chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: Severe itching that started at injection site to my whole body. Pain, swelling, redness, and lump at injection site also. Noticed a big red circle on opposite arm (left) that was very itchy. The itching started maybe an hour or so when I took bandaid off after injection to present, just not as bad. Took Benedryl per pharmacist and spoke with triage nurse at doctor's office. Also been in contact w/ Dr. via portal. Advised to call office the next am if needed (too late to be seen) and/or go to ER if throat closes or sob. Dr. Sent script for Hydroxyzine for the itching. As of today, 10/23, feeling much better. Some itching but very mild. Lump on arm going down as well as redness and swelling. Left arm appears to have improved also.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pruritus
Clinical narrative: Severe itching that started at injection site to my whole body. Pain, swelling, redness, and lump at injection site also. Noticed a big red circle on opposite arm (left) that was very itchy. The itching started maybe an hour or so when I took bandaid off after injection to present, just not as bad. Took Benedryl per pharmacist and spoke with triage nurse at doctor's office. Also been in contact w/ Dr. via portal. Advised to call office the next am if needed (too late to be seen) and/or go to ER if throat closes or sob. Dr. Sent script for Hydroxyzine for the itching. As of today, 10/23, feeling much better. Some itching but very mild. Lump on arm going down as well as redness and swelling. Left arm appears to have improved also.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Fatigue, Headache, Myalgia
Clinical narrative: Approx 13 - 14 hours after 0900 injection , low grade fever under 100 deg F and great fatigue. Next morning  continued fever, gradual increase in substantial  joint pain, muscle ache and slowly intensifying headache. By evening could not tolerate intense headache and took Ibuprofen 400mg. Symptoms worsened the following day but tried not to take medication since advisories were not encouraging it so vaccine would work at that time.  By Tuesday began feeling better  and each day felt better, but L arm still sore and edematous. By Friday, felt fine. Vaccine symptoms switched off like a light switch.  Returned to work following Monday 1/11/21 without a problem.  I will describe Dose 2 in another report.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Approx 13 - 14 hours after 0900 injection , low grade fever under 100 deg F and great fatigue. Next morning  continued fever, gradual increase in substantial  joint pain, muscle ache and slowly intensifying headache. By evening could not tolerate intense headache and took Ibuprofen 400mg. Symptoms worsened the following day but tried not to take medication since advisories were not encouraging it so vaccine would work at that time.  By Tuesday began feeling better  and each day felt better, but L arm still sore and edematous. By Friday, felt fine. Vaccine symptoms switched off like a light switch.  Returned to work following Monday 1/11/21 without a problem.  I will describe Dose 2 in another report.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Pyrexia, Syncope
Clinical narrative: Fainted three times the morning after vaccine (between 6:45-7:15 am); slight fever and chills following fainting episodes. I drank water, took ibuprofen and went back to bed. Then I got up at 2 pm, no further fainting or dizziness.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Client received Pfizer as first dose and Moderna as second dose in primary series. Pt was monitored post vaccination for 15 minutes, no adverse events noted.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess, Gait disturbance, Heart rate increased, Immunodeficiency, Impaired work ability
Clinical narrative: Tingling of the tongue, racing pulse (104 to 112 resting), abscess  in left armpit for a week, difficulty walking for two days (was off Tuesday 10/12/21 ) - I work nights and had to call off work on  the night of Wednesday 10/13/21 because I found it difficult to walk or stand.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Rash, SARS-CoV-2 test negative
Clinical narrative: Tingling of the tongue, racing pulse (104 to 112 resting), abscess  in left armpit for a week, difficulty walking for two days (was off Tuesday 10/12/21 ) - I work nights and had to call off work on  the night of Wednesday 10/13/21 because I found it difficult to walk or stand.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: no real adverse reactions symptoms the side effects listed for the vaccination- fever
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: A bump like swelling over my right clavical
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dental discomfort, Hyperaesthesia teeth
Clinical narrative: Extreme tooth sensitivity. Temperature doesn?t matter. Drinking room temp water causes extreme discomfort as well. I?ve never had sensitive teeth prior to this.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient presented to the health department on 10/25/2021 for a Moderna booster. The RN administered a full- dose (.5ml) Moderna vaccine. The patient was notified of the error. He denied any side effects at that time and was advised to call the health department with any questions or concerns.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster in Drive-thru Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.    Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  All patients were notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 72.0
Sex: M
Vaccine: FLUA4
Symptoms: Injection site bruising, Tremor
Clinical narrative: Bruising around injection site in days following vaccine administration. Tremor in arm in days following that.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: HAD NUMBNESS AND TINGLING DOWN THE ARM THAT LASTED <24 HOURS
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: SWELLING AND REDNESS AT INJECTION SITE
Age: 17.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chest pain, Dyspnoea, Myocarditis, Troponin I increased
Clinical narrative: chest pain, shortness of breath, likely myocarditis
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster in Drive-thru Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.    Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  All patients were notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: Woman presented to the Health Department on 10/25/21 for a Moderna booster. The RN administered a full-dose (.5ml) Moderna vaccine. The patient was notified of the error and denied any side effects at that time. She was advised to contact the health department with any questions or concerns.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, CSF test normal, Chills, Encephalopathy, Headache
Clinical narrative: diagnosed with acute metabolic encephalopathy, myelitis with acute ascending lower extremity weakness, fever chills tremors headache, West Nile virus IgM positive, in serum and CSF, status post Plex treatment as CSF not indicative of GBS. Afib with RVR.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Muscular weakness, Pyrexia, Tremor, West Nile viral infection
Clinical narrative: diagnosed with acute metabolic encephalopathy, myelitis with acute ascending lower extremity weakness, fever chills tremors headache, West Nile virus IgM positive, in serum and CSF, status post Plex treatment as CSF not indicative of GBS. Afib with RVR.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: West Nile virus test positive
Clinical narrative: diagnosed with acute metabolic encephalopathy, myelitis with acute ascending lower extremity weakness, fever chills tremors headache, West Nile virus IgM positive, in serum and CSF, status post Plex treatment as CSF not indicative of GBS. Afib with RVR.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt  received 0.5ml should  have recieved 0.25ml
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Pain in extremity
Clinical narrative: She said that 3 weeks to the day after she had the J& J shot on 4/12/21 she woke up with a sore left outer leg and then the pain went away and moved to her chest and then moved to her head.  She wondered if she had a blood clot or was having a stroke and then the pain went away within a half an hour.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Changes to menstrual cycles after vaccination. Heaviest cycles ever experienced in my life.  Still experiencing 6 months later.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling went down the arm. It resolved in less than 24 hours.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Pityriasis rosea
Clinical narrative: Pityriasis rosea, steroid cream, ongoing
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received 1st Pfizer dose on 1/14/21 and 2nd dose on 2/4/21. RN arrived to assisted living facility to vaccinate residents. Was given patient's vaccination card which listed Pfizer doses #1 and #2 and administered Pfizer boost dose on  that day--10/28/21. After arriving back to office and entering vaccination into IRIS immunization system, noted patient had received a Moderna vaccine on 9/13/21. Notified RNs at assisted living facility and instructed to monitor patient. Assisted living RN reported no signs/symptoms/concerns per patient on 10/28/21 at 6pm.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Woke up at 3am with a very severe headache 10 hours after the shot. Lasted all day and I was nauseated and vomiting  I called the doctor on call and was told to take Tylenol which I did and started to feel better. The headache lasted for two more days but not nearly as intense
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster in Drive-thru Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.    Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  All patients were notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster in Drive-thru Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.    Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  All patients were notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood sodium, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Hospitalized (10.24.21);  COVID-19 positive (10.24.21);  Fully vaccinated  Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 10/24/2021 Discharge Date: 10/25/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Generalized weakness [R53.1] Diarrhea, unspecified type [R19.7] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is an 81-year-old female who presents with complaints of diarrhea and weakness.  The patient tested positive for COVID on admission which is likely the cause of her diarrhea.  Patient was also noted to be hyponatremic on presentation.  Patient's hyponatremia was likely secondary to hypovolemia.  With IV fluid administration the patient's sodium return to a normal range.  The patient was feeling significantly better and reported improvement of her diarrhea.  She was tolerating a normal diet and eager to be discharged home today.  We discussed recommendations for follow-up including a repeat BMP.  Questions have been answered to the patient's satisfaction and she is being discharged home in stable and improved condition. The patient recovered faster than anticipated leading to a faster than anticipated discharge Plus another ED visit on 10.26.21 - for COVID-19 and acute lower urinary tract infection
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Hyponatraemia, Hypovolaemia, Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.24.21);  COVID-19 positive (10.24.21);  Fully vaccinated  Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 10/24/2021 Discharge Date: 10/25/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Generalized weakness [R53.1] Diarrhea, unspecified type [R19.7] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is an 81-year-old female who presents with complaints of diarrhea and weakness.  The patient tested positive for COVID on admission which is likely the cause of her diarrhea.  Patient was also noted to be hyponatremic on presentation.  Patient's hyponatremia was likely secondary to hypovolemia.  With IV fluid administration the patient's sodium return to a normal range.  The patient was feeling significantly better and reported improvement of her diarrhea.  She was tolerating a normal diet and eager to be discharged home today.  We discussed recommendations for follow-up including a repeat BMP.  Questions have been answered to the patient's satisfaction and she is being discharged home in stable and improved condition. The patient recovered faster than anticipated leading to a faster than anticipated discharge Plus another ED visit on 10.26.21 - for COVID-19 and acute lower urinary tract infection
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection, Vaginal infection
Clinical narrative: Hospitalized (10.24.21);  COVID-19 positive (10.24.21);  Fully vaccinated  Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 10/24/2021 Discharge Date: 10/25/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Generalized weakness [R53.1] Diarrhea, unspecified type [R19.7] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is an 81-year-old female who presents with complaints of diarrhea and weakness.  The patient tested positive for COVID on admission which is likely the cause of her diarrhea.  Patient was also noted to be hyponatremic on presentation.  Patient's hyponatremia was likely secondary to hypovolemia.  With IV fluid administration the patient's sodium return to a normal range.  The patient was feeling significantly better and reported improvement of her diarrhea.  She was tolerating a normal diet and eager to be discharged home today.  We discussed recommendations for follow-up including a repeat BMP.  Questions have been answered to the patient's satisfaction and she is being discharged home in stable and improved condition. The patient recovered faster than anticipated leading to a faster than anticipated discharge Plus another ED visit on 10.26.21 - for COVID-19 and acute lower urinary tract infection
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster at Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.     Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  Patient was notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Chills, Decreased appetite, Gait disturbance
Clinical narrative: Shot at 930 am. 8 pm started getting sharp cramps / pain in lower stomach. By 930 I had chills, teeth chattering, body aches. Stomach pain increased. Felt similar to birthing contractions. Woke up with headache, body so sore I could hardly walk around or sit. No appetite or energy all day. random stomach pangs throughout the day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Shot at 930 am. 8 pm started getting sharp cramps / pain in lower stomach. By 930 I had chills, teeth chattering, body aches. Stomach pain increased. Felt similar to birthing contractions. Woke up with headache, body so sore I could hardly walk around or sit. No appetite or energy all day. random stomach pangs throughout the day.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster in Drive-thru Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.     Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  Patient was notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: patient became lightheaded within minutes of receiving vaccine and had to lay down.  he began to feel better a few minutes later
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5mL full dose instead of 0.25mL.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: My periods for the month of August and September were extremely heavy.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster at Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.     Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  Patient was notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster in Drive-thru Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.     Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  Patient was notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Blood creatinine increased, Blood lactic acid, Blood potassium decreased
Clinical narrative: Hospitalized (10.24.21 - still admitted);  COVID-19 positive (10.21.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 86 y.o. female with past medical history significant for atrial fibrillation, hypertension, and CKD stage 3 who presented initially to the hospital.  The patient tested positive for COVID-19 on 10/20/2021.  Her symptoms started on 10/14/2021 with cough.  The patient denies any shortness of breath or chest pain.  She denies any nausea, vomiting or abdominal pain.  The patient typically gets checked on regularly by her neighbors her neighbor went to check on her today and the patient was "more less collapsed in her arms". EMS was notified. When EMS arrived, the patient was hypoxemic with oxygen saturation of 79% on RA and HR was greater than 170.  In the ED, her HR was was in the 170s. Systolic BP was in the 80s to 90s. She was afebrile. Labs were significant for Na-133, K-3.2, BUN-53, and Cr-1.85. Pro-BNP was 7,051 and lactic acid was 3.0. WBC-12.06. CXR showed prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence. EKG showed A. Fib with RVR. HR was 156. The patient was started on amiodarone gtt. She was given decadron. She was transferred to another Hospital for further evaluation and management.  The patient is a poor historian and history was obtained from the emergency department physician and medical records. Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 The patient is on 6L of oxygen  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/14/21 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely Severe Sepsis-likely secondary to COVID-19 pneumonia Will follow-up blood ctx Monitor VS and CBC Lactic acid was 3.0 Will repeat lactic acid now. Progress note from 10/28/21:  Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 Weaned to 2L  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/15/21 (had called PCP's office so note confirms that) - ok to remove isolation 10/27 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea increased, COVID-19, COVID-19 pneumonia, Cardiomegaly
Clinical narrative: Hospitalized (10.24.21 - still admitted);  COVID-19 positive (10.21.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 86 y.o. female with past medical history significant for atrial fibrillation, hypertension, and CKD stage 3 who presented initially to the hospital.  The patient tested positive for COVID-19 on 10/20/2021.  Her symptoms started on 10/14/2021 with cough.  The patient denies any shortness of breath or chest pain.  She denies any nausea, vomiting or abdominal pain.  The patient typically gets checked on regularly by her neighbors her neighbor went to check on her today and the patient was "more less collapsed in her arms". EMS was notified. When EMS arrived, the patient was hypoxemic with oxygen saturation of 79% on RA and HR was greater than 170.  In the ED, her HR was was in the 170s. Systolic BP was in the 80s to 90s. She was afebrile. Labs were significant for Na-133, K-3.2, BUN-53, and Cr-1.85. Pro-BNP was 7,051 and lactic acid was 3.0. WBC-12.06. CXR showed prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence. EKG showed A. Fib with RVR. HR was 156. The patient was started on amiodarone gtt. She was given decadron. She was transferred to another Hospital for further evaluation and management.  The patient is a poor historian and history was obtained from the emergency department physician and medical records. Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 The patient is on 6L of oxygen  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/14/21 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely Severe Sepsis-likely secondary to COVID-19 pneumonia Will follow-up blood ctx Monitor VS and CBC Lactic acid was 3.0 Will repeat lactic acid now. Progress note from 10/28/21:  Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 Weaned to 2L  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/15/21 (had called PCP's office so note confirms that) - ok to remove isolation 10/27 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Electrocardiogram abnormal, Hypoxia
Clinical narrative: Hospitalized (10.24.21 - still admitted);  COVID-19 positive (10.21.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 86 y.o. female with past medical history significant for atrial fibrillation, hypertension, and CKD stage 3 who presented initially to the hospital.  The patient tested positive for COVID-19 on 10/20/2021.  Her symptoms started on 10/14/2021 with cough.  The patient denies any shortness of breath or chest pain.  She denies any nausea, vomiting or abdominal pain.  The patient typically gets checked on regularly by her neighbors her neighbor went to check on her today and the patient was "more less collapsed in her arms". EMS was notified. When EMS arrived, the patient was hypoxemic with oxygen saturation of 79% on RA and HR was greater than 170.  In the ED, her HR was was in the 170s. Systolic BP was in the 80s to 90s. She was afebrile. Labs were significant for Na-133, K-3.2, BUN-53, and Cr-1.85. Pro-BNP was 7,051 and lactic acid was 3.0. WBC-12.06. CXR showed prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence. EKG showed A. Fib with RVR. HR was 156. The patient was started on amiodarone gtt. She was given decadron. She was transferred to another Hospital for further evaluation and management.  The patient is a poor historian and history was obtained from the emergency department physician and medical records. Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 The patient is on 6L of oxygen  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/14/21 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely Severe Sepsis-likely secondary to COVID-19 pneumonia Will follow-up blood ctx Monitor VS and CBC Lactic acid was 3.0 Will repeat lactic acid now. Progress note from 10/28/21:  Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 Weaned to 2L  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/15/21 (had called PCP's office so note confirms that) - ok to remove isolation 10/27 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Prohormone brain natriuretic peptide increased, SARS-CoV-2 test positive, Sepsis, Syncope, White blood cell count increased
Clinical narrative: Hospitalized (10.24.21 - still admitted);  COVID-19 positive (10.21.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 86 y.o. female with past medical history significant for atrial fibrillation, hypertension, and CKD stage 3 who presented initially to the hospital.  The patient tested positive for COVID-19 on 10/20/2021.  Her symptoms started on 10/14/2021 with cough.  The patient denies any shortness of breath or chest pain.  She denies any nausea, vomiting or abdominal pain.  The patient typically gets checked on regularly by her neighbors her neighbor went to check on her today and the patient was "more less collapsed in her arms". EMS was notified. When EMS arrived, the patient was hypoxemic with oxygen saturation of 79% on RA and HR was greater than 170.  In the ED, her HR was was in the 170s. Systolic BP was in the 80s to 90s. She was afebrile. Labs were significant for Na-133, K-3.2, BUN-53, and Cr-1.85. Pro-BNP was 7,051 and lactic acid was 3.0. WBC-12.06. CXR showed prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence. EKG showed A. Fib with RVR. HR was 156. The patient was started on amiodarone gtt. She was given decadron. She was transferred to another Hospital for further evaluation and management.  The patient is a poor historian and history was obtained from the emergency department physician and medical records. Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 The patient is on 6L of oxygen  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/14/21 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely Severe Sepsis-likely secondary to COVID-19 pneumonia Will follow-up blood ctx Monitor VS and CBC Lactic acid was 3.0 Will repeat lactic acid now. Progress note from 10/28/21:  Acute hypoxic respiratory failure-likely secondary to COVID-19 pneumonia CXR shows prominent lung markings bilaterally may represent inflammatory changes secondary to COVID-19. No gross lobar infiltrates. Cardiomegaly with right heart prominence Will cont supplemental oxygen to maintain SaO2 greater than 90 Weaned to 2L  The patient has received Janssen vaccine on 6/8/21 Onset of symptoms: 10/15/21 (had called PCP's office so note confirms that) - ok to remove isolation 10/27 COVID-19 PCR positive on 10/20 Will continue Decadron Daily COVID labs Will order Mucinex and benzonatate  Albuterol inhaler Will monitor respiratory status closely
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Problem: Patient was given the incorrect dose of 0.5 mL for Moderna Booster in Drive-thru Vaccine Clinic. Nurse was given the incorrect dose dispensed by the pharmacist. This inadvertent incident happened due to a lack of communication in training given to the Nursing staff from the Pharmacy team.     Corrective Action: Nursing and Pharmacy has since been given a vaccine dose chart with correct dosing amounts listed for Moderna, Pfizer and Johnson & Johnson vaccines. Second, trays have been given to both teams to separate vaccine doses to prevent future error events.  Lastly, Pharmacy is only preparing the Pfizer vaccine since it is standardized to 0.3 mL presently. Going forward, Pharmacy and Nursing will continue to work together to maintain open communication.  Patient was notified of the incorrect dosing and given an opportunity to be seen in clinic by a provider if they remained concerned.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: patient recieved 0.5ml instead of 0.25ml
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pain, Difficulty breathing
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Motor dysfunction, Muscular weakness
Clinical narrative: Lost all motor function in legs and extreme weakness in arms, extreme headache
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: ARM HURTY
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Fatigue, Headache, Myalgia
Clinical narrative: See prior report: Forgot to mention urticaria and hairloss.  Had urticaria all over body that still continued until week of 1/11/21 but only in mornings.  After dose #2  fever started approx 13-14 hours after injection with fatigue and ache beginning. Severe headache next morning that I had to take Ibuprofen 400 mg. Had severe jt pains and muscle aches. Could not function . Had to be in bed and not move due to RA intensity joint pains. 1/26/21 while sidelying, every breath, I felt pain at every sternocostal jt and costotransvsere jt , every finger PIP jt and everry toe jt. Every pressure point where my body was on the bed had urticaria - shoulder. elbow. hip/gt trochanter, knee ankle/foot. Headache intense and unrelenting, fever low grade. By Thursday pains and all symptoms gradually better and by Friday was almost gone. Returned to work 2/1/21 without a problem. It is like the vaccine symptoms just switched off and never happened.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Urticaria
Clinical narrative: See prior report: Forgot to mention urticaria and hairloss.  Had urticaria all over body that still continued until week of 1/11/21 but only in mornings.  After dose #2  fever started approx 13-14 hours after injection with fatigue and ache beginning. Severe headache next morning that I had to take Ibuprofen 400 mg. Had severe jt pains and muscle aches. Could not function . Had to be in bed and not move due to RA intensity joint pains. 1/26/21 while sidelying, every breath, I felt pain at every sternocostal jt and costotransvsere jt , every finger PIP jt and everry toe jt. Every pressure point where my body was on the bed had urticaria - shoulder. elbow. hip/gt trochanter, knee ankle/foot. Headache intense and unrelenting, fever low grade. By Thursday pains and all symptoms gradually better and by Friday was almost gone. Returned to work 2/1/21 without a problem. It is like the vaccine symptoms just switched off and never happened.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre Syndrome.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Dizziness, Feeling abnormal, Haemorrhage, Headache
Clinical narrative: Shortly after receiving vaccine my mother began to suffer dizziness,  blackouts, and a headache that would not stop no matter what she did. Tylenol, ibuprofen,  fainting spells and brain fog like amnesia.  There were recent visits to the emergency room and never before but the er  had difficulty stopping bleeding from trying to start an iv then sudden death october 24th body found in apartment at 930 pm pacific time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Sudden death, Syncope
Clinical narrative: Shortly after receiving vaccine my mother began to suffer dizziness,  blackouts, and a headache that would not stop no matter what she did. Tylenol, ibuprofen,  fainting spells and brain fog like amnesia.  There were recent visits to the emergency room and never before but the er  had difficulty stopping bleeding from trying to start an iv then sudden death october 24th body found in apartment at 930 pm pacific time.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chest pain, Cough, Dizziness
Clinical narrative: Office Visit  10/18/2021  Family Medicine Viral upper respiratory tract infection +  Suspected COVID-19 virus infection  Acute pain of left knee  Cough    Dx Acute   Reason for Visit  10/18/2021 Re: URI When did symptoms start? 2 days  Associated symptoms: dizziness and lung "on fire."  Fever: no  Cough: yes  SOB: yes  Sore throat: yes  Headache: yes  Nausea: no  Vomiting: no  Diarrhea: no  Muscle aches: yes  Fatigue: yes
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Lung disorder, Myalgia
Clinical narrative: Office Visit  10/18/2021  Family Medicine Viral upper respiratory tract infection +  Suspected COVID-19 virus infection  Acute pain of left knee  Cough    Dx Acute   Reason for Visit  10/18/2021 Re: URI When did symptoms start? 2 days  Associated symptoms: dizziness and lung "on fire."  Fever: no  Cough: yes  SOB: yes  Sore throat: yes  Headache: yes  Nausea: no  Vomiting: no  Diarrhea: no  Muscle aches: yes  Fatigue: yes
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Suspected COVID-19, Upper respiratory tract infection
Clinical narrative: Office Visit  10/18/2021  Family Medicine Viral upper respiratory tract infection +  Suspected COVID-19 virus infection  Acute pain of left knee  Cough    Dx Acute   Reason for Visit  10/18/2021 Re: URI When did symptoms start? 2 days  Associated symptoms: dizziness and lung "on fire."  Fever: no  Cough: yes  SOB: yes  Sore throat: yes  Headache: yes  Nausea: no  Vomiting: no  Diarrhea: no  Muscle aches: yes  Fatigue: yes
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Viral upper respiratory tract infection
Clinical narrative: Office Visit  10/18/2021  Family Medicine Viral upper respiratory tract infection +  Suspected COVID-19 virus infection  Acute pain of left knee  Cough    Dx Acute   Reason for Visit  10/18/2021 Re: URI When did symptoms start? 2 days  Associated symptoms: dizziness and lung "on fire."  Fever: no  Cough: yes  SOB: yes  Sore throat: yes  Headache: yes  Nausea: no  Vomiting: no  Diarrhea: no  Muscle aches: yes  Fatigue: yes
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Patient called pharmacy to state that her arm was red. sore, and swollen from Pfizer vaccine.   she was concerned that administration was not properly done which caused her arm to be red and sore.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, COVID-19, COVID-19 pneumonia, Chest X-ray
Clinical narrative: Hospitalized (10.22.2021 - present; currently admitted);  COVID-19 positive (10.22.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 73 y.o. female who has a background of oxygen-dependent chronic obstructive pulmonary disease presents today with worsening cough, wheeze, presyncopal going on for 3 days.  Patient is fully vaccinated for COVID-19 infection in March April.  She uses a walker to walk and lives alone.  Apparently she has been avoiding crowds any close contact however recently been in touch with his grandson and their family.  Patient started to have cough along with some breathing trouble and wheezing going on for 3 days.  She has oxygen-dependent chronic obstructive pulmonary disease and she is a current smoker.  She is on 3 liters/minute oxygen at home and her oxygen needs have not changed.  She is coughing bringing up some whitish sputum.  She denies any fevers at home but she has been having some generalized weakness and chills at home.  All her symptoms are 3 onset. ASSESSMENT / PLAN: 1. COPD Exacerbation: Secondary to covid 19 infection. Methylprednisone given in the ER. She  Tolerated it well. She apparently is allergic to prednisone. Dexamethasone PO started from tomorrow. Home inhalers to continue. Duo nebs prn. Patient on home oxygen 3L/min. Azithromycin is started for 5 days. 2. COVID 19 Infection: No pneumonia. No complications. Symptom onset 3 days ago. No fevers. No worsening hypoxia( on 3L/min oxygen at home and is currently on the same flow rate). Hold off on Remdisevir for now as the patient is not needing any more oxygen that her home needs of 3L/min and no pneumonia on cxr. Patient qualifies for Monoclonal Antibody treatment. I d/w team. She is agreeable and consented and Regeneron is ordered. Dexamethasone is ordered for copd exacebration can continue till discharge. Progress Note from 10.28.21:  ASSESSMENT / PLAN: Acute chronic obstructive pulmonary disease exacerbation Secondary to COVID 19 pneumonia Fully vaccinated Baseline home O2, 3 liters by nasal cannula Azithromycin x5 days Status post Regeneron Albuterol Spiriva Dulera Continue oral prednisone
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Hospitalized (10.22.2021 - present; currently admitted);  COVID-19 positive (10.22.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 73 y.o. female who has a background of oxygen-dependent chronic obstructive pulmonary disease presents today with worsening cough, wheeze, presyncopal going on for 3 days.  Patient is fully vaccinated for COVID-19 infection in March April.  She uses a walker to walk and lives alone.  Apparently she has been avoiding crowds any close contact however recently been in touch with his grandson and their family.  Patient started to have cough along with some breathing trouble and wheezing going on for 3 days.  She has oxygen-dependent chronic obstructive pulmonary disease and she is a current smoker.  She is on 3 liters/minute oxygen at home and her oxygen needs have not changed.  She is coughing bringing up some whitish sputum.  She denies any fevers at home but she has been having some generalized weakness and chills at home.  All her symptoms are 3 onset. ASSESSMENT / PLAN: 1. COPD Exacerbation: Secondary to covid 19 infection. Methylprednisone given in the ER. She  Tolerated it well. She apparently is allergic to prednisone. Dexamethasone PO started from tomorrow. Home inhalers to continue. Duo nebs prn. Patient on home oxygen 3L/min. Azithromycin is started for 5 days. 2. COVID 19 Infection: No pneumonia. No complications. Symptom onset 3 days ago. No fevers. No worsening hypoxia( on 3L/min oxygen at home and is currently on the same flow rate). Hold off on Remdisevir for now as the patient is not needing any more oxygen that her home needs of 3L/min and no pneumonia on cxr. Patient qualifies for Monoclonal Antibody treatment. I d/w team. She is agreeable and consented and Regeneron is ordered. Dexamethasone is ordered for copd exacebration can continue till discharge. Progress Note from 10.28.21:  ASSESSMENT / PLAN: Acute chronic obstructive pulmonary disease exacerbation Secondary to COVID 19 pneumonia Fully vaccinated Baseline home O2, 3 liters by nasal cannula Azithromycin x5 days Status post Regeneron Albuterol Spiriva Dulera Continue oral prednisone