chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye pruritus, Pharyngeal swelling, Rash papular, Rash pruritic
Clinical narrative: Symptoms began on 9/15 and have gotten progressively worse.  I have raised, itchy bumps on my upper back, neck and face.  My eyes are itchy and today, 9/20, my throat felt swollen.  Today, I used Flonase nasal spray at 8:00 am and took 1 Benedryl at 10:15 am.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough. Patient presented to the hospital on 9/19/22 with extremity weakness, cough, and fatigue for 1 month. Tested positive for COVID.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID breakthrough. Patient presented to the hospital on 9/19/22 with extremity weakness, cough, and fatigue for 1 month. Tested positive for COVID.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea, Myalgia, Pyrexia
Clinical narrative: Fever, cough, SOB, myalgias, and light-headedness.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effects were noted to date.  This was an extra dose of the Kinrix given 1 year after the first dose in error
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient received covid 19 booster on 9/19/22.  it was noticed that the vaccine was given from an exoired vial . the vial was opened on 9/16/22.   patients caretaker has been notified that the booster is considered invalid
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with covid; fully vaccinated.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue
Clinical narrative: chest pain, fatigue
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: Patient reports that since date of injection, her arm has been significantly sore and has become worse since 9/12/22. Pain stops her from doing normal activities, although she can move her arm and shoulder, pain is exacerbated when moving arm/shoulder upwards. Has tried ice/heat x 3 weeks with no improvement. No visible marks or redness, lumps, swelling.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 11y male given Moderna Bivalent. There was no adverse event status post vaccine. Mother called today by provider (day after vaccine) and she reported he has had no side effects and is doing well.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with 2 boosters
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Balance disorder, COVID-19, Femur fracture, SARS-CoV-2 test positive
Clinical narrative: Pt has a history of Parkinson's Dementia, DM, and a prior CVA. He was seen in the ED on 9/16 with abdominal pain and was found to be incidentally COVID positive. He was discharged home. After arriving home he lost his balance in the garage. He now has a right intertrochanteric fracture.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Nausea, Vomiting
Clinical narrative: abdominal pain, diarrhea, nausea, vomiting
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID-related death, breakthrough case
Age: 41.0
Sex: M
Vaccine: UNK
Symptoms: Balance disorder, Dysstasia, Hyperhidrosis, Nausea, Pain
Clinical narrative: AFTER ABOUT 6 HOURS WOKE UP COULD NOT STAND UP DO TO EQULIIBRUM IMBALANCE,NAUSA, SWEATING AND BODY ACHS.ALSO HAD PANIC ATTACK AS WELL.   GOT FLU SHOT NOT SURE WHAT TYPE THEY GAVE ME.
Age: 41.0
Sex: M
Vaccine: UNK
Symptoms: Panic attack
Clinical narrative: AFTER ABOUT 6 HOURS WOKE UP COULD NOT STAND UP DO TO EQULIIBRUM IMBALANCE,NAUSA, SWEATING AND BODY ACHS.ALSO HAD PANIC ATTACK AS WELL.   GOT FLU SHOT NOT SURE WHAT TYPE THEY GAVE ME.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Syncope
Clinical narrative: The patient fainted about 10 minutes after the vaccination.  Her husband caught her preventing her from falling to the floor.  An ambulance was called and took the patient to the ER.  After tests were ran, there was no problems found with the patient.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with Covid; fully vaccinated.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Computerised tomogram abdomen abnormal, Laboratory test normal, Nausea, Omental infarction
Clinical narrative: Previously received Pfizer vaccines for primary series and first booster dose in 2020 and 2021. Patient presented to the ED on 9/19 with 3 days of episodic abdominal pain, worse on 9/19, centered around RUQ. Associated nausea and vomiting. Patient admitted for observation and symptom control. No acute surgical intervention at this time.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ultrasound abdomen normal, Vomiting
Clinical narrative: Previously received Pfizer vaccines for primary series and first booster dose in 2020 and 2021. Patient presented to the ED on 9/19 with 3 days of episodic abdominal pain, worse on 9/19, centered around RUQ. Associated nausea and vomiting. Patient admitted for observation and symptom control. No acute surgical intervention at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Fatigue, Headache, Myalgia
Clinical narrative: fatigue, cough, myalgias, headaches, chest tightness
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Weight fluctuation
Clinical narrative: weight change, sore throat, cough
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Nephrolithiasis, Renal stone removal
Clinical narrative: I developed small white circles around the site of my shot that are still there today. After my 2nd dose I had passed a few smaller stones and had a follow-up appointment in November of 2021 (after my 3rd dose) and a cat scan picked up two large kidney stones that were too big to pass naturally. I had a surgery in Jan 2022 to remove the stones. The surgery itself created a lot of new issues. I have since recovered from the kidney stones.
Age: 12.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Syncope immediately (within 1 minute) after administration of TDaP and HPV vaccines.  Symptoms resolved within 30 seconds and did not recur.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Feeling cold, Headache, Myalgia
Clinical narrative: chills, fatigue, fever, cough, myalgias, headaches
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: chills, fatigue, fever, cough, myalgias, headaches
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was not given Pfizer-Biotech Bivalent as booster as required by regulatory authority.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: cough, SOB
Age: 37.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Asthma, Chest discomfort, Condition aggravated, Cough, Nightmare
Clinical narrative: Asthma symptoms started 9/17. Coughing and chest tightness. Symptoms progressed 9/18 & 9/19. Skin itching started in the evening on 9/18 with poor sleep and bad dreams. 9/19 skin erupted in viral rash covering most of front torso.
Age: 37.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Poor quality sleep, Pruritus, Rash, Viral rash
Clinical narrative: Asthma symptoms started 9/17. Coughing and chest tightness. Symptoms progressed 9/18 & 9/19. Skin itching started in the evening on 9/18 with poor sleep and bad dreams. 9/19 skin erupted in viral rash covering most of front torso.
Age: 51.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Heart rate increased
Clinical narrative: Client complained of fast heart rate post vaccination . No other symptoms or chest pain.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Headache, Nausea, Vomiting
Clinical narrative: NAUSEA, VOMITTING HEADACHE FATIGUE
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Fatigue, Fluid retention
Clinical narrative: On September 1, 2022, I tested positive for COVID-19. I had a lot of head congestion, sneezing, coughing, fluids in my chest, joints hurt, and a fever of 101.6. I felt real tired. I contacted my doctor that morning when I tested positive. I had a virtual appointment and my doctor prescribe me PAXLOVID. I took that for five days. I tested positive everyday up until September 6, 2022, It came back negative that day.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On September 1, 2022, I tested positive for COVID-19. I had a lot of head congestion, sneezing, coughing, fluids in my chest, joints hurt, and a fever of 101.6. I felt real tired. I contacted my doctor that morning when I tested positive. I had a virtual appointment and my doctor prescribe me PAXLOVID. I took that for five days. I tested positive everyday up until September 6, 2022, It came back negative that day.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Headache, Loss of personal independence in daily activities, Myalgia
Clinical narrative: activity change, appetite change, arthralgias, myalgias, headaches
Age: 25.0
Sex: M
Vaccine: COVID19, HPV9, PPV
Symptoms: Acute kidney injury, Blood phosphorus decreased, COVID-19, Condition aggravated, Decreased appetite
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 9/12/2022 Discharge Date: Sep 14, 2022  PRESENTING PROBLEM: DKA, type 1, not at goal (HCC)  Type 1 diabetes mellitus with ketoacidosis without coma (HCC)   HOSPITAL COURSE: 25-year-old female with past medical history of type 1 diabetes who was admitted to the hospital with DKA.  Was also found in the ER to have acute kidney injury.  After admission to the intensive care unit DKA quickly resolved with gap closure and resolution of AKI.  Was also found upon arrival to have COVID diagnosis.  Main symptom from COVID illness was decreased appetite but was not having any shortness of breath or other respiratory symptoms.  Was felt that DKA was exacerbated from missing dose of long-acting insulin and from COVID illness.  Day of discharge, patient stated was not having abdominal pain, was tolerating diet with good appetite.  Phosphate day of discharge was low at 1.8.  Did give IV K-Phos.  Did send with 3 days of K-Phos tablets 2 times a day.  Diabetes team Dr. cleared for discharge and said that he is to continue with the same previous insulin regimen.  Discharged stable condition.
Age: 25.0
Sex: M
Vaccine: COVID19, HPV9, PPV
Symptoms: Diabetic ketoacidosis, Intensive care, Type 1 diabetes mellitus
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 9/12/2022 Discharge Date: Sep 14, 2022  PRESENTING PROBLEM: DKA, type 1, not at goal (HCC)  Type 1 diabetes mellitus with ketoacidosis without coma (HCC)   HOSPITAL COURSE: 25-year-old female with past medical history of type 1 diabetes who was admitted to the hospital with DKA.  Was also found in the ER to have acute kidney injury.  After admission to the intensive care unit DKA quickly resolved with gap closure and resolution of AKI.  Was also found upon arrival to have COVID diagnosis.  Main symptom from COVID illness was decreased appetite but was not having any shortness of breath or other respiratory symptoms.  Was felt that DKA was exacerbated from missing dose of long-acting insulin and from COVID illness.  Day of discharge, patient stated was not having abdominal pain, was tolerating diet with good appetite.  Phosphate day of discharge was low at 1.8.  Did give IV K-Phos.  Did send with 3 days of K-Phos tablets 2 times a day.  Diabetes team Dr. cleared for discharge and said that he is to continue with the same previous insulin regimen.  Discharged stable condition.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Autopsy, COVID-19, Death, Overdose, SARS-CoV-2 test positive
Clinical narrative: 2/26/21 patient found unresponsive, deceased in her home; suspected OD; autopsy done - COD: complications of chronic substance abuse, COVID 19 (positive test at Center) and underweight body habitus; PCP unknown.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Substance abuse, Unresponsive to stimuli
Clinical narrative: 2/26/21 patient found unresponsive, deceased in her home; suspected OD; autopsy done - COD: complications of chronic substance abuse, COVID 19 (positive test at Center) and underweight body habitus; PCP unknown.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea, vomiting.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac discomfort, Cardiac flutter, Chest discomfort, Dysgeusia, Dyspnoea
Clinical narrative: To begin, I was initially told that I would be getting the Pfizer vaccine. That was the one that was scheduled on my appointment. I'm unsure if that would have had any different effect on me, but when I got to the doctor's office, they told me that were out of Pfizer and that I had to get the Moderna. (Moderna COVID-19 Vaccine (EUA)).  I got the shot at 12:00pm noon. The nurse was going to lunch but she said she could still take me. Immediately following the administration of the vaccine, about 4 seconds after, my chest began to tighten up, and the entire room became blurry.  The lights got brighter and it was very hard for me to breathe.  My temperature felt like it was increasing, and i got a very very weird taste in my mouth.  It was not a good idea for me to drive home, but i did because i knew the nurse wanted to go on lunch.  I had a metallic taste in my mouth for about 5 days.  It was a very heavy metal feeling that was in the core of my body. Felt like it was in my bones.  The most concerning thing for me was the heart flutters.  Beginning about two weeks after i got the shot, my heart would flutter 5 times in a second, every 30 seconds, for about 4 months. Nothing really helped or made it worse, it just kinda faded out after about 4 months. Another heart-related issue i had was sleeping.  When i turned on my side, my heart was on my ribs.  I could feel it beat against my ribs, and theres nothing i could do. I can still feel my heart in the wrong place to this day, but it feels a lot better. My neck, and my back would crack a supriisinggg amount during the day.  Much more violent cracks, making a louder noise, and more of apop than a crack.  My back would crack about once every minute for like seven months.  My neck was the weirdest one.  When it cracked it was much more painful and sounded almost like a used glowstick.  Not sure how to describe it, i just thought that i should note that these things cracked much more frequently.  Im not really sure if there is anything else at this time, and i do apologize for the lenghty, jumbled words, but i'm just very nervous, and excited to finally be sharing my vaccine symptoms because it really did hurt me, and should i be able to get another one in the future, i would like to have the right one for me.  Thank you very much, and please reach out to me if you have any questions.   ( I'm not sure what bivalent means, but on my record it says it was the Moderna COVID-19 Vaccine (EUA))
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Feeling hot, Immediate post-injection reaction, Insomnia, Interchange of vaccine products
Clinical narrative: To begin, I was initially told that I would be getting the Pfizer vaccine. That was the one that was scheduled on my appointment. I'm unsure if that would have had any different effect on me, but when I got to the doctor's office, they told me that were out of Pfizer and that I had to get the Moderna. (Moderna COVID-19 Vaccine (EUA)).  I got the shot at 12:00pm noon. The nurse was going to lunch but she said she could still take me. Immediately following the administration of the vaccine, about 4 seconds after, my chest began to tighten up, and the entire room became blurry.  The lights got brighter and it was very hard for me to breathe.  My temperature felt like it was increasing, and i got a very very weird taste in my mouth.  It was not a good idea for me to drive home, but i did because i knew the nurse wanted to go on lunch.  I had a metallic taste in my mouth for about 5 days.  It was a very heavy metal feeling that was in the core of my body. Felt like it was in my bones.  The most concerning thing for me was the heart flutters.  Beginning about two weeks after i got the shot, my heart would flutter 5 times in a second, every 30 seconds, for about 4 months. Nothing really helped or made it worse, it just kinda faded out after about 4 months. Another heart-related issue i had was sleeping.  When i turned on my side, my heart was on my ribs.  I could feel it beat against my ribs, and theres nothing i could do. I can still feel my heart in the wrong place to this day, but it feels a lot better. My neck, and my back would crack a supriisinggg amount during the day.  Much more violent cracks, making a louder noise, and more of apop than a crack.  My back would crack about once every minute for like seven months.  My neck was the weirdest one.  When it cracked it was much more painful and sounded almost like a used glowstick.  Not sure how to describe it, i just thought that i should note that these things cracked much more frequently.  Im not really sure if there is anything else at this time, and i do apologize for the lenghty, jumbled words, but i'm just very nervous, and excited to finally be sharing my vaccine symptoms because it really did hurt me, and should i be able to get another one in the future, i would like to have the right one for me.  Thank you very much, and please reach out to me if you have any questions.   ( I'm not sure what bivalent means, but on my record it says it was the Moderna COVID-19 Vaccine (EUA))
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Joint noise, Neck pain, Nervousness, Taste disorder, Vision blurred
Clinical narrative: To begin, I was initially told that I would be getting the Pfizer vaccine. That was the one that was scheduled on my appointment. I'm unsure if that would have had any different effect on me, but when I got to the doctor's office, they told me that were out of Pfizer and that I had to get the Moderna. (Moderna COVID-19 Vaccine (EUA)).  I got the shot at 12:00pm noon. The nurse was going to lunch but she said she could still take me. Immediately following the administration of the vaccine, about 4 seconds after, my chest began to tighten up, and the entire room became blurry.  The lights got brighter and it was very hard for me to breathe.  My temperature felt like it was increasing, and i got a very very weird taste in my mouth.  It was not a good idea for me to drive home, but i did because i knew the nurse wanted to go on lunch.  I had a metallic taste in my mouth for about 5 days.  It was a very heavy metal feeling that was in the core of my body. Felt like it was in my bones.  The most concerning thing for me was the heart flutters.  Beginning about two weeks after i got the shot, my heart would flutter 5 times in a second, every 30 seconds, for about 4 months. Nothing really helped or made it worse, it just kinda faded out after about 4 months. Another heart-related issue i had was sleeping.  When i turned on my side, my heart was on my ribs.  I could feel it beat against my ribs, and theres nothing i could do. I can still feel my heart in the wrong place to this day, but it feels a lot better. My neck, and my back would crack a supriisinggg amount during the day.  Much more violent cracks, making a louder noise, and more of apop than a crack.  My back would crack about once every minute for like seven months.  My neck was the weirdest one.  When it cracked it was much more painful and sounded almost like a used glowstick.  Not sure how to describe it, i just thought that i should note that these things cracked much more frequently.  Im not really sure if there is anything else at this time, and i do apologize for the lenghty, jumbled words, but i'm just very nervous, and excited to finally be sharing my vaccine symptoms because it really did hurt me, and should i be able to get another one in the future, i would like to have the right one for me.  Thank you very much, and please reach out to me if you have any questions.   ( I'm not sure what bivalent means, but on my record it says it was the Moderna COVID-19 Vaccine (EUA))
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood gases normal, Blood lactic acid normal, COVID-19, Confusional state
Clinical narrative: Discharge Provider: DO Primary Care Provider :  Admission Date: 9/11/2022 Discharge Date: 09/14/2022  PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: Patient is a 71 y.o. female with past medical history significant for spastic cerebral palsy, wheelchair bound, suprapubic catheter secondary to neurogenic bladder, legally blind who presented to the emergency department via EMS for concern of weakness and confusion associated with poor intake and new cough. In the emergency department, she presented febrile and tachycardic at HR of 106. Breathing on room air.  CMP and VBG unremarkable. CBC showed no leukocytosis.  Normal lactate and pro-calcitonin.  She was given 2 L of IV fluids and Tylenol with improvement in mentation to baseline. COVID testing was positive. She was started on remdesivir given high risk and was otherwise feeling well. Completed 4 days of remdesivir. Required oxygen overnight on 9/13 and sent with home oxygen. Not requiring oxygen during the day time. Discharged home per patient request on 9/14 as she was feeling better and wanted to go home.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Full blood count normal, Hypophagia, Metabolic function test normal, Procalcitonin normal
Clinical narrative: Discharge Provider: DO Primary Care Provider :  Admission Date: 9/11/2022 Discharge Date: 09/14/2022  PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: Patient is a 71 y.o. female with past medical history significant for spastic cerebral palsy, wheelchair bound, suprapubic catheter secondary to neurogenic bladder, legally blind who presented to the emergency department via EMS for concern of weakness and confusion associated with poor intake and new cough. In the emergency department, she presented febrile and tachycardic at HR of 106. Breathing on room air.  CMP and VBG unremarkable. CBC showed no leukocytosis.  Normal lactate and pro-calcitonin.  She was given 2 L of IV fluids and Tylenol with improvement in mentation to baseline. COVID testing was positive. She was started on remdesivir given high risk and was otherwise feeling well. Completed 4 days of remdesivir. Required oxygen overnight on 9/13 and sent with home oxygen. Not requiring oxygen during the day time. Discharged home per patient request on 9/14 as she was feeling better and wanted to go home.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Discharge Provider: DO Primary Care Provider :  Admission Date: 9/11/2022 Discharge Date: 09/14/2022  PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: Patient is a 71 y.o. female with past medical history significant for spastic cerebral palsy, wheelchair bound, suprapubic catheter secondary to neurogenic bladder, legally blind who presented to the emergency department via EMS for concern of weakness and confusion associated with poor intake and new cough. In the emergency department, she presented febrile and tachycardic at HR of 106. Breathing on room air.  CMP and VBG unremarkable. CBC showed no leukocytosis.  Normal lactate and pro-calcitonin.  She was given 2 L of IV fluids and Tylenol with improvement in mentation to baseline. COVID testing was positive. She was started on remdesivir given high risk and was otherwise feeling well. Completed 4 days of remdesivir. Required oxygen overnight on 9/13 and sent with home oxygen. Not requiring oxygen during the day time. Discharged home per patient request on 9/14 as she was feeling better and wanted to go home.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against, then tested positive for COVID-19
Age: 88.0
Sex: F
Vaccine: FLU4, PPV, FLU4, PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Dose given to patient expired on 5/10/2022. No adverse effect noted. Primary provider instructed patient to return in 90 days for non-expired vaccine
Age: 88.0
Sex: F
Vaccine: FLU4, PPV, FLU4, PPV
Symptoms: Expired product administered, No adverse event, Product dispensing error, Product preparation error, Product storage error
Clinical narrative: Dose given to patient expired on 5/10/2022. No adverse effect noted. Primary provider instructed patient to return in 90 days for non-expired vaccine
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Basal ganglia stroke, COVID-19, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/11/2022 Discharge Date: 9/12/2022  PRESENTING PROBLEM: Gait difficulty Left leg weakness Acute stroke due to ischemia COVID-19 virus infection    HOSPITAL COURSE:   Patient was personally interviewed and examined, and management discussed. Documentation of findings, impression, and plan are accurate as documented.   Patient is an 81 year old male with a history of HTN, PAD with claudication, atherosclerotic heart disease with history of MI presenting with stroke like symptoms. He tested positive for Covid on 9/9 and started Paxlovid. He had sore throat, congestion, general malaise. On the morning of 9/11 he woke up with left leg weakness. States he could only bear minimal weight on it and had difficulty walking. He came in to the ED and had negative CT head, CTA/CTP studies and was admitted for MRI and telestroke consult. He was already on optimal medical therapy for stroke including aspirin, plavix, and statin.    Brain MRI today revealed an ischemic stroke in the right basal ganglia and right thalamus as well as a meningioma in the right cerebellopontine angle. Clinically he was improved today with 4/5 strength in the left leg and he is able to bear weight although feels more comfortable walking with front wheeled walker for stability. Echocardiogram showed akinesis of the apex and apical left ventricle which he states is known from his heart attack decades ago. Telestroke saw him and recommended ziopatch, continuing aspirin, plavix, crestor and follow up with PCP. PT/OT saw him and recommended discharge home with front wheeled walker but was not in need of any other services on discharge. He can  Patient was able to obtain a walker from his neighbor and was discharged home in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Gait disturbance, Ischaemic stroke, Magnetic resonance imaging head abnormal, Malaise
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/11/2022 Discharge Date: 9/12/2022  PRESENTING PROBLEM: Gait difficulty Left leg weakness Acute stroke due to ischemia COVID-19 virus infection    HOSPITAL COURSE:   Patient was personally interviewed and examined, and management discussed. Documentation of findings, impression, and plan are accurate as documented.   Patient is an 81 year old male with a history of HTN, PAD with claudication, atherosclerotic heart disease with history of MI presenting with stroke like symptoms. He tested positive for Covid on 9/9 and started Paxlovid. He had sore throat, congestion, general malaise. On the morning of 9/11 he woke up with left leg weakness. States he could only bear minimal weight on it and had difficulty walking. He came in to the ED and had negative CT head, CTA/CTP studies and was admitted for MRI and telestroke consult. He was already on optimal medical therapy for stroke including aspirin, plavix, and statin.    Brain MRI today revealed an ischemic stroke in the right basal ganglia and right thalamus as well as a meningioma in the right cerebellopontine angle. Clinically he was improved today with 4/5 strength in the left leg and he is able to bear weight although feels more comfortable walking with front wheeled walker for stability. Echocardiogram showed akinesis of the apex and apical left ventricle which he states is known from his heart attack decades ago. Telestroke saw him and recommended ziopatch, continuing aspirin, plavix, crestor and follow up with PCP. PT/OT saw him and recommended discharge home with front wheeled walker but was not in need of any other services on discharge. He can  Patient was able to obtain a walker from his neighbor and was discharged home in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Meningioma, Muscular weakness, Oropharyngeal pain, Perfusion brain scan, Respiratory tract congestion
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/11/2022 Discharge Date: 9/12/2022  PRESENTING PROBLEM: Gait difficulty Left leg weakness Acute stroke due to ischemia COVID-19 virus infection    HOSPITAL COURSE:   Patient was personally interviewed and examined, and management discussed. Documentation of findings, impression, and plan are accurate as documented.   Patient is an 81 year old male with a history of HTN, PAD with claudication, atherosclerotic heart disease with history of MI presenting with stroke like symptoms. He tested positive for Covid on 9/9 and started Paxlovid. He had sore throat, congestion, general malaise. On the morning of 9/11 he woke up with left leg weakness. States he could only bear minimal weight on it and had difficulty walking. He came in to the ED and had negative CT head, CTA/CTP studies and was admitted for MRI and telestroke consult. He was already on optimal medical therapy for stroke including aspirin, plavix, and statin.    Brain MRI today revealed an ischemic stroke in the right basal ganglia and right thalamus as well as a meningioma in the right cerebellopontine angle. Clinically he was improved today with 4/5 strength in the left leg and he is able to bear weight although feels more comfortable walking with front wheeled walker for stability. Echocardiogram showed akinesis of the apex and apical left ventricle which he states is known from his heart attack decades ago. Telestroke saw him and recommended ziopatch, continuing aspirin, plavix, crestor and follow up with PCP. PT/OT saw him and recommended discharge home with front wheeled walker but was not in need of any other services on discharge. He can  Patient was able to obtain a walker from his neighbor and was discharged home in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thalamic stroke, Ventricular hypokinesia, Walking aid user, Weight bearing difficulty
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/11/2022 Discharge Date: 9/12/2022  PRESENTING PROBLEM: Gait difficulty Left leg weakness Acute stroke due to ischemia COVID-19 virus infection    HOSPITAL COURSE:   Patient was personally interviewed and examined, and management discussed. Documentation of findings, impression, and plan are accurate as documented.   Patient is an 81 year old male with a history of HTN, PAD with claudication, atherosclerotic heart disease with history of MI presenting with stroke like symptoms. He tested positive for Covid on 9/9 and started Paxlovid. He had sore throat, congestion, general malaise. On the morning of 9/11 he woke up with left leg weakness. States he could only bear minimal weight on it and had difficulty walking. He came in to the ED and had negative CT head, CTA/CTP studies and was admitted for MRI and telestroke consult. He was already on optimal medical therapy for stroke including aspirin, plavix, and statin.    Brain MRI today revealed an ischemic stroke in the right basal ganglia and right thalamus as well as a meningioma in the right cerebellopontine angle. Clinically he was improved today with 4/5 strength in the left leg and he is able to bear weight although feels more comfortable walking with front wheeled walker for stability. Echocardiogram showed akinesis of the apex and apical left ventricle which he states is known from his heart attack decades ago. Telestroke saw him and recommended ziopatch, continuing aspirin, plavix, crestor and follow up with PCP. PT/OT saw him and recommended discharge home with front wheeled walker but was not in need of any other services on discharge. He can  Patient was able to obtain a walker from his neighbor and was discharged home in stable condition.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: Patient states she had typical sore arm starting within a day after injection. However, on late Sunday/Monday she noticed the underside of her arm hurt more significantly than the injection site. She states that the injection site soreness has gone down significantly but is still tender, while the underside of her arm is still significantly sore and hurts with movement. Denies any redness or hotness to the touch. Advised patient to reach out to provider if it does not resolve or worsens.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Impaired work ability, Injection site discomfort, Injection site hypoaesthesia, Injection site paraesthesia, Pain
Clinical narrative: 8/4/2022- Patient reported numbness, tingling and discomfort at injection site. When RN returned call it was discovered that the patient started experiencing pain, numbness, and tingling in her arm at injection site on Tuesday, 8/2/2022 (24 hours after injection) that continues to radiate down her arm. She's tried Tylenol and ice, but nothing is helping. She was not able to sleep due to this. Provider gave order for Medrol Dose Pack which was sent to the pharmacy.  8/12/22- Patient phone call. Still complaining of pain at injection site, discomfort with lifting arm, and reports her arm throbs at night and wakes her up. Provider recommended office visit. Patient notified; OV scheduled for 8/15/22. Patient was currently taking OTC Ibuprofen 4 tabs (200 mg each) every 6 hours having only some pain relief. Provider sent in Medrol dose pack and see if responds to this    alternate ice /heat to area 15 minutes three times daily. Use OTC lidocaine gel to help with pain at night.  8/15/22- Physician saw patient following complaints of shoulder pain affecting ability to work. Gabapentin prescribed.  8/19/22- Patient phone call. No improvement in pain or ability to sleep from Gabapentin, called provider. Provider recommended increase in dose and referral to Ortho for possible should injection. Appt scheduled for 9/19/22.   9/16/22- Pt called in to state she was discontinuing Gabapentin because it was no longer helping her symptoms.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Sleep disorder
Clinical narrative: 8/4/2022- Patient reported numbness, tingling and discomfort at injection site. When RN returned call it was discovered that the patient started experiencing pain, numbness, and tingling in her arm at injection site on Tuesday, 8/2/2022 (24 hours after injection) that continues to radiate down her arm. She's tried Tylenol and ice, but nothing is helping. She was not able to sleep due to this. Provider gave order for Medrol Dose Pack which was sent to the pharmacy.  8/12/22- Patient phone call. Still complaining of pain at injection site, discomfort with lifting arm, and reports her arm throbs at night and wakes her up. Provider recommended office visit. Patient notified; OV scheduled for 8/15/22. Patient was currently taking OTC Ibuprofen 4 tabs (200 mg each) every 6 hours having only some pain relief. Provider sent in Medrol dose pack and see if responds to this    alternate ice /heat to area 15 minutes three times daily. Use OTC lidocaine gel to help with pain at night.  8/15/22- Physician saw patient following complaints of shoulder pain affecting ability to work. Gabapentin prescribed.  8/19/22- Patient phone call. No improvement in pain or ability to sleep from Gabapentin, called provider. Provider recommended increase in dose and referral to Ortho for possible should injection. Appt scheduled for 9/19/22.   9/16/22- Pt called in to state she was discontinuing Gabapentin because it was no longer helping her symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Aphasia, Disorientation, Disturbance in attention, Dizziness, Fatigue
Clinical narrative: Thursday 9/15 - sore arms Friday 9/16 - sore/swollen arms and headache  Saturday- Headache and dizziness  Sunday- Headache, dizziness, tingling all over my body Monday- Headache, dizziness/numbness, tingling/cold all over body, unable to drive since feeling faint and disoriented unable to concentrate and speak clearly and  fatigue  since Thursday
Age: 28.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Feeling cold, Headache, Hypoaesthesia, Impaired work ability, Nausea
Clinical narrative: Thursday 9/15 - sore arms Friday 9/16 - sore/swollen arms and headache  Saturday- Headache and dizziness  Sunday- Headache, dizziness, tingling all over my body Monday- Headache, dizziness/numbness, tingling/cold all over body, unable to drive since feeling faint and disoriented unable to concentrate and speak clearly and  fatigue  since Thursday
Age: 28.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: Thursday 9/15 - sore arms Friday 9/16 - sore/swollen arms and headache  Saturday- Headache and dizziness  Sunday- Headache, dizziness, tingling all over my body Monday- Headache, dizziness/numbness, tingling/cold all over body, unable to drive since feeling faint and disoriented unable to concentrate and speak clearly and  fatigue  since Thursday
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Chest X-ray normal, Computerised tomogram head normal
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/10/2022 Discharge Date: Sep 12, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 81-year-old female with a past medical history of inclusion body myositis who presented with shortness of breath.  Patient had a fall in a week prior to admission.  She stated she tripped and fell and hit her face on the concrete.  She did not lose consciousness.  She was seen in the emergency department at that time and CT head and CT maxillofacial were negative.  She then developed a dry cough and became progressively more weak.  On 09/05/2022 she had a home COVID test that was positive.  Her shortness of breath progressively worsened, particularly with exertion and she had a dry cough.  In the emergency department, she was afebrile.  She was hypoxic at 83% with ambulation.  Labs were unremarkable.  UA was negative.  COVID screen was positive.  Chest x-ray showed no acute process.  She was admitted for COVID-19 infection and acute hypoxia with activity.   She was started on remdesivir and Decadron.  She did not require oxygen with activity on reeval.  Her fatigue and weakness improved that she could ambulate independently.  She was discharged home on 9/12/22.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Dyspnoea exertional, Face injury, Fall
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/10/2022 Discharge Date: Sep 12, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 81-year-old female with a past medical history of inclusion body myositis who presented with shortness of breath.  Patient had a fall in a week prior to admission.  She stated she tripped and fell and hit her face on the concrete.  She did not lose consciousness.  She was seen in the emergency department at that time and CT head and CT maxillofacial were negative.  She then developed a dry cough and became progressively more weak.  On 09/05/2022 she had a home COVID test that was positive.  Her shortness of breath progressively worsened, particularly with exertion and she had a dry cough.  In the emergency department, she was afebrile.  She was hypoxic at 83% with ambulation.  Labs were unremarkable.  UA was negative.  COVID screen was positive.  Chest x-ray showed no acute process.  She was admitted for COVID-19 infection and acute hypoxia with activity.   She was started on remdesivir and Decadron.  She did not require oxygen with activity on reeval.  Her fatigue and weakness improved that she could ambulate independently.  She was discharged home on 9/12/22.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Hypoxia, Laboratory test normal, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/10/2022 Discharge Date: Sep 12, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 81-year-old female with a past medical history of inclusion body myositis who presented with shortness of breath.  Patient had a fall in a week prior to admission.  She stated she tripped and fell and hit her face on the concrete.  She did not lose consciousness.  She was seen in the emergency department at that time and CT head and CT maxillofacial were negative.  She then developed a dry cough and became progressively more weak.  On 09/05/2022 she had a home COVID test that was positive.  Her shortness of breath progressively worsened, particularly with exertion and she had a dry cough.  In the emergency department, she was afebrile.  She was hypoxic at 83% with ambulation.  Labs were unremarkable.  UA was negative.  COVID screen was positive.  Chest x-ray showed no acute process.  She was admitted for COVID-19 infection and acute hypoxia with activity.   She was started on remdesivir and Decadron.  She did not require oxygen with activity on reeval.  Her fatigue and weakness improved that she could ambulate independently.  She was discharged home on 9/12/22.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/10/2022 Discharge Date: Sep 12, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure (HCC) [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 81-year-old female with a past medical history of inclusion body myositis who presented with shortness of breath.  Patient had a fall in a week prior to admission.  She stated she tripped and fell and hit her face on the concrete.  She did not lose consciousness.  She was seen in the emergency department at that time and CT head and CT maxillofacial were negative.  She then developed a dry cough and became progressively more weak.  On 09/05/2022 she had a home COVID test that was positive.  Her shortness of breath progressively worsened, particularly with exertion and she had a dry cough.  In the emergency department, she was afebrile.  She was hypoxic at 83% with ambulation.  Labs were unremarkable.  UA was negative.  COVID screen was positive.  Chest x-ray showed no acute process.  She was admitted for COVID-19 infection and acute hypoxia with activity.   She was started on remdesivir and Decadron.  She did not require oxygen with activity on reeval.  Her fatigue and weakness improved that she could ambulate independently.  She was discharged home on 9/12/22.
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: No other information available other than patient received moderna vaccine and then had seizures.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test, Sneezing
Clinical narrative: Patient developed sore throat, congestion, sneezing, cough that lasted 3 days=she took covid tests to ensure was not etiology.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, COVID-19, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Discharge Provider:  PA-C Attending Physician:  MD Primary Care Provider at Discharge: None Physician, DO  Admission Date: 9/10/2022 Discharge Date: 09/15/2022  PRESENTING PROBLEM: Hypoxia  COVID-19    HOSPITAL COURSE: Patient is an 80 year old male with past medical history of CAD, HLD, HTN, hx of left preauricular squamous cell carcinoma with mets to lymph nodes s/p resection, chemo and radiation, memory impairment, and chronic back pain with history of compression fractures s/p vertebroplasty. He presented to ED following recurrent falls. In the ED, he was found to be hypoxic and placed on 3 L NC. COVID positive. CBC showed mild leukocytosis. CMP unremarkable, ProBNP found to be elevated. CXR clear with mild coarsening of lung markings. He was admitted for further treatment. He was given one dose of IV lasix and admitted for further care. He was started on remdesivir and decadron. Supplemental oxygen was weaned to room air at rest but did require supplemental O2 with activity. He was seen by pulmonary rehab who recommended 2 L NC with activity. He completed 5 days of remdesivir. He will be discharged with decadron to complete 10 day course.    He underwent echo with showed preserved EF without significant valvular disease. Orthostatics notable for elevated BP when lying flat, however patient reported worsening back pain when flat. No significant change in standing BPs. He was seen by PT/OT who recommended return home to his independent living facility where he resides with his wife. He was felt stable for discharge home on 9/15 and his son/DPOA was also informed and in agreement with this plan. He was advised to arrange follow up appointment with his PCP within 1 week. PCP to determine duration of supplemental oxygen use as it is expected he will continue to improve and may not need this permanently.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction, Fall, Full blood count abnormal, Hypoxia
Clinical narrative: Discharge Provider:  PA-C Attending Physician:  MD Primary Care Provider at Discharge: None Physician, DO  Admission Date: 9/10/2022 Discharge Date: 09/15/2022  PRESENTING PROBLEM: Hypoxia  COVID-19    HOSPITAL COURSE: Patient is an 80 year old male with past medical history of CAD, HLD, HTN, hx of left preauricular squamous cell carcinoma with mets to lymph nodes s/p resection, chemo and radiation, memory impairment, and chronic back pain with history of compression fractures s/p vertebroplasty. He presented to ED following recurrent falls. In the ED, he was found to be hypoxic and placed on 3 L NC. COVID positive. CBC showed mild leukocytosis. CMP unremarkable, ProBNP found to be elevated. CXR clear with mild coarsening of lung markings. He was admitted for further treatment. He was given one dose of IV lasix and admitted for further care. He was started on remdesivir and decadron. Supplemental oxygen was weaned to room air at rest but did require supplemental O2 with activity. He was seen by pulmonary rehab who recommended 2 L NC with activity. He completed 5 days of remdesivir. He will be discharged with decadron to complete 10 day course.    He underwent echo with showed preserved EF without significant valvular disease. Orthostatics notable for elevated BP when lying flat, however patient reported worsening back pain when flat. No significant change in standing BPs. He was seen by PT/OT who recommended return home to his independent living facility where he resides with his wife. He was felt stable for discharge home on 9/15 and his son/DPOA was also informed and in agreement with this plan. He was advised to arrange follow up appointment with his PCP within 1 week. PCP to determine duration of supplemental oxygen use as it is expected he will continue to improve and may not need this permanently.