chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presented to ED on 10/28 with worsening symptoms, had been seen at outpt facility on 10/25 and tested positive. Symptoms include shortness of breath, weakness and cough. On 5L O2 Nasal cannula
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Magnetic resonance imaging head normal, New daily persistent headache
Clinical narrative: I have had daily headaches starting in April, 2021.  I have been to the primary care doctor; neurologist; and heart doctor.  I have a brain MRI and it shows normal.  After the 3rd Moderna vaccine, the intensity of the headaches have increased.
Age: 89.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Pyrexia
Clinical narrative: Fever of 100.3 that was resolved with use of Tylenol.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Aphthous ulcer, Asthenia, Dysphagia, Ear pain
Clinical narrative: canker sore left underside of tongue. symptoms were extreme oral  and left ear pain, fatigue, weakness, difficulty swallowing and speaking. Symptoms started to improved after 7 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oral pain
Clinical narrative: canker sore left underside of tongue. symptoms were extreme oral  and left ear pain, fatigue, weakness, difficulty swallowing and speaking. Symptoms started to improved after 7 days.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest X-ray abnormal, Confusional state, Culture
Clinical narrative: Patient is a92y.o. year old female from adult foster care with acute mental status changes and fall. It is not clear if Fall 1 week ago preceded the MS changes. Covid testing on arrival 9/26 positive. Patient was fully vaccinated with Pfizer 1/27-2/17/21. Patient is requiring supplemental O2 3L /NC. She is confused and not able to provide any history. D dimer >10,000  Heparin per IM Decadron/REmdesivir  procal 0.46  Cannot r/o possible superimposed bacterial pneumonia. CXR with multifocal pneumonia consistent with COVID  Urinary antigens for Legionella and Strep pneumo negative U/A with pyuria cannot r/o associated bacterial infection, await culture data  Continue Rocephin
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fibrin D dimer increased, Legionella test, Mental status changes, Pneumonia
Clinical narrative: Patient is a92y.o. year old female from adult foster care with acute mental status changes and fall. It is not clear if Fall 1 week ago preceded the MS changes. Covid testing on arrival 9/26 positive. Patient was fully vaccinated with Pfizer 1/27-2/17/21. Patient is requiring supplemental O2 3L /NC. She is confused and not able to provide any history. D dimer >10,000  Heparin per IM Decadron/REmdesivir  procal 0.46  Cannot r/o possible superimposed bacterial pneumonia. CXR with multifocal pneumonia consistent with COVID  Urinary antigens for Legionella and Strep pneumo negative U/A with pyuria cannot r/o associated bacterial infection, await culture data  Continue Rocephin
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Pyuria, SARS-CoV-2 test positive, Streptococcus test negative, Urine analysis abnormal
Clinical narrative: Patient is a92y.o. year old female from adult foster care with acute mental status changes and fall. It is not clear if Fall 1 week ago preceded the MS changes. Covid testing on arrival 9/26 positive. Patient was fully vaccinated with Pfizer 1/27-2/17/21. Patient is requiring supplemental O2 3L /NC. She is confused and not able to provide any history. D dimer >10,000  Heparin per IM Decadron/REmdesivir  procal 0.46  Cannot r/o possible superimposed bacterial pneumonia. CXR with multifocal pneumonia consistent with COVID  Urinary antigens for Legionella and Strep pneumo negative U/A with pyuria cannot r/o associated bacterial infection, await culture data  Continue Rocephin
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS WITH HOSPITALIZATION
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered Moderna vaccine instead of Pfizer.  Only Pfizer was approved at this time for 13 year old.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Child maltreatment syndrome, Confusional state, Extra dose administered, Hallucination, Injection site pain
Clinical narrative: Hallucinations.  Covid vaccine  Received 2 doses of Moderna back in March/April.  Based on her age, she was deemed eligible for booster dose of  Moderna last week.   On 10/24 she received her booster dose at pharmacy.  Early AM on 10/25, she was awakened by severe shoulder pain/soreness at injection site.  She also notes that was extremely confused, and hallucinated that home invaders were present in her garage and thought she saw "some shady figures moving around."  She reports being semi-conscious and walking around her house, and getting dressed in slacks and a dress shirt.  She doesn`t remember much past this point, but remembers finding herself in the driveway, wearing a pair of shorts, and it was late afternoon.  Then she reports "someone wanting to move her out of her house and into an old hunting lodge in the mountains."    resolved gradually over next few hours, and is now back to her baseline mental status.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mental disorder
Clinical narrative: Hallucinations.  Covid vaccine  Received 2 doses of Moderna back in March/April.  Based on her age, she was deemed eligible for booster dose of  Moderna last week.   On 10/24 she received her booster dose at pharmacy.  Early AM on 10/25, she was awakened by severe shoulder pain/soreness at injection site.  She also notes that was extremely confused, and hallucinated that home invaders were present in her garage and thought she saw "some shady figures moving around."  She reports being semi-conscious and walking around her house, and getting dressed in slacks and a dress shirt.  She doesn`t remember much past this point, but remembers finding herself in the driveway, wearing a pair of shorts, and it was late afternoon.  Then she reports "someone wanting to move her out of her house and into an old hunting lodge in the mountains."    resolved gradually over next few hours, and is now back to her baseline mental status.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: pt diagnosed COVID positive  2 days before hospital admission; admitted with increasing SOB and malaise; O2 saturations @ home were 85%; placed on O2, 8L via NC; cough, treated with dexamethasone and baricitinib; has AKI therefore didn't treat with remdesirvir; COVID pneumonia and ARF with hypoxia; placed on Vapotherm and eventually BiPAP; pt's condition worsened; palliative care was consulted; pt was taken off BiPAP and she was kept comfortable; pt expired in the hospital
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Malaise, Positive airway pressure therapy
Clinical narrative: pt diagnosed COVID positive  2 days before hospital admission; admitted with increasing SOB and malaise; O2 saturations @ home were 85%; placed on O2, 8L via NC; cough, treated with dexamethasone and baricitinib; has AKI therefore didn't treat with remdesirvir; COVID pneumonia and ARF with hypoxia; placed on Vapotherm and eventually BiPAP; pt's condition worsened; palliative care was consulted; pt was taken off BiPAP and she was kept comfortable; pt expired in the hospital
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt diagnosed COVID positive  2 days before hospital admission; admitted with increasing SOB and malaise; O2 saturations @ home were 85%; placed on O2, 8L via NC; cough, treated with dexamethasone and baricitinib; has AKI therefore didn't treat with remdesirvir; COVID pneumonia and ARF with hypoxia; placed on Vapotherm and eventually BiPAP; pt's condition worsened; palliative care was consulted; pt was taken off BiPAP and she was kept comfortable; pt expired in the hospital
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Urticaria
Clinical narrative: Hives to Left arm and lower extremities
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Atelectasis, Atrioventricular block first degree, Blood urea increased, Bundle branch block right
Clinical narrative: Covid + on 10/28/2021 and received Pfizer vaccine with 1st dose on 03/06/2021 EN6202 and 2nd dose on 03/27/2021 ER 2613 H & P: 61 yo male with h/o HTN / CAD / S/P stent / S/P CABG / pulmonary hypertension, DM, hyperlipidemia, COPD / former smoker / pulmonary hypertension, arthritis / DJD of hips - S/P L hip THA / h/o L hip prosthesis infection - S/P removal of L hip prosthesis / lumbar radiculopathy / sciatica / S/P MVA, renal insufficiency, peripheral neuropathy / debility, peripheral vascular disease, L heel ulcer - osteomyelitis, overweight, h/o substance abuse, gastroparesis / anemia / h/o remote abdominal trauma / +FH of colon Ca / diverticulosis / hemorrhoids and urinary retention. Patient was seen in ER for complaints of shortness of breath and hypoxia. Patient had recently been admitted for intractable vomiting and was diagnosed with gastroparesis. During that admission patient was also treated for chronic L heel ulcer and osteomyelitis. After intractable vomiting resolved and patient was medically stabilized, he was discharged to ECF to complete course of IV antibiotics for a left heel ulcer with osteomyelitis. While residing at ECF, patient developed shortness of breath and was found to be hypoxic and he was transferred to ER for further evaluation. Patient had shortness of breath but there were no complaints of cough, wheezing or sputum production. There was no reported history of fever or chills. There were no reported complaints of any other URI symptoms such as sore throat or sinus congestion and there were no known sick contacts or COVID-19 positive contacts. Patient had dyspnea but there were no complaints of chest pain, diaphoresis or palpitations. There were also no reported complaints of orthopnea or PND. Patient did not have any complaints of nausea/vomiting, abdominal pain or diarrhea. There were also no complaints of dysuria, frequency or hematuria. In ER, patient was found to be hypoxic on 4 L of oxygen but improved with increased to 6 L. CXR showed previous CABG, patchy atelectasis in both lower lobes - left greater than right and questionable mild interstitial edema. EKG showed sinus rhythm with first-degree AV block, left axis deviation and right bundle branch block but there were no acute ischemic changes. X-ray of the left foot showed increased osteopenia, new indistinct cortical bone about proximal navicular - ?osteomyelitis?, indistinct cortical bone of posteroinferior calcaneus is similar to previous - ?osteomyelitis?, fracture of calcaneus - again noted with displacement at the subtalar joint and a metallic foreign body suspected in region of second digit soft tissue unchanged. Labs were significant for anemia with Hb = 7.6, elevated ProTime /INR = 15.3/1.31, elevated BUN = 34,  elevated troponin = 0.09 and elevated proBNP = 4795. COVID-19 PCR was negative. Patient was admitted for dyspnea / hypoxia - ?CHF exacerbation vs. COPD exacerbation? and evaluation of left heel ulcer / osteomyelitis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Covid + on 10/28/2021 and received Pfizer vaccine with 1st dose on 03/06/2021 EN6202 and 2nd dose on 03/27/2021 ER 2613 H & P: 61 yo male with h/o HTN / CAD / S/P stent / S/P CABG / pulmonary hypertension, DM, hyperlipidemia, COPD / former smoker / pulmonary hypertension, arthritis / DJD of hips - S/P L hip THA / h/o L hip prosthesis infection - S/P removal of L hip prosthesis / lumbar radiculopathy / sciatica / S/P MVA, renal insufficiency, peripheral neuropathy / debility, peripheral vascular disease, L heel ulcer - osteomyelitis, overweight, h/o substance abuse, gastroparesis / anemia / h/o remote abdominal trauma / +FH of colon Ca / diverticulosis / hemorrhoids and urinary retention. Patient was seen in ER for complaints of shortness of breath and hypoxia. Patient had recently been admitted for intractable vomiting and was diagnosed with gastroparesis. During that admission patient was also treated for chronic L heel ulcer and osteomyelitis. After intractable vomiting resolved and patient was medically stabilized, he was discharged to ECF to complete course of IV antibiotics for a left heel ulcer with osteomyelitis. While residing at ECF, patient developed shortness of breath and was found to be hypoxic and he was transferred to ER for further evaluation. Patient had shortness of breath but there were no complaints of cough, wheezing or sputum production. There was no reported history of fever or chills. There were no reported complaints of any other URI symptoms such as sore throat or sinus congestion and there were no known sick contacts or COVID-19 positive contacts. Patient had dyspnea but there were no complaints of chest pain, diaphoresis or palpitations. There were also no reported complaints of orthopnea or PND. Patient did not have any complaints of nausea/vomiting, abdominal pain or diarrhea. There were also no complaints of dysuria, frequency or hematuria. In ER, patient was found to be hypoxic on 4 L of oxygen but improved with increased to 6 L. CXR showed previous CABG, patchy atelectasis in both lower lobes - left greater than right and questionable mild interstitial edema. EKG showed sinus rhythm with first-degree AV block, left axis deviation and right bundle branch block but there were no acute ischemic changes. X-ray of the left foot showed increased osteopenia, new indistinct cortical bone about proximal navicular - ?osteomyelitis?, indistinct cortical bone of posteroinferior calcaneus is similar to previous - ?osteomyelitis?, fracture of calcaneus - again noted with displacement at the subtalar joint and a metallic foreign body suspected in region of second digit soft tissue unchanged. Labs were significant for anemia with Hb = 7.6, elevated ProTime /INR = 15.3/1.31, elevated BUN = 34,  elevated troponin = 0.09 and elevated proBNP = 4795. COVID-19 PCR was negative. Patient was admitted for dyspnea / hypoxia - ?CHF exacerbation vs. COPD exacerbation? and evaluation of left heel ulcer / osteomyelitis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Foot fracture, Foreign body, Haemoglobin decreased
Clinical narrative: Covid + on 10/28/2021 and received Pfizer vaccine with 1st dose on 03/06/2021 EN6202 and 2nd dose on 03/27/2021 ER 2613 H & P: 61 yo male with h/o HTN / CAD / S/P stent / S/P CABG / pulmonary hypertension, DM, hyperlipidemia, COPD / former smoker / pulmonary hypertension, arthritis / DJD of hips - S/P L hip THA / h/o L hip prosthesis infection - S/P removal of L hip prosthesis / lumbar radiculopathy / sciatica / S/P MVA, renal insufficiency, peripheral neuropathy / debility, peripheral vascular disease, L heel ulcer - osteomyelitis, overweight, h/o substance abuse, gastroparesis / anemia / h/o remote abdominal trauma / +FH of colon Ca / diverticulosis / hemorrhoids and urinary retention. Patient was seen in ER for complaints of shortness of breath and hypoxia. Patient had recently been admitted for intractable vomiting and was diagnosed with gastroparesis. During that admission patient was also treated for chronic L heel ulcer and osteomyelitis. After intractable vomiting resolved and patient was medically stabilized, he was discharged to ECF to complete course of IV antibiotics for a left heel ulcer with osteomyelitis. While residing at ECF, patient developed shortness of breath and was found to be hypoxic and he was transferred to ER for further evaluation. Patient had shortness of breath but there were no complaints of cough, wheezing or sputum production. There was no reported history of fever or chills. There were no reported complaints of any other URI symptoms such as sore throat or sinus congestion and there were no known sick contacts or COVID-19 positive contacts. Patient had dyspnea but there were no complaints of chest pain, diaphoresis or palpitations. There were also no reported complaints of orthopnea or PND. Patient did not have any complaints of nausea/vomiting, abdominal pain or diarrhea. There were also no complaints of dysuria, frequency or hematuria. In ER, patient was found to be hypoxic on 4 L of oxygen but improved with increased to 6 L. CXR showed previous CABG, patchy atelectasis in both lower lobes - left greater than right and questionable mild interstitial edema. EKG showed sinus rhythm with first-degree AV block, left axis deviation and right bundle branch block but there were no acute ischemic changes. X-ray of the left foot showed increased osteopenia, new indistinct cortical bone about proximal navicular - ?osteomyelitis?, indistinct cortical bone of posteroinferior calcaneus is similar to previous - ?osteomyelitis?, fracture of calcaneus - again noted with displacement at the subtalar joint and a metallic foreign body suspected in region of second digit soft tissue unchanged. Labs were significant for anemia with Hb = 7.6, elevated ProTime /INR = 15.3/1.31, elevated BUN = 34,  elevated troponin = 0.09 and elevated proBNP = 4795. COVID-19 PCR was negative. Patient was admitted for dyspnea / hypoxia - ?CHF exacerbation vs. COPD exacerbation? and evaluation of left heel ulcer / osteomyelitis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Impaired gastric emptying, International normalised ratio increased, Joint dislocation, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: Covid + on 10/28/2021 and received Pfizer vaccine with 1st dose on 03/06/2021 EN6202 and 2nd dose on 03/27/2021 ER 2613 H & P: 61 yo male with h/o HTN / CAD / S/P stent / S/P CABG / pulmonary hypertension, DM, hyperlipidemia, COPD / former smoker / pulmonary hypertension, arthritis / DJD of hips - S/P L hip THA / h/o L hip prosthesis infection - S/P removal of L hip prosthesis / lumbar radiculopathy / sciatica / S/P MVA, renal insufficiency, peripheral neuropathy / debility, peripheral vascular disease, L heel ulcer - osteomyelitis, overweight, h/o substance abuse, gastroparesis / anemia / h/o remote abdominal trauma / +FH of colon Ca / diverticulosis / hemorrhoids and urinary retention. Patient was seen in ER for complaints of shortness of breath and hypoxia. Patient had recently been admitted for intractable vomiting and was diagnosed with gastroparesis. During that admission patient was also treated for chronic L heel ulcer and osteomyelitis. After intractable vomiting resolved and patient was medically stabilized, he was discharged to ECF to complete course of IV antibiotics for a left heel ulcer with osteomyelitis. While residing at ECF, patient developed shortness of breath and was found to be hypoxic and he was transferred to ER for further evaluation. Patient had shortness of breath but there were no complaints of cough, wheezing or sputum production. There was no reported history of fever or chills. There were no reported complaints of any other URI symptoms such as sore throat or sinus congestion and there were no known sick contacts or COVID-19 positive contacts. Patient had dyspnea but there were no complaints of chest pain, diaphoresis or palpitations. There were also no reported complaints of orthopnea or PND. Patient did not have any complaints of nausea/vomiting, abdominal pain or diarrhea. There were also no complaints of dysuria, frequency or hematuria. In ER, patient was found to be hypoxic on 4 L of oxygen but improved with increased to 6 L. CXR showed previous CABG, patchy atelectasis in both lower lobes - left greater than right and questionable mild interstitial edema. EKG showed sinus rhythm with first-degree AV block, left axis deviation and right bundle branch block but there were no acute ischemic changes. X-ray of the left foot showed increased osteopenia, new indistinct cortical bone about proximal navicular - ?osteomyelitis?, indistinct cortical bone of posteroinferior calcaneus is similar to previous - ?osteomyelitis?, fracture of calcaneus - again noted with displacement at the subtalar joint and a metallic foreign body suspected in region of second digit soft tissue unchanged. Labs were significant for anemia with Hb = 7.6, elevated ProTime /INR = 15.3/1.31, elevated BUN = 34,  elevated troponin = 0.09 and elevated proBNP = 4795. COVID-19 PCR was negative. Patient was admitted for dyspnea / hypoxia - ?CHF exacerbation vs. COPD exacerbation? and evaluation of left heel ulcer / osteomyelitis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Osteomyelitis, Osteopenia, Prothrombin level increased, Pulmonary oedema, QRS axis abnormal
Clinical narrative: Covid + on 10/28/2021 and received Pfizer vaccine with 1st dose on 03/06/2021 EN6202 and 2nd dose on 03/27/2021 ER 2613 H & P: 61 yo male with h/o HTN / CAD / S/P stent / S/P CABG / pulmonary hypertension, DM, hyperlipidemia, COPD / former smoker / pulmonary hypertension, arthritis / DJD of hips - S/P L hip THA / h/o L hip prosthesis infection - S/P removal of L hip prosthesis / lumbar radiculopathy / sciatica / S/P MVA, renal insufficiency, peripheral neuropathy / debility, peripheral vascular disease, L heel ulcer - osteomyelitis, overweight, h/o substance abuse, gastroparesis / anemia / h/o remote abdominal trauma / +FH of colon Ca / diverticulosis / hemorrhoids and urinary retention. Patient was seen in ER for complaints of shortness of breath and hypoxia. Patient had recently been admitted for intractable vomiting and was diagnosed with gastroparesis. During that admission patient was also treated for chronic L heel ulcer and osteomyelitis. After intractable vomiting resolved and patient was medically stabilized, he was discharged to ECF to complete course of IV antibiotics for a left heel ulcer with osteomyelitis. While residing at ECF, patient developed shortness of breath and was found to be hypoxic and he was transferred to ER for further evaluation. Patient had shortness of breath but there were no complaints of cough, wheezing or sputum production. There was no reported history of fever or chills. There were no reported complaints of any other URI symptoms such as sore throat or sinus congestion and there were no known sick contacts or COVID-19 positive contacts. Patient had dyspnea but there were no complaints of chest pain, diaphoresis or palpitations. There were also no reported complaints of orthopnea or PND. Patient did not have any complaints of nausea/vomiting, abdominal pain or diarrhea. There were also no complaints of dysuria, frequency or hematuria. In ER, patient was found to be hypoxic on 4 L of oxygen but improved with increased to 6 L. CXR showed previous CABG, patchy atelectasis in both lower lobes - left greater than right and questionable mild interstitial edema. EKG showed sinus rhythm with first-degree AV block, left axis deviation and right bundle branch block but there were no acute ischemic changes. X-ray of the left foot showed increased osteopenia, new indistinct cortical bone about proximal navicular - ?osteomyelitis?, indistinct cortical bone of posteroinferior calcaneus is similar to previous - ?osteomyelitis?, fracture of calcaneus - again noted with displacement at the subtalar joint and a metallic foreign body suspected in region of second digit soft tissue unchanged. Labs were significant for anemia with Hb = 7.6, elevated ProTime /INR = 15.3/1.31, elevated BUN = 34,  elevated troponin = 0.09 and elevated proBNP = 4795. COVID-19 PCR was negative. Patient was admitted for dyspnea / hypoxia - ?CHF exacerbation vs. COPD exacerbation? and evaluation of left heel ulcer / osteomyelitis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Skin ulcer, Troponin, Vomiting
Clinical narrative: Covid + on 10/28/2021 and received Pfizer vaccine with 1st dose on 03/06/2021 EN6202 and 2nd dose on 03/27/2021 ER 2613 H & P: 61 yo male with h/o HTN / CAD / S/P stent / S/P CABG / pulmonary hypertension, DM, hyperlipidemia, COPD / former smoker / pulmonary hypertension, arthritis / DJD of hips - S/P L hip THA / h/o L hip prosthesis infection - S/P removal of L hip prosthesis / lumbar radiculopathy / sciatica / S/P MVA, renal insufficiency, peripheral neuropathy / debility, peripheral vascular disease, L heel ulcer - osteomyelitis, overweight, h/o substance abuse, gastroparesis / anemia / h/o remote abdominal trauma / +FH of colon Ca / diverticulosis / hemorrhoids and urinary retention. Patient was seen in ER for complaints of shortness of breath and hypoxia. Patient had recently been admitted for intractable vomiting and was diagnosed with gastroparesis. During that admission patient was also treated for chronic L heel ulcer and osteomyelitis. After intractable vomiting resolved and patient was medically stabilized, he was discharged to ECF to complete course of IV antibiotics for a left heel ulcer with osteomyelitis. While residing at ECF, patient developed shortness of breath and was found to be hypoxic and he was transferred to ER for further evaluation. Patient had shortness of breath but there were no complaints of cough, wheezing or sputum production. There was no reported history of fever or chills. There were no reported complaints of any other URI symptoms such as sore throat or sinus congestion and there were no known sick contacts or COVID-19 positive contacts. Patient had dyspnea but there were no complaints of chest pain, diaphoresis or palpitations. There were also no reported complaints of orthopnea or PND. Patient did not have any complaints of nausea/vomiting, abdominal pain or diarrhea. There were also no complaints of dysuria, frequency or hematuria. In ER, patient was found to be hypoxic on 4 L of oxygen but improved with increased to 6 L. CXR showed previous CABG, patchy atelectasis in both lower lobes - left greater than right and questionable mild interstitial edema. EKG showed sinus rhythm with first-degree AV block, left axis deviation and right bundle branch block but there were no acute ischemic changes. X-ray of the left foot showed increased osteopenia, new indistinct cortical bone about proximal navicular - ?osteomyelitis?, indistinct cortical bone of posteroinferior calcaneus is similar to previous - ?osteomyelitis?, fracture of calcaneus - again noted with displacement at the subtalar joint and a metallic foreign body suspected in region of second digit soft tissue unchanged. Labs were significant for anemia with Hb = 7.6, elevated ProTime /INR = 15.3/1.31, elevated BUN = 34,  elevated troponin = 0.09 and elevated proBNP = 4795. COVID-19 PCR was negative. Patient was admitted for dyspnea / hypoxia - ?CHF exacerbation vs. COPD exacerbation? and evaluation of left heel ulcer / osteomyelitis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Covid + on 10/28/2021 and received Pfizer vaccine with 1st dose on 03/06/2021 EN6202 and 2nd dose on 03/27/2021 ER 2613 H & P: 61 yo male with h/o HTN / CAD / S/P stent / S/P CABG / pulmonary hypertension, DM, hyperlipidemia, COPD / former smoker / pulmonary hypertension, arthritis / DJD of hips - S/P L hip THA / h/o L hip prosthesis infection - S/P removal of L hip prosthesis / lumbar radiculopathy / sciatica / S/P MVA, renal insufficiency, peripheral neuropathy / debility, peripheral vascular disease, L heel ulcer - osteomyelitis, overweight, h/o substance abuse, gastroparesis / anemia / h/o remote abdominal trauma / +FH of colon Ca / diverticulosis / hemorrhoids and urinary retention. Patient was seen in ER for complaints of shortness of breath and hypoxia. Patient had recently been admitted for intractable vomiting and was diagnosed with gastroparesis. During that admission patient was also treated for chronic L heel ulcer and osteomyelitis. After intractable vomiting resolved and patient was medically stabilized, he was discharged to ECF to complete course of IV antibiotics for a left heel ulcer with osteomyelitis. While residing at ECF, patient developed shortness of breath and was found to be hypoxic and he was transferred to ER for further evaluation. Patient had shortness of breath but there were no complaints of cough, wheezing or sputum production. There was no reported history of fever or chills. There were no reported complaints of any other URI symptoms such as sore throat or sinus congestion and there were no known sick contacts or COVID-19 positive contacts. Patient had dyspnea but there were no complaints of chest pain, diaphoresis or palpitations. There were also no reported complaints of orthopnea or PND. Patient did not have any complaints of nausea/vomiting, abdominal pain or diarrhea. There were also no complaints of dysuria, frequency or hematuria. In ER, patient was found to be hypoxic on 4 L of oxygen but improved with increased to 6 L. CXR showed previous CABG, patchy atelectasis in both lower lobes - left greater than right and questionable mild interstitial edema. EKG showed sinus rhythm with first-degree AV block, left axis deviation and right bundle branch block but there were no acute ischemic changes. X-ray of the left foot showed increased osteopenia, new indistinct cortical bone about proximal navicular - ?osteomyelitis?, indistinct cortical bone of posteroinferior calcaneus is similar to previous - ?osteomyelitis?, fracture of calcaneus - again noted with displacement at the subtalar joint and a metallic foreign body suspected in region of second digit soft tissue unchanged. Labs were significant for anemia with Hb = 7.6, elevated ProTime /INR = 15.3/1.31, elevated BUN = 34,  elevated troponin = 0.09 and elevated proBNP = 4795. COVID-19 PCR was negative. Patient was admitted for dyspnea / hypoxia - ?CHF exacerbation vs. COPD exacerbation? and evaluation of left heel ulcer / osteomyelitis.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Electrocardiogram, Full blood count, Hypokalaemia, Hypomagnesaemia
Clinical narrative: On 10/14/21 the resident had a change of condition and was unresponsive.  He was pale and lethargic.  He had hypoxia and sats were 58% and supplemental oxygen was increased.  Resident was transferred to the ER.  The resident was treated at the hospital for pulmonary infiltrates, cellulitis LUE, aspiration pneumonia, hypokalemia, hypomagnesis.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lethargy, Lung infiltration, Metabolic function test, Pallor
Clinical narrative: On 10/14/21 the resident had a change of condition and was unresponsive.  He was pale and lethargic.  He had hypoxia and sats were 58% and supplemental oxygen was increased.  Resident was transferred to the ER.  The resident was treated at the hospital for pulmonary infiltrates, cellulitis LUE, aspiration pneumonia, hypokalemia, hypomagnesis.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, SARS-CoV-2 test negative, Unresponsive to stimuli
Clinical narrative: On 10/14/21 the resident had a change of condition and was unresponsive.  He was pale and lethargic.  He had hypoxia and sats were 58% and supplemental oxygen was increased.  Resident was transferred to the ER.  The resident was treated at the hospital for pulmonary infiltrates, cellulitis LUE, aspiration pneumonia, hypokalemia, hypomagnesis.
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Chest discomfort, Chills, Dehydration, Extremity contracture
Clinical narrative: Starting few hours after influenza vaccine, developed severe body aches, joint aches, headaches, chills, feverish, flushing/hot, shivering, diaphoresis. Reported 8/10 of pain. Woke up with contractions of hands/arms Monday night (had to stretch/move to relax). Reports tightness in chest and reported 'kidneys hurt' feeling as dehydrated. Reports constant symptoms for the next few days, slowly improving each day until resolution on Friday, 4 days later. Complete resolution.
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Hot flush, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Starting few hours after influenza vaccine, developed severe body aches, joint aches, headaches, chills, feverish, flushing/hot, shivering, diaphoresis. Reported 8/10 of pain. Woke up with contractions of hands/arms Monday night (had to stretch/move to relax). Reports tightness in chest and reported 'kidneys hurt' feeling as dehydrated. Reports constant symptoms for the next few days, slowly improving each day until resolution on Friday, 4 days later. Complete resolution.
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Renal pain
Clinical narrative: Starting few hours after influenza vaccine, developed severe body aches, joint aches, headaches, chills, feverish, flushing/hot, shivering, diaphoresis. Reported 8/10 of pain. Woke up with contractions of hands/arms Monday night (had to stretch/move to relax). Reports tightness in chest and reported 'kidneys hurt' feeling as dehydrated. Reports constant symptoms for the next few days, slowly improving each day until resolution on Friday, 4 days later. Complete resolution.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Incorrect dose administered
Clinical narrative: Patient came into a community vaccine clinic for his Moderna COVID 19 booster dose. Dose administered should have been 0.25ml and 0.5ml was administered to patient.  After administration it was found out that Moderna vial was expired.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Breast swelling, Fibrin D dimer normal, Hypoaesthesia
Clinical narrative: Pain and swelling to left arm pit and left breast, noticeable swollen lymph node in middle of arm pit, sensation of fullness in breast (as if I am engorged like during lactation), some pain into left scapula and down left arm, numbness & tingling to left hand and fingers at times with mild swelling to fingers (rings became tight & removed). Eval by Doctor, likely edema but will rule out blood clot
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy, Paraesthesia, Peripheral swelling
Clinical narrative: Pain and swelling to left arm pit and left breast, noticeable swollen lymph node in middle of arm pit, sensation of fullness in breast (as if I am engorged like during lactation), some pain into left scapula and down left arm, numbness & tingling to left hand and fingers at times with mild swelling to fingers (rings became tight & removed). Eval by Doctor, likely edema but will rule out blood clot
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chest pain, Chills, Cough, Myalgia
Clinical narrative: Loss of taste is what concerns me the most. I have had cold chills, chest pain, head congestion, sore throat, coughing and sneezing for 2 days. (10/27/21-10/28/21)  Today is the 3rd day of symptoms, and I have muscle aches, cold chills, and now a loss of taste(10/29/21).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Sneezing
Clinical narrative: Loss of taste is what concerns me the most. I have had cold chills, chest pain, head congestion, sore throat, coughing and sneezing for 2 days. (10/27/21-10/28/21)  Today is the 3rd day of symptoms, and I have muscle aches, cold chills, and now a loss of taste(10/29/21).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Tachycardia
Clinical narrative: Pt stated she was feeling tingling on her lips, tongue and the inside of her mouth.   VS at time of event were BP: 122/80 HR:100 SPO2: 99%. Vitals showed pt was slightly tachycardic. Pt was monitored and vitals were taken at 1225  BP:124/84 HR: 115 SPO2 98% then taken again at 1231 BP: 122/86 HR: 116 SPO2 97%. Pt was given liquid Benadryl and was monitored. Pt stated that symptoms were persisting so the pt was transported to the Emergency Department. VS at transport 122/84 HR:96 SPO2 97% Temp: 98.1.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough event
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: * Immediate left arm pain as injection was administered ? severe pain worsened considerably and lasted for 3 days. * Significant Weakness in left arm, unable to lift or move it in addition to pain, almost felt partially paralyzed (started a few hours after, lasting 5 days, 2 days of which were the most severe). * Chills ? (a few hours after shot, lasting 2.5 days) * Muscle/joint pain ? severe, worst I?ve ever had, unable to move at all out of pain for days (started 2 hours after shot, lasting 2 days acute + 3 more days milder, total 5 days) * Headache ? severe, worst I?ve ever had and I get bad migraines (started a few hours after shot, lasting 3 days) * Nausea/loss of appetite ? (6 hours after shot. Lasting 2 days) * severe Exhaustion? (started a few hours after shot, lasting 4 days ? unable to get up unless to bathroom. Took total 1.5 months to return to baseline energy levels). * Fever ? (started a few hours after shot, lasting 1.5 days) * Neuropathy pain and pins and needles and numbness in hands/feet/scalp ? (started a few hours after shot, lasting 1.5 months weeks acute, and another 1.5 months mild, totaling 3 MONTHS OF NERVE PAIN/PINS AND NEEDLES/NUMBNESS)  Remained home and incapacitated for 1.5 weeks after shot. Triggered worsening of ME/CFS and post exertion malaise which took 1.5 months to get to baseline energy levels. Was homebound during most of this time (1.5 months).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Mobility decreased
Clinical narrative: * Immediate left arm pain as injection was administered ? severe pain worsened considerably and lasted for 3 days. * Significant Weakness in left arm, unable to lift or move it in addition to pain, almost felt partially paralyzed (started a few hours after, lasting 5 days, 2 days of which were the most severe). * Chills ? (a few hours after shot, lasting 2.5 days) * Muscle/joint pain ? severe, worst I?ve ever had, unable to move at all out of pain for days (started 2 hours after shot, lasting 2 days acute + 3 more days milder, total 5 days) * Headache ? severe, worst I?ve ever had and I get bad migraines (started a few hours after shot, lasting 3 days) * Nausea/loss of appetite ? (6 hours after shot. Lasting 2 days) * severe Exhaustion? (started a few hours after shot, lasting 4 days ? unable to get up unless to bathroom. Took total 1.5 months to return to baseline energy levels). * Fever ? (started a few hours after shot, lasting 1.5 days) * Neuropathy pain and pins and needles and numbness in hands/feet/scalp ? (started a few hours after shot, lasting 1.5 months weeks acute, and another 1.5 months mild, totaling 3 MONTHS OF NERVE PAIN/PINS AND NEEDLES/NUMBNESS)  Remained home and incapacitated for 1.5 weeks after shot. Triggered worsening of ME/CFS and post exertion malaise which took 1.5 months to get to baseline energy levels. Was homebound during most of this time (1.5 months).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Nausea, Paraesthesia, Pyrexia
Clinical narrative: * Immediate left arm pain as injection was administered ? severe pain worsened considerably and lasted for 3 days. * Significant Weakness in left arm, unable to lift or move it in addition to pain, almost felt partially paralyzed (started a few hours after, lasting 5 days, 2 days of which were the most severe). * Chills ? (a few hours after shot, lasting 2.5 days) * Muscle/joint pain ? severe, worst I?ve ever had, unable to move at all out of pain for days (started 2 hours after shot, lasting 2 days acute + 3 more days milder, total 5 days) * Headache ? severe, worst I?ve ever had and I get bad migraines (started a few hours after shot, lasting 3 days) * Nausea/loss of appetite ? (6 hours after shot. Lasting 2 days) * severe Exhaustion? (started a few hours after shot, lasting 4 days ? unable to get up unless to bathroom. Took total 1.5 months to return to baseline energy levels). * Fever ? (started a few hours after shot, lasting 1.5 days) * Neuropathy pain and pins and needles and numbness in hands/feet/scalp ? (started a few hours after shot, lasting 1.5 months weeks acute, and another 1.5 months mild, totaling 3 MONTHS OF NERVE PAIN/PINS AND NEEDLES/NUMBNESS)  Remained home and incapacitated for 1.5 weeks after shot. Triggered worsening of ME/CFS and post exertion malaise which took 1.5 months to get to baseline energy levels. Was homebound during most of this time (1.5 months).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Confusional state, Fall, Fibrin D dimer increased
Clinical narrative: This is a 65y.o. female with significant past medical history of HTN, GERD, neuropathy, ETOH abuse, hypothyroid, and bipolar 1 disorder that presented to the hospital with chief complaint of LE swelling. She notes that she fell 2 weeks ago and did strike her head but did not seek medical evaluation. She has had increased confusion per her caregiver at the group home. She does complain of lower extremity and bilateral foot pain which has progressively worsened. She denies any fever, chills, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, or constipation.   In the ED, vitals stable. COVID detected on swab. She was started on IV antibiotics with concern for LE cellulitis. Admitted for further evaluation and management.    Patient seen and examined only by the attending physician. NP only responsible for chart review given the patient's COVID positive status.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Oedema peripheral, Pain in extremity, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: This is a 65y.o. female with significant past medical history of HTN, GERD, neuropathy, ETOH abuse, hypothyroid, and bipolar 1 disorder that presented to the hospital with chief complaint of LE swelling. She notes that she fell 2 weeks ago and did strike her head but did not seek medical evaluation. She has had increased confusion per her caregiver at the group home. She does complain of lower extremity and bilateral foot pain which has progressively worsened. She denies any fever, chills, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, or constipation.   In the ED, vitals stable. COVID detected on swab. She was started on IV antibiotics with concern for LE cellulitis. Admitted for further evaluation and management.    Patient seen and examined only by the attending physician. NP only responsible for chart review given the patient's COVID positive status.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: This is a 65y.o. female with significant past medical history of HTN, GERD, neuropathy, ETOH abuse, hypothyroid, and bipolar 1 disorder that presented to the hospital with chief complaint of LE swelling. She notes that she fell 2 weeks ago and did strike her head but did not seek medical evaluation. She has had increased confusion per her caregiver at the group home. She does complain of lower extremity and bilateral foot pain which has progressively worsened. She denies any fever, chills, chest pain, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, or constipation.   In the ED, vitals stable. COVID detected on swab. She was started on IV antibiotics with concern for LE cellulitis. Admitted for further evaluation and management.    Patient seen and examined only by the attending physician. NP only responsible for chart review given the patient's COVID positive status.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had a breakthrough infection and deceased.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid + on 10/29/2021. Received Pfizer vaccine with 1st dose on 04/01/2021 LOT #EW0150 and 2nd dose on 04/22/2021 LOT# EW0164 Patient was admitted to in patient behavioral health unit on 10/21/2021. Tested positive on 10/29/2021 and transferred to inpatient acute care.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, Incorrect dose administered
Clinical narrative: Patient came into a community vaccine clinic for his Moderna COVID 19 booster dose. Dose administered should have been 0.25ml and 0.5ml was administered to patient.  After administration it was found out that Moderna vial was expired.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Malaise, Respiratory distress, Seizure like phenomena, Tachypnoea
Clinical narrative: Patient hospitalized with Covid symptoms after receiving Covid vaccination.  Patient experienced respiratory distress, tachypnea, lethargy, and seizure like activity.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Irregular menstrual cycle that has still not resolved, 6 months after 2nd dose of vaccine. Patient was entirely regular, her whole life, before the vaccine. Now, cycles vary from 1.5 weeks early to 2 weeks late each month, but never on time.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident passed away on 10/17/21
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Chills, joint pain H/A, slight fever and eventual sweating
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Expired product administered, Immunisation, Lymphadenopathy, Pharyngeal swelling
Clinical narrative: When patient came in for his second dose, a vial was pulled from the fridge and administered that had been out of the freezer for more than 30 days (30 day expiration was 10/9/2021 and administered on 10/13/2021). We notified the patient immediately upon discovery and reported this event to Moderna. Moderna responded stating the second dose given past 30 days out of the freezer was not studied. They also stated the dose should be repeated immediately (no minimum interval), but to be given in the opposite arm. Patient states roughly 24 hours from the additional vaccine dose he experienced difficulty breathing, swelling of lymph nodes and swelling of tongue/throat. He went to the local ER where he was treated.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: When patient came in for his second dose, a vial was pulled from the fridge and administered that had been out of the freezer for more than 30 days (30 day expiration was 10/9/2021 and administered on 10/13/2021). We notified the patient immediately upon discovery and reported this event to Moderna. Moderna responded stating the second dose given past 30 days out of the freezer was not studied. They also stated the dose should be repeated immediately (no minimum interval), but to be given in the opposite arm. Patient states roughly 24 hours from the additional vaccine dose he experienced difficulty breathing, swelling of lymph nodes and swelling of tongue/throat. He went to the local ER where he was treated.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pyrexia
Clinical narrative: ran a fever couldnt sleep,