chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Catatonia, Crying, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: 8/1 6:30 pm - Fever (103 temple, 100.9 underarm),  - vomiting - runny nose - Resp rate: 36 bpm  7:20 pm - Administered Motrin (5mL) - Fever (102.5 temple and forehead) - Glassy eyes  8/2  8 am - Temple 103.5, leg 100.7, underarm 101.6 8:41 am - Administered Motrin (5mL)  10:25 am - Temple: 98.5, forehead 99.4  12:45 pm - 97.6 temple - No appetite for lunch  1:30 pm - Administered Tylenol (5mL) Nap: 1:50 pm - 4:05 pm  4:15 pm - 100.2 temple, 98.7 forehead  6:20 - 103.3 temple, 101.1 forehead - Lethargic - Breathing labored - Administered Motrin (5mL)  6:36 pm - 103.9 temple - Catatonic on sofa - Sensitive to light  7:15 pm - 103.6 temple - Possible rash? - Doesn?t want to walk - says tired - Crying uncontrollably - Administered Zyrtec (5mL) - Still photosensitive   7:45 pm - pepped back up - 103.3 temple  8/3   1:55 am - 104.6 temple - Administered Motrin (5mL)  7:45 am - 104.8 temple, 102 underarm 8 am -  - Administered Motrin (5mL)  10:45 am - 100.1 temple - Administered Tylenol (5mL)  3:55 pm - 101 temple, 100 forehead - Administered Motrin (5mL)  7:00 pm - 99.9 temple - Administered Tylenol (5mL)  8/4 8:30 am - 104.9 temple - Lethargic and photosensitive  - Administered Motrin (5mL)  8/4 slept until 10:45 am Fever broke? Very sweaty  11:50 -  - Administered Tylenol (5mL)  2:30 pm - Administered Advil (5 mL) - 98.2 temple  4:45 - wailing, inconsolable for about 30 mins  - Ate some dinner ~6:30  7:50 pm - 98.4 temple - Administered Tylenol (5 mL) - Wailing from 7:15 until sleep  9:30 am - 102.1 temple, 100 forehead - Administered Motrin (5mL) - Didn?t eat breakfast   12:40 - ate lunch!! - Small rash spreading on face - 97.5 temple and forehead - Administered Zyrtec (2.5mL)  7:30 - administered Motrin (5 mL) - Fever up - 102 - Rash: small red pamphlets on legs and arms and face 8/6 10:35 am - no fever!! - No appetite - Full-body rash , no itching  Rash was still present on upper thighs 8/8, fully resolved by 8/9.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Glassy eyes, Hyperhidrosis, Inappropriate schedule of product administration, Injection site rash, Lethargy
Clinical narrative: 8/1 6:30 pm - Fever (103 temple, 100.9 underarm),  - vomiting - runny nose - Resp rate: 36 bpm  7:20 pm - Administered Motrin (5mL) - Fever (102.5 temple and forehead) - Glassy eyes  8/2  8 am - Temple 103.5, leg 100.7, underarm 101.6 8:41 am - Administered Motrin (5mL)  10:25 am - Temple: 98.5, forehead 99.4  12:45 pm - 97.6 temple - No appetite for lunch  1:30 pm - Administered Tylenol (5mL) Nap: 1:50 pm - 4:05 pm  4:15 pm - 100.2 temple, 98.7 forehead  6:20 - 103.3 temple, 101.1 forehead - Lethargic - Breathing labored - Administered Motrin (5mL)  6:36 pm - 103.9 temple - Catatonic on sofa - Sensitive to light  7:15 pm - 103.6 temple - Possible rash? - Doesn?t want to walk - says tired - Crying uncontrollably - Administered Zyrtec (5mL) - Still photosensitive   7:45 pm - pepped back up - 103.3 temple  8/3   1:55 am - 104.6 temple - Administered Motrin (5mL)  7:45 am - 104.8 temple, 102 underarm 8 am -  - Administered Motrin (5mL)  10:45 am - 100.1 temple - Administered Tylenol (5mL)  3:55 pm - 101 temple, 100 forehead - Administered Motrin (5mL)  7:00 pm - 99.9 temple - Administered Tylenol (5mL)  8/4 8:30 am - 104.9 temple - Lethargic and photosensitive  - Administered Motrin (5mL)  8/4 slept until 10:45 am Fever broke? Very sweaty  11:50 -  - Administered Tylenol (5mL)  2:30 pm - Administered Advil (5 mL) - 98.2 temple  4:45 - wailing, inconsolable for about 30 mins  - Ate some dinner ~6:30  7:50 pm - 98.4 temple - Administered Tylenol (5 mL) - Wailing from 7:15 until sleep  9:30 am - 102.1 temple, 100 forehead - Administered Motrin (5mL) - Didn?t eat breakfast   12:40 - ate lunch!! - Small rash spreading on face - 97.5 temple and forehead - Administered Zyrtec (2.5mL)  7:30 - administered Motrin (5 mL) - Fever up - 102 - Rash: small red pamphlets on legs and arms and face 8/6 10:35 am - no fever!! - No appetite - Full-body rash , no itching  Rash was still present on upper thighs 8/8, fully resolved by 8/9.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Photophobia, Photosensitivity reaction, Pyrexia, Rash
Clinical narrative: 8/1 6:30 pm - Fever (103 temple, 100.9 underarm),  - vomiting - runny nose - Resp rate: 36 bpm  7:20 pm - Administered Motrin (5mL) - Fever (102.5 temple and forehead) - Glassy eyes  8/2  8 am - Temple 103.5, leg 100.7, underarm 101.6 8:41 am - Administered Motrin (5mL)  10:25 am - Temple: 98.5, forehead 99.4  12:45 pm - 97.6 temple - No appetite for lunch  1:30 pm - Administered Tylenol (5mL) Nap: 1:50 pm - 4:05 pm  4:15 pm - 100.2 temple, 98.7 forehead  6:20 - 103.3 temple, 101.1 forehead - Lethargic - Breathing labored - Administered Motrin (5mL)  6:36 pm - 103.9 temple - Catatonic on sofa - Sensitive to light  7:15 pm - 103.6 temple - Possible rash? - Doesn?t want to walk - says tired - Crying uncontrollably - Administered Zyrtec (5mL) - Still photosensitive   7:45 pm - pepped back up - 103.3 temple  8/3   1:55 am - 104.6 temple - Administered Motrin (5mL)  7:45 am - 104.8 temple, 102 underarm 8 am -  - Administered Motrin (5mL)  10:45 am - 100.1 temple - Administered Tylenol (5mL)  3:55 pm - 101 temple, 100 forehead - Administered Motrin (5mL)  7:00 pm - 99.9 temple - Administered Tylenol (5mL)  8/4 8:30 am - 104.9 temple - Lethargic and photosensitive  - Administered Motrin (5mL)  8/4 slept until 10:45 am Fever broke? Very sweaty  11:50 -  - Administered Tylenol (5mL)  2:30 pm - Administered Advil (5 mL) - 98.2 temple  4:45 - wailing, inconsolable for about 30 mins  - Ate some dinner ~6:30  7:50 pm - 98.4 temple - Administered Tylenol (5 mL) - Wailing from 7:15 until sleep  9:30 am - 102.1 temple, 100 forehead - Administered Motrin (5mL) - Didn?t eat breakfast   12:40 - ate lunch!! - Small rash spreading on face - 97.5 temple and forehead - Administered Zyrtec (2.5mL)  7:30 - administered Motrin (5 mL) - Fever up - 102 - Rash: small red pamphlets on legs and arms and face 8/6 10:35 am - no fever!! - No appetite - Full-body rash , no itching  Rash was still present on upper thighs 8/8, fully resolved by 8/9.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rhinorrhoea, Vomiting
Clinical narrative: 8/1 6:30 pm - Fever (103 temple, 100.9 underarm),  - vomiting - runny nose - Resp rate: 36 bpm  7:20 pm - Administered Motrin (5mL) - Fever (102.5 temple and forehead) - Glassy eyes  8/2  8 am - Temple 103.5, leg 100.7, underarm 101.6 8:41 am - Administered Motrin (5mL)  10:25 am - Temple: 98.5, forehead 99.4  12:45 pm - 97.6 temple - No appetite for lunch  1:30 pm - Administered Tylenol (5mL) Nap: 1:50 pm - 4:05 pm  4:15 pm - 100.2 temple, 98.7 forehead  6:20 - 103.3 temple, 101.1 forehead - Lethargic - Breathing labored - Administered Motrin (5mL)  6:36 pm - 103.9 temple - Catatonic on sofa - Sensitive to light  7:15 pm - 103.6 temple - Possible rash? - Doesn?t want to walk - says tired - Crying uncontrollably - Administered Zyrtec (5mL) - Still photosensitive   7:45 pm - pepped back up - 103.3 temple  8/3   1:55 am - 104.6 temple - Administered Motrin (5mL)  7:45 am - 104.8 temple, 102 underarm 8 am -  - Administered Motrin (5mL)  10:45 am - 100.1 temple - Administered Tylenol (5mL)  3:55 pm - 101 temple, 100 forehead - Administered Motrin (5mL)  7:00 pm - 99.9 temple - Administered Tylenol (5mL)  8/4 8:30 am - 104.9 temple - Lethargic and photosensitive  - Administered Motrin (5mL)  8/4 slept until 10:45 am Fever broke? Very sweaty  11:50 -  - Administered Tylenol (5mL)  2:30 pm - Administered Advil (5 mL) - 98.2 temple  4:45 - wailing, inconsolable for about 30 mins  - Ate some dinner ~6:30  7:50 pm - 98.4 temple - Administered Tylenol (5 mL) - Wailing from 7:15 until sleep  9:30 am - 102.1 temple, 100 forehead - Administered Motrin (5mL) - Didn?t eat breakfast   12:40 - ate lunch!! - Small rash spreading on face - 97.5 temple and forehead - Administered Zyrtec (2.5mL)  7:30 - administered Motrin (5 mL) - Fever up - 102 - Rash: small red pamphlets on legs and arms and face 8/6 10:35 am - no fever!! - No appetite - Full-body rash , no itching  Rash was still present on upper thighs 8/8, fully resolved by 8/9.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Nausea, Pain
Clinical narrative: Nausea, emesis, diarrhea, syncope, fever, chills, sweats, and body aches.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Syncope, Vomiting
Clinical narrative: Nausea, emesis, diarrhea, syncope, fever, chills, sweats, and body aches.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Illness, Respiratory tract congestion
Clinical narrative: I contracted COVID-19 on 08/04/2022 with symptoms of cough, fatigue, and congestion. I was prescribed fluticasone nasal spray, ibuprofen 800mg, and benzonatate on 08/06/2022. I was ill for 4 days before my symptoms began to improve. I am not fully recovered as of yet.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 08/04/2022 with symptoms of cough, fatigue, and congestion. I was prescribed fluticasone nasal spray, ibuprofen 800mg, and benzonatate on 08/06/2022. I was ill for 4 days before my symptoms began to improve. I am not fully recovered as of yet.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid 07/17/2022
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Dyspnoea exertional
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/31/2022 Discharge Date: 8/2/2022  PRESENTING PROBLEM: Pericardial effusion  Dyspnea, unspecified type    HOSPITAL COURSE: 89 yo man with hx of recent COVID, CAD, COPD, HFpEF, Crohn's, and chronic pericardial effusion, just discharged 7/30 for concern of progressive exertional dyspnea. He was Treated for both COPD exacerbation and heart failure exacerbation. Even with bronchodilators, steroids and excellent diuresis, his DOE continued raising the concern whether his pericardial effusion has some influence. He did not have tamponade physiology on serial echo. Patient was discharged home, stable but return with same concern. His O2 sats reported dropped to 82% with ambulation. On exam neither his heart failure nor COPD is presenting in acute exacerbation.  CTS is not going to do a pericardial window.  We will discharge home on home oxygen.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pericardial effusion, Polyuria
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/31/2022 Discharge Date: 8/2/2022  PRESENTING PROBLEM: Pericardial effusion  Dyspnea, unspecified type    HOSPITAL COURSE: 89 yo man with hx of recent COVID, CAD, COPD, HFpEF, Crohn's, and chronic pericardial effusion, just discharged 7/30 for concern of progressive exertional dyspnea. He was Treated for both COPD exacerbation and heart failure exacerbation. Even with bronchodilators, steroids and excellent diuresis, his DOE continued raising the concern whether his pericardial effusion has some influence. He did not have tamponade physiology on serial echo. Patient was discharged home, stable but return with same concern. His O2 sats reported dropped to 82% with ambulation. On exam neither his heart failure nor COPD is presenting in acute exacerbation.  CTS is not going to do a pericardial window.  We will discharge home on home oxygen.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Chest pain, Computerised tomogram thorax abnormal, Myocardial oedema, Pulmonary embolism
Clinical narrative: Formation of Blood Clots in my Lungs - extreme pain in my chest, 3-4 days every few weeks Starting the end of October 2021.  Critical in Jan 2022, went to hospital and was diagnosed with Pulmonary Embolism. Edema around my heart. Diagnosed in Jan 2022 when I had a CT scan in the hospital.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary thrombosis
Clinical narrative: Formation of Blood Clots in my Lungs - extreme pain in my chest, 3-4 days every few weeks Starting the end of October 2021.  Critical in Jan 2022, went to hospital and was diagnosed with Pulmonary Embolism. Edema around my heart. Diagnosed in Jan 2022 when I had a CT scan in the hospital.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Cough, Fatigue
Clinical narrative: I started getting symptoms of chills, fever, muscle aches, and scratchy throat. The next morning, I experienced lethargy, cough, and extreme tiredness. I received a positive COVID-19 test. I contacted my doctor and was prescribed PAXLOVID. I felt a heaviness in my chest. I experienced lethargy and fatigue for 6 weeks.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Myalgia, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I started getting symptoms of chills, fever, muscle aches, and scratchy throat. The next morning, I experienced lethargy, cough, and extreme tiredness. I received a positive COVID-19 test. I contacted my doctor and was prescribed PAXLOVID. I felt a heaviness in my chest. I experienced lethargy and fatigue for 6 weeks.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Death, Endotracheal intubation
Clinical narrative: 9/15/21 pt had a positive COVID test; 9/17/21 pt to ED with COVID pneumonia; had another positive COVID test in ED; respiratory status worsened requiring CPAP; transferred to ICU; given Dexamethasone, Remdesivir, Lovenox, ABX; pt's condition worsened requiring intubation and vasopressors, high ventilation support; renal function worsened; dc'd Remdesivir and biologic agents; transitioned to comfort care; extubated and pt passed away in the hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, Mechanical ventilation, Positive airway pressure therapy, Renal impairment
Clinical narrative: 9/15/21 pt had a positive COVID test; 9/17/21 pt to ED with COVID pneumonia; had another positive COVID test in ED; respiratory status worsened requiring CPAP; transferred to ICU; given Dexamethasone, Remdesivir, Lovenox, ABX; pt's condition worsened requiring intubation and vasopressors, high ventilation support; renal function worsened; dc'd Remdesivir and biologic agents; transitioned to comfort care; extubated and pt passed away in the hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 9/15/21 pt had a positive COVID test; 9/17/21 pt to ED with COVID pneumonia; had another positive COVID test in ED; respiratory status worsened requiring CPAP; transferred to ICU; given Dexamethasone, Remdesivir, Lovenox, ABX; pt's condition worsened requiring intubation and vasopressors, high ventilation support; renal function worsened; dc'd Remdesivir and biologic agents; transitioned to comfort care; extubated and pt passed away in the hospital
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Male patient age 4 was administered the incorrect vaccine Pediatric Pfizer for ages 5-11.  Patient given IM vaccine in Right Deltoid and monitored 15 minutes after vaccinations. Pt remained AOx4, no complaints of pain or S/S. Pt guardian(grandmother) was informed of medication error and told to monitor pt for any kind of change in condition or allergic reaction to call 911 or go to the Emergency Room.  Followed up with patient on  8/7/22 and 8/9/22 spoke with guardian patient is not exhibiting any reaction or change in condition.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I received my Covid 19 vaccine on 07/16/2022. On 07/29/2022 I started having a running noise. 07/30/2022 I woke up with lots of congestion and mucus. I felt achy and tired and lots of mucus with a stuffy head. On 07/31/2022 I went to the doctor and was diagnosed with Covid-19. I was prescribed PAXLOVID for 3x for 5 days. Symptoms gradually improved from next day and completely went away day 6.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge, Sinus congestion
Clinical narrative: I received my Covid 19 vaccine on 07/16/2022. On 07/29/2022 I started having a running noise. 07/30/2022 I woke up with lots of congestion and mucus. I felt achy and tired and lots of mucus with a stuffy head. On 07/31/2022 I went to the doctor and was diagnosed with Covid-19. I was prescribed PAXLOVID for 3x for 5 days. Symptoms gradually improved from next day and completely went away day 6.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated (2 doses mRNA )
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Hypertension
Clinical narrative: Discharge Provider: Medical Doctor Primary Care Provider: Doctor of Osteopathic Medicine Admission Date: 7/27/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Respiratory failure   HOSPITAL COURSE: Patient is a 74-year-old male with a past medical history of chronic obstructive pulmonary disease,  hypertension and bipolar disorder who presented with acute sudden shortness of breath. In the ED, he was noted to be hypoxic requiring supplemental oxygen via nasal canula. He was also noted to be hypertensive ultimately requiring nitroglycerin ggt. Troponins were also elevated on admission with no EKG changes or chest pain. This was thought to be due to demand ischemia. ECHO was normal. Blood pressure was stabilized and patient was taken off drip fairly quickly. He was started on Norvasc. He was also taken off oxygen and was stable on room air. He was discharged home in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Myocardial ischaemia, Respiratory failure, Troponin increased
Clinical narrative: Discharge Provider: Medical Doctor Primary Care Provider: Doctor of Osteopathic Medicine Admission Date: 7/27/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Respiratory failure   HOSPITAL COURSE: Patient is a 74-year-old male with a past medical history of chronic obstructive pulmonary disease,  hypertension and bipolar disorder who presented with acute sudden shortness of breath. In the ED, he was noted to be hypoxic requiring supplemental oxygen via nasal canula. He was also noted to be hypertensive ultimately requiring nitroglycerin ggt. Troponins were also elevated on admission with no EKG changes or chest pain. This was thought to be due to demand ischemia. ECHO was normal. Blood pressure was stabilized and patient was taken off drip fairly quickly. He was started on Norvasc. He was also taken off oxygen and was stable on room air. He was discharged home in stable condition.
Age: 18.0
Sex: F
Vaccine: FLU4, HEPA, MENB, MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT WAS ADMINISTERED AN OUTDATED VIAL OF INFLUENZA VACCINE: FLUZONE QUADRIVALENT NO PRESERVATIVE 2021-2022 FORMULA. IT OUTDATED ON 6/30/2022. LOT NUMBER IS U7328DA. PATIENT AND CAREGIVER WERE ALERTED OF THE ERROR IMMEDIATELY FOLLOWING IT'S DISCOVERY. AT LAST CORRESPONDENCE WITH PATIENT SHE WAS NOT EXPERIENCING ANY UNUSUAL SIGNS OR SYMPTOMS.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine was given. Expiration date 08/03/2022 was given 08/08/2022. No adverse reactions.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case of COVID; my symptoms were a sore throat and a cough and fatigue. It started the Saturday before, the Thursday before I tested positive, which was the 23rd of July which was the first day of my symptoms and on the 28th of July I took the at home text and it was positive. I spoke to my Dr. via virtual visit on the 29th of July and by that time I had no symptoms at all. I took a second at home test on the 3rd of August and it was negative.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID; my symptoms were a sore throat and a cough and fatigue. It started the Saturday before, the Thursday before I tested positive, which was the 23rd of July which was the first day of my symptoms and on the 28th of July I took the at home text and it was positive. I spoke to my Dr. via virtual visit on the 29th of July and by that time I had no symptoms at all. I took a second at home test on the 3rd of August and it was negative.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: NO AE REPORTED, HOWEVER, VACCINE WAS GIVEN IM INSTEAD OF SQ
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Diarrhoea, Fatigue, Myalgia, Nausea
Clinical narrative: The day after the vaccine, patient had nausea and diarrhea, fatigue, muscle pain and weakness.  I checked the CDC site to see if these were common side effects, and it said that they were and they would clear up in a day or two.  Two days later, patient felt stronger, but he had a couple of red patches of skin on his chest.  He did not want to go to a doctor, so we waited for them to clear up.  It took a few days, but they went away.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Skin reaction
Clinical narrative: The day after the vaccine, patient had nausea and diarrhea, fatigue, muscle pain and weakness.  I checked the CDC site to see if these were common side effects, and it said that they were and they would clear up in a day or two.  Two days later, patient felt stronger, but he had a couple of red patches of skin on his chest.  He did not want to go to a doctor, so we waited for them to clear up.  It took a few days, but they went away.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: Guardian requested patient to have an HPV 9 vaccine. Provider ordered vaccine and vaccine was administered. Upon documentation of HPV 9,  it was noted that patient had already received 2 prior HPV 9 vaccines.  Due to patient's age the series was complete with the 2 prior doses and patient did not need the 3rd HPV 9 that was administered.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bacteraemia, Blood culture positive, COVID-19, Culture urine positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/2/2022 Discharge Date:  08/08/2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: 96-year-old female admitted to Hospital with weakness and fever.  In the emergency room she was found to be COVID positive.  Additionally she was hypoxemic and was given remdesivir as well as started on oral dexamethasone.  Her blood and urine cultures also ultimately grew E coli.  She was started on IV Rocephin and given positive blood cultures repeat cultures were done which were no growth at discharge.  She was transition from oral Rocephin to orally Cipro prior to discharge to complete 14 days of antibiotic for her bacteremia.  She otherwise noted to have significant weakness and was seen by PT and OT on a regular basis with steady improvement.  Given her general weakness does felt having her move to assisted living would be beneficial and arrangements were made for her to transition to assisted living.  She has a history of fairly frequent bladder infections and was started on vitamin-C 500 mg twice daily in an attempt to reduce the frequency of her bladder infections.  At discharge she had 3 days left of oral dexamethasone to complete and was given prescription for this.  She otherwise seem to do remarkably well despite her COVID and sepsis diagnosis.   Given that she is moving to the Atrium her family requested that she be followed there by Health Geriatrics and home health.  Arrangements were made for home health PT OT to follow the patient post discharge.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Escherichia test positive, Hypoxia, Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/2/2022 Discharge Date:  08/08/2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: 96-year-old female admitted to Hospital with weakness and fever.  In the emergency room she was found to be COVID positive.  Additionally she was hypoxemic and was given remdesivir as well as started on oral dexamethasone.  Her blood and urine cultures also ultimately grew E coli.  She was started on IV Rocephin and given positive blood cultures repeat cultures were done which were no growth at discharge.  She was transition from oral Rocephin to orally Cipro prior to discharge to complete 14 days of antibiotic for her bacteremia.  She otherwise noted to have significant weakness and was seen by PT and OT on a regular basis with steady improvement.  Given her general weakness does felt having her move to assisted living would be beneficial and arrangements were made for her to transition to assisted living.  She has a history of fairly frequent bladder infections and was started on vitamin-C 500 mg twice daily in an attempt to reduce the frequency of her bladder infections.  At discharge she had 3 days left of oral dexamethasone to complete and was given prescription for this.  She otherwise seem to do remarkably well despite her COVID and sepsis diagnosis.   Given that she is moving to the Atrium her family requested that she be followed there by Health Geriatrics and home health.  Arrangements were made for home health PT OT to follow the patient post discharge.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization of coivd positive pt, vaccinated
Age: 55.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: NO AE REPORTED, HOWEVER, ADMINISTERED IM INSTEAD OF SQ, PER BAVARIAN NORDIC MANUFACTURER, NO REPEAT DOSE IS REQUIRED
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Contusion, Electromyogram abnormal, Injection site mass, Magnetic resonance imaging head normal
Clinical narrative: Starting a week after receiving the vaccine, I got a big lump at the injection site and then I developed a bruise which is unusual for me. I developed soreness and weakness which I connected to the lump. When the lump disappeared the symptoms persisted and I was more concerned. I started developing tremors and weakness making it difficult to type. I contacted my PCP and they referred me to orthopedics and neurology. Due to a family death, I was unable to follow up until after that. They first thought it may be an early onset Parkinson's but ruled it out. So, when neurology did an EMG recently it was determined that I had an entrapped nerve on the right side. They classified it as an atypical carpel and cubital nerve entrapment since it starts at the wrist and goes up the arm. They said they will treat it with braces/rest. As time goes on, it is slowly getting better so they want to watch it and not do any surgery unless it does not improve. Usually these are painful conditions, but I am not having any pain at this moment.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nerve compression, Orthosis user, Pain, Tremor, X-ray limb
Clinical narrative: Starting a week after receiving the vaccine, I got a big lump at the injection site and then I developed a bruise which is unusual for me. I developed soreness and weakness which I connected to the lump. When the lump disappeared the symptoms persisted and I was more concerned. I started developing tremors and weakness making it difficult to type. I contacted my PCP and they referred me to orthopedics and neurology. Due to a family death, I was unable to follow up until after that. They first thought it may be an early onset Parkinson's but ruled it out. So, when neurology did an EMG recently it was determined that I had an entrapped nerve on the right side. They classified it as an atypical carpel and cubital nerve entrapment since it starts at the wrist and goes up the arm. They said they will treat it with braces/rest. As time goes on, it is slowly getting better so they want to watch it and not do any surgery unless it does not improve. Usually these are painful conditions, but I am not having any pain at this moment.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bacterial test positive, Blood creatinine increased, Blood lactic acid, Blood urine present
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge:  Admission Date: 7/27/2022 Discharge Date: 7/28/2022  PRESENTING PROBLEM: Weakness  History of rheumatoid arthritis Arthralgia, unspecified joint COVID-19 virus detected    HOSPITAL COURSE: Patient is an 85-year-old female who presented to the ER on 07/27/2022 with chief complaint of weakness and falls at home.  The patient reports having fevers on 7/24 and 7/25 along with poor oral intake and appetite for the last 1-2 months.  She believes her poor oral intake is related to dental work causing pain with eating.  The patient was brought to the ER due to the weakness and falls.  In the ER, initial lab work showed mild elevation in renal function with creatinine of 1.3.  She did test positive for COVID-19.  However there is no leukocytosis, lactic acid of 1.7, and procalcitonin of 0.1.  A UA does show positive nitrites, large leukocytes, large blood and many bacteria and urine was sent for culture.  She was given ceftriaxone for suspected urinary tract infection and admitted to the hospitalist service for ongoing management and evaluation of weakness, COVID-19, and suspected acute cystitis.  Initially the patient was going to be discharged from the ER however the patient's family verbalized concern with her going home given the weakness.  The patient was admitted under observation status to the hospitalist service.  While admitted PT and OT evaluated the patient and recommend a walker and outpatient physical therapy.  The patient had no further fevers or respiratory symptoms to suggest worsening COVID-19 symptoms.  The patient received 1 dose of ceftriaxone and we are currently awaiting final urine culture results.  The plan will be to discharge the patient home with the above recommendations.  The patient and family agree with this plan of care and all questions and concerns were addressed to patient's satisfaction.  The patient will be discharged in stable condition.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Culture urine, Cystitis, Decreased appetite, Dental operation
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge:  Admission Date: 7/27/2022 Discharge Date: 7/28/2022  PRESENTING PROBLEM: Weakness  History of rheumatoid arthritis Arthralgia, unspecified joint COVID-19 virus detected    HOSPITAL COURSE: Patient is an 85-year-old female who presented to the ER on 07/27/2022 with chief complaint of weakness and falls at home.  The patient reports having fevers on 7/24 and 7/25 along with poor oral intake and appetite for the last 1-2 months.  She believes her poor oral intake is related to dental work causing pain with eating.  The patient was brought to the ER due to the weakness and falls.  In the ER, initial lab work showed mild elevation in renal function with creatinine of 1.3.  She did test positive for COVID-19.  However there is no leukocytosis, lactic acid of 1.7, and procalcitonin of 0.1.  A UA does show positive nitrites, large leukocytes, large blood and many bacteria and urine was sent for culture.  She was given ceftriaxone for suspected urinary tract infection and admitted to the hospitalist service for ongoing management and evaluation of weakness, COVID-19, and suspected acute cystitis.  Initially the patient was going to be discharged from the ER however the patient's family verbalized concern with her going home given the weakness.  The patient was admitted under observation status to the hospitalist service.  While admitted PT and OT evaluated the patient and recommend a walker and outpatient physical therapy.  The patient had no further fevers or respiratory symptoms to suggest worsening COVID-19 symptoms.  The patient received 1 dose of ceftriaxone and we are currently awaiting final urine culture results.  The plan will be to discharge the patient home with the above recommendations.  The patient and family agree with this plan of care and all questions and concerns were addressed to patient's satisfaction.  The patient will be discharged in stable condition.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hypophagia, Nitrite urine present, Pain, Procalcitonin
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge:  Admission Date: 7/27/2022 Discharge Date: 7/28/2022  PRESENTING PROBLEM: Weakness  History of rheumatoid arthritis Arthralgia, unspecified joint COVID-19 virus detected    HOSPITAL COURSE: Patient is an 85-year-old female who presented to the ER on 07/27/2022 with chief complaint of weakness and falls at home.  The patient reports having fevers on 7/24 and 7/25 along with poor oral intake and appetite for the last 1-2 months.  She believes her poor oral intake is related to dental work causing pain with eating.  The patient was brought to the ER due to the weakness and falls.  In the ER, initial lab work showed mild elevation in renal function with creatinine of 1.3.  She did test positive for COVID-19.  However there is no leukocytosis, lactic acid of 1.7, and procalcitonin of 0.1.  A UA does show positive nitrites, large leukocytes, large blood and many bacteria and urine was sent for culture.  She was given ceftriaxone for suspected urinary tract infection and admitted to the hospitalist service for ongoing management and evaluation of weakness, COVID-19, and suspected acute cystitis.  Initially the patient was going to be discharged from the ER however the patient's family verbalized concern with her going home given the weakness.  The patient was admitted under observation status to the hospitalist service.  While admitted PT and OT evaluated the patient and recommend a walker and outpatient physical therapy.  The patient had no further fevers or respiratory symptoms to suggest worsening COVID-19 symptoms.  The patient received 1 dose of ceftriaxone and we are currently awaiting final urine culture results.  The plan will be to discharge the patient home with the above recommendations.  The patient and family agree with this plan of care and all questions and concerns were addressed to patient's satisfaction.  The patient will be discharged in stable condition.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Renal function test abnormal, SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge:  Admission Date: 7/27/2022 Discharge Date: 7/28/2022  PRESENTING PROBLEM: Weakness  History of rheumatoid arthritis Arthralgia, unspecified joint COVID-19 virus detected    HOSPITAL COURSE: Patient is an 85-year-old female who presented to the ER on 07/27/2022 with chief complaint of weakness and falls at home.  The patient reports having fevers on 7/24 and 7/25 along with poor oral intake and appetite for the last 1-2 months.  She believes her poor oral intake is related to dental work causing pain with eating.  The patient was brought to the ER due to the weakness and falls.  In the ER, initial lab work showed mild elevation in renal function with creatinine of 1.3.  She did test positive for COVID-19.  However there is no leukocytosis, lactic acid of 1.7, and procalcitonin of 0.1.  A UA does show positive nitrites, large leukocytes, large blood and many bacteria and urine was sent for culture.  She was given ceftriaxone for suspected urinary tract infection and admitted to the hospitalist service for ongoing management and evaluation of weakness, COVID-19, and suspected acute cystitis.  Initially the patient was going to be discharged from the ER however the patient's family verbalized concern with her going home given the weakness.  The patient was admitted under observation status to the hospitalist service.  While admitted PT and OT evaluated the patient and recommend a walker and outpatient physical therapy.  The patient had no further fevers or respiratory symptoms to suggest worsening COVID-19 symptoms.  The patient received 1 dose of ceftriaxone and we are currently awaiting final urine culture results.  The plan will be to discharge the patient home with the above recommendations.  The patient and family agree with this plan of care and all questions and concerns were addressed to patient's satisfaction.  The patient will be discharged in stable condition.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase positive
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge:  Admission Date: 7/27/2022 Discharge Date: 7/28/2022  PRESENTING PROBLEM: Weakness  History of rheumatoid arthritis Arthralgia, unspecified joint COVID-19 virus detected    HOSPITAL COURSE: Patient is an 85-year-old female who presented to the ER on 07/27/2022 with chief complaint of weakness and falls at home.  The patient reports having fevers on 7/24 and 7/25 along with poor oral intake and appetite for the last 1-2 months.  She believes her poor oral intake is related to dental work causing pain with eating.  The patient was brought to the ER due to the weakness and falls.  In the ER, initial lab work showed mild elevation in renal function with creatinine of 1.3.  She did test positive for COVID-19.  However there is no leukocytosis, lactic acid of 1.7, and procalcitonin of 0.1.  A UA does show positive nitrites, large leukocytes, large blood and many bacteria and urine was sent for culture.  She was given ceftriaxone for suspected urinary tract infection and admitted to the hospitalist service for ongoing management and evaluation of weakness, COVID-19, and suspected acute cystitis.  Initially the patient was going to be discharged from the ER however the patient's family verbalized concern with her going home given the weakness.  The patient was admitted under observation status to the hospitalist service.  While admitted PT and OT evaluated the patient and recommend a walker and outpatient physical therapy.  The patient had no further fevers or respiratory symptoms to suggest worsening COVID-19 symptoms.  The patient received 1 dose of ceftriaxone and we are currently awaiting final urine culture results.  The plan will be to discharge the patient home with the above recommendations.  The patient and family agree with this plan of care and all questions and concerns were addressed to patient's satisfaction.  The patient will be discharged in stable condition.
Age: 41.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: NO AE REPORTED, HOWEVER, DOSE WAS GIVEN IM INSTEAD OF SQ. PER BAVARIAN NORDIC, NO REPEAT DOSE NECESSARY
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nausea, Oropharyngeal pain
Clinical narrative: I had nausea; fever; cough; rash; congestion; headache; and sore throat for 4 days and my rash is still going on. I'm taking over the counter hydrocortisone.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had nausea; fever; cough; rash; congestion; headache; and sore throat for 4 days and my rash is still going on. I'm taking over the counter hydrocortisone.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood creatine phosphokinase increased, Blood creatinine increased, Blood sodium increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/22/2022 Discharge Date: 8/2/2022  PRESENTING PROBLEM: Pneumonia [J18.9] Weakness [R53.1] COPD exacerbation [J44.1] Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: 81-year-old male past medical history of lung cancer status post resection and chemotherapy, chronic obstructive pulmonary disease with active tobacco use, dementia, who presented after he was found on the floor by daughter.  Evaluation in the emergency department revealed the patient was positive for COVID-19.  Chest x-ray was negative.  Patient had mild hypoxia on ambulation down to 88% and was placed on 2 L of oxygen.  He had elevated creatinine, CPK, and sodium.  He was started on IV fluids and was admitted for further management.  Patient was started on Decadron 6 mg daily.  His oxygen was weaned of quickly.  His creatinine improved back to his baseline chronic kidney disease stage 3. He was evaluated by PT and OT who recommended discharge to subacute rehab.  He had a 15 minute episode of tachycardia into the 150s to 160s that reverted back to normal sinus rhythm spontaneously. Cardiac monitoring was continued and he had no further episodes of tachycardia. He was discharged to SAR in stable condition on 2L supplemental O2 via NC.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac monitoring abnormal, Chest X-ray normal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/22/2022 Discharge Date: 8/2/2022  PRESENTING PROBLEM: Pneumonia [J18.9] Weakness [R53.1] COPD exacerbation [J44.1] Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: 81-year-old male past medical history of lung cancer status post resection and chemotherapy, chronic obstructive pulmonary disease with active tobacco use, dementia, who presented after he was found on the floor by daughter.  Evaluation in the emergency department revealed the patient was positive for COVID-19.  Chest x-ray was negative.  Patient had mild hypoxia on ambulation down to 88% and was placed on 2 L of oxygen.  He had elevated creatinine, CPK, and sodium.  He was started on IV fluids and was admitted for further management.  Patient was started on Decadron 6 mg daily.  His oxygen was weaned of quickly.  His creatinine improved back to his baseline chronic kidney disease stage 3. He was evaluated by PT and OT who recommended discharge to subacute rehab.  He had a 15 minute episode of tachycardia into the 150s to 160s that reverted back to normal sinus rhythm spontaneously. Cardiac monitoring was continued and he had no further episodes of tachycardia. He was discharged to SAR in stable condition on 2L supplemental O2 via NC.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pneumonia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/22/2022 Discharge Date: 8/2/2022  PRESENTING PROBLEM: Pneumonia [J18.9] Weakness [R53.1] COPD exacerbation [J44.1] Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: 81-year-old male past medical history of lung cancer status post resection and chemotherapy, chronic obstructive pulmonary disease with active tobacco use, dementia, who presented after he was found on the floor by daughter.  Evaluation in the emergency department revealed the patient was positive for COVID-19.  Chest x-ray was negative.  Patient had mild hypoxia on ambulation down to 88% and was placed on 2 L of oxygen.  He had elevated creatinine, CPK, and sodium.  He was started on IV fluids and was admitted for further management.  Patient was started on Decadron 6 mg daily.  His oxygen was weaned of quickly.  His creatinine improved back to his baseline chronic kidney disease stage 3. He was evaluated by PT and OT who recommended discharge to subacute rehab.  He had a 15 minute episode of tachycardia into the 150s to 160s that reverted back to normal sinus rhythm spontaneously. Cardiac monitoring was continued and he had no further episodes of tachycardia. He was discharged to SAR in stable condition on 2L supplemental O2 via NC.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest pain, Headache
Clinical narrative: I had gone to a concert and the next day I had a sore throat. I took a COVID-19 home test and it was positive. I was having bad body aches, an ongoing headache and I lost my smell and taste. I was having chest pains as well. I reached out to my doctor who gave me PAXLOVID to treat my symptoms and that helped my symptoms a ton. I was feeling better very quickly.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: I had gone to a concert and the next day I had a sore throat. I took a COVID-19 home test and it was positive. I was having bad body aches, an ongoing headache and I lost my smell and taste. I was having chest pains as well. I reached out to my doctor who gave me PAXLOVID to treat my symptoms and that helped my symptoms a ton. I was feeling better very quickly.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: NO REPORTED AE, HOWEVER, VACCINE WAS ADMINISTERED IM INSTEAD OF SQ, PER BAVARIAN NORDIC NO REPEAT DOSE IS REQUIRED
Age: 29.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: NO AE REPORTED, HOWEVER, VACCINE WAS ADMINISTERED IM INSTEAD OF SQ. PER BAVARIAN NORDIC, NO REPEAT DOSE IS REQUIRED
Age: 57.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: NO AE REPORTED, HOWEVER, DOSE ADMINISTERED IM INSTEAD OF SQ. PER BAVARIAN NORDIC NO REPEAT DOSE IS REQUIRED
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood gases, Chills, Computerised tomogram head normal, Cough
Clinical narrative: 7/16/2022 - 7/21/2022 (5 days) HOSPITAL  Patient is a 81 y.o. male who presented to the hospital after not being able to breath at home. The family provided the history as the patient was intubated when I saw him. He was ill since 7/13 with fevers, sweats, chills, malaise, cough and sputum production. The next day he tried to get up from a chair and fell onto his face. He said that his leg was not working when he got up. His family urged him to go to the hospital, but he refused. He went to bed instead and his leg worked normally in the morning. This apparently happens to him at times and he thinks it just "fall asleep in him".    He continued to have worsening cough and shortness of breath. Family tried to get him tested for COVID-19 but he refused and said he did not have the virus. Multiple family members were also sick and were taking allergy medicine to treat it.    Today he was not breathing well so they called the ambulance. In route to the hospital he became unresponsive and had oxygen saturations in the 60s. He had 2 IOs placed in his tibias. He was originally going to different Hospital due to concern of his worsening mental status and his recent fall while on blood thinners. He was then rerouted to this Hospital due to respiratory arrest.    He was intubated in the ER and started to become more responsive and was trying to pull his ETT out. He was placed on propofol and then needed Norepi to support his blood pressure while on sedation. VBG showed hypercapnea which is assume to be the cause of his decreased mentation. CT head was obtained which was unremarkable.   Upon his presentation the patient was immediately intubated for respiratory failure.  Following intubation the patient was placed on sedation.  He was hypotensive and required norepinephrine to maintain blood pressures.  Workup demonstrated COVID infection was suspected superinfection bacterial pneumonia.  The patient was started on steroids, ceftriaxone and azithromycin, and admitted to the intensive care unit.  The patient did well was able to be weaned from his pressor support following day.  Patient was extubated on July 17, 2022. Following extubation he continued to have respiratory failure requiring BiPAP.  At this time he is weaning from his BiPAP while diuresing.  Overall patient is clinically improving with care.