chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoantibody test, Blood immunoglobulin A, Blood immunoglobulin G, C-reactive protein normal, Chest discomfort
Clinical narrative: First dose Jan. 12 2021 left arm only caused headaches, fever, general malaise, soreness for a week.  Dose 2 Feb 9 2021 right arm caused the same but limited ROM  from shoulder to wrist and long stanbding pain with lifting or movement.  Also had two miscarriages, blood clot after blood transfusion, ongoing  pain, elevated d dimer test, shortness of breath, chest discomfort, weight gain and inflammmation, worse IBS//IBD symptoms. .  Original PCP told me it was all in my mind. After miscarriages and seeing genetics, referred to Ortho and cardio. Ortho did MRI and saw smalll tear did PT, No improvement. Surgery showed pannus tissue, inflammation, synovitis. Rheum  did extra labs and ruled out RA and Lupus, saying she a I began having worse pain and limited ROM immediately after the vaccine and it never went away. I found out I was expecting very soon after but lost that baby to natural miscarriage with mass hemorrhage at 12w6days in May 2021 which resulted in over night stay, two blood transfusions. I then had thrombophletis of the left arm and treated with aspriin, tylenol, antibiotics.  Assigned PCP at the time kept ignoring my pain in my arm and telling me it was probably overuse at work (floor RN) and probably all in my head.   Spoke with genetics after the miscarriage and she suggested cardiac review and ortho for the arm which pcp ignored and pulmonary for sleep tudy  which pcp ignored.   Had another miscarriaged at 9 weeks with d and c in Septemeber 2021. It was difficult to move my shoulder and arm in surgery and to place any IV so they had to use left axilla. Surgery team noted apnea and also suggested pulmo fu. PCP finally agreed to try steroids for my arm and ortho contuls. Ortho Dr  ordered PT  which did not help so MRI was done and surgery scheduled after the resaults came in showing a tear. Surgery was done in Feb 2022, one year date of vaccine dose.  He said he saw inflammation, synovitis, pannus tissue and repaired the tear.   Labs were done at follow up for RA factor, sed rate, CRP. Rheum consult with Dr was ordered.   She did extra labs and agreed likely not RA or Lupus  and probably vaccine related.  I had found out pregnany agiain and she urged continuing aspirin for the pain daily and  I cleared with OB since the loses in 2021.  Was told the Asprin could help keep inflammation low  in pregnancy.  High risk Clinic increased the apirin to 62mg at 12 weeks and said watch for any more blood clots and may need lovenox or heparin if they do happen.   Rheum had said the shoulder pain might be better in pregnancy and worse after. I am still pregnant and having shoulder pain all the time but at least have some ROM back but not full ROM pre vaccine.   I still have many hospital bills and clinic bills to be pain for all the copays from this vaccine mishap.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Fibrin D dimer increased, HLA-B*27 assay, Haemorrhage
Clinical narrative: First dose Jan. 12 2021 left arm only caused headaches, fever, general malaise, soreness for a week.  Dose 2 Feb 9 2021 right arm caused the same but limited ROM  from shoulder to wrist and long stanbding pain with lifting or movement.  Also had two miscarriages, blood clot after blood transfusion, ongoing  pain, elevated d dimer test, shortness of breath, chest discomfort, weight gain and inflammmation, worse IBS//IBD symptoms. .  Original PCP told me it was all in my mind. After miscarriages and seeing genetics, referred to Ortho and cardio. Ortho did MRI and saw smalll tear did PT, No improvement. Surgery showed pannus tissue, inflammation, synovitis. Rheum  did extra labs and ruled out RA and Lupus, saying she a I began having worse pain and limited ROM immediately after the vaccine and it never went away. I found out I was expecting very soon after but lost that baby to natural miscarriage with mass hemorrhage at 12w6days in May 2021 which resulted in over night stay, two blood transfusions. I then had thrombophletis of the left arm and treated with aspriin, tylenol, antibiotics.  Assigned PCP at the time kept ignoring my pain in my arm and telling me it was probably overuse at work (floor RN) and probably all in my head.   Spoke with genetics after the miscarriage and she suggested cardiac review and ortho for the arm which pcp ignored and pulmonary for sleep tudy  which pcp ignored.   Had another miscarriaged at 9 weeks with d and c in Septemeber 2021. It was difficult to move my shoulder and arm in surgery and to place any IV so they had to use left axilla. Surgery team noted apnea and also suggested pulmo fu. PCP finally agreed to try steroids for my arm and ortho contuls. Ortho Dr  ordered PT  which did not help so MRI was done and surgery scheduled after the resaults came in showing a tear. Surgery was done in Feb 2022, one year date of vaccine dose.  He said he saw inflammation, synovitis, pannus tissue and repaired the tear.   Labs were done at follow up for RA factor, sed rate, CRP. Rheum consult with Dr was ordered.   She did extra labs and agreed likely not RA or Lupus  and probably vaccine related.  I had found out pregnany agiain and she urged continuing aspirin for the pain daily and  I cleared with OB since the loses in 2021.  Was told the Asprin could help keep inflammation low  in pregnancy.  High risk Clinic increased the apirin to 62mg at 12 weeks and said watch for any more blood clots and may need lovenox or heparin if they do happen.   Rheum had said the shoulder pain might be better in pregnancy and worse after. I am still pregnant and having shoulder pain all the time but at least have some ROM back but not full ROM pre vaccine.   I still have many hospital bills and clinic bills to be pain for all the copays from this vaccine mishap.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immediate post-injection reaction, Immunisation reaction, Inflammation, Injected limb mobility decreased
Clinical narrative: First dose Jan. 12 2021 left arm only caused headaches, fever, general malaise, soreness for a week.  Dose 2 Feb 9 2021 right arm caused the same but limited ROM  from shoulder to wrist and long stanbding pain with lifting or movement.  Also had two miscarriages, blood clot after blood transfusion, ongoing  pain, elevated d dimer test, shortness of breath, chest discomfort, weight gain and inflammmation, worse IBS//IBD symptoms. .  Original PCP told me it was all in my mind. After miscarriages and seeing genetics, referred to Ortho and cardio. Ortho did MRI and saw smalll tear did PT, No improvement. Surgery showed pannus tissue, inflammation, synovitis. Rheum  did extra labs and ruled out RA and Lupus, saying she a I began having worse pain and limited ROM immediately after the vaccine and it never went away. I found out I was expecting very soon after but lost that baby to natural miscarriage with mass hemorrhage at 12w6days in May 2021 which resulted in over night stay, two blood transfusions. I then had thrombophletis of the left arm and treated with aspriin, tylenol, antibiotics.  Assigned PCP at the time kept ignoring my pain in my arm and telling me it was probably overuse at work (floor RN) and probably all in my head.   Spoke with genetics after the miscarriage and she suggested cardiac review and ortho for the arm which pcp ignored and pulmonary for sleep tudy  which pcp ignored.   Had another miscarriaged at 9 weeks with d and c in Septemeber 2021. It was difficult to move my shoulder and arm in surgery and to place any IV so they had to use left axilla. Surgery team noted apnea and also suggested pulmo fu. PCP finally agreed to try steroids for my arm and ortho contuls. Ortho Dr  ordered PT  which did not help so MRI was done and surgery scheduled after the resaults came in showing a tear. Surgery was done in Feb 2022, one year date of vaccine dose.  He said he saw inflammation, synovitis, pannus tissue and repaired the tear.   Labs were done at follow up for RA factor, sed rate, CRP. Rheum consult with Dr was ordered.   She did extra labs and agreed likely not RA or Lupus  and probably vaccine related.  I had found out pregnany agiain and she urged continuing aspirin for the pain daily and  I cleared with OB since the loses in 2021.  Was told the Asprin could help keep inflammation low  in pregnancy.  High risk Clinic increased the apirin to 62mg at 12 weeks and said watch for any more blood clots and may need lovenox or heparin if they do happen.   Rheum had said the shoulder pain might be better in pregnancy and worse after. I am still pregnant and having shoulder pain all the time but at least have some ROM back but not full ROM pre vaccine.   I still have many hospital bills and clinic bills to be pain for all the copays from this vaccine mishap.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Irritable bowel syndrome, Laboratory test normal, Magnetic resonance imaging abnormal, Malaise, Mammogram
Clinical narrative: First dose Jan. 12 2021 left arm only caused headaches, fever, general malaise, soreness for a week.  Dose 2 Feb 9 2021 right arm caused the same but limited ROM  from shoulder to wrist and long stanbding pain with lifting or movement.  Also had two miscarriages, blood clot after blood transfusion, ongoing  pain, elevated d dimer test, shortness of breath, chest discomfort, weight gain and inflammmation, worse IBS//IBD symptoms. .  Original PCP told me it was all in my mind. After miscarriages and seeing genetics, referred to Ortho and cardio. Ortho did MRI and saw smalll tear did PT, No improvement. Surgery showed pannus tissue, inflammation, synovitis. Rheum  did extra labs and ruled out RA and Lupus, saying she a I began having worse pain and limited ROM immediately after the vaccine and it never went away. I found out I was expecting very soon after but lost that baby to natural miscarriage with mass hemorrhage at 12w6days in May 2021 which resulted in over night stay, two blood transfusions. I then had thrombophletis of the left arm and treated with aspriin, tylenol, antibiotics.  Assigned PCP at the time kept ignoring my pain in my arm and telling me it was probably overuse at work (floor RN) and probably all in my head.   Spoke with genetics after the miscarriage and she suggested cardiac review and ortho for the arm which pcp ignored and pulmonary for sleep tudy  which pcp ignored.   Had another miscarriaged at 9 weeks with d and c in Septemeber 2021. It was difficult to move my shoulder and arm in surgery and to place any IV so they had to use left axilla. Surgery team noted apnea and also suggested pulmo fu. PCP finally agreed to try steroids for my arm and ortho contuls. Ortho Dr  ordered PT  which did not help so MRI was done and surgery scheduled after the resaults came in showing a tear. Surgery was done in Feb 2022, one year date of vaccine dose.  He said he saw inflammation, synovitis, pannus tissue and repaired the tear.   Labs were done at follow up for RA factor, sed rate, CRP. Rheum consult with Dr was ordered.   She did extra labs and agreed likely not RA or Lupus  and probably vaccine related.  I had found out pregnany agiain and she urged continuing aspirin for the pain daily and  I cleared with OB since the loses in 2021.  Was told the Asprin could help keep inflammation low  in pregnancy.  High risk Clinic increased the apirin to 62mg at 12 weeks and said watch for any more blood clots and may need lovenox or heparin if they do happen.   Rheum had said the shoulder pain might be better in pregnancy and worse after. I am still pregnant and having shoulder pain all the time but at least have some ROM back but not full ROM pre vaccine.   I still have many hospital bills and clinic bills to be pain for all the copays from this vaccine mishap.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Maternal exposure before pregnancy, Pain, Pyrexia, Red blood cell sedimentation rate increased, Rheumatoid factor negative
Clinical narrative: First dose Jan. 12 2021 left arm only caused headaches, fever, general malaise, soreness for a week.  Dose 2 Feb 9 2021 right arm caused the same but limited ROM  from shoulder to wrist and long stanbding pain with lifting or movement.  Also had two miscarriages, blood clot after blood transfusion, ongoing  pain, elevated d dimer test, shortness of breath, chest discomfort, weight gain and inflammmation, worse IBS//IBD symptoms. .  Original PCP told me it was all in my mind. After miscarriages and seeing genetics, referred to Ortho and cardio. Ortho did MRI and saw smalll tear did PT, No improvement. Surgery showed pannus tissue, inflammation, synovitis. Rheum  did extra labs and ruled out RA and Lupus, saying she a I began having worse pain and limited ROM immediately after the vaccine and it never went away. I found out I was expecting very soon after but lost that baby to natural miscarriage with mass hemorrhage at 12w6days in May 2021 which resulted in over night stay, two blood transfusions. I then had thrombophletis of the left arm and treated with aspriin, tylenol, antibiotics.  Assigned PCP at the time kept ignoring my pain in my arm and telling me it was probably overuse at work (floor RN) and probably all in my head.   Spoke with genetics after the miscarriage and she suggested cardiac review and ortho for the arm which pcp ignored and pulmonary for sleep tudy  which pcp ignored.   Had another miscarriaged at 9 weeks with d and c in Septemeber 2021. It was difficult to move my shoulder and arm in surgery and to place any IV so they had to use left axilla. Surgery team noted apnea and also suggested pulmo fu. PCP finally agreed to try steroids for my arm and ortho contuls. Ortho Dr  ordered PT  which did not help so MRI was done and surgery scheduled after the resaults came in showing a tear. Surgery was done in Feb 2022, one year date of vaccine dose.  He said he saw inflammation, synovitis, pannus tissue and repaired the tear.   Labs were done at follow up for RA factor, sed rate, CRP. Rheum consult with Dr was ordered.   She did extra labs and agreed likely not RA or Lupus  and probably vaccine related.  I had found out pregnany agiain and she urged continuing aspirin for the pain daily and  I cleared with OB since the loses in 2021.  Was told the Asprin could help keep inflammation low  in pregnancy.  High risk Clinic increased the apirin to 62mg at 12 weeks and said watch for any more blood clots and may need lovenox or heparin if they do happen.   Rheum had said the shoulder pain might be better in pregnancy and worse after. I am still pregnant and having shoulder pain all the time but at least have some ROM back but not full ROM pre vaccine.   I still have many hospital bills and clinic bills to be pain for all the copays from this vaccine mishap.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Surgery, Synovitis, Thrombophlebitis, Thrombosis, Transfusion
Clinical narrative: First dose Jan. 12 2021 left arm only caused headaches, fever, general malaise, soreness for a week.  Dose 2 Feb 9 2021 right arm caused the same but limited ROM  from shoulder to wrist and long stanbding pain with lifting or movement.  Also had two miscarriages, blood clot after blood transfusion, ongoing  pain, elevated d dimer test, shortness of breath, chest discomfort, weight gain and inflammmation, worse IBS//IBD symptoms. .  Original PCP told me it was all in my mind. After miscarriages and seeing genetics, referred to Ortho and cardio. Ortho did MRI and saw smalll tear did PT, No improvement. Surgery showed pannus tissue, inflammation, synovitis. Rheum  did extra labs and ruled out RA and Lupus, saying she a I began having worse pain and limited ROM immediately after the vaccine and it never went away. I found out I was expecting very soon after but lost that baby to natural miscarriage with mass hemorrhage at 12w6days in May 2021 which resulted in over night stay, two blood transfusions. I then had thrombophletis of the left arm and treated with aspriin, tylenol, antibiotics.  Assigned PCP at the time kept ignoring my pain in my arm and telling me it was probably overuse at work (floor RN) and probably all in my head.   Spoke with genetics after the miscarriage and she suggested cardiac review and ortho for the arm which pcp ignored and pulmonary for sleep tudy  which pcp ignored.   Had another miscarriaged at 9 weeks with d and c in Septemeber 2021. It was difficult to move my shoulder and arm in surgery and to place any IV so they had to use left axilla. Surgery team noted apnea and also suggested pulmo fu. PCP finally agreed to try steroids for my arm and ortho contuls. Ortho Dr  ordered PT  which did not help so MRI was done and surgery scheduled after the resaults came in showing a tear. Surgery was done in Feb 2022, one year date of vaccine dose.  He said he saw inflammation, synovitis, pannus tissue and repaired the tear.   Labs were done at follow up for RA factor, sed rate, CRP. Rheum consult with Dr was ordered.   She did extra labs and agreed likely not RA or Lupus  and probably vaccine related.  I had found out pregnany agiain and she urged continuing aspirin for the pain daily and  I cleared with OB since the loses in 2021.  Was told the Asprin could help keep inflammation low  in pregnancy.  High risk Clinic increased the apirin to 62mg at 12 weeks and said watch for any more blood clots and may need lovenox or heparin if they do happen.   Rheum had said the shoulder pain might be better in pregnancy and worse after. I am still pregnant and having shoulder pain all the time but at least have some ROM back but not full ROM pre vaccine.   I still have many hospital bills and clinic bills to be pain for all the copays from this vaccine mishap.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Uterine dilation and curettage, Weight increased
Clinical narrative: First dose Jan. 12 2021 left arm only caused headaches, fever, general malaise, soreness for a week.  Dose 2 Feb 9 2021 right arm caused the same but limited ROM  from shoulder to wrist and long stanbding pain with lifting or movement.  Also had two miscarriages, blood clot after blood transfusion, ongoing  pain, elevated d dimer test, shortness of breath, chest discomfort, weight gain and inflammmation, worse IBS//IBD symptoms. .  Original PCP told me it was all in my mind. After miscarriages and seeing genetics, referred to Ortho and cardio. Ortho did MRI and saw smalll tear did PT, No improvement. Surgery showed pannus tissue, inflammation, synovitis. Rheum  did extra labs and ruled out RA and Lupus, saying she a I began having worse pain and limited ROM immediately after the vaccine and it never went away. I found out I was expecting very soon after but lost that baby to natural miscarriage with mass hemorrhage at 12w6days in May 2021 which resulted in over night stay, two blood transfusions. I then had thrombophletis of the left arm and treated with aspriin, tylenol, antibiotics.  Assigned PCP at the time kept ignoring my pain in my arm and telling me it was probably overuse at work (floor RN) and probably all in my head.   Spoke with genetics after the miscarriage and she suggested cardiac review and ortho for the arm which pcp ignored and pulmonary for sleep tudy  which pcp ignored.   Had another miscarriaged at 9 weeks with d and c in Septemeber 2021. It was difficult to move my shoulder and arm in surgery and to place any IV so they had to use left axilla. Surgery team noted apnea and also suggested pulmo fu. PCP finally agreed to try steroids for my arm and ortho contuls. Ortho Dr  ordered PT  which did not help so MRI was done and surgery scheduled after the resaults came in showing a tear. Surgery was done in Feb 2022, one year date of vaccine dose.  He said he saw inflammation, synovitis, pannus tissue and repaired the tear.   Labs were done at follow up for RA factor, sed rate, CRP. Rheum consult with Dr was ordered.   She did extra labs and agreed likely not RA or Lupus  and probably vaccine related.  I had found out pregnany agiain and she urged continuing aspirin for the pain daily and  I cleared with OB since the loses in 2021.  Was told the Asprin could help keep inflammation low  in pregnancy.  High risk Clinic increased the apirin to 62mg at 12 weeks and said watch for any more blood clots and may need lovenox or heparin if they do happen.   Rheum had said the shoulder pain might be better in pregnancy and worse after. I am still pregnant and having shoulder pain all the time but at least have some ROM back but not full ROM pre vaccine.   I still have many hospital bills and clinic bills to be pain for all the copays from this vaccine mishap.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: On this date CDC required the Bivalent Booster and this patient was given the COVID-19 MOD 6-12/A Booster,.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: On this date CDC required the Bivalent Booster and this patient was given the COVID-19 MOD 6-12/A Booster
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given 5-11 yr covid vaccine instead of 12 and up covid vaccine
Age: 3.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient given a Kinrix vaccine as well as a polio vaccine on 9/2/22.  Patient received 2 doses of polio. Kinrix was given before the age of 4.
Age: 65.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Immunisation reaction, Infection, Injection site erythema, Injection site pain
Clinical narrative: I received my fifth dose of my Moderna vaccine at the same time as receiving my flu shot. I had the soreness that I always have, but suddenly the injection site on my left arm got really red and swollen and hot and then it spread down to the top of my elbow and up toward my armpit and my left breast. I was in a lot of pain for a few days. I had a telehealth appointment where my doctor indicated that I either had an infection from the person not cleaning the area properly or a reaction to the vaccine. He put me on prednisone and Cephalexin on 09/09/2022. From 09/09/2022 to 09/11/2022 I noticed during that time that my blood pressure would get high, and thing were worse when I laid down. There were two nights where I would wake up and when I got up, I was in a lot of pain. As of today, my swelling has gone away, and I have a bit of tenderness but only in the localized area of the injection and it is very light.
Age: 65.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: I received my fifth dose of my Moderna vaccine at the same time as receiving my flu shot. I had the soreness that I always have, but suddenly the injection site on my left arm got really red and swollen and hot and then it spread down to the top of my elbow and up toward my armpit and my left breast. I was in a lot of pain for a few days. I had a telehealth appointment where my doctor indicated that I either had an infection from the person not cleaning the area properly or a reaction to the vaccine. He put me on prednisone and Cephalexin on 09/09/2022. From 09/09/2022 to 09/11/2022 I noticed during that time that my blood pressure would get high, and thing were worse when I laid down. There were two nights where I would wake up and when I got up, I was in a lot of pain. As of today, my swelling has gone away, and I have a bit of tenderness but only in the localized area of the injection and it is very light.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Did not dilute vaccine prior its administration.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Influenza like illness, Nocturia, Pain, Vaccine positive rechallenge
Clinical narrative: Flu like symptoms. Achy body, chills , frequent urination at night
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough  dose 1 moderna 2/14/21 038K20A dose 2 moderna 3/14/21 030K21A dose 3 Pfizer 12/2/21 FJ8757
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal
Clinical narrative: On Tuesday I still felt a little tired more than I should be and I had a dull headache which I thought was related to sinus pressure.  I also had a cough and my son came home and he was sick and tested positive for COVID-19 and was positive and the next day I still had a headache and I took a test and I was negative.  I was also having a sore throat and on Wednesday I was feeling horrible and had congestion and felt feverish.  On Thursday I went to the ED on the island to seek treatment and because I took a home test of COVID-19 and it was positive.  I took a picture and showed them at the ED that I was positive and they did not do another test.  They sent me home with a 5 day prescription with Erythromycin and Paxlovid and Tesla Pearls for my cough.   I was still having a headache the next day.  Today I feel like a whole brand new person with no symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion
Clinical narrative: On Tuesday I still felt a little tired more than I should be and I had a dull headache which I thought was related to sinus pressure.  I also had a cough and my son came home and he was sick and tested positive for COVID-19 and was positive and the next day I still had a headache and I took a test and I was negative.  I was also having a sore throat and on Wednesday I was feeling horrible and had congestion and felt feverish.  On Thursday I went to the ED on the island to seek treatment and because I took a home test of COVID-19 and it was positive.  I took a picture and showed them at the ED that I was positive and they did not do another test.  They sent me home with a 5 day prescription with Erythromycin and Paxlovid and Tesla Pearls for my cough.   I was still having a headache the next day.  Today I feel like a whole brand new person with no symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On Tuesday I still felt a little tired more than I should be and I had a dull headache which I thought was related to sinus pressure.  I also had a cough and my son came home and he was sick and tested positive for COVID-19 and was positive and the next day I still had a headache and I took a test and I was negative.  I was also having a sore throat and on Wednesday I was feeling horrible and had congestion and felt feverish.  On Thursday I went to the ED on the island to seek treatment and because I took a home test of COVID-19 and it was positive.  I took a picture and showed them at the ED that I was positive and they did not do another test.  They sent me home with a 5 day prescription with Erythromycin and Paxlovid and Tesla Pearls for my cough.   I was still having a headache the next day.  Today I feel like a whole brand new person with no symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: 3/3/22 patient transferred to local hospital from outside hospital; found to be positive for COVID; AMS, generalized weakness, lethargy; enroute to hospital patient became hypotensive; AHRD secondary to COVID PNA; acute encephalopathy; septic shock; anemia; AKI; transferred to alternate hospital requiring BiPAP and eventually intubation; given dexamethasone and ABX; patient suffered tachypnea and HTN; tracheostomy placed; patient transitioned to comfort care; extubated and passed away in the hospital.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Encephalopathy, Endotracheal intubation, Hypertension, Hypotension
Clinical narrative: 3/3/22 patient transferred to local hospital from outside hospital; found to be positive for COVID; AMS, generalized weakness, lethargy; enroute to hospital patient became hypotensive; AHRD secondary to COVID PNA; acute encephalopathy; septic shock; anemia; AKI; transferred to alternate hospital requiring BiPAP and eventually intubation; given dexamethasone and ABX; patient suffered tachypnea and HTN; tracheostomy placed; patient transitioned to comfort care; extubated and passed away in the hospital.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Lethargy, Mental status changes, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 3/3/22 patient transferred to local hospital from outside hospital; found to be positive for COVID; AMS, generalized weakness, lethargy; enroute to hospital patient became hypotensive; AHRD secondary to COVID PNA; acute encephalopathy; septic shock; anemia; AKI; transferred to alternate hospital requiring BiPAP and eventually intubation; given dexamethasone and ABX; patient suffered tachypnea and HTN; tracheostomy placed; patient transitioned to comfort care; extubated and passed away in the hospital.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock, Tachypnoea, Tracheostomy
Clinical narrative: 3/3/22 patient transferred to local hospital from outside hospital; found to be positive for COVID; AMS, generalized weakness, lethargy; enroute to hospital patient became hypotensive; AHRD secondary to COVID PNA; acute encephalopathy; septic shock; anemia; AKI; transferred to alternate hospital requiring BiPAP and eventually intubation; given dexamethasone and ABX; patient suffered tachypnea and HTN; tracheostomy placed; patient transitioned to comfort care; extubated and passed away in the hospital.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine was given without being diluted. No problems reported.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Airway secretion clearance therapy, Allergy to vaccine, Anisocoria
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Bradycardia, Bronchoalveolar lavage, Bronchoscopy, COVID-19
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Colostomy, Condition aggravated, Corneal neovascularisation, Corneal opacity, Corneal scar
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Device occlusion, Dry eye, Dyspnoea, Endotracheal intubation, Exposure keratitis
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, IIIrd nerve disorder, Increased bronchial secretion, Intensive care, Lagophthalmos
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Neurotrophic keratopathy, Nystagmus, Oxygen saturation decreased, Paralysis
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)