CRP was markedly elevated.  On 12/04 pulmonary was consulted, and the patient was treated with tocilizumab x1.  At the time of admission the patient did state that he was clearly DNR/DNI.  With his worsening respiratory failure this was readdressed, and he reiterated that he would not want to be intubated.  Unfortunately, despite aggressive treatment the patient's respiratory status worsened.  An informational visit with hospice occurred on 12/05.  Patient family lactic proceed with comfort/hospice care.  Admitted to hospice.  Patient passed away on 12/07 under hospice/comfort care
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Hypersomnia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On Saturday November fifth 2022 my head was stuffy and I was very tired, I slept a lot overnight I woke up Sunday morning still feeling tired and stuffy. I took a home COVID-19 test and it was positive. I called my medical practice and was prescribed PAXLOVID by the Physician on call. I began taking PAXLOVID by about eleven Sunday November six 2022. I continued to feel tired and stuffy through tat Sunday until Monday afternoon around four PM when I began to feel better.  By Wednesday November ninth 2022 I was feeling good but still testing positive. My first negative test was on Friday November eleventh 2022.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient had previously received the 2 doses of Shingrix back in 4/2018 and 7/2018.  Patient was not aware that she had gotten the first 2 doses because it was not in her app for her doctors office.  Dr told her she should get the vaccine.
Age: 30.0
Sex: M
Vaccine: FLU4, HEP, MMR, TDAP, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented for Physical. Vaccines were updated.  Patient had already completed MMR series prior to appointment.  Patient was given an extra dose of MMR.  No adverse reactions noted.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Herpes zoster
Clinical narrative: Shingles appeared on left arm from injection site down to thumb.   Not claiming that the vaccine caused it, but hopefully this data point can help if any others are having same experience.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt., tested for discharge planning purposes.  No symptoms
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Lethargy, Pyrexia
Clinical narrative: 2 Dec 2022: Got Covid. Fever, lethargy, Cough, Congestion, Chills.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 2 Dec 2022: Got Covid. Fever, lethargy, Cough, Congestion, Chills.
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with 3 boosters
Age: 1.17
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Unevaluable event
Clinical narrative: 1 YO CHILD RECEIVED A VARICELLA VACCINE AND A PROQUAD (MMR+VARICELLA) AT THE SAME VISIT.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Blood test, COVID-19, Cough, Feeling hot, Headache
Clinical narrative: I believe on 11/27 I started developing flu-like symptoms. Headache, feeling hot, congestion and developed a cough. On 11/29 I had a different medical event that I emailed my doctor, and they scheduled me to come in. I went in on 11/30 and still had my flu-like symptoms so they tested me for COVID-19, flu, and strep throat. In the parking lot I received the notification that I had contracted both strains of the flu. The office called me to advise on medications and isolating. Later on my COVID-19 results came back as positive as well, another call from my doctor. Later that day I also tested positive for strep throat. They prescribed antibiotics, said bed rest, water, isolation, and OTC for symptoms. I tested negative for COVID-19 twice on 12/9. Still dealing with some congestion but it feels like everything else is better.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Influenza, Influenza like illness, Influenza virus test positive, Pharyngitis streptococcal, Respiratory tract congestion
Clinical narrative: I believe on 11/27 I started developing flu-like symptoms. Headache, feeling hot, congestion and developed a cough. On 11/29 I had a different medical event that I emailed my doctor, and they scheduled me to come in. I went in on 11/30 and still had my flu-like symptoms so they tested me for COVID-19, flu, and strep throat. In the parking lot I received the notification that I had contracted both strains of the flu. The office called me to advise on medications and isolating. Later on my COVID-19 results came back as positive as well, another call from my doctor. Later that day I also tested positive for strep throat. They prescribed antibiotics, said bed rest, water, isolation, and OTC for symptoms. I tested negative for COVID-19 twice on 12/9. Still dealing with some congestion but it feels like everything else is better.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: SARS-CoV-2 test positive, Streptococcus test positive
Clinical narrative: I believe on 11/27 I started developing flu-like symptoms. Headache, feeling hot, congestion and developed a cough. On 11/29 I had a different medical event that I emailed my doctor, and they scheduled me to come in. I went in on 11/30 and still had my flu-like symptoms so they tested me for COVID-19, flu, and strep throat. In the parking lot I received the notification that I had contracted both strains of the flu. The office called me to advise on medications and isolating. Later on my COVID-19 results came back as positive as well, another call from my doctor. Later that day I also tested positive for strep throat. They prescribed antibiotics, said bed rest, water, isolation, and OTC for symptoms. I tested negative for COVID-19 twice on 12/9. Still dealing with some congestion but it feels like everything else is better.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Echocardiogram, Mammogram, Panic attack
Clinical narrative: The adverse event didn't take place until May of 2023 but since it is an entirely new medical event for me I wanted to report it. In May I thought I experienced a heart attack but it turns out to be extreme and repeated panic attacks. I am using Zoloft and counseling to combat them somewhat successfully. I have no idea if this is related to the Covid vaccines but wanted to report it.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound bladder, Ultrasound kidney
Clinical narrative: The adverse event didn't take place until May of 2023 but since it is an entirely new medical event for me I wanted to report it. In May I thought I experienced a heart attack but it turns out to be extreme and repeated panic attacks. I am using Zoloft and counseling to combat them somewhat successfully. I have no idea if this is related to the Covid vaccines but wanted to report it.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, Dyspnoea, Hypoxia
Clinical narrative: Admitted to hospital on 12/10/2022 for Shortness of Breath, Tested positive for Covid-19 on 12/10/2022 per medical records Patient became hypoxic in ED where he progressed to PEA arrest. ROSC was achieved and then patient required mechanical ventilation and vasopressors. Patient expired on 12/12/2022.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Pulseless electrical activity, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital on 12/10/2022 for Shortness of Breath, Tested positive for Covid-19 on 12/10/2022 per medical records Patient became hypoxic in ED where he progressed to PEA arrest. ROSC was achieved and then patient required mechanical ventilation and vasopressors. Patient expired on 12/12/2022.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray normal, Cough, Dyspnoea
Clinical narrative: COVID+ 12/9/22.  Vaccination Status - J&J x1  Attending Physician: MD Date of Admission: 12/9/2022, Hospital Day: 4 Date of Discharge: 12/12/2022   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD       Active Hospital Problems   Diagnosis Date Noted POA ? GERD (gastroesophageal reflux disease) 12/10/2022 Yes ? HTN (hypertension) 06/09/2014 Yes ? History of ischemic cardiomyopathy 06/09/2014 Yes ? CAD (coronary artery disease)   Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia [J96.21] Acute on chronic respiratory failure with hypoxemia [J96.21] COVID-19 [U07.1]   HOSPITAL COURSE: This is a pleasant 79-year-old man history of chronic obstructive pulmonary disease on 4 L baseline at night only, coronary artery disease, and ischemic cardiomyopathy ejection fraction 54% and hypertension who presented with worsening shortness of breaths secondary to COVID-19 infection.  He has required oxygen during the day which is not normal for him.  He did get vaccinated with the Johnson and Johnson vaccine but is overdue for his booster.  Chest x-ray was negative, EKG was also unremarkable.  Procalcitonin was trivial at 0.18.  He was given Rocephin and azithromycin emergency department and admitted to Internal Medicine for further management.  He completed his course with azithromycin while inpatient and received 4 doses of Rocephin.  He was transitioned to Ceftin at discharge for 1 more day.  He was weaned to room air and remained stable overnight off of oxygen.  He completed a course of remdesivir while inpatient.  He was discharged to complete a 10 day course of dexamethasone and Tessalon Perles p.r.n. for cough.  Pulmonary rehab was consulted for home oxygen with activity.  The patient, prior to admission, was using boost oxygen that he buys at the camping and hiking store for activity as he does not want along around a big oxygen tank.  Respiratory therapy is working on getting him a portable tank that he can wear around his shoulder when he goes grocery shopping.  He was educated that he will remain in isolation until 12/19/2022 and educated to wear mask and get boost in when he is out of isolation and symptom free.  He was discharged home in stable and improved condition.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Gastrooesophageal reflux disease, Hypoxia, Procalcitonin, Respiratory failure
Clinical narrative: COVID+ 12/9/22.  Vaccination Status - J&J x1  Attending Physician: MD Date of Admission: 12/9/2022, Hospital Day: 4 Date of Discharge: 12/12/2022   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD       Active Hospital Problems   Diagnosis Date Noted POA ? GERD (gastroesophageal reflux disease) 12/10/2022 Yes ? HTN (hypertension) 06/09/2014 Yes ? History of ischemic cardiomyopathy 06/09/2014 Yes ? CAD (coronary artery disease)   Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia [J96.21] Acute on chronic respiratory failure with hypoxemia [J96.21] COVID-19 [U07.1]   HOSPITAL COURSE: This is a pleasant 79-year-old man history of chronic obstructive pulmonary disease on 4 L baseline at night only, coronary artery disease, and ischemic cardiomyopathy ejection fraction 54% and hypertension who presented with worsening shortness of breaths secondary to COVID-19 infection.  He has required oxygen during the day which is not normal for him.  He did get vaccinated with the Johnson and Johnson vaccine but is overdue for his booster.  Chest x-ray was negative, EKG was also unremarkable.  Procalcitonin was trivial at 0.18.  He was given Rocephin and azithromycin emergency department and admitted to Internal Medicine for further management.  He completed his course with azithromycin while inpatient and received 4 doses of Rocephin.  He was transitioned to Ceftin at discharge for 1 more day.  He was weaned to room air and remained stable overnight off of oxygen.  He completed a course of remdesivir while inpatient.  He was discharged to complete a 10 day course of dexamethasone and Tessalon Perles p.r.n. for cough.  Pulmonary rehab was consulted for home oxygen with activity.  The patient, prior to admission, was using boost oxygen that he buys at the camping and hiking store for activity as he does not want along around a big oxygen tank.  Respiratory therapy is working on getting him a portable tank that he can wear around his shoulder when he goes grocery shopping.  He was educated that he will remain in isolation until 12/19/2022 and educated to wear mask and get boost in when he is out of isolation and symptom free.  He was discharged home in stable and improved condition.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID+ 12/9/22.  Vaccination Status - J&J x1  Attending Physician: MD Date of Admission: 12/9/2022, Hospital Day: 4 Date of Discharge: 12/12/2022   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD       Active Hospital Problems   Diagnosis Date Noted POA ? GERD (gastroesophageal reflux disease) 12/10/2022 Yes ? HTN (hypertension) 06/09/2014 Yes ? History of ischemic cardiomyopathy 06/09/2014 Yes ? CAD (coronary artery disease)   Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia [J96.21] Acute on chronic respiratory failure with hypoxemia [J96.21] COVID-19 [U07.1]   HOSPITAL COURSE: This is a pleasant 79-year-old man history of chronic obstructive pulmonary disease on 4 L baseline at night only, coronary artery disease, and ischemic cardiomyopathy ejection fraction 54% and hypertension who presented with worsening shortness of breaths secondary to COVID-19 infection.  He has required oxygen during the day which is not normal for him.  He did get vaccinated with the Johnson and Johnson vaccine but is overdue for his booster.  Chest x-ray was negative, EKG was also unremarkable.  Procalcitonin was trivial at 0.18.  He was given Rocephin and azithromycin emergency department and admitted to Internal Medicine for further management.  He completed his course with azithromycin while inpatient and received 4 doses of Rocephin.  He was transitioned to Ceftin at discharge for 1 more day.  He was weaned to room air and remained stable overnight off of oxygen.  He completed a course of remdesivir while inpatient.  He was discharged to complete a 10 day course of dexamethasone and Tessalon Perles p.r.n. for cough.  Pulmonary rehab was consulted for home oxygen with activity.  The patient, prior to admission, was using boost oxygen that he buys at the camping and hiking store for activity as he does not want along around a big oxygen tank.  Respiratory therapy is working on getting him a portable tank that he can wear around his shoulder when he goes grocery shopping.  He was educated that he will remain in isolation until 12/19/2022 and educated to wear mask and get boost in when he is out of isolation and symptom free.  He was discharged home in stable and improved condition.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vaginal haemorrhage
Clinical narrative: Started having vaginal bleeding 4 days after getting vaccine. Scheduled to see an genecologist.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Our employee was administered this dose of influenza vaccine at a remote clinical location by another staff member at that location.  After administration, the vaccinator was documenting the dose and realized that this lot  9JD9K had expired on 6/30/2022, and was not the current season's influenza lot.  A second dose with the current year, unexpired influenza vaccine( Flulaval GF9PM expiration 6/30/2023)  was then administered the same day, 11/15/22.  No adverse reactions were reported by the vaccine recipient after receiving these two doses in the same day. The expired vaccine lot was disposed of immediately.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Pain
Clinical narrative: Left arm still hurts at inject site,  still after 2 months. No rash or raised spot, but pain when arm lifts/picks up things.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: I developed chickenpox on my torso,
Age: 44.0
Sex: F
Vaccine: HPV9
Symptoms: Aphasia, Arthralgia, Dizziness, Fall, Fatigue
Clinical narrative: Urticaria, flushing, wheezing, increased need for albuterol inhaler, feeling like something is stuck in throat, headache, tinnitus, dizziness, left arm/elbow  pain (not improving after >1mo), fainting at dinner table (fell onto floor from a seated position upon completion of meal), brain fog (difficulty finding correct words about subjects that I'm well versed in), extreme fatigue (requiring 14+ hours of sleep, still tired upon waking)
Age: 44.0
Sex: F
Vaccine: HPV9
Symptoms: Flushing, Headache, Hypersomnia, Pain in extremity, Sensation of foreign body
Clinical narrative: Urticaria, flushing, wheezing, increased need for albuterol inhaler, feeling like something is stuck in throat, headache, tinnitus, dizziness, left arm/elbow  pain (not improving after >1mo), fainting at dinner table (fell onto floor from a seated position upon completion of meal), brain fog (difficulty finding correct words about subjects that I'm well versed in), extreme fatigue (requiring 14+ hours of sleep, still tired upon waking)
Age: 44.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope, Throat irritation, Tinnitus, Urticaria, Wheezing
Clinical narrative: Urticaria, flushing, wheezing, increased need for albuterol inhaler, feeling like something is stuck in throat, headache, tinnitus, dizziness, left arm/elbow  pain (not improving after >1mo), fainting at dinner table (fell onto floor from a seated position upon completion of meal), brain fog (difficulty finding correct words about subjects that I'm well versed in), extreme fatigue (requiring 14+ hours of sleep, still tired upon waking)
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arterial occlusive disease, Cardiac arrest, Cardiac stress test abnormal, Cardiogenic shock, Catheterisation cardiac abnormal
Clinical narrative: first Pfixer covid 19 vax lot number FD8448 GIVEN ON 8/28/21     9/19/2021 received second  PFIZER COVID vax LOT FF8839 and in feb 2022 started having chest pains. no history of heart issues in our family.  he was sent  to a cardiologist who performed a stress test and EKG on 3/10/2022 he failed his stress test and ekg. the cardiologist scheduled a heart cath be done the next morning 3/11/2022.   the heart cath was done and they found multiple blockages in the arteries of his heart.  no heart issues ever found in prior medical records. one out of surgery his heart stopped they preformed CPR and got a heart beat.   it stopped again and they put him on ECMO till i could get to the hospital.    the death certificate states immediate cause was Cardiogenic Shock 5 hours between onset and death and myocardial infarction 7 hours between onset and death
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Death, Electrocardiogram abnormal, Lung assist device therapy, Myocardial infarction
Clinical narrative: first Pfixer covid 19 vax lot number FD8448 GIVEN ON 8/28/21     9/19/2021 received second  PFIZER COVID vax LOT FF8839 and in feb 2022 started having chest pains. no history of heart issues in our family.  he was sent  to a cardiologist who performed a stress test and EKG on 3/10/2022 he failed his stress test and ekg. the cardiologist scheduled a heart cath be done the next morning 3/11/2022.   the heart cath was done and they found multiple blockages in the arteries of his heart.  no heart issues ever found in prior medical records. one out of surgery his heart stopped they preformed CPR and got a heart beat.   it stopped again and they put him on ECMO till i could get to the hospital.    the death certificate states immediate cause was Cardiogenic Shock 5 hours between onset and death and myocardial infarction 7 hours between onset and death
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Surgery
Clinical narrative: first Pfixer covid 19 vax lot number FD8448 GIVEN ON 8/28/21     9/19/2021 received second  PFIZER COVID vax LOT FF8839 and in feb 2022 started having chest pains. no history of heart issues in our family.  he was sent  to a cardiologist who performed a stress test and EKG on 3/10/2022 he failed his stress test and ekg. the cardiologist scheduled a heart cath be done the next morning 3/11/2022.   the heart cath was done and they found multiple blockages in the arteries of his heart.  no heart issues ever found in prior medical records. one out of surgery his heart stopped they preformed CPR and got a heart beat.   it stopped again and they put him on ECMO till i could get to the hospital.    the death certificate states immediate cause was Cardiogenic Shock 5 hours between onset and death and myocardial infarction 7 hours between onset and death
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 10/31/22 presents to ED for "nausea, vomiting, diarrhea". PMHx of "HTN, advanced dementia" "OA, GERD"
Age: 53.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Wrong product administered
Clinical narrative: The patient requested and needed a TDAP shot. A flu shot was given in error. The error was discovered during the documentation phase and the employee called back in so that we could inform him and administer the correct vaccine. Patient has been monitored daily since the event for adverse reactions signs or symptoms.
Age: 96.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Angiogram cerebral abnormal, Anxiety, COVID-19, COVID-19 pneumonia, Cerebral artery occlusion
Clinical narrative: COVID+ 12/3/2022  Vaccination status J&J x1 + Pfizer x1 hospitalized x2 12/3/22-12/5/2022 & readmitted 12/7/22 BRIEF OVERVIEW: Discharge Provider: Doctor Primary Care Provider: MD Admission Date: 12/3/2022 Discharge Date: Dec 5, 2022   Active Hospital Problems   Diagnosis Date Noted POA  COVID-19    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion [R41.0] Pneumonia of both lower lobes due to infectious organism [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: 97yo F admitted with concerns of acute hypoxic respiratory failure secondary to COVID pneumonia. Desaturated to 80s on RA requiring 2L oxygen. COVID positive. CXR revealed hazy patchy bilateral lower lung opacities suspicion for superimposed bacterial pneumonia. Respiratory status improved, weaned off oxygen. Mentation at baseline per son, given baseline dementia. Evaluated by PT/OT/SLP. Patient medically stable for discharge home with son and home health on 12/5.  12/7/22 re-admission:  BRIEF OVERVIEW: Discharge Provider:  DO Primary Care Provider at Discharge: MD  Admission Date: 12/7/2022 Discharge Date: 12/13/2022   Active Hospital Problems   Diagnosis Date Noted POA Dysphagia 12/13/2022 Unknown  Acute ischemic left PCA stroke (HCC) 12/07/2022 Yes  Dementia (HCC) 03/16/2021 Yes  Paroxysmal atrial fibrillation (HCC) 04/09/2020 Yes  Stage 3b chronic kidney disease (HCC) 01/06/2014 Yes  HTN (hypertension) 10/18/2011 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute ischemic left PCA stroke (HCC) [I63.532] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9]   HOSPITAL COURSE:   Patient is a 97 y.o. female with history of AFib not on anticoagulation, hypertension and recent admission for COVID pneumonia/hypoxic respiratory failure who presented to the hospital today from home after noted to be more confused and trouble with walking/ambulating.  CT with left PCA territory acute infarct, CTA proximal PCA occlusion.  No tenecteplase administered (out of window).  Has paroxysmal atrial fibrillation not on anticoagulation due to recurrent falls/dementia.  She was seen by Neurology for acute stroke.  It was felt that given her age and obvious cardioembolic source, with contraindication to anticoagulation, that no further workup should be pursued.  Due to COVID-19 positivity equal (12/03/2022), she was kept in severe respiratory precautions.  She was seen by Physical therapy/Occupational therapy and subacute rehab was recommended however the patient did improve, and family felt comfortable taking her home with home PT, OT, nursing.   Please note that the family also deferred adding Lipitor at discharge, the patient has advanced dementia, and they would like minimal medication changes if at all possible.  They are focus more on her quality of life.     On the day of discharge, patient's neurological examination is unchanged, she has a right hemianopsia.  No other focal neurological findings identified, she is anxious to discharge.   Consult Neurology
Age: 96.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Cerebral infarction, Cerebrovascular accident, Chest X-ray abnormal, Computerised tomogram head abnormal, Confusional state
Clinical narrative: COVID+ 12/3/2022  Vaccination status J&J x1 + Pfizer x1 hospitalized x2 12/3/22-12/5/2022 & readmitted 12/7/22 BRIEF OVERVIEW: Discharge Provider: Doctor Primary Care Provider: MD Admission Date: 12/3/2022 Discharge Date: Dec 5, 2022   Active Hospital Problems   Diagnosis Date Noted POA  COVID-19    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion [R41.0] Pneumonia of both lower lobes due to infectious organism [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: 97yo F admitted with concerns of acute hypoxic respiratory failure secondary to COVID pneumonia. Desaturated to 80s on RA requiring 2L oxygen. COVID positive. CXR revealed hazy patchy bilateral lower lung opacities suspicion for superimposed bacterial pneumonia. Respiratory status improved, weaned off oxygen. Mentation at baseline per son, given baseline dementia. Evaluated by PT/OT/SLP. Patient medically stable for discharge home with son and home health on 12/5.  12/7/22 re-admission:  BRIEF OVERVIEW: Discharge Provider:  DO Primary Care Provider at Discharge: MD  Admission Date: 12/7/2022 Discharge Date: 12/13/2022   Active Hospital Problems   Diagnosis Date Noted POA Dysphagia 12/13/2022 Unknown  Acute ischemic left PCA stroke (HCC) 12/07/2022 Yes  Dementia (HCC) 03/16/2021 Yes  Paroxysmal atrial fibrillation (HCC) 04/09/2020 Yes  Stage 3b chronic kidney disease (HCC) 01/06/2014 Yes  HTN (hypertension) 10/18/2011 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute ischemic left PCA stroke (HCC) [I63.532] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9]   HOSPITAL COURSE:   Patient is a 97 y.o. female with history of AFib not on anticoagulation, hypertension and recent admission for COVID pneumonia/hypoxic respiratory failure who presented to the hospital today from home after noted to be more confused and trouble with walking/ambulating.  CT with left PCA territory acute infarct, CTA proximal PCA occlusion.  No tenecteplase administered (out of window).  Has paroxysmal atrial fibrillation not on anticoagulation due to recurrent falls/dementia.  She was seen by Neurology for acute stroke.  It was felt that given her age and obvious cardioembolic source, with contraindication to anticoagulation, that no further workup should be pursued.  Due to COVID-19 positivity equal (12/03/2022), she was kept in severe respiratory precautions.  She was seen by Physical therapy/Occupational therapy and subacute rehab was recommended however the patient did improve, and family felt comfortable taking her home with home PT, OT, nursing.   Please note that the family also deferred adding Lipitor at discharge, the patient has advanced dementia, and they would like minimal medication changes if at all possible.  They are focus more on her quality of life.     On the day of discharge, patient's neurological examination is unchanged, she has a right hemianopsia.  No other focal neurological findings identified, she is anxious to discharge.   Consult Neurology
Age: 96.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Dysphagia, Fall, Gait disturbance, Hemianopia, Ischaemic stroke
Clinical narrative: COVID+ 12/3/2022  Vaccination status J&J x1 + Pfizer x1 hospitalized x2 12/3/22-12/5/2022 & readmitted 12/7/22 BRIEF OVERVIEW: Discharge Provider: Doctor Primary Care Provider: MD Admission Date: 12/3/2022 Discharge Date: Dec 5, 2022   Active Hospital Problems   Diagnosis Date Noted POA  COVID-19    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion [R41.0] Pneumonia of both lower lobes due to infectious organism [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: 97yo F admitted with concerns of acute hypoxic respiratory failure secondary to COVID pneumonia. Desaturated to 80s on RA requiring 2L oxygen. COVID positive. CXR revealed hazy patchy bilateral lower lung opacities suspicion for superimposed bacterial pneumonia. Respiratory status improved, weaned off oxygen. Mentation at baseline per son, given baseline dementia. Evaluated by PT/OT/SLP. Patient medically stable for discharge home with son and home health on 12/5.  12/7/22 re-admission:  BRIEF OVERVIEW: Discharge Provider:  DO Primary Care Provider at Discharge: MD  Admission Date: 12/7/2022 Discharge Date: 12/13/2022   Active Hospital Problems   Diagnosis Date Noted POA Dysphagia 12/13/2022 Unknown  Acute ischemic left PCA stroke (HCC) 12/07/2022 Yes  Dementia (HCC) 03/16/2021 Yes  Paroxysmal atrial fibrillation (HCC) 04/09/2020 Yes  Stage 3b chronic kidney disease (HCC) 01/06/2014 Yes  HTN (hypertension) 10/18/2011 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute ischemic left PCA stroke (HCC) [I63.532] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9]   HOSPITAL COURSE:   Patient is a 97 y.o. female with history of AFib not on anticoagulation, hypertension and recent admission for COVID pneumonia/hypoxic respiratory failure who presented to the hospital today from home after noted to be more confused and trouble with walking/ambulating.  CT with left PCA territory acute infarct, CTA proximal PCA occlusion.  No tenecteplase administered (out of window).  Has paroxysmal atrial fibrillation not on anticoagulation due to recurrent falls/dementia.  She was seen by Neurology for acute stroke.  It was felt that given her age and obvious cardioembolic source, with contraindication to anticoagulation, that no further workup should be pursued.  Due to COVID-19 positivity equal (12/03/2022), she was kept in severe respiratory precautions.  She was seen by Physical therapy/Occupational therapy and subacute rehab was recommended however the patient did improve, and family felt comfortable taking her home with home PT, OT, nursing.   Please note that the family also deferred adding Lipitor at discharge, the patient has advanced dementia, and they would like minimal medication changes if at all possible.  They are focus more on her quality of life.     On the day of discharge, patient's neurological examination is unchanged, she has a right hemianopsia.  No other focal neurological findings identified, she is anxious to discharge.   Consult Neurology
Age: 96.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Lung opacity, Neurological examination abnormal, Oxygen saturation decreased, Pneumonia, Pneumonia bacterial
Clinical narrative: COVID+ 12/3/2022  Vaccination status J&J x1 + Pfizer x1 hospitalized x2 12/3/22-12/5/2022 & readmitted 12/7/22 BRIEF OVERVIEW: Discharge Provider: Doctor Primary Care Provider: MD Admission Date: 12/3/2022 Discharge Date: Dec 5, 2022   Active Hospital Problems   Diagnosis Date Noted POA  COVID-19    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion [R41.0] Pneumonia of both lower lobes due to infectious organism [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: 97yo F admitted with concerns of acute hypoxic respiratory failure secondary to COVID pneumonia. Desaturated to 80s on RA requiring 2L oxygen. COVID positive. CXR revealed hazy patchy bilateral lower lung opacities suspicion for superimposed bacterial pneumonia. Respiratory status improved, weaned off oxygen. Mentation at baseline per son, given baseline dementia. Evaluated by PT/OT/SLP. Patient medically stable for discharge home with son and home health on 12/5.  12/7/22 re-admission:  BRIEF OVERVIEW: Discharge Provider:  DO Primary Care Provider at Discharge: MD  Admission Date: 12/7/2022 Discharge Date: 12/13/2022   Active Hospital Problems   Diagnosis Date Noted POA Dysphagia 12/13/2022 Unknown  Acute ischemic left PCA stroke (HCC) 12/07/2022 Yes  Dementia (HCC) 03/16/2021 Yes  Paroxysmal atrial fibrillation (HCC) 04/09/2020 Yes  Stage 3b chronic kidney disease (HCC) 01/06/2014 Yes  HTN (hypertension) 10/18/2011 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute ischemic left PCA stroke (HCC) [I63.532] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9]   HOSPITAL COURSE:   Patient is a 97 y.o. female with history of AFib not on anticoagulation, hypertension and recent admission for COVID pneumonia/hypoxic respiratory failure who presented to the hospital today from home after noted to be more confused and trouble with walking/ambulating.  CT with left PCA territory acute infarct, CTA proximal PCA occlusion.  No tenecteplase administered (out of window).  Has paroxysmal atrial fibrillation not on anticoagulation due to recurrent falls/dementia.  She was seen by Neurology for acute stroke.  It was felt that given her age and obvious cardioembolic source, with contraindication to anticoagulation, that no further workup should be pursued.  Due to COVID-19 positivity equal (12/03/2022), she was kept in severe respiratory precautions.  She was seen by Physical therapy/Occupational therapy and subacute rehab was recommended however the patient did improve, and family felt comfortable taking her home with home PT, OT, nursing.   Please note that the family also deferred adding Lipitor at discharge, the patient has advanced dementia, and they would like minimal medication changes if at all possible.  They are focus more on her quality of life.     On the day of discharge, patient's neurological examination is unchanged, she has a right hemianopsia.  No other focal neurological findings identified, she is anxious to discharge.   Consult Neurology